Nursing home in Missouri City, Texas
Chelsea Gardens
Medicare and Medicaid
4422 Riverstone Blvd, Missouri City, TX 77459
(281) 499-5040
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home2
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home4
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home1
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Oct 1, 2025. CMS counts 4 health deficiencies in rating cycle 1.
- This nursing home4
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 8 health deficiencies on 4 inspection dates since Sep 30, 2023. By level of harm: 3 immediate jeopardy, 5 potential for harm.
- 3 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 5 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jun 10, 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jun 30, 2026 |
| Mar 9, 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Apr 15, 2026 |
| Mar 9, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Apr 15, 2026 |
| Mar 9, 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Apr 15, 2026 |
| Nov 13, 2024 | F0692 | Provide enough food/fluids to maintain a resident's health.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Nov 14, 2024 |
| Nov 13, 2024 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Dec 2, 2024 |
| Aug 1, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Aug 20, 2024 |
| Aug 1, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Aug 20, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.74 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.92 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home57.5%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 3 penalties for this nursing home: 2 fines totaling $77,293, and 1 payment denial. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 60 |
|---|---|
| Average residents per day | 43.8 |
| Ownership | For profit - Partnership |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Not part of a chain in the CMS file |
| Legal business name | J AND B ASSOCIATES LLC |
| First approved for Medicare and Medicaid | Mar 12, 2013 |
| County | Fort Bend |
| CMS certification number | 676334 |
Also in Missouri City
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Windsor Quail Valley Post-Acute Healthcare | 120 | Non profit - Corporation | ||
| Park Manor of Quail Valley | 125 | For profit - Limited Liability company | ||
| Paradigm at First Colony | 150 | For profit - Limited Liability company |