Chelsea Gardens
Nursing home · 4422 RIVERSTONE BLVD, Missouri City, TX 77459 · Fort Bend County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 60
- State license
- 105225
- Medicare CCN
- 676334
- Licensed entity
- J AND B ASSOCIATES LLC
- Ownership
- For profit - Partnership
- Phone
- (281) 499-5040
- Nurse staffing
- 3.74 hours per resident per day; 57.5% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 4★ · Quality 1★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Mar 9, 2026 — Fine ($21,190)
- Mar 9, 2026 — Payment Denial · payment denial 8 days
- Nov 13, 2024 — Fine ($56,103)
Inspection findings
-
Jun 10, 2026 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Jun 30, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Mar 9, 2026 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 15, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Apr 15, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 15, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 1, 2025 Fire Safety · 3 findings
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Dec 3, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Dec 3, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Dec 3, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Nov 13, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Dec 2, 2024 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Nov 14, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 1, 2024 Health · 3 findings
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Aug 20, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Aug 20, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Aug 20, 2024 · CMS fire safety
-
Not serious
Scope/severity E
-
May 23, 2023 Health · 9 findings
-
Not serious
Scope/severity D
F0661 Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected Jun 8, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0693 Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected Jun 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Jun 9, 2023 · CMS health inspection
-
Not serious
Scope/severity C
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Jun 9, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 9, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Jun 14, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jun 15, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Jun 14, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- AJAYI, SAMUEL — 5% or greater indirect ownership interest, 50%, since 10/31/2019
- AJAYI, SAMUEL — operational/managerial control, NOT APPLICABLE, since 10/31/2019
- AJAYI, SAMUEL — adp of the snf, NOT APPLICABLE, since 10/31/2019
- AJAYI, TEMITOPE — 5% or greater indirect ownership interest, 50%, since 10/31/2019
- AJAYI, TEMITOPE — adp of the snf, NOT APPLICABLE, since 10/31/2019
- BALLEW, VINCENT — operational/managerial control, NOT APPLICABLE, since 01/01/2020
- BALLEW, VINCENT — adp of the snf, NOT APPLICABLE, since 01/01/2020
- NWANKWO, CHINEDU — operational/managerial control, NOT APPLICABLE, since 01/01/2025
- NWANKWO, CHINEDU — adp of the snf, NOT APPLICABLE, since 01/01/2025
- THE AMERICAN CORNERSTONE HEALTH SERVICES INC. — adp of the snf, NOT APPLICABLE, since 10/31/2019
- THE AMERICAN CORNERSTONE HEALTH SERVICES INC. — 5% or greater direct ownership interest, 100%, since 10/31/2019
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.