Chelsea Gardens
4422 Riverstone Blvd, Missouri City, TX 77459 · Fort Bend County
For-profit · 60 certified beds · 73% occupancy · (281) 499-5040
The U.S. government (CMS) rates Chelsea Gardens 1 out of 5 stars overall — much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.74 nurse hours per resident per day. 15% above the Texas median of 3.27.
Nursing staff turnover: 57.5% · RN turnover: 37.5%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0656 · Mar 9, 2026ComplaintCorrected May 8, 2026
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
- Immediate jeopardyTag F0689 · Mar 9, 2026ComplaintCorrected May 8, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0609 · Mar 9, 2026ComplaintCorrected Apr 15, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Immediate jeopardyTag F0692 · Nov 13, 2024ComplaintCorrected Nov 14, 2024
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Aug 1, 2024Corrected Aug 20, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0641 · Nov 13, 2024ComplaintCorrected Dec 2, 2024
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Aug 1, 2024Corrected Aug 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · May 23, 2023Corrected Jun 9, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0689 · May 23, 2023Corrected Jun 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0661 · May 23, 2023Corrected Jun 8, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - partnership). It is independently operated, not part of a multi-facility chain.