For profit - Partnership · 60 certified beds · CMS number 676334
Chelsea Gardens, Missouri City, TX
CMS records 14 health deficiencies at Chelsea Gardens in Missouri City, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Oct 1, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $77,293 and 1 payment denial in the last three years.
- 14deficiencies, 3 cycles (TX median 25)
- 4in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $77,293fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Chelsea Gardens as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Chelsea Gardens may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (4 deficiencies)
Standard inspection Oct 1, 2025. CMS counts 4 health deficiencies and 3 fire safety deficiencies in this cycle.
Jun 10, 2026 · Complaint inspection
1 deficiency, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 30, 2026
Mar 9, 2026 · Complaint inspection
3 deficiencies, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 15, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 15, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 15, 2026
Previous cycle: 4 deficiencies (standard inspection Aug 1, 2024)
Standard inspection Aug 1, 2024. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.
Nov 13, 2024 · Complaint inspection
2 deficiencies, highest K
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 14, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 2, 2024
Aug 1, 2024 · Standard inspection
2 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 20, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 20, 2024
Earlier cycle: 6 deficiencies (standard inspection May 23, 2023)
Standard inspection May 23, 2023. CMS counts 6 health deficiencies and 3 fire safety deficiencies in this cycle.
May 23, 2023 · Standard inspection
6 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jun 9, 2023
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jun 9, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 9, 2023
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 9, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 9, 2023
F661 · Discharge summary
Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 8, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Chelsea Gardens; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 2 | Mar 9, 2026; May 23, 2023 |
| F812 Food safety and sanitation | 2 | Aug 1, 2024; May 23, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 9, 2026 | Fine | $21,190 |
| Mar 9, 2026 | Payment Denial | 8 days from Apr 7, 2026 |
| Nov 13, 2024 | Fine | $56,103 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.74 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.92 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.34 h
- Nursing staff turnover
- 57.5% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 4 of 5
- Quality measure rating
- 1 of 5
CMS figures for Chelsea Gardens, copied as published; Texas medians are ours.
Facility details
- Address
- 4422 Riverstone Blvd, Missouri City, TX 77459
- Phone
- (281) 499-5040
- County
- Fort Bend
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 60
- Average residents per day
- 43.8
- In Medicare/Medicaid since
- Mar 12, 2013
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 1 time)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 1 time)
Other nursing homes in Missouri City
- Paradigm at First Colony
Missouri City · 39 deficiencies - Park Manor of Quail Valley
Missouri City · 24 deficiencies - Windsor Quail Valley Post-Acute Healthcare
Missouri City · 15 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.