Home›Browse›Texas›Missouri City›Chelsea Gardens

Nursing homeFAID #14690

Chelsea Gardens

4422 RIVERSTONE BLVD, MISSOURI CITY, TX, 77459

(281) 499-5040

60 licensed beds

CMS rates Chelsea Gardens 1 out of 5 overall. Federal inspectors issued 21 citations across 9 inspections in the last three years, with $77,293 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

4422 Riverstone Blvd

Missouri City, TX 77459

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Public record summary

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Bed capacity

CMS facility ID

676334

Care type

Nursing home

County

Fort Bend

Facility name

Chelsea Gardens

Street address

4422 RIVERSTONE BLVD

City / state / ZIP

Missouri City, TX 77459

Phone

(281) 499-5040

About this facility — Chelsea Gardens

Chelsea Gardens is a Medicare/Medicaid-certified skilled nursing facility in Missouri City, Texas. It is licensed for 60 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 52 senior care facilities in Missouri City and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Chelsea Gardens 21 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $77,293 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Partnership

Registered owners & officers

The American Cornerstone Health Services Inc.

Direct owner · Additional disclosable party — 100% stake — since 2019

Ajayi, Samuel

Indirect owner · Operational control · Additional disclosable party — 50% stake — since 2019

Ajayi, Temitope

Indirect owner · Additional disclosable party — 50% stake — since 2019

Ballew, Vincent

Operational control · Additional disclosable party — since 2020

Nwankwo, Chinedu

Operational control · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

2013-03-12

CMS overall rating

1 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

$77,293 total

Last standard inspection

2025-10-01

Nurse staffing

4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$380 per day (≈ $11,550/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

36% Medicaid · 30% Medicare · 34% private/other

Occupancy

67% (fiscal year 2023)

Vs. state median

37% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-10Health inspectionComplaint-triggered1 citation

F-0921

E · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-06-30

2026-03-09Health inspectionComplaint-triggered3 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-04-15

F-0656

J · Immediate jeopardyFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-04-15

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-04-15

6 earlier / fire-safety inspections (17 citations)

2024-11-13Health inspectionComplaint-triggered2 citations

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-12-02

F-0692

K · Immediate jeopardyFrom a complaint

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-11-14

2024-08-01Health inspection2 citations

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-08-20

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-20

2023-05-23Health inspection6 citations

F-0661

D · No harm found

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-06-08

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-09

F-0693

D · No harm found

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 2023-06-09

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-06-09

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2023-06-09

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-09

2025-10-01Fire-safety inspection3 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-12-03

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-03

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-12-03

2024-08-01Fire-safety inspection1 citation

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-08-20

2023-05-23Fire-safety inspection3 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-06-14

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-15

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-06-14

Federal penalties

2026-03-09Fine$21,190

2024-11-13Fine$56,103

2026-03-09Medicare payment denial — 8 days

Total fines$77,293

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676334.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 17% of nursing homes in the state

State median: 33

Federal fines, 3 years

$77,293

More than 83% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

4.3

Higher than 91% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

65%

Higher than 84% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 7 and worse on 10. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	16.8%	15.8%	13.5%	Near state average
Lose too much weight	13.3%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.3%	0.3%	0.7%	Worse than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	7.8%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	21.9%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	15.0%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	55.9%	97.0%	95.3%	Worse than state
With pressure ulcers	11.2%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	7.6%	12.5%	18.3%	Better than state
Received an antipsychotic medication	20.5%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	2.16	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	4.14	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.8%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	1.2%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	90.9%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	28.1%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	15.7%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0324 2 inspections. Provide properly protected cooking facilities.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

St Luke's Sugar Land Hospital, about 4.0 miles. CMS rating 3 of 5.
Memorial Hermann Sugar Land Hospital, about 7.0 miles. CMS rating 4 of 5.
Hca Houston Healthcare West, about 11 miles. CMS rating 1 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Windsor Quail Valley Post-acute Healthcare, Missouri City, about 0.6 miles. CMS rating 3 of 5.
Park Manor of Quail Valley, Missouri City, about 1.4 miles. CMS rating 2 of 5.
Paradigm At First Colony, Missouri City, about 2.4 miles. CMS rating 1 of 5.
Ignite Medical Resort Sugar Land, Sugar Land, about 4.6 miles. CMS rating 2 of 5.
Sugar Land Health Care Center, Sugar Land, about 5.2 miles. CMS rating 3 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 21 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered