Nursing homeActive
Chelsea Gardens
4422 Riverstone Blvd, Missouri City, TX 77459281499504060 certified beds · 44 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
14
● 1● 10● 3
Penalties · 3 yrs
$77,293
2 fines · 1 action
Last survey
2026-06-10
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-03-09 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2025-10-01 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-11-13 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-08-01 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-05-23 | Standard | 150 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-30Record 676334-20260610-F921
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-04-15Record 676334-20260309-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-04-15Record 676334-20260309-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 676334-20260309-F609
F692Provide enough food/fluids to maintain a resident's health.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-11-14Record 676334-20241113-F692
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-02Record 676334-20241113-F641
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-20Record 676334-20240801-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-20Record 676334-20240801-F812
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-08Record 676334-20230523-F661
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-09Record 676334-20230523-F689
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-09Record 676334-20230523-F693
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-09Record 676334-20230523-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-06-09Record 676334-20230523-F812
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2023-06-09Record 676334-20230523-F732
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-09 | Civil money penalty | $21,190 | CMS · Penalties |
| 2026-03-09 | Denial of payment for new admissions Payment denial for 8 days, from 2026-04-07 | — | CMS · Penalties |
| 2024-11-13 | Civil money penalty | $56,103 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.92
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.74
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.34
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover58%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover38%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 11.4% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 22.6% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.5% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 11.7% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 12.6% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| The American Cornerstone Health Services Inc. Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Ajayi, Samuel Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Ajayi, Temitope Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Ajayi, Samuel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ballew, Vincent Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nwankwo, Chinedu Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ajayi, Samuel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ajayi, Temitope Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ballew, Vincent Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nwankwo, Chinedu Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The American Cornerstone Health Services Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Fort Bend.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Windsor Quail Valley Post-Acute Healthcare Missouri City | 0.6 mi | 2026-06-05 | 1105 |
| Park Manor of Quail Valley Missouri City | 1.4 mi | 2025-06-24 | 0211 |
| Paradigm At First Colony Missouri City | 2.4 mi | 2026-06-11 | 3303 |
| Ignite Medical Resort Sugar Land, LLC Sugar Land | 4.6 mi | 2026-06-30 | 0103 |
| Sugar Land Health Care Center Sugar Land | 5.2 mi | 2025-12-17 | 081 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |