Chelsea Gardens
4422 RIVERSTONE BLVD, Missouri City, TX, 77459
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership
- Certified beds
- 60 · avg 43 residents/day
- Total nursing staff turnover
- 58.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $56,103 total
State licensing & capacity
- License number
- 145255
- Service type
- Medicare/medicaid
- Licensed capacity
- 60 beds
- Bed type breakdown
- 50 Medicare-only · 10 Medicaid/Medicare
- Current license effective
- May 20, 2025
- Current license expires
- May 20, 2028
- Initial license date
- March 12, 2013
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- J And B Associates Llc (Limited Liability Company (LLC))
- Administrator
- Vincent G Ballew
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (5 on record)
- Chinedu Ikeotuonye Nwankwo
Operational/managerial Control · since 2025
- Vincent Ballew
Operational/managerial Control · since 2020
- Samuel Ajayi
5% or Greater Indirect Ownership Interest · 50% · since 2019
- Temitope Ajayi
5% or Greater Indirect Ownership Interest · 50% · since 2019
- The American Cornerstone Health Services Inc.
5% or Greater Direct Ownership Interest · 100% · since 2019
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 10)
- K0692·Nov 13, 2024Complaint
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0641·Nov 13, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0812·Aug 1, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0755·Aug 1, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0812·May 23, 2023
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- C0732·May 23, 2023
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0695·May 23, 2023
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0693·May 23, 2023
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.
Federal penalties
By year
- 20241 fine · $56K
Most recent events
- Nov 13, 2024Fine · $56K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Oct 1, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Chelsea Gardens is a 60-bed nursing home in Missouri City, Fort Bend County, accepting Medicare and Medicaid. CMS rates it 4 stars overall, with a 4-star health inspection score — but staffing comes in at 3 stars and quality-measure outcomes at 2 stars. One CMS fine of $56,103 is on record. The facility is operating at roughly 72% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Chelsea Gardens 3 stars on staffing — about the middle fifth of Texas nursing homes at that level. Each resident receives roughly 219 minutes of nursing care per day, about 22 minutes less than what a 4-star-staffing facility in Texas provides. RN coverage runs 43 minutes per resident per day, which exceeds the Texas threshold for 4-star RN staffing.
Quality-measure outcomes — CMS's scores on things like pain management, falls, pressure sores, and infections — rate 2 stars for both long-stay and short-stay residents. The overall 4-star rating reflects a stronger health inspection record; the outcomes scores sit below it.
Chelsey Gardens received one CMS fine totaling $56,103. About 30% of Texas nursing homes have received no fines; at $56,103, this fine is nearly three times the Texas median fine of $20,699.
The facility is running at 72% of its licensed 60 beds, with an average of about 43 residents per day. No other signals in the record account for that vacancy rate.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What's driving the 2-star outcomes
CMS rates quality-measure outcomes 2 stars despite a 4-star health inspection — ask which specific measures are low and what the facility is doing to address them.
Details on the $56,103 fine
One CMS fine of $56,103 is on record — nearly three times the Texas median; ask what the citation was for and what corrective steps followed.
Why beds are running below capacity
The facility averages 43 residents against 60 licensed beds; ask whether that reflects recent admissions trends, staffing constraints, or other operational factors.
Staffing on nights and weekends
Weekend nursing hours run at 3.318 hours per resident per day, below the weekday figure — ask how staffing levels change overnight and on weekends.
Resident Council activity
A Resident Council meets here but no Family Council exists — ask how family members are formally kept informed of concerns raised through the Resident Council.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.