Chelsea Gardens
4422 Riverstone Blvd, Missouri City, TX, 77459
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership
- Certified beds
- 60 · avg 34 residents/day
- Total nursing staff turnover
- 65.8% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $64,918 total
Medicare certification
- CMS Certification Number
- 676334
- Certified beds
- 60 beds · avg 34 residents/day
- Ownership type
- For profit - Partnership
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- J And B Associates Llc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (5 on record)
- Chinedu Ikeotuonye Nwankwo
Adp of The Snf · since 2025
- Vincent Ballew
Adp of The Snf · 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 May 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 13)
- J0689·Mar 9, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0656·Mar 9, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0609·Mar 9, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 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.
Federal penalties
By year
- 20261 fine · $8,815
- 20241 fine · $56K
Most recent events
- Mar 9, 2026Fine · $8,815
- Nov 13, 2024Fine · $56K
Largest single fine on record: $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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Chelsea Gardensinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.