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 HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- J And B Associates Llc (Limited Liability Company (LLC))
- Administrator
- Vincent G Ballew
Texas HHS licensing registry · as of April 16, 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 HHS 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.