Nursing home
Chelsea Gardens
4422 Riverstone Blvd, Missouri City, TX 77459 · Map
For profit - Partnership · 60 certified beds
Chelsea Gardens is a Medicare-certified nursing home in Missouri City, Texas. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.66 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Oct 1, 2025 cited 0 deficiencies.
- 1 fine totaling $56,103In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Chelsea Gardens compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.66 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.72 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.34 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 58.7% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 0.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $56,103, 1 total penalty.
What inspectors found at Chelsea Gardens
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 9, 2026 · Full report (PDF) - Immediate jeopardy
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 9, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 9, 2026 · Full report (PDF) - Immediate jeopardy
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Nov 13, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Nov 13, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 1, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 1, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 23, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 23, 2023 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · May 23, 2023 - Potential for harm
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.
Quality of Life and Care Deficiencies · May 23, 2023 - Potential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · May 23, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4422 Riverstone Blvd
Missouri City, TX 77459 - CMS certification #
- 676334
- Ownership
- For profit - Partnership
- Certified beds
- 60
- Avg residents/day
- 43.3
- Provider type
- Medicare and Medicaid
- First certified
- 2013-03-12
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Chelsea Gardens using Google Maps.
Other public records
- Programs Medicare-certified home health agency at this address
Full public records, with dates and sources
Care and services
Medicare agencies at this address
- Medicare-certified home health agency at this address. Medicare-certified home health agency CHELSEA GARDENS AT HOME LLC (Medicare CCN 748094) lists this same street address. Ownership type: -. Medicare certified since 03/31/2023. (CMS Home Health Care Agencies, as of May 27, 2026)
A shared street address is a fact about location. CMS does not say whether the agency is run by the community.
Location and nearby care
- Nearest hospital with an emergency room
- St Michaels Medical Hospital LLC, Sugar Land. 3.8 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Windsor Quail Valley Post-acute Healthcare, Missouri City. 0.6 miles away, straight line.
- Nearest home health agency office
- Chelsea Gardens At Home LLC, Missouri City. 0.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77459 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Riverstone Dialysis, Missouri City, 0.4 miles away, straight line (CMS rating 2 of 5 stars)
Diamond Dialysis -Missouri City, Missouri City, 0.4 miles away, straight line (CMS rating 2 of 5 stars)
Fort Bend Dialysis Center, Missouri City, 1.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 119 Medicare hospices tell CMS they serve ZIP code 77459.
Memorial Family For Hospice And Palliative Care LLC, office in Missouri, 0.7 miles away, straight line
5 Star Hospice, LLC, office in Missouri City, 1.2 miles away, straight line
Jomel Palliative And Hospice Care, Inc., office in Missouri City, 1.7 miles away, straight line - Nearest geriatric medicine practice
- Ut Physicians Specialty Services, Missouri City. 2.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: Area protected by a levee from the 1% annual chance flood (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | See above |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Chelsea Gardens a good nursing home?
CMS gives Chelsea Gardens an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Chelsea Gardens staffed?
Chelsea Gardens reports 3.66 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Chelsea Gardens had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Chelsea Gardens have?
Chelsea Gardens is certified for 60 beds.