Chelsea Gardens
4422 Riverstone Blvd, Missouri City, TX 77459 · Fort Bend County · 60 certified beds · avg 44 residents/day · certified since Mar 12, 2013
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 9, 2026 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 15, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 9, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 15, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Nov 13, 2024 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 14, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 10, 2026 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Mar 9, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Mar 9, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 9, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 13, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Nov 13, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Aug 1, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 23, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 23, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 23, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| May 23, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| May 23, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 23, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 4 | 1 | K ▲ |
| 2026 | 4 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $77,293, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 9, 2026 | Fine | $21,190 |
| Mar 9, 2026 | Payment Denial | 8 days from Apr 7, 2026 |
| Nov 13, 2024 | Fine | $56,103 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.98 | 3.46 | 3.95 | top 15% in Texas; top 40% in the U.S. |
| Registered Nurse hours | 0.98 | 0.44 | 0.69 | top 2% in Texas; top 16% in the U.S. |
| Weekend total nurse staffing | 3.55 | 3.04 | 3.50 | top 15% in Texas; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.34 | 0.48 | top 6% in Texas; top 19% in the U.S. |
| Total nursing staff turnover (%) | 57.5 | 55.3 | 45.8 | bottom 38% in Texas; bottom 20% in the U.S. |
| RN turnover (%) | 37.5 | 54.6 | 42.9 | top 26% in Texas; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.74, RN 0.92, weekend 3.34. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ajayi, Samuel | Individual | 5% or Greater Indirect Ownership Interest | 50% | 10/31/2019 |
| Ajayi, Temitope | Individual | 5% or Greater Indirect Ownership Interest | 50% | 10/31/2019 |
| The American Cornerstone Health Services INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/31/2019 |
| Ajayi, Samuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/31/2019 |
| Ajayi, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 10/31/2019 |
| Ajayi, Temitope | Individual | ADP of the SNF | NOT APPLICABLE | 10/31/2019 |
| Ballew, Vincent | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Ballew, Vincent | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Nwankwo, Chinedu | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Nwankwo, Chinedu | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| The American Cornerstone Health Services INC. | Organization | ADP of the SNF | NOT APPLICABLE | 10/31/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Windsor Quail Valley Post-Acute Healthcare | 0.6 mi | Missouri City, TX | ★★★☆☆ | 3/5 | |
| Park Manor of Quail Valley | 1.4 mi | Missouri City, TX | ★★☆☆☆ | 2/5 | |
| Paradigm at First Colony | 2.4 mi | Missouri City, TX | ★☆☆☆☆ | 1/5 | |
| Ignite Medical Resort Sugar Land, LLC | 4.6 mi | Sugar Land, TX | ★☆☆☆☆ | 2/5 | |
| Sugar Land Health Care Center | 5.2 mi | Sugar Land, TX | ★★★☆☆ | 3/5 | |
| The Crescent | 5.4 mi | Sugar Land, TX | ★☆☆☆☆ | 1/5 | |
| Focused Care at Westwood | 8.0 mi | Houston, TX | ★★★☆☆ | 3/5 | |
| West Houston Rehabilitation and Healthcare Center | 8.4 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Houston Transitional Care | 8.6 mi | Houston, TX | ★★★☆☆ | 4/5 | |
| Paradigm at Westbury | 8.7 mi | Houston, TX | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676334.