Chelsea Gardens: Staffing, Turnover, and Inspection Record
Chelsea Gardens is a 60-bed for-profit nursing home in Missouri City, Texas. In the CMS August 2026 release it reported 2.32 nurse aide hours per resident per day, 16% above the Texas average of 2.00, and 57.5% nursing staff turnover (Texas average 55.3%).
Chelsea Gardens
4422 Riverstone BlvdMissouri City, TX 77459
Fort Bend County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Chelsea Gardens, nurse aides logged 2.32 hours per resident per day, 16% above the Texas average. With about 44 residents a day, that works out to roughly 102 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.32 | 2.00 | 2.32 |
| Licensed practical nurses | 0.50 | 0.95 | 0.86 |
| Registered nurses | 0.92 | 0.43 | 0.69 |
| All nursing staff | 3.74 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.34 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.5% of nursing staff at Chelsea Gardens left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 37.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Oct 1, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $77,293 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 9, 2026 | Fine | $21,190 |
| Mar 9, 2026 | Payment Denial | 8 days from Apr 7, 2026 |
| Nov 13, 2024 | Fine | $56,103 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Chelsea Gardens holds 1 of 5 overall; the Texas average is 2.6.
About Chelsea Gardens
- Ownership: For profit - Partnership
- Legal name: J and B Associates LLC
- Medicare and Medicaid certified since: Mar 12, 2013
- Councils: resident council
- Area: urban
Nursing homes near Chelsea Gardens
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Windsor Quail Valley Post-Acute Healthcare Missouri City | 0.6 | 120 | 1.98 | 3.09 | 41.7% | 3 | $52,036 |
| Park Manor of Quail Valley Missouri City | 1.4 | 125 | 2.01 | 3.33 | 34.9% | 2 | None |
| Paradigm at First Colony Missouri City | 2.4 | 150 | 2.10 | 3.36 | 67.0% | 1 | $64,559 |
| Ignite Medical Resort Sugar Land, LLC Sugar Land | 4.6 | 90 | 1.73 | 3.82 | 62.2% | 1 | $137,052 |
| Sugar Land Health Care Center Sugar Land | 5.2 | 150 | 2.21 | 3.59 | 41.3% | 3 | $30,494 |
| The Crescent Sugar Land | 5.4 | 112 | 1.79 | 3.61 | 59.4% | 1 | $105,770 |
| Focused Care at Westwood Houston | 8.0 | 125 | 1.93 | 3.08 | 38.9% | 3 | None |
| West Houston Rehabilitation and Healthcare Center Houston | 8.4 | 124 | 1.79 | 3.26 | 43.1% | 1 | $205,193 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.