The home failed to provide enough food and fluids to keep residents healthy. Cited November 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: K
Nursing home report
Chelsea Gardens
Missouri City, TX · Medicare-certified · 60 beds
Needs attention
For-profit
1 of 5 overall
Chelsea Gardens (Missouri City, TX) has an overall rating of 1 out of 5 stars, with low health inspection and quality scores but a 4-star staffing rating. It has had $64,918 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 4.37 hours per resident per day, just above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.3661 hrs/resident/day
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $64,918recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3661.
Staffing detail
- Registered nurses
- 1.12
- Licensed practical nurses
- 0.69
- Nurse aides
- 2.56
- Weekend nursing
- 3.82
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.5%16.7%Worsening
Residents with a fall causing major injury
0%6.5%Worsening
Residents with pressure ulcers (bedsores)
9%10.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10%21.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.7%14.8%Improving
Long-stay residents on antianxiety or sleep medication
20.8%10.3%Improving
Short-stay residents newly given an antipsychotic
0%2.6%Worsening
Residents with a long-term catheter
1.9%1.4%Improving
Residents with new or worsening incontinence
4.6%10.6%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—86.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—74.5%—
Short-stay residents given the pneumonia vaccine
98%98.6%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $8,815 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $56,103 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $64,918 in total fines.
- $8,815
Federal fine
Mar 9, 2026
- $56,103
Federal fine
Nov 13, 2024
Operator & ownership
- Ownership
- For profit - Partnership
- Occupancy
- 33.6 residents on an average day (56% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 13 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.