Total staff
79
Employees
79
Contractors
0
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Chelsea Gardens Skilled Nursing & Rehab Center
Nursing Home · Missouri City, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Chelsea Gardens Skilled Nursing & Rehab Center
Nursing Home · Missouri City, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Chelsea Gardens Skilled Nursing & Rehab Center accepts Medicare, Medicaid, and private pay.
Chelsea Gardens Skilled Nursing & Rehabilitation is a nursing home in Missouri City, TX, offering skilled nursing and rehabilitation. Fostering comfort and healing, the community ensures older adults are treated well during their stay. 24-hour care, therapy services, and social services are also provided, so residents have a worry-free lifestyle. Through an innovative approach to care, the community ensures residents receive exceptional care for their unique needs and preferences.
Group activities, fun gatherings, and light exercises ensure residents can stay active and gain meaningful experiences. With spacious, private rooms and lively gathering areas, residents can rest and move around comfortably. Located near Riverstone Shopping Center, fast-food chains, and restaurants, the community ensures residents have quick access to their necessities and leisure. This nursing home has high standards of care and top-notch amenities, making it a good option for senior living in Texas.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 167th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 167th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 23m per day
Rank #167 / 289Nurse hours — State benchmarkedThis home is ranked 167th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
-7%
Standout metric
Registered Nurse (RN) is +65% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 43m per day | ▲ 65% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 36m per day | ▼ 37% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 20m per day | ▲ 16% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 13m per day | ▲ 8% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 29m per day | ▲ 38% State avg: 21m per day · National avg: 29m per day |
Types of Care at Chelsea Gardens Skilled Nursing & Rehab Center
Nursing Home
Capacity and availability
This home usually has availability
Occupancy rate
67.1%
Rank #150 / 297Occupancy rate — State benchmarkedThis home is ranked 150th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
62 days
Walk Score: 51 / 100 Rank #483 / 1392Walk Score — State benchmarkedThis home is ranked 483rd out of 1392 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.32:1
57% better than Texas average
Avg staff/day
29
Average shift
7.6 hours
6% worse than Texas average
Total staff hours (quarter)
20,181
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 33 | 0 | 33 | 7,922 | 92 | 100% | 8 |
| Physical Therapist | 9 | 0 | 9 | 3,664 | 92 | 100% | 8.1 |
| Registered Nurse | 11 | 0 | 11 | 2,930 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,129 | 91 | 99% | 8.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 620 | 72 | 78% | 5.2 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Respiratory Therapist | 1 | 0 | 1 | 391 | 58 | 63% | 6.7 |
| Physical Therapy Aide | 6 | 0 | 6 | 352 | 67 | 73% | 4 |
| Qualified Social Worker | 1 | 0 | 1 | 270 | 41 | 45% | 6.6 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 160 | 58 | 63% | 2.8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 91 | 34 | 37% | 2.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 70 | 14 | 15% | 5 |
33 Certified Nursing Assistant
% of Days
100%
9 Physical Therapist
% of Days
100%
11 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
99%
2 Speech Language Pathologist
% of Days
78%
1 Administrator
% of Days
72%
1 Clinical Nurse Specialist
% of Days
72%
1 Dietitian
% of Days
72%
1 Respiratory Therapist
% of Days
63%
6 Physical Therapy Aide
% of Days
73%
1 Qualified Social Worker
% of Days
45%
1 Respiratory Therapy Technician
% of Days
63%
2 Physical Therapy Assistant
% of Days
37%
1 Mental Health Service Worker
% of Days
15%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$56K Rank #204 / 294Federal fines — State benchmarkedThis home is ranked 204th out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
30% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$56K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 13, 2024 · $56K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 13, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 13, 2024
$56K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
12% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.1
49% better than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
15% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
2.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
2.4%
85% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.6%
Percent of long-stay high risk residents with pressure ulcers
9.6%
118% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.1%
Percent of long-stay residents who lose too much weight
7.1%
104% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.5%
Percent of long-stay residents who received an antipsychotic medication
11.5%
46% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.2%
12% worse than Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.75
Number of hospitalizations per 1,000 long-stay resident days.
2.75
29% worse than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.83
37% worse than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
10% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.5%
15% worse than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.5%
5% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
8.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.6%
28% better than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
63.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
63.6%
19% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
36.3%
Rate of successful return to home or community from a skilled nursing facility.
36.3%
28% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
44% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
50% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34
Medicare
26
76.5% of residents
Medicaid
8
23.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Chelsea Gardens Skilled Nursing & Rehab Center based on CMS SNF Cost Reports.
Occupancy Rate
67.1%
↑ 8.6pp vs 2022
Net Income
$644.0K
↑ ~$563.0K vs 2022
Total Payroll
$2.8M
↓ ~$318.7K vs 2022
Profit Margin
11.5%
↑ 10.0pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.6M
Profit
$644.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.6M Rank #263 / 297Revenue — State benchmarkedThis home is ranked 263rd out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$644.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #269 / 297Payroll — State benchmarkedThis home is ranked 269th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #269 / 297Payroll — State benchmarkedThis home is ranked 269th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.9M
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Rehabilitative Support
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Chelsea Gardens Skilled Nursing & Rehab Center
5.6 miles from city center
Estimated distance in miles from Missouri City's city center to Chelsea Gardens Skilled Nursing & Rehab Center's address, calculated via Google Maps.
Calculate Travel Distance to Chelsea Gardens Skilled Nursing & Rehab Center
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Financial Assistance for
Nursing Home in Texas
Chelsea Gardens Skilled Nursing & Rehab Center is located in Missouri City, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Chelsea Gardens Skilled Nursing & Rehab Center
What neighborhood is Chelsea Gardens Skilled Nursing & Rehab Center in?
Chelsea Gardens Skilled Nursing & Rehab Center is in the Riverstone neighborhood.
Is Chelsea Gardens Skilled Nursing & Rehab Center in a walkable area?
Chelsea Gardens Skilled Nursing & Rehab Center has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the best email address for Chelsea Gardens Skilled Nursing & Rehab Center?
The team at Chelsea Gardens Skilled Nursing & Rehab Center can be reached at [email protected].
What is the address of Chelsea Gardens Skilled Nursing & Rehab Center?
Chelsea Gardens Skilled Nursing & Rehab Center is located at 4422 Riverstone Blvd, Missouri City, TX 77459.
What is the phone number of Chelsea Gardens Skilled Nursing & Rehab Center?
(281) 499-5040 will put you in contact with the team at Chelsea Gardens Skilled Nursing & Rehab Center.
Is Chelsea Gardens Skilled Nursing & Rehab Center Medicare or Medicaid certified?
Yes — Chelsea Gardens Skilled Nursing & Rehab Center is a CMS-certified provider of Medicare and Medicaid.
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