Skilled nursing facility · CMS certification number 676334
Chelsea Gardens
Missouri City, Texas · Medicare and Medicaid · 60 certified beds in Care Compare
Download Chelsea Gardens’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $77,293.00 · Payment denials: 1. The most recent penalty on file: March 9, 2026, Fine, $21,190. Every penalty on file ↓
Chelsea Gardens: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on January 16, 2026.
- Net patient revenue fell from $5.6M in fiscal year 2023 to $4.0M in fiscal year 2024.
- Its result from service to patients: $81K (2022), $644K (2023), −$900K (2024).
- Its cost reports on file run from fiscal year 2013 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on January 16, 2026, no other change appears in the CMS files.
- Its net patient revenue of $4.0M ranks 527th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Chelsea Gardens: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1446725 | 2023 · report 1441921 | 2022 · report 1398459 | 2021 · report 1348440 | 2020 · report 1342981 | 2019 · report 1313441 | 2018 · report 1277420 | 2017 · report 1248410 | 2016 · report 1171574 | 2015 · report 1157601 | 2014 · report 1150447 | 2013 · report 1112937 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | March 12, 2013 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | May 19, 2015 | December 31, 2014 | December 31, 2013 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | 138 | — | 294 |
| Processed by CMS | January 16, 2026 | November 4, 2025 | October 30, 2024 | May 25, 2023 | February 22, 2023 | March 31, 2022 | December 23, 2020 | December 19, 2019 | August 2, 2017 | May 18, 2017 | December 29, 2016 | November 18, 2015 |
| Total patient revenue | $4,038,625 | $5,589,852 | $5,356,872 | $3,510,007 | $2,075,577 | $3,950,655 | $5,995,284 | $7,065,580 | $5,765,314 | $1,241,042 | $2,280,096 | $2,940,635 |
| Contractual allowances and discounts | — | — | — | — | — | $969,343 | $1,721,012 | $1,999,838 | $860,903 | −$106,318 | $414,294 | −$124,880 |
| Net patient revenue | $4,038,625 | $5,589,852 | $5,356,872 | $3,510,007 | $2,075,577 | $2,981,312 | $4,274,272 | $5,065,742 | $4,904,411 | $1,347,360 | $1,865,802 | $3,065,515 |
| Total operating expenses | $4,938,973 | $4,945,893 | $5,275,943 | $4,192,070 | $3,288,139 | $3,623,400 | $4,421,019 | $4,797,140 | $6,129,366 | $2,455,844 | $2,523,021 | $3,710,076 |
| Net income from service to patients | −$900,348 | $643,959 | $80,929 | −$682,063 | −$1,212,562 | −$642,088 | −$146,747 | $268,602 | −$1,224,955 | −$1,108,484 | −$657,219 | −$644,561 |
| Total other income | — | — | — | — | — | — | — | $1,296 | $1,630 | $391,088 | $7,438 | $1,678 |
| Net income after other income | −$900,348 | $643,959 | $80,929 | −$682,063 | −$1,212,562 | −$642,088 | −$146,747 | $269,898 | −$1,223,325 | −$717,396 | −$649,781 | −$642,883 |
| Net income | −$900,348 | $643,959 | $80,929 | −$682,063 | −$1,212,562 | −$642,088 | −$146,747 | $269,898 | −$1,223,325 | −$717,396 | −$649,781 | −$642,883 |
| Total facility beds, all components | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 | 60 |
| Bed days available, all components | 21,960 | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,579 | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 4,235 | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 4,847 | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 11,661 | 14,582 | 12,809 | 7,581 | 6,792 | 8,493 | 9,119 | 13,694 | 12,744 | 3,312 | 10,251 | 7,095 |
| Medicare discharges | 51 | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 24 | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 3 | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 78 | 232 | 234 | 153 | 109 | 196 | 244 | 324 | 298 | 105 | 325 | 220 |
| Average length of stay, Medicare, in days | 50.57 | 52.04 | 34.82 | 31.11 | 39.36 | 30.81 | 33.63 | 34.56 | 33.02 | 23.47 | 26.05 | 32.4 |
| Average length of stay, Medicaid, in days | 176.46 | 159.82 | 137.05 | 239 | 223.33 | 230.82 | 191.7 | 141.06 | 2,194 | — | — | — |
| Average length of stay, all patients, in days | 149.5 | 62.85 | 54.74 | 49.55 | 62.31 | 43.33 | 37.37 | 42.27 | 42.77 | 31.54 | 31.54 | 32.25 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013. Checked against the form’s own arithmetic: what that check shows.
Chelsea Gardens: nurse staffing hours by quarter →
Who owns Chelsea Gardens, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: THE AMERICAN CORNERSTONE HEALTH SERVICES INC. (organization), 100%%, since 10/31/2019
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: AJAYI, SAMUEL (individual), 50%%, since 10/31/2019; AJAYI, TEMITOPE (individual), 50%%, since 10/31/2019
- ADP OF THE SNF: AJAYI, SAMUEL (individual), NOT APPLICABLE, since 10/31/2019; AJAYI, TEMITOPE (individual), NOT APPLICABLE, since 10/31/2019; BALLEW, VINCENT (individual), NOT APPLICABLE, since 01/01/2020; NWANKWO, CHINEDU (individual), NOT APPLICABLE, since 01/01/2025; THE AMERICAN CORNERSTONE HEALTH SERVICES INC. (organization), NOT APPLICABLE, since 10/31/2019
- OPERATIONAL/MANAGERIAL CONTROL: AJAYI, SAMUEL (individual), NOT APPLICABLE, since 10/31/2019; BALLEW, VINCENT (individual), NOT APPLICABLE, since 01/01/2020; NWANKWO, CHINEDU (individual), NOT APPLICABLE, since 01/01/2025
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of J AND B ASSOCIATES LLC (enrollment ID O20150609001155).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: THE AMERICAN CORNERSTONE HEALTH SERVICES INC. (organization), 100.00%, since 10/31/2019
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: SAMUEL AJAYI (individual), 50.00%, since 10/31/2019; TEMITOPE AJAYI (individual), 50.00%, since 10/31/2019
- ADP OF THE SNF: CHINEDU IKEOTUONYE NWANKWO (individual), since 01/01/2025; SAMUEL AJAYI (individual), since 10/31/2019; TEMITOPE AJAYI (individual), since 10/31/2019; THE AMERICAN CORNERSTONE HEALTH SERVICES INC. (organization), since 10/31/2019; VINCENT BALLEW (individual), since 01/01/2020
- OPERATIONAL/MANAGERIAL CONTROL: CHINEDU IKEOTUONYE NWANKWO (individual), since 01/01/2025; SAMUEL AJAYI (individual), since 10/31/2019; VINCENT BALLEW (individual), since 01/01/2020
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: THE AMERICAN CORNERSTONE HEALTH SERVICES INC.; THE AMERICAN CORNERSTONE HEALTH SERVICES INC..
Private equity company, real estate investment trust and holding company: Paused by CMS: SAMUEL AJAYI; TEMITOPE AJAYI; CHINEDU IKEOTUONYE NWANKWO; SAMUEL AJAYI; TEMITOPE AJAYI; VINCENT BALLEW; CHINEDU IKEOTUONYE NWANKWO; SAMUEL AJAYI; VINCENT BALLEW.
Changes in ownership
- November 1, 2025, enrollment ownership file; no longer listed: SAMUEL AJAYI (W-2 MANAGING EMPLOYEE); SAMUEL AJAYI (CORPORATE OFFICER); first listed: SAMUEL AJAYI (ADP OF THE SNF), associated since October 31, 2019; SAMUEL AJAYI (OPERATIONAL/MANAGERIAL CONTROL), associated since October 31, 2019; THE AMERICAN CORNERSTONE HEALTH SERVICES INC. (ADP OF THE SNF), associated since October 31, 2019; VINCENT BALLEW (ADP OF THE SNF), associated since January 1, 2020; VINCENT BALLEW (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2020; CHINEDU IKEOTUONYE NWANKWO (ADP OF THE SNF), associated since January 1, 2025; CHINEDU IKEOTUONYE NWANKWO (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2025; TEMITOPE AJAYI (ADP OF THE SNF), associated since October 31, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Inspections of Chelsea Gardens
- Cycle 1: health October 1, 2025 (4 deficiencies), fire safety October 1, 2025 (3)
- Cycle 2: health August 1, 2024 (4 deficiencies), fire safety August 1, 2024 (1)
- Cycle 3: health May 23, 2023 (6 deficiencies), fire safety May 23, 2023 (3)
Deficiencies cited at Chelsea Gardens
14 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 6 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0921, environmental: June 10, 2026 (E, from a complaint, corrected June 30, 2026).
- F 0609, freedom from abuse, neglect, and exploitation: March 9, 2026 (D, from a complaint, corrected April 15, 2026).
- F 0656, resident assessment and care planning: March 9, 2026 (J, from a complaint, corrected April 15, 2026).
- F 0689, quality of life and care: March 9, 2026 (J, from a complaint, corrected April 15, 2026); May 23, 2023 (E, corrected June 9, 2023).
- F 0641, resident assessment and care planning: November 13, 2024 (D, from a complaint, corrected December 2, 2024).
- F 0692, quality of life and care: November 13, 2024 (K, from a complaint, corrected November 14, 2024).
- F 0755, pharmacy service: August 1, 2024 (E, corrected August 20, 2024).
- F 0812, nutrition and dietary: August 1, 2024 (D, corrected August 20, 2024); May 23, 2023 (F, corrected June 9, 2023).
- F 0661, resident assessment and care planning: May 23, 2023 (D, corrected June 8, 2023).
- F 0693, quality of life and care: May 23, 2023 (D, corrected June 9, 2023).
- F 0695, quality of life and care: May 23, 2023 (D, corrected June 9, 2023).
- F 0732, nursing and physician services: May 23, 2023 (C, corrected June 9, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 9, 2026 | Fine | $21,190 | 137814 | ||
| March 9, 2026 | Payment Denial | April 7, 2026 | 8 | ||
| November 13, 2024 | Fine | $56,103 | 113396 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Chelsea Gardens in Care Compare
- Ownership Type: For profit - Partnership
- Legal Business Name: J AND B ASSOCIATES LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2013-03-12
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Fort Bend
- Telephone Number: 2814995040
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 43.3
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 1
- Long-Stay QM Rating: 1
- Short-Stay QM Rating: 1
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in Missouri City and Texas
Report a figure on Chelsea Gardens’s record that differs from its CMS file, quoting 676334.