Chelsea Gardens is an average performer in CMS ratings, earning a C grade with a score of 60/100. Located in Missouri City, Texas, the facility meets baseline standards across most quality metrics.
Staffing at Chelsea Gardens is near the national average, with 3.66 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 10 deficiencies at Chelsea Gardens, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide enough food/fluids to maintain a resident's health..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.66 | 3.8 | Average |
| Registered Nurses (RN) | 0.72 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.60 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.34 | 2.4 | Average |
| Weekend Total Nursing | 3.32 | 3.8 | Below Average |
| Weekend RN Hours | 0.48 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0692 Severity KProvide enough food/fluids to maintain a resident's health.Nov 12, 2024 · Quality of Life and Care Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Nov 12, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jul 31, 2024 · Pharmacy Service Deficiencies
- Tag 0812 Severity DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 31, 2024 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 22, 2023 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.0% | 4.5% | Worse |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 18.3% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 17.9% | 14.0% | Worse |
| Excessive weight loss | 8.2% | 7.5% | Average |
| New/worsened incontinence | 2.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $56,103
How This Grade Was Calculated
This facility's grade of C is based on a score of 60 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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