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Chelsea Gardens

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  2. Texas
  3. Missouri City Skilled Nursing Home Facilities
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About Chelsea Gardens

General Information

Legal Business NameJ And B Associates LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 12, 2013 (7 years)
Capacity60
Residents42
Percent Occupied70%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Chelsea Gardens

* Rating not displayedOverall Rating
Health Inspections Rating
Quality Measures Rating
* Rating not displayedStaff Rating
* Rating not displayedRN Staff Rating

Overall Ratings of Texas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 6, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
KSomeImmediate JeopardyComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
FManyPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
FManyPotential for HarmComplaintAssess in a timely manner the resident when the resident enters the nursing home.
FManyPotential for HarmComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

October 20, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

August 23, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
FManyPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmComplaintMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
ESomePotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmComplaintTry to resolve each resident's complaints quickly.

June 10, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 45 days
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmComplaintTry to resolve each resident's complaints quickly.

March 23, 2017 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Chelsea Gardens require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 5min
2hr 20min
ReportedExpected
CNA
1hr 30min
40min
ReportedExpected
LPN
45min
1hr 25min
ReportedExpected
RN
5hr 20min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
70.4%
70.4%
69.2%
93.1%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
100.0%
100.0%
-
92.0%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
49.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
4.3%
25.0%
10.0%
-
25.9%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
-
-
20.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
23.1%
11.5%
29.0%
-
16.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antipsychotic medication
10.0%
-
15.0%
-
18.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
0.0%
0.0%
-
5.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who lose too much weight
17.4%
15.0%
38.1%
-
6.2%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
10.3%
5.4%
3.2%
-
4.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
3.8%
4.0%
0.0%
-
3.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who have depressive symptoms
11.5%
12.0%
28.6%
-
3.4%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a urinary tract infection
0.0%
0.0%
0.0%
-
3.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents experiencing one or more falls with major injury
8.7%
8.5%
4.5%
-
1.9%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
-
0.2%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

97.8%
95.9%
94.6%
92.8%
78.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.5%
78.1%
78.1%
78.4%
75.4%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
17.6%
9.4%
19.7%
-
60.0%
Q4 2016Q1 2017Q2 2017Q3 2017TX
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
11.8%
13.9%
10.7%
2.2%
11.5%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who self-report moderate to severe pain
1.9%
1.7%
5.3%
6.1%
2.7%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
1.3%
1.6%
1.4%
0.8%
Q4 2016Q1 2017Q2 2017Q3 2017TX
Percentage of short-stay residents with pressure ulcers that are new or worsened