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SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Paradigm at First Colony

4710 Lexington BLVD · Missouri City, TX 77459 · 150 certified beds

2814994710

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1275654766. Look this up in the CMS NPPES registry (opens in a new tab)

Are you the operator? Claim this profile. Corrections are free, always.

About Paradigm at First Colony

Paradigm at First Colony is a nursing home in Missouri City, Texas. Its reported capacity is 150 beds. It is recorded as a for-profit operator, part of Paradigm Healthcare. Federal records list it as Medicare certified. Our copy of the inspection record holds 41 citations, the newest dated 18 March 2026. Federal enforcement records add 3 fine or payment denial actions. Staffing reports put it at 3.36 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

41

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

40

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

41

Inspection history (41)

Records from July 2023 to March 2026.

  • March 18, 2026 · D

    Citation F0677

    Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2026-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-18.GOV

  • December 1, 2025 · D

    Citation F0551

    Federal surveyors cited this nursing home on 2025-12-01 under CMS tag F0551 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give the resident's representative the ability to exercise the resident's rights. The deficiency was recorded as corrected on 2025-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-01.GOV

  • November 14, 2025 · D

    Citation F0558

    Federal surveyors cited this nursing home on 2025-11-14 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-12-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-14.GOV

  • September 8, 2025 · E

    Citation F0610

    Federal surveyors cited this nursing home on 2025-09-08 under CMS tag F0610 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-09-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-08.GOV

  • June 1, 2025 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2025-06-01 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-06-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-01.GOV

  • November 27, 2024 · K

    Citation F0684

    Federal surveyors cited this nursing home on 2024-11-27 under CMS tag F0684 (CMS scope/severity K: pattern, immediate jeopardy) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-12-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-27.GOV

  • November 27, 2024 · K

    Citation F0689

    Federal surveyors cited this nursing home on 2024-11-27 under CMS tag F0689 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-12-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-27.GOV

  • November 19, 2024 · C

    Citation F0732

    Federal surveyors cited this nursing home on 2024-11-19 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-19.GOV

  • November 19, 2024 · C

    Citation F0583

    Federal surveyors cited this nursing home on 2024-11-19 under CMS tag F0583 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-19.GOV

  • October 24, 2024 · E

    Citation F0656

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · D

    Citation F0607

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · D

    Citation F0690

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · D

    Citation F0695

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · D

    Citation F0686

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · D

    Citation F0655

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • October 24, 2024 · K

    Citation F0694

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0694 (CMS scope/severity K: pattern, immediate jeopardy) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

Penalties (3)

Total fines on file: $211,113

  • November 27, 2024 · Fine

    Citation FINE-113410

    CMS recorded a civil money penalty of $19,838 against this nursing home on 2024-11-27 (Fine ID: 113410). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-27.GOV

  • October 24, 2024 · Fine

    Citation FINE-113324

    CMS recorded a civil money penalty of $44,721 against this nursing home on 2024-10-24 (Fine ID: 113324). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

  • August 15, 2023 · Fine

    Citation FINE-111394

    CMS recorded a civil money penalty of $146,554 against this nursing home on 2023-08-15 (Fine ID: 111394). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-15.GOV

Staffing

Latest: 3.36 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.33 hrs/resident/day
  2. 2026-06-013.33 hrs/resident/day
  3. 2026-07-013.36 hrs/resident/day
  4. 2026-08-013.36 hrs/resident/day
  5. 2026Q13.36 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Paradigm Healthcare

Chain ID 620 · 17 facilities in chain (CMS)

  • Chain average overall rating: 1.9
  • Chain average health inspection rating: 1.8
  • Chain average staffing rating: 1.5
  • Chain average quality measure rating: 3.7

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "Non profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "Non profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · TX$5,627/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Missouri City, with their own public records.

Compare side by side

A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

Check availability and pricing at Paradigm at First Colony

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Paradigm at First Colony in Missouri City, TX · ElderCareCosts