Nursing Homes · Missouri City, TX
Nursing Homes · Medicare certified
Paradigm at First Colony
4710 Lexington BLVD · Missouri City, TX 77459 · 150 certified beds
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About Paradigm at First Colony
Paradigm at First Colony is a nursing home in Missouri City, Texas. Its capacity is 150 beds, above the Fort Bend County median of 112 for nursing homes. It is run by a for-profit operator and is part of Paradigm Healthcare. It is Medicare certified. Its public inspection record shows 41 citations, the most recent on March 18, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.34 hours per resident per day. It is one of 4 nursing homes listed in Missouri City. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (41)
Records from July 2023 to March 2026.
March 18, 2026
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 25, 2026.
December 1, 2025
Tag F0551Give the resident's representative the ability to exercise the resident's rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2025.
November 14, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
September 8, 2025
Tag F0610Respond appropriately to all alleged violations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 23, 2025.
June 1, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
November 27, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity K: pattern, immediate jeopardy. Corrected December 4, 2024.
November 27, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected December 4, 2024.
November 19, 2024
Tag F0732Post nurse staffing information every day.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected November 20, 2024.
November 19, 2024
Tag F0583Keep residents' personal and medical records private and confidential.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected November 20, 2024.
October 24, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Severity K: pattern, immediate jeopardy. Corrected October 31, 2024.
Penalties (3)
Total fines: $211,113
November 27, 2024 · Fine
CMS recorded a civil money penalty of $19,838 against this nursing home on November 27, 2024.
October 24, 2024 · Fine
CMS recorded a civil money penalty of $44,721 against this nursing home on October 24, 2024.
August 15, 2023 · Fine
CMS recorded a civil money penalty of $146,554 against this nursing home on August 15, 2023.
Staffing
3.34 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Paradigm Healthcare, a chain of 17 nursing homes.
Average CMS star ratings across the chain: 2.1 overall, 2.1 for health inspections, 1.5 for staffing, 4.0 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Missouri City.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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