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UPDATED JUL 2026

Nursing Homes · Medicare certified

Paradigm At First Colony

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

2814994710

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

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

Inspection history (41)

  • 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 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 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 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
  • 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
  • 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 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
  • October 24, 2024 · C

    Citation F0814

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0814 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Dispose of garbage and refuse properly. 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 · E

    Citation F0759

    Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. 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 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 · 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

Penalties

Total fines on file: $211,113

Staffing

Latest: 3.33 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q43.33 hrs/resident/day
  2. 2026-06-013.33 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 - Limited Liability company

CMS Care Compare chain: Paradigm Healthcare

Chain ID 620 · 18 facilities in chain (CMS)

  • Chain average overall rating: 1.9
  • Chain average health inspection rating: 1.7
  • Chain average staffing rating: 1.6
  • 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.

  1. Parent organization: Oakbend Medical Center

    parent · PAC 3375593510

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 Cost of Care Survey · 2024

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$6,003/mo
See full TX cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

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.

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

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Trust & methodology

Paradigm At First Colony in Missouri City, TX · ElderCareCosts