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.
October 24, 2024
Tag F0814Dispose of garbage and refuse properly.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected October 31, 2024.
October 24, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
August 21, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2024.
July 25, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
July 25, 2024
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
February 8, 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 February 12, 2024.
February 8, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 12, 2024.
November 2, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 3, 2023.
November 2, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 3, 2023.
September 8, 2023
Tag F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 15, 2023.
September 8, 2023
Tag F0814Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 15, 2023.
September 8, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 15, 2023.
September 8, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 15, 2023.
September 8, 2023
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 September 15, 2023.
September 8, 2023
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 September 15, 2023.
August 15, 2023
Tag F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity J: isolated, immediate jeopardy. Corrected August 22, 2023.
August 15, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected August 22, 2023.
August 15, 2023
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity K: pattern, immediate jeopardy. Corrected August 22, 2023.
August 15, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity K: pattern, immediate jeopardy. Corrected September 15, 2023.
August 15, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity J: isolated, immediate jeopardy. Corrected August 22, 2023.
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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