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.
July 18, 2023
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 25, 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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