Nursing Homes · Missouri City, TX
Chelsea Gardens
Cost data not yet available
SOURCE DATA AUG 2026
Nursing Homes · Medicare certified
Paradigm at First Colony
4710 Lexington BLVD · Missouri City, TX 77459 · 150 certified beds
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
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
41
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
1.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
40
1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
41
Inspection history (41)
Records from July 2023 to March 2026.
July 18, 2023 · D
Citation F0580Federal surveyors cited this nursing home on 2023-07-18 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2023-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-18.GOV
Penalties (3)
Total fines on file: $211,113
November 27, 2024 · Fine
Citation FINE-113410CMS 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.GOVOctober 24, 2024 · Fine
Citation FINE-113324CMS 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.GOVAugust 15, 2023 · Fine
Citation FINE-111394CMS 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)
- 2025Q43.33 hrs/resident/day
- 2026-06-013.33 hrs/resident/day
- 2026-07-013.36 hrs/resident/day
- 2026-08-013.36 hrs/resident/day
- 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.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
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/moSee 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.
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
Request info and we'll pass it directly to Paradigm at First Colony, or call them at 2814994710 if you'd rather talk now.
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.