Nursing home
Paradigm at First Colony
4710 Lexington Blvd, Missouri City, TX 77459 · Map
For profit - Limited Liability company · Part of Paradigm Healthcare (18 facilities) · 150 certified beds
Paradigm at First Colony is a Medicare-certified nursing home in Missouri City, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.42 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jan 22, 2026 cited 4 deficiencies.
- 3 fines totaling $211,113In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Paradigm at First Colony compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.42 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.50 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.20 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 63.9% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $211,113, 3 total penalties.
What inspectors found at Paradigm at First Colony
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 18, 2026 · Full report (PDF) - Potential for harm
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies · Dec 1, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Nov 14, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 8, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jun 1, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 27, 2024 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 27, 2024 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Nov 19, 2024 · Full report (PDF) - Minimal
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Nov 19, 2024 · Full report (PDF) - Immediate jeopardy
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 24, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4710 Lexington Blvd
Missouri City, TX 77459 - CMS certification #
- 455812
- Ownership
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 106.4
- Provider type
- Medicare and Medicaid
- First certified
- 1989-04-21
- Chain
- Paradigm Healthcare (18 facilities)
- Setting
- Urban
Part of Paradigm Healthcare
Paradigm Healthcare operates 18 nursing facilities across the United States. View all Paradigm Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Paradigm at First Colony using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, diabetes care, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2022, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Paradigm at First Colony says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24-Hour Nursing Care
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 15, 2026) - Offers diabetes care.
Diabetes Management
(page, checked Oct 15, 2026) - Provides transportation.
Transportation
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private & Semi-Private Rooms
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Apr 12, 2022: monitoring inspection, partial (health). Case closed Jul 11, 2022. 1 violation cited (1 serious). Penalties: $4,754 proposed, $2,852 now. OSHA record. OSHA recorded the employer as First Colony Nursing & Rehabilitation, LLC.
Details
- Serious: Medical services and first aid (including eyewash stations) (1910.151(c)). Penalty $4,754 proposed, $2,852 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- St Luke'S Sugar Land Hospital, Sugar Land. 2.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Park Manor of Quail Valley, Missouri City. 1.4 miles away, straight line.
- Nearest home health agency office
- Angel Home Health Care, L.L.C., Missouri City. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77459 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Meadows Place Dialysis, Missouri City, 0.0 miles away, straight line (CMS rating 3 of 5 stars)
Diamond Dialysis - Stafford Texas LLC, Stafford, 1.5 miles away, straight line (CMS rating 1 of 5 stars)
Fort Bend Dialysis Center, Missouri City, 1.6 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 119 Medicare hospices tell CMS they serve ZIP code 77459.
5 Star Hospice, LLC, office in Missouri City, 1.2 miles away, straight line
Amedisys Hospice, office in Stafford, 1.8 miles away, straight line
Altus Hospice, office in Sugar Land, 2.1 miles away, straight line - Nearest geriatric medicine practice
- Owen Capocyan, MD, Sugar Land. 2.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively high, inland flooding very high, wildfire very low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Paradigm at First Colony a good nursing home?
CMS gives Paradigm at First Colony an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Paradigm at First Colony staffed?
Paradigm at First Colony reports 3.42 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Paradigm at First Colony had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Paradigm at First Colony have?
Paradigm at First Colony is certified for 150 beds.