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Paradigm At First Colony

4710 Lexington Blvd, Missouri City, TX 77459

Call Paradigm At First Colony directly(281) 499-4710

For profit - Limited Liability company · 150 certified beds · Medicare and Medicaid · Part of Paradigm Healthcare (18 facilities)

1
Overall
CMS Rating
★☆☆☆☆

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 $211,113 in CMS records. 3 total penalties
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CMS Quality Ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.

Overall Rating
★☆☆☆☆ 1/5
Health Inspections
★☆☆☆☆ 1/5
Staffing
★☆☆☆☆ 1/5
Quality Measures
★★★☆☆ 3/5
Long-Stay QM
★★★★☆ 4/5
Short-Stay QM
★★★☆☆ 3/5

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.

MetricThis facilityTexas avgNational avg
Total nurse staffing (hrs/resident/day)3.423.403.89above avg
RN staffing (hrs/resident/day)0.500.440.68above avg
Aide staffing (hrs/resident/day)2.202.012.34above avg
Nursing staff turnover63.9%51.5%46.4%above avg
Deficiencies cited, last inspection4.09.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.42
Total Nurse Hrs/Resident/Day
0.50
RN Hrs/Resident/Day
0.72
LPN Hrs/Resident/Day
2.20
Aide Hrs/Resident/Day
3.05
Weekend Nurse Hrs/Resident/Day

Staff Turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.

Total Nursing Staff
63.9%
Registered Nurses
80.0%
Administrator Changes 3 in last year

Recent Health Inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jan 22, 2026
Most Recent Inspection Date
4
Total Deficiencies Found
20
Health Inspection Score
3
Number of Fines

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
  • Potential for harm
    Give the resident's representative the ability to exercise the resident's rights.Resident Rights Deficiencies · Dec 1, 2025
  • Potential for harm
    Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies · Nov 14, 2025
  • Potential for harm
    Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 8, 2025
  • 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
  • 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
  • Immediate jeopardy
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Nov 27, 2024
  • Minimal
    Post nurse staffing information every day.Nursing and Physician Services Deficiencies · Nov 19, 2024
  • Minimal
    Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies · Nov 19, 2024
  • 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
  • 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
  • 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

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

18
Facilities Nationwide

Paradigm Healthcare operates 18 nursing facilities across the United States.

View All Paradigm Healthcare Facilities →

Location & Nearby

Explore the area around Paradigm At First Colony using Google Maps.

Frequently asked questions

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.

Paradigm At First Colony reports 3.42 total nurse hours per resident per day, compared with the Texas average of 3.40.

Its most recent CMS inspection cited 4 deficiencies.

Paradigm At First Colony is certified for 150 beds.

Admissions at Paradigm At First Colony

For admissions, availability and rehab questions, call (281) 499-4710. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.

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