Paradigm at First Colony
4710 Lexington Blvd, Missouri City, TX 77459 · (281) 499-4710
For profit - Limited Liability company · 150 certified beds
Paradigm at First Colony has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 0 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $64,559 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on January 22, 2026 found 0 citations. What an inspection citation means
Complaint inspections, last three years
Inspections after complaints found 26 citations.
- Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).July 24, 2026 · F0603 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 24, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.July 24, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.June 11, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 18, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give the resident's representative the ability to exercise the resident's rights.December 1, 2025 · F0551 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.November 14, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.September 8, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 1, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 27, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 27, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Keep residents' personal and medical records private and confidential.November 19, 2024 · F0583 · Level of harm: Potential for minimal harm · Residents affected: Many
- Post nurse staffing information every day.November 19, 2024 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 24, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.October 24, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 24, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.October 24, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide for the safe, appropriate administration of IV fluids for a resident when needed.October 24, 2024 · F0694 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.October 24, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 21, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 25, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.July 25, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 8, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.February 8, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 2, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 2, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $19,838November 27, 2024
- Fine of $44,721October 24, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.36 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.47 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.79 | 0.95 | 0.86 |
| Nurse aides | 2.10 | 2.01 | 2.32 |
| Total nursing staff turnover | 67% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 150 |
| Average residents per day | 103.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Windsor Quail Valley Post-Acute Healthcare Missouri City · ★★★★★ 3 out of 5 stars
- Park Manor of Quail Valley Missouri City · ★★★★★ 2 out of 5 stars
- Chelsea Gardens Missouri City · ★★★★★ 1 out of 5 stars
- S.p.j.s.t. Rest Home No 2 Needville · ★★★★★ 5 out of 5 stars
- Paradigm at the Brazos Richmond · ★★★★★ 5 out of 5 stars
Compare every nursing home in Missouri City, TX · Nursing homes in Texas · Home health agencies in Missouri City, TX
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Data from Medicare (CMS), updated October 2026, from Paradigm at First Colony on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.