All states › Texas › Missouri City › Paradigm at First Colony
4710 Lexington Blvd Missouri City, TX 77459 · Fort Bend County
All 4 nursing homes in Missouri City, TX (4 take Medicaid)
CMS certification number 455812 · See this home on Medicare Care Compare
Is Paradigm at First Colony a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Paradigm at First Colony as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.34 hours per resident per day at Paradigm at First Colony, about the same as the Texas median of 3.30 (US median: 3.72). About 0.59 of those hours are from registered nurses. On weekends it falls to 2.93 hours, 12% below its all-week average. 71% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Paradigm at First Colony: Medicare and Medicaid
Paradigm at First Colony is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 22, 2026 and found 0 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 39 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 39 citations at Paradigm at First Colony across 15 inspection dates, 26 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 27, 2024 (complaint inspection). The most common areas cited were quality of life and care (12) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level K, November 27, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
July 24, 2026 · 3 citations · includes complaint inspection
EProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProvide and implement an infection prevention and control program.
June 11, 2026 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
March 18, 2026 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
December 1, 2025 · 1 citation · includes complaint inspection
DGive the resident's representative the ability to exercise the resident's rights.
November 14, 2025 · 1 citation · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
September 8, 2025 · 1 citation · includes complaint inspection
ERespond appropriately to all alleged violations.
June 1, 2025 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
November 27, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 19, 2024 · 2 citations · includes complaint inspection
CKeep residents' personal and medical records private and confidential.
CPost nurse staffing information every day.
October 24, 2024 · 13 citations, includes immediate jeopardy · includes complaint inspection
KProvide for the safe, appropriate administration of IV fluids for a resident when needed.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure medication error rates are not 5 percent or greater.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide and implement an infection prevention and control program.
CDispose of garbage and refuse properly.
August 21, 2024 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 25, 2024 · 2 citations · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
February 8, 2024 · 2 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
November 2, 2023 · 2 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
September 8, 2023 · 6 citations
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DDispose of garbage and refuse properly.
Questions to ask on a tour of Paradigm at First Colony
- Inspectors cited the home at the immediate-jeopardy level on November 27, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 24, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 71% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $64,559 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 27, 2024 | Fine | $19,838 |
| Oct 24, 2024 | Fine | $44,721 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near Paradigm at First Colony
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.4 mi
St Luke's Sugar Land Hospital Sugar LandEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 41m for patients treated and sent home
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2.7 mi
St Michaels Medical Hospital LLC Sugar LandEmergency roomMedian ER visit 1h 46m for patients treated and sent home
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3.2 mi
Methodist Sugar Land Hospital Sugar LandEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 24m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Paradigm at First Colony › All nursing homes in Missouri City ›
Compare Paradigm at First Colony with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Houston Transitional Care · Houston · 5 stars · 6.6 mi
- Clarewood House Extended Care Center · Houston · 5 stars · 8.5 mi
- Seven Acres Jewish Senior Care Services · Houston · 4 stars · 7.2 mi
- West Oaks Nursing & Rehabilitation · Houston · 4 stars · 9.7 mi
Other Paradigm Healthcare nursing homes in Texas
- Paradigm at the Brazos · Richmond · 5 stars
- Paradigm at Bay City · Bay City · 4 stars
- Paradigm at Kountze · Kountze · 4 stars
- Nazareth Living Care Center · El Paso · 3 stars
- Paradigm at Faith Memorial · Pasadena · 3 stars
- Paradigm at the Pines · Silsbee · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 17 Paradigm Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.