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HomeTexasParadigm at First Colony

Paradigm at First Colony

4710 Lexington Blvd, Missouri City, TX 774592814994710WebsiteGoogle Maps
3.7on Google(154 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
4/5
Beds
150
certified
3 fine(s) totaling $211,113

How Paradigm at First Colony Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.36 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.47 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
67.0%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Staff turnover is 67.0%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
37
deficiency citations
Inspected Oct 24, 2024
Most recent cycle
4
deficiency citations
Inspected Jan 22, 2026
The most recent cycle recorded 33 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Fort Bend County 65+
97,857
11.8% of county
County Population
832,607
Fort Bend County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Paradigm at First Colony is a 1-star Medicare and Medicaid certified nursing home in Missouri City, Texas with 150 certified beds. It has been operating since 1989. Its overall CMS rating is 1 out of 5.

Beds
150
Avg Residents/Day
103.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 21, 1989
Sprinklers
Yes
Council
Resident
County
Fort Bend
Last Inspection
Jan 22, 2026
Deficiencies (Cycle 1)
4
Weighted Score
256.3
Infection Citations
0

Deficiency Citations (41)

F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 18, 2026Corrected: NoCycle: 1
F0551Potential for Harm

Give the resident's representative the ability to exercise the resident's rights.

Survey: Dec 1, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Sep 8, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jun 1, 2025Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0583Minimal Harm

Keep residents' personal and medical records private and confidential.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Nov 19, 2024Corrected: NoCycle: 2
F0694Immediate Jeopardy

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0814Minimal Harm

Dispose of garbage and refuse properly.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Aug 21, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jul 25, 2024Corrected: NoCycle: 2
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Jul 25, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 8, 2024Corrected: NoCycle: 3
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Feb 8, 2024Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 2, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 2, 2023Corrected: NoCycle: 3
F0803Potential for Harm

Ensure 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.

Survey: Sep 8, 2023Corrected: NoCycle: 3

+ 11 more deficiencies

Total Fines
$211,113
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineNov 27, 2024
$19,838
FineOct 24, 2024
$44,721
FineAug 15, 2023
$146,554

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.10 hrs
National avg: 2.32 hrs
LPN0.79 hrs
National avg: 0.86 hrs
RN0.47 hrs
National avg: 0.69 hrs
Total Nursing3.36 hrs
National avg: 3.86 hrs
Weekend Total2.90 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
67.0%
RN Turnover
90.5%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
OAKBEND MEDICAL CENTER5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 28, 2015
FREUDENBERGER, JOSEPHW-2 MANAGING EMPLOYEEIndividualN/AJun 19, 2007
BEARD, BARRYCORPORATE DIRECTORIndividualN/AJan 1, 2012
COUNCIL, JEFFCORPORATE DIRECTORIndividualN/AJan 1, 2013
CRAYTON, TOMCORPORATE DIRECTORIndividualN/AJan 1, 2013
MARTIN, MELISSACORPORATE DIRECTORIndividualN/AJan 1, 2015
MCCLAMROCH, JAMESCORPORATE DIRECTORIndividualN/AJan 1, 2013
MEFFORD, RUTHANNECORPORATE DIRECTORIndividualN/AJan 1, 2015
MURRAY, MARKCORPORATE DIRECTORIndividualN/AJan 1, 2011
PETROSEWICZ, NORMACORPORATE DIRECTORIndividualN/AJan 1, 2013
TAPE, MAYCORPORATE DIRECTORIndividualN/AJan 15, 2008
UTHMAN, EDWARDCORPORATE DIRECTORIndividualN/AJan 1, 2008
FREUDENBERGER, JOSEPHCORPORATE OFFICERIndividualN/AJun 19, 2007
SSC MISSOURI CITY OPERATING COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 28, 2015

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Paradigm at First Colony and nearby alternatives.

All Texas facilities
Paradigm at First Colony
Missouri City, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $211,113
Park Manor of Quail Valley
Missouri City, TX1.4 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Chelsea Gardens
Missouri City, TX2.4 mi
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: $64,918
Windsor Quail Valley Post-Acute Healthcare
Missouri City, TX2.5 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $52,036
Sugar Land Health Care Center
Sugar Land, TX3.6 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $30,494
The Crescent
Sugar Land, TX3.9 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $107,921
Ignite Medical Resort Sugar Land, LLC
Sugar Land, TX3.9 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $155,401
FacilityDistanceCMSHealthStaffingRecorded fines
Paradigm at First Colony
Missouri City, TX · Current facility
—1/51/51/5$211,113
Park Manor of Quail Valley
Missouri City, TX
1.4 mi2/52/52/5None recorded
Chelsea Gardens
Missouri City, TX
2.4 mi1/52/54/5$64,918
Windsor Quail Valley Post-Acute Healthcare
Missouri City, TX
2.5 mi3/53/52/5$52,036
Sugar Land Health Care Center
Sugar Land, TX
3.6 mi3/53/52/5$30,494
The Crescent
Sugar Land, TX
3.9 mi1/51/52/5$107,921
Ignite Medical Resort Sugar Land, LLC
Sugar Land, TX
3.9 mi1/52/51/5$155,401

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Paradigm at First Colony?▾
Paradigm at First Colony has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Paradigm at First Colony cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Paradigm at First Colony participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Paradigm at First Colony had any health inspection violations?▾
Paradigm at First Colony had 4 deficiency citations in its most recent health inspection (Jan 22, 2026). The current CMS dataset records 3 fine(s) totaling $211,113.
What are the staffing levels at Paradigm at First Colony?▾
Paradigm at First Colony provides 3.36 total nursing staff hours per resident per day, including 0.47 RN hours, 0.79 LPN hours, and 2.10 nurse aide hours. The total staff turnover rate is 67.0%.
How many beds does Paradigm at First Colony have?▾
Paradigm at First Colony has 150 certified beds with an average of 103.5 residents per day, resulting in approximately 69% occupancy. The facility is For profit - Limited Liability company owned and is part of the Paradigm Healthcare chain.
Are there other nursing homes near Paradigm at First Colony?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 3 in Missouri City. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Paradigm at First Colony?▾
On Google Maps, Paradigm at First Colony has a rating of 3.7 out of 5 based on 154 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →