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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasParadigm at First Colony

Paradigm at First Colony

4710 Lexington Blvd, Missouri City, TX 774592814994710
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
3/5
Beds
150
certified
3 fine(s) totaling $211,113

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 150 certified beds with an average of 106.4 residents per day (71% occupancy)

• Last health inspection found 14 deficiencies (inspected Oct 24, 2024)

• Has been fined a total of $211,113 across 3 fine(s)

• Total nursing staff: 3.42 hours per resident per day

• Staff turnover rate: 63.9% (high)

• Part of the Paradigm Healthcare chain (18 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
150
Avg Residents/Day
106.4
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
Oct 24, 2024
Deficiencies (Cycle 1)
14
Weighted Score
346.8
Infection Citations
1

Deficiency Citations (49)

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: 1
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: 1
F0686Potential for Harm

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

Survey: Oct 24, 2024Corrected: NoCycle: 1
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: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Oct 24, 2024Corrected: NoCycle: 1
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: 1
F0814Minimal Harm

Dispose of garbage and refuse properly.

Survey: Oct 24, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 24, 2024Corrected: NoCycle: 1
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: 1
F0694Immediate Jeopardy

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

Survey: Oct 24, 2024Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Oct 24, 2024Corrected: NoCycle: 1
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
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
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
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: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 8, 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: Sep 8, 2023Corrected: 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: Sep 8, 2023Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Sep 8, 2023Corrected: NoCycle: 2
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: 2

+ 19 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 Aide2.20 hrs
National avg: 2.35 hrs
LPN0.72 hrs
National avg: 0.86 hrs
RN0.50 hrs
National avg: 0.68 hrs
Total Nursing3.42 hrs
National avg: 3.89 hrs
Weekend Total3.05 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
63.9%
RN Turnover
80.0%
Administrators Left
3

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
SSC MISSOURI CITY OPERATING COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 28, 2015
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
FREUDENBERGER, JOSEPHW-2 MANAGING EMPLOYEEIndividualN/AJun 19, 2007

Nearby Nursing Homes

All Texas facilities

Park Manor of Quail Valley

Missouri City, TX · 125 beds

For profitAbuse
Health
Staffing
Quality
1.4 mi

Chelsea Gardens

Missouri City, TX · 60 beds

For profit$56,103 in fines
Health
Staffing
Quality
2.4 mi

Windsor Quail Valley Post-Acute Healthcare

Missouri City, TX · 120 beds

Government$52,036 in fines
Health
Staffing
Quality
2.5 mi

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 3/5. This facility is rated below average.
Has Paradigm at First Colony had any health inspection violations?▾
Paradigm at First Colony had 14 deficiency citations in its most recent health inspection (Oct 24, 2024). The facility has been fined a total of $211,113 across 3 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at Paradigm at First Colony?▾
Paradigm at First Colony provides 3.42 total nursing staff hours per resident per day, including 0.50 RN hours, 0.72 LPN hours, and 2.20 nurse aide hours. The total staff turnover rate is 63.9%.
How many beds does Paradigm at First Colony have?▾
Paradigm at First Colony has 150 certified beds with an average of 106.4 residents per day, resulting in approximately 71% 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, there are 3 other nursing homes in Missouri City, Texas with an average rating of 2.3/5. You can compare all facilities on the Missouri City nursing homes page.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →