Paradigm At First Colony
4710 Lexington Blvd, Missouri City, TX 77459 · Fort Bend County
For-profit · 150 certified beds · 69% occupancy · (281) 499-4710
Paradigm At First Colony reviews: what the government record shows
The U.S. government (CMS) rates Paradigm At First Colony 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 8 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.36 hrs/resident/day (+3% vs TX median)
- Antipsychotic drug use
- 20.4% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 0.5% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $64,559
- Inspection findings
- 41 cited, 8 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.36 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Cited for 8 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $64,559 in federal fines in roughly the last three years.
- !Pressure-ulcer (bedsore) rate of 7.5% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
- ·How often are residents repositioned, and who checks skin daily?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Paradigm At First Colony
Is Paradigm At First Colony a good nursing home?
Paradigm At First Colony in Missouri City, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Paradigm At First Colony staffed?
Paradigm At First Colony reports 3.36 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Paradigm At First Colony been fined or flagged for abuse?
Paradigm At First Colony has paid approximately $64,559 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.36 nurse hours per resident per day. 3% above the Texas median of 3.27.
Nursing staff turnover: 67% · RN turnover: 90.5%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0610 · Sep 8, 2025ComplaintCorrected Sep 23, 2025
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0695 · Jun 11, 2026ComplaintCorrected Jul 1, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0677 · Mar 18, 2026ComplaintCorrected Mar 25, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0551 · Dec 1, 2025ComplaintCorrected Dec 15, 2025
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
- Potential for harmTag F0558 · Nov 14, 2025ComplaintCorrected Dec 11, 2025
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Immediate jeopardyTag F0684 · Nov 27, 2024ComplaintCorrected Dec 4, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0689 · Nov 27, 2024ComplaintCorrected Dec 4, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0694 · Oct 24, 2024ComplaintCorrected Oct 31, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Oct 24, 2024Corrected Oct 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0656 · Oct 24, 2024ComplaintCorrected Oct 31, 2024
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
Showing the 10 most recent and serious of 41 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Paradigm Healthcare chain, which operates 17 facilities, with a chain-average CMS rating of 1.9 stars.