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Paradigm At First Colony

4710 Lexington Blvd, Missouri City, TX 774592814994710Ownership: For profit - Limited Liability companyCertified beds: 150Avg. daily residents: 104Chain: Paradigm Healthcare (17 facilities)County: Fort Bend

The complete public record on Paradigm At First Colony, a Medicare & Medicaid–certified nursing home in Missouri City, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Paradigm At First Colony holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 67% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $64,559 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.36 total nurse staff hours per resident per day
about the state average (3.39)
0.47 RN hours per resident per day
above the state average (0.43)
2.90 weekend nurse staff hours per resident per day
67.0% total nursing staff turnover
above the state average (55.3)
90.5% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

January 22, 2026 most recent standard health inspection
5 health deficiencies cited in the most recent inspection cycle
below the state average (9.3)
36 health deficiencies in the two prior cycles combined
$64,559 in federal fines across 2 penalties (last 3 years)
above the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

41 citations on record across recent inspections, 8 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 11, 20260695Provide safe and appropriate respiratory care for a resident when needed. ComplaintD · Potential for more than minimal harm
March 18, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable. ComplaintD · Potential for more than minimal harm
December 1, 20250551Give the resident's representative the ability to exercise the resident's rights. ComplaintD · Potential for more than minimal harm
November 14, 20250558Reasonably accommodate the needs and preferences of each resident. ComplaintD · Potential for more than minimal harm
September 8, 20250610Respond appropriately to all alleged violations. ComplaintE · Potential for more than minimal harm
June 1, 20250755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintD · Potential for more than minimal harm
November 27, 20240684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintK · Immediate jeopardy
November 27, 20240689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintK · Immediate jeopardy
November 19, 20240583Keep residents' personal and medical records private and confidential. ComplaintC · Minimal harm potential
November 19, 20240732Post nurse staffing information every day. ComplaintC · Minimal harm potential

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.