Paradigm At First Colony
4710 Lexington Blvd, Missouri City, TX 77459 · Fort Bend County
For-profit · 150 certified beds · 69% occupancy · (281) 499-4710
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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 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
- Potential for harmTag F0759 · Oct 24, 2024Corrected Oct 31, 2024
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Showing the 10 most recent and serious of 41 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Paradigm Healthcare chain (18 facilities), chain average overall rating 1.8★.