For profit - Limited Liability company · 150 certified beds · CMS number 455812
Paradigm at First Colony, Missouri City, TX
CMS records 39 health deficiencies at Paradigm at First Colony in Missouri City, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 22, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $64,559 in the last three years.
- 39deficiencies, 3 cycles (TX median 25)
- 8in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $64,559fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Paradigm at First Colony as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Paradigm at First Colony may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (8 deficiencies)
Standard inspection Jan 22, 2026. CMS counts 8 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 24, 2026 · Complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 29, 2026
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 29, 2026
F603 · Freedom from involuntary seclusion
Requirement cited (CMS): Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 29, 2026
Jun 11, 2026 · Complaint inspection
1 deficiency, highest D
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 1, 2026
Mar 18, 2026 · Complaint inspection
1 deficiency, highest D
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 25, 2026
Dec 1, 2025 · Complaint inspection
1 deficiency, highest D
F551 · Role of the resident's representative
Requirement cited (CMS): Give the resident's representative the ability to exercise the resident's rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 15, 2025
Nov 14, 2025 · Complaint inspection
1 deficiency, highest D
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 11, 2025
Sep 8, 2025 · Complaint inspection
1 deficiency, highest E
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 23, 2025
Previous cycle: 18 deficiencies (standard inspection Oct 24, 2024)
Standard inspection Oct 24, 2024. CMS counts 18 health deficiencies and 6 fire safety deficiencies in this cycle.
Jun 1, 2025 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 5, 2025
Nov 27, 2024 · Complaint inspection
2 deficiencies, highest K
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 4, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 4, 2024
Nov 19, 2024 · Complaint inspection
2 deficiencies, highest C
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Nov 20, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Nov 20, 2024
Oct 24, 2024 · Standard + complaint inspection
13 deficiencies, highest K
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Oct 31, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 31, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 31, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Oct 31, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 31, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
Earlier cycle: 13 deficiencies (standard inspection Sep 8, 2023)
Standard inspection Sep 8, 2023. CMS counts 13 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 21, 2024 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 28, 2024
Jul 25, 2024 · Complaint inspection
2 deficiencies, highest D
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 12, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 12, 2024
Feb 8, 2024 · Complaint inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 12, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 12, 2024
Nov 2, 2023 · Complaint inspection
2 deficiencies, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 3, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 3, 2023
Sep 8, 2023 · Standard + complaint inspection
6 deficiencies, highest E
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 15, 2023
F803 · Menus that meet nutritional needs
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 15, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2023
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2023
Tags cited in more than one inspection
9 tags cited on more than one inspection date at Paradigm at First Colony; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 3 | Oct 24, 2024; Nov 2, 2023; Sep 8, 2023 |
| F690 Bladder, bowel, and catheter care | 3 | Jul 24, 2026; Oct 24, 2024; Feb 8, 2024 |
| F695 Respiratory and oxygen care | 3 | Jun 11, 2026; Oct 24, 2024; Sep 8, 2023 |
| F880 Infection prevention and control program | 3 | Jul 24, 2026; Oct 24, 2024; Feb 8, 2024 |
| F655 Baseline care plan within 48 hours | 2 | Oct 24, 2024; Sep 8, 2023 |
| F689 Accident prevention and supervision | 2 | Nov 27, 2024; Nov 2, 2023 |
| F812 Food safety and sanitation | 2 | Oct 24, 2024; Sep 8, 2023 |
| F814 Garbage disposal | 2 | Oct 24, 2024; Sep 8, 2023 |
| F842 Complete, confidential medical records | 2 | Aug 21, 2024; Jul 25, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 27, 2024 | Fine | $19,838 |
| Oct 24, 2024 | Fine | $44,721 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.36 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.47 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.90 h
- Nursing staff turnover
- 67.0% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Paradigm at First Colony, copied as published; Texas medians are ours.
Facility details
- Address
- 4710 Lexington Blvd, Missouri City, TX 77459
- Phone
- (281) 499-4710
- County
- Fort Bend
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Paradigm Healthcare
- Certified beds
- 150
- Average residents per day
- 103.5
- In Medicare/Medicaid since
- Apr 21, 1989
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- How does the home support residents who need help with toileting or incontinence? (F690, cited 3 times)
- How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
Other nursing homes in Missouri City and the same chain
- Park Manor of Quail Valley
Missouri City · 24 deficiencies - Windsor Quail Valley Post-Acute Healthcare
Missouri City · 15 deficiencies - Chelsea Gardens
Missouri City · 14 deficiencies - Paradigm at the Oak
Schulenburg · 60 deficiencies - Nazareth Living Care Center
El Paso · 56 deficiencies - Paradigm at Katy
Katy · 51 deficiencies - Paradigm at the Creek
Wharton · 43 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.