Paradigm at First Colony
4710 Lexington Blvd · Missouri City, TX · 77459 · 2814994710
150 certified beds For profit - Limited Liability company Chain: Paradigm Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $64,559 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
8 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$64,559 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 3 · $211,113 |
Inspection citations (41 in the current record)
-
Potential for harm · D March 18, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 25, 2026 · Quality of Life and Care
-
Potential for harm · D December 1, 2025 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected December 15, 2025 · Resident Rights
-
Potential for harm · D November 14, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 11, 2025 · Resident Rights
-
Potential for harm · E September 8, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 1, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 5, 2025 · Pharmacy Service
-
Immediate jeopardy · K November 27, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 4, 2024 · Quality of Life and Care
-
Immediate jeopardy · K November 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 4, 2024 · Quality of Life and Care
-
No harm found · C November 19, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 20, 2024 · Resident Rights
-
No harm found · C November 19, 2024 · found via complaint
Post nurse staffing information every day.
Corrected November 20, 2024 · Nursing and Physician Services
-
Immediate jeopardy · K October 24, 2024 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected October 31, 2024 · Quality of Life and Care
-
Potential for harm · D October 24, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 31, 2024 · Resident Rights
-
Potential for harm · D October 24, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 24, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 31, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 24, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 31, 2024 · Quality of Life and Care
-
Potential for harm · D October 24, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 31, 2024 · Quality of Life and Care
-
Potential for harm · E October 24, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected October 31, 2024 · Pharmacy Service
-
Potential for harm · F October 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 31, 2024 · Nutrition and Dietary
-
Potential for harm · D October 24, 2024
Provide and implement an infection prevention and control program.
Corrected October 31, 2024 · Infection Control
-
Potential for harm · E October 24, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 31, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 24, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 31, 2024 · Quality of Life and Care
-
No harm found · C October 24, 2024
Dispose of garbage and refuse properly.
Corrected October 31, 2024 · Nutrition and Dietary
-
Potential for harm · D August 21, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 28, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 25, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 12, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 25, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected August 12, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 27, 2024 | Fine | $19,838 |
| October 24, 2024 | Fine | $44,721 |
| August 15, 2023 | Fine | $146,554 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455812 · certified since April 21, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.