PARADIGM AT FIRST COLONY

4710 LEXINGTON BLVD, MISSOURI CITY, TX 77459 · CCN 455812 · 150 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-11-27 IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-27 IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-10-24 IMMEDIATE JEOPARDY (tag F0694, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
2023-08-15 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-08-15 IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-08-15 IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2023-08-15 IMMEDIATE JEOPARDY (tag F0656, severity K)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2023-08-15 IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.81

state median 2.67

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.37

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

67%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $211,113 in fines.

DateTypeAmount
2024-11-27Fine$19,838
2024-10-24Fine$44,721
2023-08-15Fine$146,554

Ownership

Ownership type: For profit - Limited Liability company. Part of the PARADIGM HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 3 · Potential for more than minimal harm: 30 · Immediate jeopardy: 8

Survey dateTagCategorySeverityCorrected
2026-03-18F0677Quality of Life and Care DeficienciesDnot recorded
2025-12-01F0551Resident Rights DeficienciesDnot recorded
2025-11-14F0558Resident Rights DeficienciesDnot recorded
2025-09-08F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2025-06-01F0755Pharmacy Service DeficienciesDnot recorded
2024-11-27F0684Quality of Life and Care DeficienciesKnot recorded
2024-11-27F0689Quality of Life and Care DeficienciesKnot recorded
2024-11-19F0583Resident Rights DeficienciesCnot recorded
2024-11-19F0732Nursing and Physician Services DeficienciesCnot recorded
2024-10-24F0550Resident Rights DeficienciesDnot recorded
2024-10-24F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-10-24F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-10-24F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2024-10-24F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-10-24F0686Quality of Life and Care DeficienciesDnot recorded
2024-10-24F0690Quality of Life and Care DeficienciesDnot recorded
2024-10-24F0694Quality of Life and Care DeficienciesKnot recorded
2024-10-24F0695Quality of Life and Care DeficienciesDnot recorded
2024-10-24F0759Pharmacy Service DeficienciesEnot recorded
2024-10-24F0812Nutrition and Dietary DeficienciesFnot recorded
2024-10-24F0814Nutrition and Dietary DeficienciesCnot recorded
2024-10-24F0880Infection Control DeficienciesDnot recorded
2024-08-21F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-25F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-25F0919Environmental DeficienciesDnot recorded
2024-02-08F0690Quality of Life and Care DeficienciesDnot recorded
2024-02-08F0880Infection Control DeficienciesEnot recorded
2023-11-02F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-11-02F0689Quality of Life and Care DeficienciesEnot recorded
2023-09-08F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2023-09-08F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-09-08F0695Quality of Life and Care DeficienciesDnot recorded
2023-09-08F0803Nutrition and Dietary DeficienciesEnot recorded
2023-09-08F0812Nutrition and Dietary DeficienciesEnot recorded
2023-09-08F0814Nutrition and Dietary DeficienciesDnot recorded
2023-08-15F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2023-08-15F0656Resident Assessment and Care Planning DeficienciesKnot recorded
2023-08-15F0678Quality of Life and Care DeficienciesJnot recorded
2023-08-15F0686Quality of Life and Care DeficienciesJnot recorded
2023-08-15F0689Quality of Life and Care DeficienciesJnot recorded
2023-07-18F0580Resident Rights DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “PARADIGM AT FIRST COLONY, MISSOURI CITY” at medicare.gov/care-compare.