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Nursing homeFAID #12198

Paradigm At First Colony

4710 LEXINGTON BLVD, MISSOURI CITY, TX, 77459
(281) 499-4710
www.paradigmatfirstcolony.com
150 licensed beds

CMS rates Paradigm At First Colony 1 out of 5 overall. Federal inspectors issued 49 citations across 20 inspections in the last three years, with $64,559 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of PARADIGM AT FIRST COLONY
Photo via Google · Jenny Zhang

Public record summary

What we can show you for free.
Bed capacity
150
CMS facility ID
455812
Care type
Nursing home
County
Fort Bend
Facility name
Paradigm At First Colony
Street address
4710 LEXINGTON BLVD
City / state / ZIP
Missouri City, TX 77459
Phone
(281) 499-4710
Website
www.paradigmatfirstcolony.com

About this facility — Paradigm At First Colony

Paradigm At First Colony is a Medicare/Medicaid-certified skilled nursing facility in Missouri City, Texas. It is licensed for 150 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 52 senior care facilities in Missouri City and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Paradigm Healthcare, a group of 17 facilities on this site.

Federal inspectors have cited Paradigm At First Colony 49 times across 20 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $64,559 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Paradigm Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Oakbend Medical Center
Direct owner — 100% stake — since 2015
Beard, Barry
Director — since 2012
Council, Jeff
Director — since 2013
Crayton, Tom
Director — since 2013
Freudenberger, Joseph
Managing employee · Officer — since 2007
Martin, Melissa
Director — since 2015
Mcclamroch, James
Director — since 2013
Mefford, Ruthanne
Director — since 2015
Murray, Mark
Director — since 2011
Petrosewicz, Norma
Director — since 2013
Ssc Missouri City Operating Company Llc
Operational control — since 2015
Tape, May
Director — since 2008
Uthman, Edward
Director — since 2008

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-04-21
CMS overall rating
1 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$64,559 total
Last standard inspection
2026-01-22
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$237 per day (≈ $7,200/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
71% Medicaid · 5% Medicare · 24% private/other
Occupancy
74% (fiscal year 2023)
Vs. state median
14% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
150
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-24Health inspectionComplaint-triggered3 citations
F-0603
E · No harm foundFrom a complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2026-07-29
F-0690
E · No harm foundFrom a complaint
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 2026-07-29
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-29
2026-06-11Health inspectionComplaint-triggered1 citation
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-07-01
16 earlier / fire-safety inspections (45 citations)
2026-03-18Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-25
2025-12-01Health inspectionComplaint-triggered1 citation
F-0551
D · No harm foundFrom a complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-12-15
2025-11-14Health inspectionComplaint-triggered1 citation
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-11
2025-09-08Health inspectionComplaint-triggered1 citation
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-09-23
2025-06-01Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-05
2024-11-27Health inspectionComplaint-triggered2 citations
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-04
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-04
2024-11-19Health inspectionComplaint-triggered2 citations
F-0583
C · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2024-11-20
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2024-11-20
2024-10-24Health inspectionComplaint-triggered13 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-31
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-31
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-31
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-31
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-31
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-31
F-0690
D · No harm found
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 2024-10-31
F-0694
K · Immediate jeopardyFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-10-31
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-31
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-31
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-31
F-0814
C · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-10-31
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-31
2024-08-21Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-28
2024-07-25Health inspectionComplaint-triggered2 citations
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-12
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-08-12
2024-02-08Health inspectionComplaint-triggered2 citations
F-0690
D · No harm foundFrom a complaint
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 2024-02-12
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-12
2023-11-02Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-03
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
2023-09-08Health inspection6 citations
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-15
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-15
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-15
F-0803
E · No harm foundFood safety
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.
Corrected 2023-09-15
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-15
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2023-09-15
2026-01-22Fire-safety inspection3 citations
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-31
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-25
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-25
2024-10-24Fire-safety inspection6 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-10-01
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-01
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-01
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-10-24
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-10-02
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-10-01
2023-09-08Fire-safety inspection1 citation
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-09-09

Federal penalties

2024-11-27Fine$19,838
2024-10-24Fine$44,721
Total fines$64,559
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455812.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
49
More than 78% of nursing homes in the state
State median: 33
Federal fines, 3 years
$64,559
More than 80% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.3
Higher than 55% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
71%
Higher than 93% of nursing homes in the state
State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 9 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased7.7%15.8%13.5%Better than state
Lose too much weight4.5%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.3%0.8%1.5%Better than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury0.3%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine97.4%96.4%93.7%Near state average
Ability to walk independently worsened1.9%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication13.0%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine98.2%97.0%95.3%Near state average
With pressure ulcers6.3%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence6.8%12.5%18.3%Better than state
Received an antipsychotic medication20.2%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.992.051.81Near state average
Outpatient emergency department visits per 1000 long-stay resident days5.071.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine90.2%88.7%82.3%Near state average
Newly received an antipsychotic medication2.4%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine48.8%85.4%80.1%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0690 3 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • K-0741 3 inspections. Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
  • F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • K-0372 2 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

What its owners also hold

  • Oakbend Medical Center has an ownership stake on file at 32 nursing homes, averaging 2.4 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • St Luke's Sugar Land Hospital, about 2.5 miles. CMS rating 3 of 5.
  • Memorial Hermann Sugar Land Hospital, about 6.9 miles. CMS rating 4 of 5.
  • Hca Houston Healthcare West, about 9.0 miles. CMS rating 1 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
3.7167 ratings on Google
★★★★★Kieara Lagrone · 2026-05-15 · via Google

“I recently had the opportunity to experience Paradigm at First Colony, and I was truly impressed by the professionalism, hospitality, and level of care shown by the team. The staff was welcoming, attentive, and made the environment feel warm and positive. You can tell they genuinely care about the residents and families they serve. The building was clean, organized, and the atmosphere felt engagin…”

★★★★★Jonathan Humphries · 2026-05-01 · via Google

“My mom was at the facility years ago and I was very happy with the care my mom got. The nurses were attentive and caring about my mom's needs. The CNAs were dedicated to the residents needs. My mom was happy there. Though she has passed I'm grateful she was in a place she was well taken care of. Sincerely, Mr. Humphries”

★★★★★Clyde Howard · 2026-05-14 · via Google

“I recently toured this facility for a family member and had a great experience. The facility was clean, smelled fresh, and felt very welcoming. Ms. Jonica showed me around and was incredibly polite, professional, and knowledgeable about both the facility and the surrounding area. She made sure I felt comfortable throughout the entire tour, and I truly appreciated her kindness and hospitality. Than…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 49 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered