Nursing home · Missouri City, TX
Paradigm at First Colony
4710 Lexington Blvd, Missouri City, TX 77459 · (281) 499-4710
Paradigm at First Colony is a 150-bed for-profit nursing home in Missouri City, Texas (Fort Bend County). It has been certified to provide Medicare and Medicaid services since 1989. On average it cares for 106 residents a day (about 71% of its certified beds). It is part of Paradigm Healthcare, a group of 17 nursing homes. CMS gives it an overall rating of 1 out of 5 stars; the average in Texas is 2.8.
Ratings
| CMS rating | Stars |
|---|---|
| Overall | ★★★★★ |
| Health inspections | ★★★★★ |
| Staffing | ★★★★★ |
| Quality measures | ★★★★★ |
Staffing
| Staffing | This home | Texas avg | US avg |
|---|---|---|---|
| Total nurse hours per resident per day | 3.34 | 3.42 | 3.90 |
| Registered nurse (RN) hours per resident per day | 0.59 | 0.44 | 0.69 |
| Nurse hours per resident per day, weekends | 2.93 | – | – |
| Nursing staff turnover | 71% | 51% | 45% |
| RN turnover | 90% | – | – |
| Administrators who left | 1 | – | – |
Inspections and penalties
| Inspections & penalties | This home |
|---|---|
| Most recent standard health inspection | January 22, 2026 |
| Health deficiencies cited (most recent cycle) | 7 below the state average of 10 |
| …of which from complaint inspections | 7 |
| Federal fines (as reported by CMS) | 2 totalling $64,559 |
| Medicare payment denials | 0 |
Source: CMS Provider Data Catalog, nursing home provider information, Oct 2026 release (CMS Provider Data Catalog: Nursing homes). Ownership: For profit - Limited Liability company. Legal business name: Oakbend Medical Center. Check the latest details and full inspection reports on Medicare Care Compare. How to read these ratings →
Nearby nursing homes
- Park Manor of Quail Valley ★★★★★Missouri City · 1.4 mi · 125 beds
- Chelsea Gardens ★★★★★Missouri City · 2.4 mi · 60 beds
- Windsor Quail Valley Post-Acute Healthcare ★★★★★Missouri City · 2.5 mi · 120 beds
- Sugar Land Health Care Center ★★★★★Sugar Land · 3.6 mi · 150 beds
- The Crescent ★★★★★Sugar Land · 3.9 mi · 112 beds
- Ignite Medical Resort Sugar Land, LLC ★★★★★Sugar Land · 3.9 mi · 90 beds
Common questions
What is the star rating of Paradigm at First Colony?
CMS rates Paradigm at First Colony 1 out of 5 stars overall, with 1 stars for health inspections, 1 for staffing and 4 for quality measures (Medicare Care Compare).
How many beds does Paradigm at First Colony have?
150 certified beds, with an average of 106 residents a day.
Does Paradigm at First Colony accept Medicare and Medicaid?
CMS lists it as certified for Medicare and Medicaid. Ask the nursing home about current availability for your coverage.
What is the phone number for Paradigm at First Colony?
(281) 499-4710. Address: 4710 Lexington Blvd, Missouri City, TX 77459.
Before you choose
- Visit at different times, including evenings and weekends.
- Ask how many residents each nurse and aide cares for on each shift.
- Read the latest inspection report and ask what has been fixed.
- Ask whether a bed is available for your coverage (Medicare, Medicaid or private pay).