Paradigm at First Colony
Nursing home in Missouri City, Texas, CMS certification number 455812
4710 Lexington Blvd, Missouri City, TX 77459 · Fort Bend County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 150
- Certified for
- Medicare and Medicaid
- Last standard inspection
- January 22, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- $64,559 (2)
Does Paradigm at First Colony take Medicare and Medicaid?
Yes to both. Paradigm at First Colony is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Paradigm at First Colony reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.34
- Registered nurse hours
- 0.59
- Licensed practical nurse hours
- 0.67
- Nurse aide hours
- 2.07
- Weekend total hours
- 2.93
- Nursing staff turnover
- 71%
- Registered nurse turnover
- 90.5%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on January 22, 2026 and cited 7 deficiencies, plus 7 from complaint visits.
The visit before, on October 24, 2024, found 10.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Paradigm at First Colony 2 times in the past 3 years, for $64,559 in total.
Beds and residents
On an average day 106.2 residents live here, about 71% of its 150 certified beds.
- Certified beds
- 150
- Average residents per day
- 106.2
- Certified since
- April 21, 1989
- Resident or family council
- Resident
Who owns Paradigm at First Colony
- Legal business name
- Oakbend Medical Center
- Ownership type
- For profit - Limited Liability company
- Chain
- 17 homes nationally under Paradigm Healthcare, 2.1-star chain average
Other nursing homes near Paradigm at First Colony
- Park Manor of Quail Valley2350 FM 1092, Missouri City 77459
- Chelsea Gardens4422 Riverstone Blvd, Missouri City 77459
- Windsor Quail Valley Post-Acute Healthcare3640 Hampton Dr, Missouri City 77459
- Sugar Land Health Care Center333 Matlage Way, Sugar Land 77478
- The Crescent11353 Sugar Park Lane, Sugar Land 77478
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Paradigm at First Colony, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Paradigm at First Colony
What is the CMS star rating of Paradigm at First Colony?
1 out of 5 stars overall.
Does Paradigm at First Colony accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Paradigm at First Colony?
7 cited at the last standard visit.
Who owns Paradigm at First Colony?
Oakbend Medical Center, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.