Paradigm At First Colony

Missouri City, Texas

Address

4710 Lexington Blvd, Missouri City, TX, 77459

Phone

+1 281-499-4710

1.5 /10

Paradigm At First Colony Quality & Safety Report

Poor

Inspections: 1★ (50%) Staffing: 1★ (25%) Quality: 3★ (25%)

CMS Official Overall: 1★ / 5

CMS data as of January 2026

This score is calculated from three federally reported CMS metrics: Health Inspections (weighted 50%), Staffing levels (25%), and Quality Measures (25%). Facilities with serious safety findings receive score deductions. For centers with 5+ Google reviews, resident feedback contributes 15% of the final score. Learn more →

$211,113 fines 14 health deficiencies

Safety & Inspections

Health deficiencies
National median: 7
14 above national median
Total federal penalties
$211,113

CMS data as of January 1, 2026

Staffing breakdown

Average hours of nursing care each resident receives per day, by staff role. Higher numbers generally indicate more attentive care.

Total nurse staffing
National median: 4.12 hrs
3.49 hrs below national median
Registered nurse (RN)
0.51 hrs
Licensed practical nurse (LPN)
0.72 hrs
Certified nursing aide (CNA)
2.20 hrs
Physical therapy
0.06 hrs

Quality rating trend

Overall rating stable at 1 stars across 18 data points.

Quality rating trend for Paradigm At First Colony 1 2 3 4 5 Jun 24 Sep 24 Dec 24 Apr 25 Jul 25 Dec 25 Feb 26
  • Overall
  • Health inspection
  • Staffing
  • Quality measures

Facility profile

Type
Skilled Nursing Facility
Capacity
150 certified beds · ~106 avg residents/day (71% occupancy)
Ownership
For profit - Limited Liability company
Payment accepted
Medicare Medicaid (Medicare and Medicaid)

About

Paradigm At First Colony is a for-profit, 150-bed skilled nursing facility located in Missouri City, Texas. The center holds a 1-star overall rating from the Centers for Medicare & Medicaid Services, based on 1-star ratings for staffing and health inspections. Clinical quality measures at the facility are currently rated at 3 stars.

Frequently asked questions

What is the overall CMS rating for Paradigm At First Colony?
Paradigm At First Colony has an overall CMS rating of 1 out of 5 stars.
How did Paradigm At First Colony score on health inspections?
Paradigm At First Colony received a health inspection rating of 1 out of 5 stars from CMS.
What is the staffing rating for Paradigm At First Colony?
Paradigm At First Colony has a staffing rating of 1 out of 5 stars, based on nurse-to-resident ratios.
How many beds does Paradigm At First Colony have?
Paradigm At First Colony has 150 certified beds.
Does Paradigm At First Colony accept Medicare or Medicaid?
Yes, Paradigm At First Colony accepts Medicare and Medicaid.
Where is Paradigm At First Colony located?
Paradigm At First Colony is located at 4710 Lexington Blvd, Missouri City, TX, 77459, Missouri City, Texas.
How can I contact Paradigm At First Colony?
You can reach Paradigm At First Colony by phone at +1 281-499-4710.

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About this data

How to read this page

Star ratings vs. Care Quality Score: The Google star rating reflects visitor and family opinions collected from public reviews. The Care Quality Score is an independent metric derived entirely from federal inspection data — the two measure different things, and comparing them side-by-side gives a fuller picture.

Where this data comes from

All clinical data on this page originates from the Centers for Medicare & Medicaid Services (CMS), the federal agency that certifies and inspects every Medicare- and Medicaid-participating nursing home in the United States. Reviews are imported verbatim from public Google business listings.

What to do next

Data is a starting point, not a final answer. We encourage families to visit facilities in person, observe daily routines, and speak with staff and residents. See our guide: Questions to Ask When Visiting →

Listing data sourced from CMS provider records and public Google business data. ACD-HUB independently aggregates and never accepts paid placement.