Public Record
Paradigm at First Colony
Operated by Paradigm Healthcare
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 150
- Avg. residents per day
- 109.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 42
- Fire safety findings
- 10
- Inspections on file
- 19
- Last inspection
- 2026-03-18
*CMS
*CMS
*CMS
*CMS
Citations
42 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0551Generalpotential for harm
Give the resident's representative the ability to exercise the resident's rights.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0684Seriousimmediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0583Generalno actual harm
Keep residents' personal and medical records private and confidential.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0607Generalpotential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0814Generalno actual harm
Dispose of garbage and refuse properly.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0694Seriousimmediate jeopardy
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0803Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0656Seriousimmediate jeopardy
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0678Seriousimmediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- 0686Seriousimmediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0600Seriousimmediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety3 deficiencies
- Inspection1 deficiency
455812 12/01/2025 Paradigm at First Colony 4710 Lexington Blvd Missouri City, TX 77459 F 0551 Give the resident's representative the ability to exercise the resident's rights. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - Inspection1 deficiency
455812 11/14/2025 Paradigm at First Colony 4710 Lexington Blvd Missouri City, TX 77459 F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…
Read full statement of deficiencies - Inspection1 deficiency
455812 09/08/2025 Paradigm at First Colony 4710 Lexington Blvd Missouri City, TX 77459 F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview…
Read full statement of deficiencies - Inspection1 deficiency
455812 06/01/2025 Paradigm at First Colony 4710 Lexington Blvd Missouri City, TX 77459 F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed…
Read full statement of deficiencies - Inspection2 deficiencies
455812 11/27/2024 Paradigm at First Colony 4710 Lexington Blvd Missouri City, TX 77459 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Immediate jeopardy to resident health or safety **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - Inspection2 deficiencies
455812 11/19/2024 Paradigm at First Colony 4710 Lexington Blvd Missouri City, TX 77459 F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Potential for minimal harm Based on observation, interview and record review, the facility failed to ensure the…
Read full statement of deficiencies - Inspection13 deficiencies
455812 10/24/2024 Paradigm at First Colony 4710 Lexington Blvd Missouri City, TX 77459 F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted…
Read full statement of deficiencies - View inspection reportInspectionFire Safety6 deficiencies
Showing the 10 most recent inspections. 9 earlier inspections are also on record.
Ownership
Paradigm Healthcare
18nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Paradigm at First Colony?
- Paradigm at First Colony is a Medicare- and Medicaid-certified nursing home in Missouri City, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 455812.
- What is the CMS rating for Paradigm at First Colony?
- Paradigm at First Colony has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Paradigm at First Colony have?
- Paradigm at First Colony is certified for 150 beds. It serves an average of 109.1 residents per day.
- How many citations does Paradigm at First Colony have?
- Paradigm at First Colony has 42 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Paradigm at First Colony last inspected?
- Paradigm at First Colony was last inspected on March 18, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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