Paradigm at First Colony
Nursing home in Missouri City, TX
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 4710 Lexington Blvd, Missouri City, TX 77459
- Phone
- (281) 499-4710
- Listed under
- For-profit
- Medicare CCN
- 455812
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 150
- Average residents per day
- 104
- Ownership
- For-profit, limited Liability company
- Legal business name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare (17 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Apr 21, 1989
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jan 22, 2026. CMS lists 41 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 15, 2023 to Jun 11, 2026): 34 from complaint inspections, 8 at the “actual harm” level or higher, including 8 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 11, 2026 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Mar 18, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Dec 1, 2025 | Give the resident's representative the ability to exercise the resident's rights. | D |
| Nov 14, 2025 | Reasonably accommodate the needs and preferences of each resident. | D |
| Sep 8, 2025 | Respond appropriately to all alleged violations. | E |
| Jun 1, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Nov 27, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K |
| Nov 27, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| Nov 19, 2024 | Keep residents' personal and medical records private and confidential. | C |
| Nov 19, 2024 | Post nurse staffing information every day. | C |
| Oct 24, 2024 | Dispose of garbage and refuse properly. | C |
| Oct 24, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
Fines and payment denials
CMS records 2 fines totalling $64,559 in the last three years.
| Nov 27, 2024 | Fine: $19,838 |
| Oct 24, 2024 | Fine: $44,721 |
Staffing
- Total nurse staffing per resident per day
- 3.36 hours
- Registered nurse (RN) time per resident per day
- 0.47 hours
- Nurse aide time per resident per day
- 2.10 hours
- Total nurse staffing on weekends
- 2.90 hours
- Nursing staff turnover (yearly)
- 67%
- RN turnover (yearly)
- 91%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.