Paradigm At First Colony
Missouri City, TX · Medicare and Medicaid-certified nursing home (CCN 455812) · 150 certified beds
Health inspection: 1 · Quality measures: 4 · Staffing: 1
Federal fines: 2 totaling $64,559
Phone: (281) 499-4710 · Verify on Medicare Care Compare ↗
Paradigm At First Colony has a CMS overall rating of 1 out of 5 stars, below the Texas state average of 2.65 stars. Its health inspection rating is 1 star and its staffing rating is also 1 star.
Paradigm At First Colony reports 3.36 total nurse hours per resident per day, including 0.47 RN hours per resident per day, with a nursing staff turnover rate of 67.0% and a CMS staffing rating of 1 star.
Paradigm At First Colony has 2 federal fines on record totaling $64,559.00, with no payment denials reported. CMS does not display an abuse icon or Special Focus designation for this facility based on the data provided.
About this facility
Paradigm At First Colony is a 150-certified-bed nursing home in Missouri City, Fort Bend County, Texas, with an average of 103.5 residents. The facility is organized as a for-profit limited liability company and has been Medicare and Medicaid certified since April 21, 1989.
According to CMS Care Compare, Paradigm At First Colony holds an overall rating of 1 out of 5 stars, below the Texas state average of 2.65. Its component ratings are: health inspection rating of 1 star, quality measure (QM) rating of 4 stars, and staffing rating of 1 star.
Total nurse staffing hours average 3.36 hours per resident per day, with 0.47 RN hours per resident per day. Nursing staff turnover is reported at 67.0%.
CMS records show 2 federal fines totaling $64,559.00 for this facility. There are no payment denials on record.
Paradigm At First Colony is part of the Paradigm Healthcare chain, which operates 17 facilities nationally with an average chain rating of 1.9 stars. CMS data indicates no ownership change within the past 12 months.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Paradigm At First Colony has an overall rating of 1 out of 5 stars, below the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
The facility accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.36 hours per resident per day, with 0.47 RN hours per resident per day, and nursing turnover is 67.0%. CMS rates staffing at 1 star.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $64,559.00, with no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The provided data does not indicate an abuse icon or Special Focus status for this facility.
How large is this facility and how many residents live there?
Paradigm At First Colony has 150 certified beds and averages 103.5 residents.
Who owns this facility — and is it part of a chain?
It is owned as a for-profit limited liability company and is part of the Paradigm Healthcare chain, which has 17 facilities with an average rating of 1.9 stars.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since April 21, 1989.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus separate ratings for health inspections, staffing, and quality measures (QM); this facility scores 1, 1, 1, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the provided data; contact the facility at 2814994710 and verify on Medicare Care Compare.
What should I look for when touring this facility?
This information is not available in the provided data; contact the facility at 2814994710 for details.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's current CMS record at https://www.medicare.gov/care-compare/details/nursing-home/455812?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.