Overview
Paradigm at First Colony has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It ranks 3rd of 4 nursing homes in Missouri City. Its strongest area is quality of care (4 of 5), and its weakest is health inspections (1 of 5).
Residents receive about 3.3 hours of nursing care per day, more than at 55% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.6 hours come from registered nurses.
Its most recent standard inspection, on January 22, 2026, found 7 health deficiencies, fewer than the Texas average of 9.6. All of them came from complaint investigations. Medicare records 2 fines totaling $64,559 in the past three years.
Paradigm at First Colony is a for-profit facility with 150 certified beds, caring for about 106 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1989.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 75%
Top 80%
Top 83%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- January 22, 2026
- Health deficiencies cited
- 7
- Complaint-related deficiencies
- 7
- Fines in the last 3 years
- 2 totaling $64,559
- Payment denials
- 0
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.34 hrs
- Registered nurses (RN)0.59 hrs
- Licensed practical nurses (LPN)0.67 hrs
- Nurse aides2.07 hrs
- Physical therapists0.05 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 150
- Average residents per day
- 106
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- April 21, 1989
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes