Paradigm at First Colony
Nursing Home Facility
4710 Lexington Blvd, Missouri City, TX 77459
Paradigm at First Colony is a senior care community located in Missouri City, TX. It provides nursing home care and senior living for older adults in the Missouri City area. To learn more or schedule a tour, call (281) 499-4710.
Operated by Paradigm Healthcare, which runs 16 communities in our directory.
With 150 beds, Paradigm at First Colony is one of the larger communities in the area, senior care communities in Missouri City average about 44 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 69% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in January 2026 and recorded 5 deficiencies.
Residents receive about 3.4 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 67%, which is high and can affect continuity of care.
The community is located in Fort Bend County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 41 problems at Paradigm at First Colony. 8 findings involved harm to a resident, including 8 that put residents in immediate danger. 34 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $64,559.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give the resident's representative the ability to exercise the resident's rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Paradigm at First Colony offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 150
- Occupancy 69%
- Nursing hours per resident/day 3.4
- Annual staff turnover 67%
- Last health inspection January 2026
Resident & family reviews
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