Texas nursing homes › Missouri City › Paradigm At First Colony
Paradigm At First Colony
4710 Lexington Blvd, Missouri City, TX 77459 · Fort Bend County · (281) 499-4710
Fewer inspection deficiencies (8) than 47% of nursing homes in Texas. Rated #3 of 4 nursing homes in Missouri City by overall CMS stars. Nursing hours per resident day: 3.4 — below the Texas average of 3.39.
Quality details (CMS data, Oct 2026 release)
| Certified beds | 150 |
| Average residents per day | 103.5 |
| Ownership | For-profit |
| Participation | Medicare and Medicaid |
| Provider chain | PARADIGM HEALTHCARE |
| Nursing hours per resident per day | 3.36 (Texas average: 3.39) |
| — of which RN hours | 0.47 |
| — of which nurse aide hours | 2.10 |
| Staff turnover | 67% |
| RN turnover | 90% |
| Most recent health inspection | Jan 22, 2026 |
| Deficiencies cited (latest cycle) | 8 (Texas average: 9.4) |
| Weighted inspection score (lower is better) | 163.75 |
| Federal fines in past 3 years | 2 fine(s) totaling $64,559 |
| Payment denials / penalties | 2 |
Compare homes before you choose
Ratings change with every inspection cycle. Compare Paradigm At First Colony side by side with other homes in Missouri City and check the latest red flags:
See all nursing homes in Missouri City →More nursing homes in Missouri City
Plan the cost of care in Texas
What does care cost in Texas? A semi-private nursing home room runs a median of $5,627 per month — see Texas senior care cost medians and check Texas Medicaid eligibility limits.
Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.