Paradigm at First Colony
Nursing Home · Missouri City, TX
CMS certification number455812
Contact & location
4710 Lexington BlvdMissouri City, TX 77459
Fort Bend County
- Phone
- (281) 499-4710
- ZIP code
- 77459 – all care providers
Facility details
- Certified beds
- 150
- Residents per day
- 103.5 (69% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare (17 facilities, avg 1.9★)
- Medicare certified since
- April 21, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.36 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.47 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.79 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.10 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.90 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 67.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 90.5 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- January 22, 2026
- Health deficiencies (last cycle)
- 5.0 (state 9.3 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 41 health · 10 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-11 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-03-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-25 |
| 2025-12-01 | Give the resident's representative the ability to exercise the resident's rights. F0551 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-11-14 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-09-08 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-23 |
| 2025-06-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-05 |
| 2024-11-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-12-04 |
| 2024-11-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-12-04 |
| 2024-11-19 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2024-11-20 |
| 2024-11-19 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2024-11-20 |
| 2024-10-24 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-10-31 |
| 2024-10-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-31 |
| 2024-10-24 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-10-31 |
| 2024-08-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-28 |
| 2024-07-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-12 |
| 2024-07-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-12 |
| 2024-02-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-12 |
| 2024-02-08 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-12 |
| 2023-11-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-03 |
| 2023-11-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-03 |
| 2023-09-08 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-15 |
| 2023-09-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-15 |
| 2023-09-08 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-15 |
| 2023-09-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-15 |
| 2023-09-08 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-15 |
| 2023-09-08 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-15 |
| 2023-08-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-08-22 |
| 2023-08-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-09-15 |
| 2023-08-15 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-08-22 |
| 2023-08-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-08-22 |
| 2023-08-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-08-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $64,559 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-27 | Fine | $19,838 |
| 2024-10-24 | Fine | $44,721 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Oakbend Medical Center (organization) | 5%+ Direct Ownership Interest · 100% | |
| Beard, Barry (individual) | Corporate Director · NOT APPLICABLE | |
| Council, Jeff (individual) | Corporate Director · NOT APPLICABLE | |
| Crayton, Tom (individual) | Corporate Director · NOT APPLICABLE | |
| Martin, Melissa (individual) | Corporate Director · NOT APPLICABLE | |
| McClamroch, James (individual) | Corporate Director · NOT APPLICABLE | |
| Mefford, Ruthanne (individual) | Corporate Director · NOT APPLICABLE | |
| Murray, Mark (individual) | Corporate Director · NOT APPLICABLE | |
| Petrosewicz, Norma (individual) | Corporate Director · NOT APPLICABLE | |
| Tape, May (individual) | Corporate Director · NOT APPLICABLE | |
| Uthman, Edward (individual) | Corporate Director · NOT APPLICABLE | |
| Freudenberger, Joseph (individual) | Corporate Officer · NOT APPLICABLE | |
| SSC Missouri City Operating Company LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Freudenberger, Joseph (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Paradigm at First Colony?
Paradigm at First Colony has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Paradigm at First Colony have?
It has 150 certified beds and cares for about 104 residents per day.
Has Paradigm at First Colony been fined?
Yes. CMS lists 2 penalties totaling $64,559 in the last three years.
Who owns Paradigm at First Colony?
It is part of Paradigm Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Paradigm at First Colony?
(281) 499-4710. The facility is located at 4710 Lexington Blvd, Missouri City, TX 77459.
Other nursing homes in Missouri City
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Windsor Quail Valley Post-Acute Healthcare
Nursing Home · Missouri City, TX · 120 beds
★★★ -
Park Manor of Quail Valley
Nursing Home · Missouri City, TX · 125 beds
★★ -
Chelsea Gardens
Nursing Home · Missouri City, TX · 60 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.