Paradigm at First Colony
Paradigm at First Colony is a Nursing Home in Texas
Paradigm at First Colony is a Nursing Home in Texas
Paradigm at First Colony
Paradigm at First Colony is a Nursing Home in Texas
Paradigm at First Colony is a Nursing Home in Texas
Paradigm at First Colony is a dedicated nursing home in Missouri City, TX, that offers long-term care, skilled nursing, and rehabilitation. The community focuses on creating solutions for residents’ complex needs, providing personalized care. Housekeeping, transportation, and insurance coordination are some of the community’s amenities that ensure residents’ convenience. Utilizing a basic human approach, the community strives to provide high-quality care for older adults’ welfare.
Fun social events and plenty of activities are conducted, so residents can freely interact with their surroundings. Pain management, medication management, and wound care are also provided to ease residents’ pain and discomfort. The community’s comprehensive care options and extensive amenities create the ideal setting where residents can reach their potential in retirement.
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Occupancy levels track close to the statewide midpoint, indicating balanced availability. The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.
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Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income exceeds the majority of state facilities, highlighting strong profitability.
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Medicare nights run higher than most peers, indicating robust short-stay referrals. Medicaid nights are roughly in line with the state middle third, maintaining a balanced safety-net share. Private pay nights lead the state, showing strong demand from market-rate residents.
Services
About this community
Additional licensing details
Ownership & operating entity
Paradigm at First Colony is administrated by VICTORIA JOHNSON CLARK.
Type Of Units
Staffing
Key information about the people who lead and staff this community.
Leadership
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
Types of Care at Paradigm at First Colony
Touring Checklist for Senior Living
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Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
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Places of interest near Paradigm at First Colony
4.3 miles from city center
4710 Lexington Blvd, Missouri City, TX 77459
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 10.2 | No |
| Licensed Practical Nurse | 17 | 9.6 | No |
| Certified Nursing Assistant | 54 | 7.7 | No |
Staff by Category
Contractor Analysis
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 54 | 0 | 54 | 16,906 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,138 | 91 | 100% | 9.6 |
| Registered Nurse | 18 | 0 | 18 | 4,484 | 91 | 100% | 10.2 |
| Medication Aide/Technician | 11 | 0 | 11 | 2,750 | 90 | 99% | 11.2 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,203 | 65 | 71% | 6.8 |
| RN Director of Nursing | 2 | 0 | 2 | 1,014 | 65 | 71% | 7.9 |
| Physical Therapy Aide | 5 | 0 | 5 | 969 | 66 | 73% | 7.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 940 | 67 | 74% | 7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 859 | 64 | 70% | 8.4 |
| Administrator | 2 | 0 | 2 | 696 | 65 | 71% | 8 |
| Nurse Aide in Training | 3 | 0 | 3 | 647 | 49 | 54% | 7.1 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 595 | 80 | 88% | 6.2 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 498 | 66 | 73% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 483 | 63 | 69% | 7.7 |
| Qualified Social Worker | 3 | 0 | 3 | 438 | 60 | 66% | 7.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 266 | 40 | 44% | 6.6 |
| Occupational Therapy Aide | 1 | 1 | 2 | 191 | 14 | 15% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
| Medical Director | 0 | 1 | 1 | 39 | 13 | 14% | 3 |
Health Inspection History
Source: CMS Health Citations (Jun 2022 – Nov 2025)
Citation Severity Distribution
Top Deficiency Categories
Citation Sources
State Comparison (TX)
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Nov 14, 2025 | D | Resident Rights | F0558 | Open |
| Sep 08, 2025 | E | Abuse/Neglect | F0610 | Corrected |
| Jun 01, 2025 | D | Pharmacy | F0755 | Corrected |
| Nov 27, 2024 | K | Quality of Care | F0684 | Corrected |
| Nov 27, 2024 | K | Quality of Care | F0689 | Corrected |
| Nov 19, 2024 | C | Nursing Services | F0732 | Corrected |
| Nov 19, 2024 | C | Resident Rights | F0583 | Corrected |
| Oct 24, 2024 | D | Abuse/Neglect | F0607 | Corrected |
| Oct 24, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Oct 24, 2024 | D | Infection Control | F0880 | Corrected |
| Oct 24, 2024 | F | Nutrition | F0812 | Corrected |
| Oct 24, 2024 | C | Nutrition | F0814 | Corrected |
| Oct 24, 2024 | E | Pharmacy | F0759 | Corrected |
| Oct 24, 2024 | D | Quality of Care | F0686 | Corrected |
| Oct 24, 2024 | D | Quality of Care | F0690 | Corrected |
| Oct 24, 2024 | K | Quality of Care | F0694 | Corrected |
| Oct 24, 2024 | D | Quality of Care | F0695 | Corrected |
| Oct 24, 2024 | D | Care Planning | F0655 | Corrected |
| Oct 24, 2024 | E | Care Planning | F0656 | Corrected |
| Oct 24, 2024 | D | Resident Rights | F0550 | Corrected |
| Aug 21, 2024 | D | Care Planning | F0842 | Corrected |
| Jul 25, 2024 | D | Environmental | F0919 | Corrected |
| Jul 25, 2024 | D | Care Planning | F0842 | Corrected |
| Feb 08, 2024 | E | Infection Control | F0880 | Corrected |
| Feb 08, 2024 | D | Quality of Care | F0690 | Corrected |
| Nov 02, 2023 | E | Quality of Care | F0689 | Corrected |
| Nov 02, 2023 | D | Care Planning | F0656 | Corrected |
| Sep 08, 2023 | E | Nutrition | F0803 | Corrected |
| Sep 08, 2023 | E | Nutrition | F0812 | Corrected |
| Sep 08, 2023 | D | Nutrition | F0814 | Corrected |
| Sep 08, 2023 | D | Quality of Care | F0695 | Corrected |
| Sep 08, 2023 | D | Care Planning | F0655 | Corrected |
| Sep 08, 2023 | D | Care Planning | F0656 | Corrected |
| Aug 15, 2023 | K | Abuse/Neglect | F0600 | Corrected |
| Aug 15, 2023 | J | Administration | F0835 | Corrected |
| Aug 15, 2023 | J | Quality of Care | F0678 | Corrected |
| Aug 15, 2023 | J | Quality of Care | F0686 | Corrected |
| Aug 15, 2023 | J | Quality of Care | F0689 | Corrected |
| Aug 15, 2023 | K | Care Planning | F0656 | Corrected |
| Jul 18, 2023 | D | Resident Rights | F0580 | Corrected |
| Apr 11, 2023 | D | Infection Control | F0880 | Corrected |
| Feb 15, 2023 | E | Pharmacy | F0760 | Corrected |
| Jun 09, 2022 | E | Environmental | F0925 | Corrected |
| Jun 09, 2022 | F | Nutrition | F0812 | Corrected |
| Jun 09, 2022 | E | Pharmacy | F0761 | Corrected |
| Jun 09, 2022 | E | Quality of Care | F0677 | Corrected |
| Jun 09, 2022 | E | Quality of Care | F0689 | Corrected |
| Jun 09, 2022 | D | Quality of Care | F0693 | Corrected |
| Jun 09, 2022 | D | Care Planning | F0657 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Resident Census by Payment Source
Programs & Services
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Penalties & Fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalty History
Showing all 3 penalties (Aug 2023 - Nov 2024)
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for Texas Seniors
- General: Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- TX Specifics: Large state; rural access challenges.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
- General: Age 60+, Texas resident, at risk of decline.
- Income Limits: ~$2,000/month (individual, varies).
- Asset Limits: $5,000 (individual).
- TX Specifics: Limited funding; high demand in urban areas.
- Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
- General: Age 60+, TX resident; no income/asset limits.
- Income Limits (2025): None; donations encouraged.
- Asset Limits: Not assessed.
- TX Specifics: 28 AAAs; includes Meals on Wheels in some areas.
- Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
- General: Age 65+ or disabled, TX resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- TX Specifics: Includes Extra Help for Part D; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
- General: Age 60+ prioritized, TX resident, low-income.
- Income Limits (2025): ~$3,970/month (185% FPL).
- Asset Limits: Not assessed.
- TX Specifics: Priority for elderly/disabled; covers gas, electric, propane.
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
- General: Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits: Not assessed.
- TX Specifics: High rural demand; includes grandparent caregivers.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
- General: Age 55+, unemployed, low-income, TX resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified.
- TX Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
- General: Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth).
- TX Specifics: High veteran population; supports rural/urban needs.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
- General: Age 65+, TX resident, homeowner (homestead).
- Income Limits (2025): None; tax-based eligibility.
- Asset Limits: Not assessed.
- TX Specifics: $25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.
- Services: Tax exemption or freeze (~$500-$1,000/year savings).
- General: Age 60+, TX resident, low-income.
- Income Limits (2025): ~$2,322/month (185% FPL).
- Asset Limits: Not assessed.
- TX Specifics: Vouchers (~$50/season); serves ~20,000 via 28 AAAs.
- Services: Vouchers (~$50/season) for produce at farmers’ markets.
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