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Best Nursing Homes in Missouri City, TX

Reviewed by Dr. Jordan Weiss
Updated May 2026

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Missouri City, Texas.

Watch this Video to see Missouri City's Top-rated Senior Communities

Compare Nursing Homes around Missouri City

The information below is reported by the Texas Health and Human Services Commission.

2 facilities compared · CMS & TX Dept. of Health data

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Paradigm at First Colony
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Missouri City (Lexington Colony)
150
Facility 150
TX AVG 80
Rank #65 / 987
28.7%
Facility 28.7%
TX AVG 63.5%
Rank #278 / 297
-55%
3.42
Facility 3.42
TX AVG 3.63
Rank #167 / 289
+61%-6%
$211.1k
Facility $211.1k
TX AVG $81.8k
Rank #277 / 294
49
Facility 49
TX AVG 25.9
Rank #268 / 292
3.1
Facility 3.1
TX AVG 3.7
Rank #130 / 292
943
38
Facility 38
TX AVG 41
Rank #784 / 1392
Ssc Missouri City Operating Company LLC
$11.9M
Facility $11.9M
TX AVG $8.4M
Rank #123 / 297
$6.1M
Facility $6.1M
TX AVG $3.5M
Rank #94 / 297
51.2%
Facility 51.2%
TX AVG 47%
Rank #89 / 297
455812
Chelsea Gardens Skilled Nursing & Rehab Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Missouri City (Riverstone)
60
Facility 60
TX AVG 80
Rank #585 / 987
67.1%
Facility 67.1%
TX AVG 63.5%
Rank #150 / 297
+6%
3.39
Facility 3.39
TX AVG 3.63
Rank #167 / 289
+82%-7%
$56.1k
Facility $56.1k
TX AVG $81.8k
Rank #204 / 294
10
Facility 10
TX AVG 25.9
Rank #26 / 292
3.3
Facility 3.3
TX AVG 3.7
Rank #149 / 292
136
51
Facility 51
TX AVG 41
Rank #483 / 1392
The American Cornerstone Health Services Inc.
$5.6M
Facility $5.6M
TX AVG $8.4M
Rank #263 / 297
$2.8M
Facility $2.8M
TX AVG $3.5M
Rank #269 / 297
50.2%
Facility 50.2%
TX AVG 47%
Rank #101 / 297
676334

Paradigm at First Colony

4710 Lexington Blvd, Missouri City, TX 77459
Overview of Paradigm at First Colony

Nestled in the heart of Sugar Land, Texas, Paradigm at First Colony stands as a shining example of exceptional senior care—where compassion, innovation, and community come together under one roof. As part of Paradigm Healthcare, LLC, this community reflects the organization’s deep commitment to elevating the standard of care for seniors across Texas.

Guided by steady, dedicated leadership, Paradigm at First Colony has cultivated an environment where residents feel genuinely seen, supported, and valued. This thoughtful, people‑first approach has fostered a culture that blends clinical excellence with heartfelt hospitality—ensuring that every resident receives not only the care they need, but the dignity they deserve.

What truly makes Paradigm at First Colony special is its vibrant, home‑like atmosphere. Residents enjoy a warm and engaged community paired with a comprehensive range of services tailored to their physical, emotional, and social well‑being. From specialized nursing and rehabilitation services to thoughtfully curated activities that enrich daily life, the community is designed to empower residents to thrive.

Located in one of Sugar Land’s most welcoming neighborhoods, Paradigm at First Colony is more than a senior care facility—it’s a place where families find peace of mind, and residents find a renewed sense of purpose. Its dedication to outstanding care continues to set the bar for senior living in the region, solidifying its reputation as a trusted leader in compassionate service.

Contact Paradigm at First Colony

Riverstone Memory Center

20313 S University Blvd, Missouri City, TX 77459
Overview of Riverstone Memory Center

Riverstone Memory Center is a dedicated memory care community in Missouri City, Texas, specializing in the care of older adults living with Alzheimer’s disease and other forms of dementia. Operated by Riverstone Senior Care LLC in Fort Bend County, the community holds a Type B license from the Texas HHSC. With a capacity of 48 beds, this community has a mid-sized, purpose-built environment tailored specifically to the cognitive and emotional needs of residents with memory-related conditions.

The regulatory record reflects well on this community’s maintained operational standards. This community has recorded zero enforcement actions and has incurred no federal penalties or payment denials over the past three years, according to the CMS database. Inspection data available through TULIP also showed no Health Code or Life Safety Code deficiencies on record, which is a reassuring finding for families navigating the often complex process of selecting memory care. The track record reflects consistency in meeting state care standards.

With an Alzheimer’s certification, the care model is structured around the specific needs of individuals with Alzheimer’s and dementia. The community also employs 24-hour trained care staff and personalized care plans for each resident, which are updated in coordination with family members to ensure continuous supervision and support. Its environment is also designed with security in mind, providing a secure setting that reduces wandering risks while still allowing residents meaningful engagement within the community.

Amenities are thoughtfully curated to support both physical well-being and quality of daily life, with two private courtyards providing outdoor access in a secure setting. An in-house salon also offers grooming services that support dignity and routine. Daily housekeeping and three nutritious meals per day are included, with recreational activities offered every day through a center-based activities and recreational program. These features, combined with the attentiveness of trained memory care staff, create a consistent and structured day that is ideal for residents with cognitive impairment.

Riverstone Memory Center is an appealing option for families seeking a dedicated, secure memory care community in the Missouri City and Fort Bend County area, particularly older adults in the moderate to advanced stages of Alzheimer’s or dementia who require specialized, around-the-clock supervision within a safe and engaging residential environment.

Contact Riverstone Memory Center

Overview of Chelsea Gardens Skilled Nursing & Rehab Center

Chelsea Gardens Skilled Nursing & Rehabilitation is a nursing home in Missouri City, TX, offering skilled nursing and rehabilitation. Fostering comfort and healing, the community ensures older adults are treated well during their stay. 24-hour care, therapy services, and social services are also provided, so residents have a worry-free lifestyle. Through an innovative approach to care, the community ensures residents receive exceptional care for their unique needs and preferences.

Group activities, fun gatherings, and light exercises ensure residents can stay active and gain meaningful experiences. With spacious, private rooms and lively gathering areas, residents can rest and move around comfortably. Located near Riverstone Shopping Center, fast-food chains, and restaurants, the community ensures residents have quick access to their necessities and leisure. This nursing home has high standards of care and top-notch amenities, making it a good option for senior living in Texas.

Contact Chelsea Gardens Skilled Nursing & Rehab Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Missouri City, TX

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover nursing home care?

Yes — Texas Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 3 nursing homes in Missouri City, TX. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Missouri City, TX?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Missouri City, TX, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Missouri City, TX?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.