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

4710 Lexington Blvd, Missouri City, TX 77459 View Map

Paradigm at First Colony is a Nursing Home in Texas

Paradigm at First Colony is a Nursing Home in Texas

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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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.42/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 150

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average
Occupancy rate 74.4%
Residents per day (avg) 108
Occupancy rate
74.4%
Residents per day (avg)
108

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

13% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

54% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 6 - 7 months

Finances and operations

Governmental home
Facility District
Home revenue
$11.9M
Surplus of revenue
$1.3M
Governmental home Facility District
Home revenue
$11,885,681.00
Surplus of revenue
$1,256,229.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
45.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
Total costs $10.6M
Bed community size
150-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
34 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 38 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Services

MEDICARE/MEDICAID

About this community

License Status
Active
Facility Type
Nursing
License Date
February 28, 2025
License Expiration
February 28, 2028

Additional licensing details

License number: 144408
Year opened: 5/16/1991
CMS Certification Number: 455812
County: FORT BEND

Ownership & operating entity

Paradigm at First Colony is administrated by Johnny Richardson.

Management company: FIRST COLONY NURSING & REHABILITATION, LLC
Owner: Paradigm Healthcare LLC
Ownership type: COUNTY

Type Of Units

Medicare
47 units
Medicaid and Medicare
103 units
Total beds
150 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Complaint Handler
Administrator email: [email protected]

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Transportation services icon
Transportation services icon

Transportation Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Types of Care at Paradigm at First Colony

Nursing Home

Places of interest near Paradigm at First Colony

Address 4.3 miles from city center

Address 4710 Lexington Blvd, Missouri City, TX 77459

Calculate Travel Distance to Paradigm at First Colony

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

138
Total Staff
135
Employees
3
Contractors
38,683
Total Hours (Quarter)
52
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse1810.2 No
Licensed Practical Nurse179.6 No
Certified Nursing Assistant547.7 No
Staff by Category
Administration
3 staff
7.3hs shift avg
Nursing Staff
105 staff
8.5hs shift avg
Physicians & Practitioners
4 staff
8.3hs shift avg
Therapy Services
20 staff
6.9hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
7.3hs shift avg
Dietary Services
2 staff
7.2hs shift avg
Other Services
1 staff
7.7hs shift avg
Contractor Analysis
0.5%
of total hours from contractors
195 contractor hours this quarter
Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant5405416,90691100%7.7
Licensed Practical Nurse170175,13891100%9.6
Registered Nurse180184,48491100%10.2
Medication Aide/Technician110112,7509099%11.2
Physical Therapy Assistant4041,2036571%6.8
RN Director of Nursing2021,0146571%7.9
Physical Therapy Aide5059696673%7.1
Speech Language Pathologist3039406774%7
Clinical Nurse Specialist3038596470%8.4
Administrator2026966571%8
Nurse Aide in Training3036474954%7.1
Respiratory Therapy Technician5055958088%6.2
Nurse Practitioner1015206571%8
Dietitian1014986673%7.5
Mental Health Service Worker1014836369%7.7
Qualified Social Worker3034386066%7.3
Other Dietary Services Staff1012664044%6.6
Occupational Therapy Aide1121911415%8
Occupational Therapy Assistant0114867%8
Medical Director011391314%3

Health Inspection History

Source: CMS Health Citations (Jun 2022 – Nov 2025)

16
Inspections
49
Total Citations
9
Critical (J-L)
0
Serious (G-I)
3.06
Citations/Inspection
Nov 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
3
Moderate (D-F)
37
Serious (G-I)
0
Critical (J-L)
9
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
15
31% of total
Resident Rights
4
8% of total
Abuse, Neglect & Exploitation
4
8% of total
Pharmacy Services
4
8% of total
Infection Control
3
6% of total
Environmental
2
4% of total
Citation Sources
Standard Inspections 23
Complaint Investigations 35
Infection Control 1
State Comparison (TX)
Citations
49
Texas average: 25.9
Critical Citations
9
Texas average: 2
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Nov 14, 2025 D Resident RightsF0558 Open
Sep 08, 2025 E Abuse/NeglectF0610 Corrected
Jun 01, 2025 D PharmacyF0755 Corrected
Nov 27, 2024 K Quality of CareF0684 Corrected
Nov 27, 2024 K Quality of CareF0689 Corrected
Nov 19, 2024 C Nursing ServicesF0732 Corrected
Nov 19, 2024 C Resident RightsF0583 Corrected
Oct 24, 2024 D Abuse/NeglectF0607 Corrected
Oct 24, 2024 D Abuse/NeglectF0609 Corrected
Oct 24, 2024 D Infection ControlF0880 Corrected
Oct 24, 2024 F NutritionF0812 Corrected
Oct 24, 2024 C NutritionF0814 Corrected
Oct 24, 2024 E PharmacyF0759 Corrected
Oct 24, 2024 D Quality of CareF0686 Corrected
Oct 24, 2024 D Quality of CareF0690 Corrected
Oct 24, 2024 K Quality of CareF0694 Corrected
Oct 24, 2024 D Quality of CareF0695 Corrected
Oct 24, 2024 D Care PlanningF0655 Corrected
Oct 24, 2024 E Care PlanningF0656 Corrected
Oct 24, 2024 D Resident RightsF0550 Corrected
Aug 21, 2024 D Care PlanningF0842 Corrected
Jul 25, 2024 D EnvironmentalF0919 Corrected
Jul 25, 2024 D Care PlanningF0842 Corrected
Feb 08, 2024 E Infection ControlF0880 Corrected
Feb 08, 2024 D Quality of CareF0690 Corrected
Nov 02, 2023 E Quality of CareF0689 Corrected
Nov 02, 2023 D Care PlanningF0656 Corrected
Sep 08, 2023 E NutritionF0803 Corrected
Sep 08, 2023 E NutritionF0812 Corrected
Sep 08, 2023 D NutritionF0814 Corrected
Sep 08, 2023 D Quality of CareF0695 Corrected
Sep 08, 2023 D Care PlanningF0655 Corrected
Sep 08, 2023 D Care PlanningF0656 Corrected
Aug 15, 2023 K Abuse/NeglectF0600 Corrected
Aug 15, 2023 J AdministrationF0835 Corrected
Aug 15, 2023 J Quality of CareF0678 Corrected
Aug 15, 2023 J Quality of CareF0686 Corrected
Aug 15, 2023 J Quality of CareF0689 Corrected
Aug 15, 2023 K Care PlanningF0656 Corrected
Jul 18, 2023 D Resident RightsF0580 Corrected
Apr 11, 2023 D Infection ControlF0880 Corrected
Feb 15, 2023 E PharmacyF0760 Corrected
Jun 09, 2022 E EnvironmentalF0925 Corrected
Jun 09, 2022 F NutritionF0812 Corrected
Jun 09, 2022 E PharmacyF0761 Corrected
Jun 09, 2022 E Quality of CareF0677 Corrected
Jun 09, 2022 E Quality of CareF0689 Corrected
Jun 09, 2022 D Quality of CareF0693 Corrected
Jun 09, 2022 D Care PlanningF0657 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: Paradigm Healthcare Services
Resident Census by Payment Source
112 Total Residents
Medicare 6 (5.4%)
Medicaid 70 (62.5%)
Private Pay/Other 36 (32.1%)
Programs & Services
Residents' Group
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)

High-Risk Clinical Events
7.8 Score
9% better than avg Texas avg: 8.6

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
11.4 Score
29% better than avg Texas avg: 16.0

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.

Need for Help with Daily Activities Increased
14.0%
Lost Too Much Weight
7.1%
Urinary Tract Infection
1.1%
Depressive Symptoms
1.2%
Falls with Major Injury
2.1%
Pneumococcal Vaccine
98.2%
Antipsychotic Use
19.5%
Walking Ability Worsened
5.8%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
10.0%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
14.4%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
99.5% 10% better than avg Texas: 90.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.0% 35% worse than avg Texas: 1.4%
Influenza Vaccine
97.1% 10% better than avg Texas: 88.0%

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)

Total Fines $211K Texas avg: $80K 163% worse than avg
Number of Fines 3 Texas avg: 2.5
Compared to Texas Average Facility: $211K | Texas Avg: $80K
Penalty History

Showing all 3 penalties (Aug 2023 - Nov 2024)

Nov 27, 2024 Civil Money Penalty
$20K
Oct 24, 2024 Civil Money Penalty
$45K
Aug 15, 2023 Civil Money Penalty
$147K

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Claim What’s Yours: Financial Aid for Texas Seniors

Program
State Program Name
Eligibility
Benefits
Community Care for the Aged and Disabled (CCAD)
TX Medicaid CCAD
  • 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.
Texas Community Care Services
  • 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).
Area Agency on Aging (AAA) Services
  • 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.
Medicare Savings Program (MSP)
Texas Medicare Savings Program
Official government program page
  • 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%).
Low-Income Home Energy Assistance Program (LIHEAP)
Texas Comprehensive Energy Assistance Program (CEAP)
  • 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).
Family Caregiver Support Program (FCSP)
Texas Family Caregiver Support Program
  • 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).
Senior Community Service Employment Program (SCSEP)
  • 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.
VA Aid and Attendance (A&A) and Housebound Benefits
Texas VA Aid and Attendance/Housebound
  • 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.
Property Tax Exemption for Seniors
Texas Senior Property Tax Exemption
Official government program page
  • 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).
Senior Farmers’ Market Nutrition Program (SFMNP)
Texas SFMNP
  • 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.

Claim What’s Yours Financial Aid for Texas Seniors

TX Medicaid CCAD

Community Care for the Aged and Disabled (CCAD)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
TX CCS

Texas Community Care Services

Requirements:
  • 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.
Benefits without Contact:
  • Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Texas AAA Services

Area Agency on Aging (AAA) Services

Requirements:
  • 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.
Benefits without Contact:
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Texas Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Texas Comprehensive Energy Assistance Program (CEAP)

Low-Income Home Energy Assistance Program (LIHEAP)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Texas Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Texas SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Texas VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • 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.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Texas Senior Property Tax Exemption

Property Tax Exemption for Seniors

Requirements:
  • 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.
Benefits without Contact:
  • Services: Tax exemption or freeze (~$500-$1,000/year savings).
Texas SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Requirements:
  • 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.
Benefits without Contact:
  • Services: Vouchers (~$50/season) for produce at farmers’ markets.
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