Facility type
Nursing
Status
Active
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.
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
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.
Occupancy rate
74.4%
Residents per day (avg)
108
Occupancy rate
74.4%
Residents per day (avg)
108
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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 community
Operated by state authorities.
Home revenue
$11.9M
Surplus of revenue
$1.3M
Governmental community
Operated by state authorities.
Home revenue
$11,885,681.00
Surplus of revenue
$1,256,229.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.6M
150-bed community
A larger shared setting that may offer more common spaces and organized community services.
34 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 38 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Services
About this community
License details
Issuance
February 28, 2025
Expiration
February 28, 2028
County:
FORT BEND
Additional licensing details
License number:
144408
Year opened:
5/16/1991
CMS Certification Number:
455812
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]
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Long-Term Services
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
Nursing Home
Health Inspection History
Inspections
Total health inspections
16
Texas average 7.4
Last Health inspection on Nov 2025
Total health citations
49
Citations per inspection
3.06
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 49 citations resulted from standard inspections; 26 of 49 resulted from complaint investigations; and 9 of 49 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
9
9
350% worse than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
9 critical citations
0 serious citations
37 moderate citations
3 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
Nov 14, 2025
Abuse/Neglect moderate citation
Sep 08, 2025
Corrected
Pharmacy moderate citation
Jun 01, 2025
Corrected
Quality of Care critical citation
Nov 27, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri City
The information below is reported by the Texas Health and Human Services Commission.
Paradigm at First Colony
+73%
-6%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Missouri City (Lexington Colony)
150
38
SSC MISSOURI CITY OPERATING COMPANY LLC
74.4%
$10,332,375.00
$5,405,514.00
52.3%
108.40
3.4213
3
49
9
+73%-6%+17%Private / Semi-Private Rooms
Paradigm at First Colony
Type of care:
SNF
AL
Community:
Missouri City (Lexington Colony)
Bed Count:
150
Operator:
SSC MISSOURI CITY OPERATING COMPANY LLC
CCN:
455812
Occupancy:
74.4%
Home Revenue:
$10,332,375.00
Payroll Costs:
$5,405,514.00
Payroll %:
52.3%
Avg Residents/Day:
108.40
Overall Rating:
Adj Nurse Hours:
3.4213
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
49
Severe Citations:
9
RN share vs State Avg:
+73%
+73%
Staffing vs State Avg:
-6%
-6%
Occupancy vs State Avg:
+17%
+17%
Bed Options:
Private / Semi-Private Rooms
Places of interest near Paradigm at First Colony
4.3 miles from city center
4710 Lexington Blvd, Missouri City, TX 77459
Calculate Travel Distance to Paradigm at First Colony
Add your location
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 Nurse | 18 | 10.2 | No |
| Licensed Practical Nurse | 17 | 9.6 | No |
| Certified Nursing Assistant | 54 | 7.7 | 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 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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
112 residents
Residents by payment source
Medicare
6 residents (5.4%)
Medicaid
70 residents (62.5%)
Private pay or other
36 residents (32.1%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
9% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.4
29% better than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
13% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.8%
Percent of long-stay residents whose ability to move independently worsened
5.8%
64% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.4%
8% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
36% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.0%
Percent of long-stay high risk residents with pressure ulcers
10.0%
126% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
33% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.1%
Percent of long-stay residents who lose too much weight
7.1%
106% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
Percent of long-stay residents who have depressive symptoms
1.2%
59% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.5%
Percent of long-stay residents who received an antipsychotic medication
19.5%
148% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.28
Number of hospitalizations per 1,000 long-stay resident days.
2.28
7% worse than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.71
176% worse than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
10% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
35% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
10% better than Texas averageTexas average: 88.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
65.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.4%
22% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
42.3%
Rate of successful return to home or community from a skilled nursing facility.
42.3%
16% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and 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 amount
$211K
163% higher than Texas averageTexas average: $80K
Number of fines
3
21% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$211K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 27, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 27, 2024
$20K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 24, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 24, 2024
$45K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 15, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 15, 2023
$147K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Paradigm at First Colony based on CMS SNF Cost Reports.
Occupancy Rate
74.4%
↑ 6.8pp vs 2022
Net Income
$1,256,229
↑ ~$463K vs 2022
Total Payroll
$6,082,930
↑ ~$607K vs 2022
Profit Margin
12.2%
↑ 3.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Texas Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Paradigm at First Colony
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
