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.

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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.
Offers a balance of services and community atmosphere.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
13% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
32% of new residents, often for long-term daily care.
Paradigm at First Colony is administrated by Johnny Richardson.
Key information about the people who lead and staff this community.
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
4.3 miles from city center
4710 Lexington Blvd, Missouri City, TX 77459
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Source: CMS Payroll-Based Journal (Q2 2025)
| 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 |
| 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 |
Source: CMS Health Citations (Jun 2022 – Nov 2025)
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
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
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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)
Showing all 3 penalties (Aug 2023 - Nov 2024)
Historical financial and operational data for Paradigm at First Colony based on CMS SNF Cost Reports.
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