Paradigm at First Colony

Q: What neighborhood is Paradigm at First Colony in?

Paradigm at First Colony is in the Lexington Colony neighborhood of Missouri City.

Q: Who is the owner of Paradigm at First Colony?

The legal owner and operator of Paradigm at First Colony is Oakbend Medical Center.

Q: Is Paradigm at First Colony in a walkable area?

Paradigm at First Colony has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Q: What is the license number of Paradigm at First Colony?

According to TX state health department records, Paradigm at First Colony's license number is 144408.

Q: When does Paradigm at First Colony's license expire?

According to TX state health department records, Paradigm at First Colony's license expires on February 28, 2028.

Q: What is the occupancy rate at Paradigm at First Colony?

Paradigm at First Colony's occupancy is 29%.

Q: Who is the administrator of Paradigm at First Colony?

Johnny Richardson is the administrator of Paradigm at First Colony.

Nursing Home & Nursing Care · Missouri City, TX

CMS overall rating

4710 Lexington Blvd, Missouri City, TX 77459 View map

Calculator: See prices in your area

Paradigm at First Colony accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Paradigm at First Colony accepts Medicaid, Medicare, and private pay.

Overview of Paradigm at First Colony

At 150 licensed beds in Missouri City, Paradigm at First Colony operates under the administration of Johnny Richardson with active Texas licensure through February 2028. The facility serves a mixed population of Medicare, Medicaid, and private-pay residents; currently filling 43 beds at 29% occupancy. Staffing includes 220 employees (83 certified nursing assistants, 30 licensed practical nurses, 27 registered nurses) with round-the-clock coverage, supplemented by rehabilitation, dietary, and social work personnel.

From June 2022 through December 2025, the facility received 16 state inspections that yielded 49 health citations, including nine coded as critical. This represents 329% more deficiencies annually than the Texas average of 3.5 per year. Federal penalties of $211,000 were imposed across three separate citations in 2023 and 2024 for noncompliance with care and safety standards. The CMS overall rating stands at 1 star; health inspection scoring shows 65.4% below state average; quality measures trail Texas homes by 24.1%.

Documented deficiencies center on failure to develop comprehensive care plans, inadequate supervision resulting in resident falls and serious injuries, medication administration errors, substantiated allegations of rough care and neglect, lapses in abuse reporting protocols, wound care failures leading to pressure ulcers, and privacy and infection control violations.

Inspection summaries note corrective actions were implemented following substantiated complaints of abuse, failure to report injuries, and lack of resident advocacy. And yet, recent inspections from mid-2025 indicate ongoing noncompliance with resident rights and care planning standards.

The facility provides services including skilled rehabilitation, memory care (not Alzheimer’s-certified), on-site medical oversight, housekeeping, laundry, and transportation coordination alongside amenities such as semi-private rooms, beauty services, and complimentary Wi-Fi and cable.

Quality-of-care measures show residents at the facility experience pressure ulcer rates 126% above state average and emergency department visits 176% higher than typical Texas nursing homes.

The 1-star federal rating reflects these persistent compliance and quality challenges.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Texas state averages

Total nursing care / resident

3h 25m per day

This facility Texas avg (3h 38m per day)

vs Texas avg

-6%

3 of 6 metrics below state avg

Standout metric Weekend RN is +17% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	28m per day	▲ 7% State avg: 26m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	48m per day	▼ 16% State avg: 57m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 4m per day	■ Avg State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 54m per day	▼ 3% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	3m per day	▼ 26% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	24m per day	▲ 17% State avg: 21m per day · National avg: 29m per day

Capacity and availability

94 days

150-bed community

A larger shared setting that may offer more common spaces and organized community services.

35 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.

About this community

Occupancy

Occupancy rate

29%

Lower than the Texas average: 63.5%

Occupied beds

43 / 150

Average occupied beds in Texas homes 75 beds

Facility TypeNursing

StatusLicensed

IssuanceFebruary 28, 2025

ExpirationFebruary 28, 2028

CountyFort Bend

License Number144408

Year Opened5/16/1991

CMS Certification Number455812

QualificationNursing

Paradigm at First Colony is administrated by Johnny Richardson.

Management CompanyFIRST COLONY NURSING & REHABILITATION, LLC

OwnerOAKBEND MEDICAL CENTER

Ownership TypeCOUNTY

Medicare

47 units

Medicaid and Medicare

103 units

Total beds

150 units

Staffing

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

ContactComplaint Handler

Administrator Email[email protected]

Rehabilitation Services

24-Hour Staffing

No Alzheimer's certification

Long-Term Services

Private & Semi-Private Rooms

Beauty And Barber Services

24-Hour Nursing Care

Complimentary Wifi And Cable

Insurance Coordination

Transportation Coordination Services

Housekeeping And Laundry

Since 2022 · 4 years of data 1 enforcement action 5 citations

Enforcement Actions Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

Since 2022

1 enforcement action

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Texas state average

Overall vs. TX average

Latest Inspection December 1, 2025 Complaint Investigation

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	TX Average	vs. TX Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	5	6	This facility has 17% fewer total citations than a typical Texas nursing home (5 vs. TX avg 6).↓ 17% better
Health citations Violations related to resident care, clinical practices, and day-to-day operations.	5	2	This facility has 150% more health citations than a typical Texas nursing home (5 vs. TX avg 2).↑ 150% worse
Life safety citations Violations related to building safety — fire prevention, emergency egress, and similar.	5	6	This facility has 17% fewer life safety citations than a typical Texas nursing home (5 vs. TX avg 6).↓ 17% better
Citations per year Average citations per year since 2022.	1.3	1.5	This facility has 13% fewer citations per year than a typical Texas nursing home (1.3 vs. TX avg 1.5).↓ 13% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

December 1, 2025 complaint investigation found the facility denied a resident's valid Power of Attorney access to clinical records, violating resident rights.
November 21, 2024 complaint investigation identified delayed hospital transfer and inadequate fall prevention for a resident on anticoagulants, causing serious injury and multiple falls.
November 14, 2025 annual inspection found one deficiency for call lights not within reach for 2 of 12 residents, risking unmet needs.

Show Inspection Reports

Inspections since 2022

Total health inspections 16

Texas average 7.4

Last Health inspection on Nov 2025

Total health citations

Texas average 25.9

Citations per inspection

3.06

Texas average 3.67

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 4 years)

Critical health citations

350% worse than Texas average

Texas average: 2

Serious health citations

100% better than Texas average

Texas average: 0.4

9 critical citations Texas average: 2

0 serious citations Texas average: 0.4

37 moderate citations Texas average: 23

3 minor citations Texas average: 0.4

Citations history (last 4 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

Total staff 220

Employees 214

Contractors 6

Staff to resident ratio 1.96 : 1

33% more staff per resident than Texas average

Avg staff/day 51

Average shift 8.3 hours

0% compared with Texas average

Total staff hours (quarter) 38,846

Nursing staff breakdown

10.8 hours

9.5 hours

7.9 hours

Contractor staffing

429 contractor hours this quarter

RN Director of Nursing: 2 Occupational Therapy Aide: 1 Clinical Nurse Specialist: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	83	0	83	18,351	92	100%	7.9
Licensed Practical Nurse	30	0	30	4,726	81	88%	9.5
Registered Nurse	27	0	27	3,583	92	100%	10.8
RN Director of Nursing	23	2	25	3,317	78	85%	8.8
Medication Aide/Technician	12	0	12	2,352	92	100%	11.2
Physical Therapy Aide	11	0	11	1,125	78	85%	6.8
Speech Language Pathologist	5	0	5	1,075	76	83%	7
Qualified Social Worker	5	0	5	594	64	70%	7.6
Nurse Practitioner	2	0	2	559	66	72%	8.1
Administrator	1	0	1	520	65	71%	8
Clinical Nurse Specialist	1	1	2	520	54	59%	8
Respiratory Therapy Technician	5	0	5	498	70	76%	6.1
Other Dietary Services Staff	2	0	2	492	60	65%	8.2
Physical Therapy Assistant	3	0	3	481	47	51%	6.7
Mental Health Service Worker	1	0	1	224	28	30%	8
Dietitian	1	0	1	184	23	25%	8
Occupational Therapy Aide	0	1	1	119	20	22%	5.9
Occupational Therapy Assistant	0	1	1	51	8	9%	6.4
Dental Services Staff	1	0	1	32	4	4%	8
Medical Director	0	1	1	30	13	14%	2.3
Nurse Aide in Training	1	0	1	15	1	1%	14.9

83 Certified Nursing Assistant

% of Days 100%

30 Licensed Practical Nurse

% of Days 88%

27 Registered Nurse

% of Days 100%

25 RN Director of Nursing

% of Days 85%

12 Medication Aide/Technician

% of Days 100%

11 Physical Therapy Aide

% of Days 85%

5 Speech Language Pathologist

% of Days 83%

5 Qualified Social Worker

% of Days 70%

2 Nurse Practitioner

% of Days 72%

1 Administrator

% of Days 71%

2 Clinical Nurse Specialist

% of Days 59%

5 Respiratory Therapy Technician

% of Days 76%

2 Other Dietary Services Staff

% of Days 65%

3 Physical Therapy Assistant

% of Days 51%

1 Mental Health Service Worker

% of Days 30%

1 Dietitian

% of Days 25%

1 Occupational Therapy Aide

% of Days 22%

1 Occupational Therapy Assistant

% of Days 9%

1 Dental Services Staff

% of Days 4%

1 Medical Director

% of Days 14%

1 Nurse Aide in Training

% of Days 1%

View All Staffing Data in Missouri City

Total fines amount $211K

163% higher than Texas average

Texas average: $80K

Number of fines 3

21% more fines than Texas average

Texas average: 2.5

Payment Denials 0

100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison

This facility $211K

Texas average $80K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Nov 27, 2024

$20K

Civil Money Penalty Oct 24, 2024

$45K

Civil Money Penalty Aug 15, 2023

$147K

Last updated: Jan 2026

High-risk clinical events score 7.8

9% better than Texas average

Texas average: 8.6

Functional decline score 11.4

29% better than Texas average

Texas average: 16.0

Long-stay resident measures

Above average Texas avg: 4.1

Need for Help with Daily Activities Increased 14.0%

13% better than Texas average

Texas average: 16.2%

Walking Ability Worsened 5.8%

64% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence 14.4%

8% better than Texas average

Texas average: 15.7%

Falls with Major Injury 2.1%

36% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers 10.0%

126% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection 1.1%

33% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight 7.1%

106% worse than Texas average

Texas average: 3.5%

Depressive Symptoms 1.2%

59% better than Texas average

Texas average: 2.9%

Antipsychotic Use 19.5%

148% worse than Texas average

Texas average: 7.9%

Pneumococcal Vaccine 98.2%

In line with Texas average

Texas average: 97.3%

Influenza Vaccine 100.0%

In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days 2.28

7% worse than Texas average

Texas average: 2.13

ED visits per 1,000 days 5.71

176% worse than Texas average

Texas average: 2.07

Short-stay resident measures

Average Texas avg: 3.1

Pneumococcal Vaccine 99.5%

10% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase 2.0%

35% worse than Texas average

Texas average: 1.4%

Influenza Vaccine 97.1%

10% better than Texas average

Texas average: 88.0%

Falls with major injury 0.0%

100% better than Texas average

Texas average: 0.8%

Ability to care for self at discharge 65.4%

22% better than Texas average

Texas average: 53.7%

Successful return to home or community 42.3%

16% worse than Texas average

Texas average: 50.6%

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

Total residents 112

Medicare

5.4% of residents

Medicaid

62.5% of residents

Private pay or other

32.1% of residents

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.

Financial Trends

Historical financial and operational data for Paradigm at First Colony from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 74.4% ↑ 6.8pp vs 2022

Net Patient Income -$297.1K ↑ ~$386.9K vs 2022

Payroll Costs $6.1M ↑ ~$1.1M vs 2022

Operating Margin -3.0% ↑ 4.7pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	80.6%	76.2%	76.9%	65.1%	68.7%	64.9%	53.7%	54.8%	63.9%	62.3%	67.6%	74.4%
Beds	150	150	150	150	150	150	197	197	150	150	150	150
Net Income	$590,630	-$598,389	-$225,042	-$72,598	$433,818	$522,058	$144,649	$581,297	$1,768,318	$932,469	$793,671	$1,256,229
Gross Revenue	$11,838,136	$9,435,022	$10,577,729	$1,503,301	$12,031,893	$12,035,481	$11,831,281	$10,030,655	$9,003,927	$8,606,237	$9,184,128	$10,332,375
Operating Expenses	$9,006,096	$8,498,953	$8,559,432	$1,281,008	$8,445,345	$8,202,489	$8,291,994	$8,083,573	$8,556,578	$7,853,535	$9,596,681	$10,368,408
Net Patient Income	$589,878	-$598,808	-$226,511	-$72,723	-$442,813	-$56,105	-$354,751	$287,955	$513,641	$163,496	-$684,022	-$297,077
Net Patient Revenue	$9,595,974	$7,900,145	$8,332,921	$1,208,285	$8,002,532	$8,146,384	$7,937,243	$8,371,528	$9,070,219	$8,017,031	$8,912,659	$10,071,331
Payroll Costs	$5,484,944	$5,048,725	$4,573,296	$657,244	$1,801,513	$1,733,921	$4,443,251	$3,829,788	$4,321,376	$4,674,872	$5,002,215	$6,067,088
Operating Margin %	6.2%	-7.6%	-2.7%	-6.0%	-5.5%	-0.7%	-4.5%	3.4%	5.7%	2.0%	-7.7%	-3.0%
Medicare %	13.8%	6.0%	7.7%	4.6%	5.9%	9.4%	6.9%	6.2%	12.6%	5.5%	7.4%	4.7%
Medicaid %	60.7%	66.7%	60.8%	69.9%	57.1%	71.8%	76.8%	77.4%	69.8%	72.6%	67.4%	71.1%
Private %	25.5%	27.2%	31.5%	25.5%	36.9%	18.9%	16.3%	16.5%	17.7%	21.9%	25.2%	24.2%
Net Patient Revenue/Day	$217	$189	$198	$213	$212	$229	$206	$213	$259	$235	$241	$247
Cost/Day	$203	$204	$203	$226	$224	$231	$215	$205	$244	$230	$259	$255
Avg Length of Stay	108.0 days	135.4 days	116.0 days	96.0 days	68.0 days	71.2 days	85.0 days	110.9 days	89.0 days	166.4 days	71.7 days	94.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$10.1M

Net patient income

-$297.1K

Privately-owned community Operated by a single business entity.

Net patient revenue

$10.1M

Net patient income

-$297.1K

Other income

$1.6M

Payroll costs

$6.1M 60.2% of net patient revenue

Other operating costs

$4.3M

Total costs

$10.4M

What does this home offer?

Housing Options: Private / Semi-Private Rooms

Building Type: Single-story

Beauty Services

Transportation Services

Housekeeping Services

Social and Recreational Activities

Rehabilitative Support

On-site Medical Care and Health Services

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.

Most new residents arrive under private pay (54% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 13%

Private pay 54%

Medicaid 32%

Coverage residents most often leave under.

Medicare 10%

Private pay 50%

Medicaid 40%

4.3 miles from city center Estimated distance in miles from Missouri City's city center to Paradigm at First Colony's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to Paradigm at First Colony

Add your location

Compare Nursing Home 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


Chelsea Gardens Skilled Nursing & Rehab Center		NH	Missouri City (Riverstone)	60 Facility 60 TX AVG 80 Rank #583 / 988	67.1% Facility 67.1% TX AVG 63.5% Rank #156 / 304	+6%	3.39 Facility 3.39 TX AVG 3.63 Rank #174 / 296				+82%	-7%	$64.9k Facility $64.9k TX AVG $81.8k Rank #228 / 301	10 Facility 10 TX AVG 25.9 Rank #26 / 299	3.3 Facility 3.3 TX AVG 3.7 Rank #152 / 299	1	34	-	51 Facility 51 TX AVG 41 Rank #483 / 1391	The American Cornerstone Health Services Inc.	$5.6M Facility $5.6M TX AVG $8.4M Rank #269 / 304	$2.8M Facility $2.8M TX AVG $3.5M Rank #276 / 304	50.2% Facility 50.2% TX AVG 47% Rank #105 / 304	676334
Paradigm at First Colony		NH NC	Missouri City (Lexington Colony)	150 Facility 150 TX AVG 80 Rank #63 / 988	28.7% Facility 28.7% TX AVG 63.5% Rank #285 / 304	-55%	3.42 Facility 3.42 TX AVG 3.63 Rank #174 / 296				+61%	-6%	$211.1k Facility $211.1k TX AVG $81.8k Rank #283 / 301	49 Facility 49 TX AVG 25.9 Rank #275 / 299	3.1 Facility 3.1 TX AVG 3.7 Rank #133 / 299	9	43	-	38 Facility 38 TX AVG 41 Rank #784 / 1391	Ssc Missouri City Operating Company LLC	$10.1M Facility $10.1M TX AVG $8.4M Rank #126 / 304	$6.1M Facility $6.1M TX AVG $3.5M Rank #99 / 304	60.2% Facility 60.2% TX AVG 47% Rank #93 / 304	455812

Nursing Home Explorer

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled

General 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).

Large state; rural access challenges.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+

General Texas resident, at risk of decline.

Income Limits ~$2,000/month individual, varies

Asset Limits $5,000 individual

Limited funding; high demand in urban areas.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+

General TX resident; no income/asset limits.

Income Limits (2025) None; donations encouraged.

Asset Limits Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Benefits

Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled

General 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).

Includes Extra Help for Part D; no waitlist.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —

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.

High rural demand; includes grandparent caregivers.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General 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

High veteran population; supports rural/urban needs.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+

General TX resident, homeowner (homestead).

Income Limits (2025) None; tax-based eligibility.

Asset Limits Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits

Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+

General TX resident, low-income.

Income Limits (2025) ~$2,322/month 185% FPL

Asset Limits Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits

Vouchers (~$50/season) for produce at farmers’ markets

What neighborhood is Paradigm at First Colony in?

Paradigm at First Colony is in the Lexington Colony neighborhood of Missouri City.

Who is the owner of Paradigm at First Colony?

The legal owner and operator of Paradigm at First Colony is Oakbend Medical Center.

Is Paradigm at First Colony in a walkable area?

Paradigm at First Colony has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Paradigm at First Colony?

According to TX state health department records, Paradigm at First Colony's license number is 144408.

When does Paradigm at First Colony's license expire?

According to TX state health department records, Paradigm at First Colony's license expires on February 28, 2028.

What is the occupancy rate at Paradigm at First Colony?

Paradigm at First Colony's occupancy is 29%.

Who is the administrator of Paradigm at First Colony?

Johnny Richardson is the administrator of Paradigm at First Colony.

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

Paradigm at First Colony

Overview of Paradigm at First Colony

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Amenities & Lifestyle

Contact Paradigm at First Colony

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

83 Certified Nursing Assistant

30 Licensed Practical Nurse

27 Registered Nurse

25 RN Director of Nursing

12 Medication Aide/Technician

11 Physical Therapy Aide

5 Speech Language Pathologist

5 Qualified Social Worker

2 Nurse Practitioner

1 Administrator

2 Clinical Nurse Specialist

5 Respiratory Therapy Technician

2 Other Dietary Services Staff

3 Physical Therapy Assistant

1 Mental Health Service Worker

1 Dietitian

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Dental Services Staff

1 Medical Director

1 Nurse Aide in Training

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Paradigm at First Colony

Financial Assistance for
Nursing Home in Texas