Occupancy rate
29%
In line with Texas averageMix 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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Nursing Home in Missouri City
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Paradigm at First Colony
Nursing Home in Missouri City
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
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
28.7%
Residents per day
43
Occupancy rate
28.7%
Residents per day
43
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
$11.9M
Surplus of revenue
$1.3M
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
Occupancy
In line with Texas averageOccupied beds
43 / 150
Average residents
75 per day
Facility TypeNursing
StatusActive
IssuanceFebruary 28, 2025
ExpirationFebruary 28, 2028
CountyFort Bend
License Number144408
Year Opened5/16/1991
CMS Certification Number455812
Paradigm at First Colony is administrated by Johnny Richardson.
Management CompanyFIRST COLONY NURSING & REHABILITATION, LLC
OwnerParadigm Healthcare LLC
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
Skilled Nursing
24-Hour Staffing
Rehabilitation
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
Specific ProgramsSkilled 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
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
17 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
December 1, 2025
Complaint Investigation59 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Inspection Report Summary for Paradigm at First Colony
The most recent inspection on December 1, 2025, identified a deficiency related to the facility’s failure to allow a resident’s representative to exercise the resident’s rights. Earlier inspections showed a pattern of deficiencies involving resident rights, care planning, supervision, medication administration, infection control, and safety practices. Inspectors frequently cited issues with failure to develop and implement comprehensive care plans, inadequate supervision, delayed or improper treatment, and lapses in infection prevention and privacy protections. Several complaint investigations were substantiated, including neglect, failure to report abuse timely, and inadequate notification to family members, though immediate jeopardy findings were removed after corrective actions and no fines or license suspensions were listed in the available reports. The facility’s inspection history reflects ongoing challenges with compliance, with some corrective actions noted but no clear sustained improvement trend.
Health Inspection History
Inspections
Total health inspections
16
Texas average 7.4
Last Health inspection on Nov 2025
Total health citations
49
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 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
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 14, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 14, 2025
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 08, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 08, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 01, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 01, 2025
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 27, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Filter by care type
| 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 | 74.4% | +17% | 3.42 | +73% | -6% | 3 | 49 | 3.1 | 9 | 108 | - | 38 | Ssc Missouri City Operating Company Llc | $10.3M | $5.4M | 52.3% | 455812 | ||||
| Riverstone Memory 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).
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 | 48 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
Places of interest near Paradigm at First Colony
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.
Calculate Travel Distance to Paradigm at First Colony
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
138
Employees
135
Contractors
3
Staff to resident ratio
1.23:1
18% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
52
Average shift
8.2 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
38,683
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
54
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.5%
195 contractor hours this quarter
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
54 Certified Nursing Assistant
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
18 Registered Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
99%
4 Physical Therapy Assistant
% of Days
71%
2 RN Director of Nursing
% of Days
71%
5 Physical Therapy Aide
% of Days
73%
3 Speech Language Pathologist
% of Days
74%
3 Clinical Nurse Specialist
% of Days
70%
2 Administrator
% of Days
71%
3 Nurse Aide in Training
% of Days
54%
5 Respiratory Therapy Technician
% of Days
88%
1 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
73%
1 Mental Health Service Worker
% of Days
69%
3 Qualified Social Worker
% of Days
66%
1 Other Dietary Services Staff
% of Days
44%
2 Occupational Therapy Aide
% of Days
15%
1 Occupational Therapy Assistant
% of Days
7%
1 Medical Director
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
112
Medicare
6
5.4% of residents
Medicaid
70
62.5% of residents
Private pay or other
36
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.
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
$1.3M
↑ ~$462.6K vs 2022
Total Payroll
$6.1M
↑ ~$607.3K vs 2022
Profit Margin
12.2%
↑ 3.5pp vs 2022
Loading trend charts...
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