Paradigm At First Colony
Nursing Home · 4710 Lexington Blvd, Missouri City, TX 77459 · 2814994710
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 1.0 / 5 | high |
| Staffing | 1.5 / 5 | high |
| Clinical outcomes | 3.5 / 5 | high |
| Enforcement | 1.5 / 5 | high |
| Financial stability | 4.0 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 150 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Oakbend Medical Center |
| Chain size | 18 facilities |
| Certified since | 1989-04-21 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
Inspection & enforcement record
- Health-inspection citations: 8 immediate jeopardy · 0 actual harm · 30 potential for harm · 3 minor
- Federal fines: $211,113 · payment denials: 0 · penalty actions: 3
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. Percentiles are national.
| Measure | Rate | vs US nursing homes |
|---|---|---|
| Percentage of long-stay residents with pressure ulcers (long stay) | 8.5% | worse than 89% of US nursing homes |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 20.5% | worse than 75% of US nursing homes |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1% | worse than 51% of US nursing homes |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 8.9% | better than 70% of US nursing homes |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.3% | better than 74% of US nursing homes |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 1% | better than 83% of US nursing homes |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 1.8% | better than 98% of US nursing homes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | better than 100% of US nursing homes |
What this costs
- This facility's reported avg daily charge: $287/day · $$$ (price tier 3 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 75% Medicaid · 5% Medicare · 20% other/private · 72% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Compare nearby
- A Paradigm At The Brazos · Richmond
- A- Spjst Rest Home No 2 · Needville
- B+ Oak Bend Medical Center · Richmond
- B- Fort Bend Healthcare Center · Rosenberg
- B- Richmond Health Care Center · Richmond
- B- Sugar Land Health Care Center · Sugar Land
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Fort Bend County nursing homes coverage. Spot an error? Tell us.