HomeTexasFort Bend CountyPARADIGM AT FIRST COLONY
C
Below Standard

PARADIGM AT FIRST COLONY

4710 LEXINGTON BLVD · MISSOURI CITY, TX 77459

2814994710 · For profit - Limited Liability company

150 beds106.4 residents143 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PARADIGM AT FIRST COLONY receives an overall staffing grade of C (Below Standard). With 3.4237 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5011 HPRD, below the recommended 0.75. It is 0.47 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.58% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4237 HPRD — needs 0.06 more hours per resident per day.
⚠️RN staffing (0.5011 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

No days with zero registered nurse hours this quarter
Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4237hrs/resident/day 0.47
CMS benchmark: 3.48
RN HPRD
0.5011hrs/resident/day 0.18
Recommended: 0.75
Weekend Drop-off
14.58%
3.5708 weekday → 3.0501 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8375hrs/resident/day
Direct care aides
LPN HPRD
0.722hrs/resident/day
Licensed practical nurses
Consistency
0.3431std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Fort Bend County Average-0.06 HPRD
3.48
03.42 HPRD
vs. Texas State Average+0.02 HPRD
3.40
03.42 HPRD
vs. National Average-0.47 HPRD
3.90
03.42 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PARADIGM AT FIRST COLONY
MISSOURI CITY · This facility
C
3.42370.5011☆☆☆☆
The Lev At town Park
Houston
8.1 mi
D
3.03760.3409★★☆☆☆
Sharpville Residence and Rehabilitation Center
Houston
8.6 mi
D
3.37830.3292★★★★
OAK BEND MEDICAL CENTER
RICHMOND
11.6 mi
C
3.160.8606★★★★★
Oakmont Healthcare and Rehabilitation Center of Ka
Katy
16.4 mi
C
3.24240.6061★★☆☆☆
Avir at Courtyard
Houston
18 mi
F
3.85480.0873★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

17
Inspections
49
Total Deficiencies
$211,113
Fines Assessed
Dec 1, 2025Health
1 deficiency cited
Nov 14, 2025Health
1 deficiency cited
Sep 8, 2025Health
1 deficiency cited
Jun 1, 2025Health
1 deficiency cited
Nov 27, 2024Health
2 deficiencies cited· Includes actual harm
Nov 19, 2024Health
2 deficiencies cited
Oct 24, 2024Health
13 deficiencies cited· Includes actual harm
Aug 21, 2024Health
1 deficiency cited
Jul 25, 2024Health
2 deficiencies cited
Feb 8, 2024Health
2 deficiencies cited
Nov 2, 2023Health
2 deficiencies cited
Sep 8, 2023Health
6 deficiencies cited
Aug 15, 2023Health
5 deficiencies cited· Includes actual harm
Jul 18, 2023Health
1 deficiency cited
Apr 11, 2023Health
1 deficiency cited
Feb 15, 2023Health
1 deficiency cited
Jun 9, 2022Health
7 deficiencies cited

Penalty History

Nov 27, 2024Fine
$19,838
Oct 24, 2024Fine
$44,721
Aug 15, 2023Fine
$146,554
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.