Skilled nursing
PARADIGM AT FIRST COLONY
0.00 reviews · 0 verifiedMISSOURI CITY, TXLic. 455812
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
FINECMS fine: $146,554Source: CMS Penalties
VBP-SLow SNF VBP readmission measure score (0.8)Source: CMS SNF VBP (PDC)
FINECMS fine: $19,838Source: CMS Penalties
FINECMS fine: $44,721Source: CMS Penalties
Provided by facility
Paradigm at First Colony is a premium skilled nursing and rehabilitation services provider located just outside of Sugar Land, Texas. The facility focuses on delivering top-quality care with a compassionate approach, offering a robust menu of programs and innovative forms of treatment to the greater Houston community.
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
2.76 total HPRDRN 0.46 · weekend 91%Oct 2025 – Dec 2025
Survey history
18 inspections51 deficiencies on record
Federal IDs
CCN 455812
Overall: 1/5 · Health: 1/5 · Staffing: 1/5 · QM: 3/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspectionsShowing 12 of 18 inspections.
Health surveyMar 2026 · CMS1 deficiencies
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
Fire safetyJan 2026 · STATE FIRE MARSHAL3 deficiencies
- K-355SS E — Properly select, install, inspect, or maintain portable fire extinguishes.
- K-372SS E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- K-741SS E — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Health surveyDec 2025 · CMS1 deficiencies
- F-551SS D — Give the resident's representative the ability to exercise the resident's rights.
Health surveyNov 2025 · CMS1 deficiencies
- F-558SS D — Reasonably accommodate the needs and preferences of each resident.
Health surveySep 2025 · CMS1 deficiencies
- F-610SS E — Respond appropriately to all alleged violations.
Health surveyJun 2025 · CMS1 deficiencies
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Health surveyNov 2024 · CMS2 deficiencies
- F-684SS K — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-689SS K — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyNov 2024 · CMS2 deficiencies
- F-583SS C — Keep residents' personal and medical records private and confidential.
- F-732SS C — Post nurse staffing information every day.
Health surveyOct 2024 · CMS13 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-655SS D — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-690SS D — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F-694SS K — Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
- F-759SS E — Ensure medication error rates are not 5 percent or greater.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-814SS C — Dispose of garbage and refuse properly.
- F-880SS D — Provide and implement an infection prevention and control program.
Fire safetyOct 2024 · STATE FIRE MARSHAL6 deficiencies
- K-324SS E — Provide properly protected cooking facilities.
- K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
- K-372SS E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- K-712SS F — Have simulated fire drills held at unexpected times.
- K-741SS E — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- K-929SS E — Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Health surveyAug 2024 · CMS1 deficiencies
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Health surveyJul 2024 · CMS2 deficiencies
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F-919SS D — Make sure that a working call system is available in each resident's bathroom and bathing area.
No reviews from this reviewer type yet.
No questions yet. Ask the first one — a member of our team or someone who knows this community will answer.
Have a question about this community?
Ask anything — pricing, care, staffing, daily life. Our team answers, and questions are reviewed before they appear.Ownership
Write a reviewOperated by PARADIGM HEALTHCARE (privately held) since 1989.
- Feb 2015
operator transition — OAKBEND MEDICAL CENTER
5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — OAKBEND MEDICAL CENTER