Reserve At First Colony Senior Living
State licensed13825 Lexington Blvd, Sugar Land, TX 77478
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Medicare-certifiedSkilled Nursing
Paradigm at First Colony
Missouri City, TexasMedicare inspection record
About Paradigm at First Colony
Paradigm at First Colony brings skilled nursing and rehabilitation expertise to Missouri City, Texas families seeking compassionate recovery care. Our clinical team provides personalized treatment plans focused on helping residents regain strength and independence. Whether recovering from surgery or managing complex medical needs, we're committed to supporting your loved one's path forward.
Community at a glance
Capacity
150 residents
Location
Missouri City, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
4710 LEXINGTON BLVD, Missouri City, Texas 77459
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 22, 2026, state inspectors cited 8 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 22 minutes with each resident a day, about the same as the Texas average.
Medicare fined Paradigm at First Colony 2 times in the last three years, $64,559 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 22 minutes |
| Registered nurse time per resident, per day | 28 minutesAbove the Texas average |
| Nursing staff who left in the past year | 67%Above the Texas average |
2 administrators have left the home in the past year.
Inspections
33 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 24, 2026 · Complaint investigation · 3 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jul 29, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 29, 2026Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 29, 2026
June 11, 2026 · Complaint investigation · 1 citation
Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 1, 2026
March 18, 2026 · Complaint investigation · 1 citation+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 25, 2026
December 1, 2025 · Complaint investigation · 1 citation+
Give the resident's representative the ability to exercise the resident's rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 15, 2025
November 14, 2025 · Complaint investigation · 1 citation+
Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 11, 2025
September 8, 2025 · Complaint investigation · 1 citation+
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 23, 2025
June 1, 2025 · Complaint investigation · 1 citation+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 5, 2025
November 27, 2024 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Dec 4, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Dec 4, 2024
November 19, 2024 · Complaint investigation · 2 citations+
Keep residents' personal and medical records private and confidential.
Minimal harm or risk, widespread (level C)Resident RightsFrom a complaintCorrected Nov 20, 2024Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Nov 20, 2024
October 24, 2024 · Standard inspection · 10 citations+
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Oct 31, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Oct 31, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 31, 2024Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 31, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 31, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 31, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 31, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Oct 31, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 31, 2024Dispose of garbage and refuse properly.
Minimal harm or risk, widespread (level C)Nutrition and DietaryCorrected Oct 31, 2024
October 24, 2024 · Complaint investigation · 3 citations+
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 31, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 31, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 31, 2024
August 21, 2024 · Complaint investigation · 1 citation+
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 28, 2024
July 25, 2024 · Complaint investigation · 2 citations+
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 12, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Aug 12, 2024
February 8, 2024 · Complaint investigation · 2 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Feb 12, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 12, 2024
November 2, 2023 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 3, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 3, 2023
Fines and payment denials
2 fines totaling $64,559 in the last three years.
- November 27, 2024Fine: $19,838
- October 24, 2024Fine: $44,721
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Oakbend Medical Center
- Medicare-certified beds
- 150
- Average residents per day
- 104
- Accepts
- Medicare and Medicaid
- First certified
- April 21, 1989
- Part of a chain
- Paradigm Healthcare, 17 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455812
Location
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4710 LEXINGTON BLVDMissouri City, TX 77459
12 other communities within 10 miles
Senior living near Missouri City
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Optimum Personal Care
State licensed2019 Fm 1092, Missouri City, TX 77459
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
Questions about Paradigm at First Colony
How did Paradigm at First Colony do on its last inspection?+
State inspectors visited on January 22, 2026 and cited 8 health deficiencies, 8 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Paradigm at First Colony?+
Nurses and aides spend 3 hours 22 minutes with each resident per day, including 28 minutes from registered nurses. 67% of nursing staff left over the past year.
Has Paradigm at First Colony been fined by Medicare?+
Yes. Medicare fined Paradigm at First Colony 2 times in the last three years, totaling $64,559.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.