Freedom from Abuse, Neglect, and Exploitation
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected, date of correction 29 Jul 2026
PARADIGM AT FIRST COLONY
Nursing home · 4710 LEXINGTON BLVD, Missouri City, TX 77459 · Fort Bend County · (281) 499-4710Medicare and Medicaid certified
39
health deficiencies
across 16 surveys
across 16 surveys
3
at actual harm or worse
3 immediate jeopardy
3 immediate jeopardy
$64,559
in federal fines
2 penalties
2 penalties
CMS star ratings
Medicare’s Care Compare ratings, 1 to 5 stars, as published. Health inspection is the one built from the deficiencies below.
★★★★★
Overall
★★★★★
Health inspection
★★★★★
Staffing
★★★★★
Quality measures
How it compares in Fort Bend County
2.4 health deficiencies per survey, against a county median of 2.4. Lower is better.
Fewer deficiencies per survey than 50 out of 100 nursing homes in Fort Bend County. Per survey, not raw count, because a home surveyed ten times will always have more findings on paper than one surveyed twice.
Deficiencies by level of harm
| Immediate jeopardy | 3 | |
| Actual harm | 0 | |
| Potential for harm | 33 | |
| No harm | 3 |
CMS grades every deficiency by scope and severity, A to L. A to C is no harm, D to F potential for harm, G to I actual harm, J to L immediate jeopardy. Fire safety is surveyed separately: 10 fire safety deficiencies on record.
What the surveyors found
The most recent deficiency is open to read. The full record of 39, with dates, severity and corrections, is in the report.
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control
Provide and implement an infection prevention and control program.
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
Read all 39 deficiencies
Every finding as CMS published it, the survey date, the harm level, the correction, and the full ownership trail. One payment, no subscription.
Get the full report, $12Records last updated 23 October 2026 from CMS and Texas HHSC.
Source: CMS Care Compare nursing home data (data.cms.gov), refreshed monthly. Survey findings are public records written by state surveyors for CMS. KnowYourCareHome does not inspect homes and adds no findings of its own.
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