Paradigm at First Colony: Staffing, Turnover, and Inspection Record
Paradigm at First Colony is a 150-bed for-profit nursing home in Missouri City, Texas, part of Paradigm Healthcare. In the CMS August 2026 release it reported 2.10 nurse aide hours per resident per day, 5% above the Texas average of 2.00, and 67.0% nursing staff turnover (Texas average 55.3%).
Paradigm at First Colony
4710 Lexington BlvdMissouri City, TX 77459
Fort Bend County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Paradigm at First Colony, nurse aides logged 2.10 hours per resident per day, 5% above the Texas average. With about 104 residents a day, that works out to roughly 217 aide hours a day, or about 27 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.10 | 2.00 | 2.32 |
| Licensed practical nurses | 0.79 | 0.95 | 0.86 |
| Registered nurses | 0.47 | 0.43 | 0.69 |
| All nursing staff | 3.36 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.90 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
67.0% of nursing staff at Paradigm at First Colony left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 90.5%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 22, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $64,559 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 27, 2024 | Fine | $19,838 |
| Oct 24, 2024 | Fine | $44,721 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Paradigm at First Colony holds 1 of 5 overall; the Texas average is 2.6.
About Paradigm at First Colony
- Ownership: For profit - Limited Liability company
- Chain: Paradigm Healthcare, 17 homes
- Legal name: Oakbend Medical Center
- Medicare and Medicaid certified since: Apr 21, 1989
- Councils: resident council
- Area: urban
Nursing homes near Paradigm at First Colony
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Park Manor of Quail Valley Missouri City | 1.4 | 125 | 2.01 | 3.33 | 34.9% | 2 | None |
| Chelsea Gardens Missouri City | 2.4 | 60 | 2.32 | 3.74 | 57.5% | 1 | $77,293 |
| Windsor Quail Valley Post-Acute Healthcare Missouri City | 2.5 | 120 | 1.98 | 3.09 | 41.7% | 3 | $52,036 |
| Sugar Land Health Care Center Sugar Land | 3.6 | 150 | 2.21 | 3.59 | 41.3% | 3 | $30,494 |
| The Crescent Sugar Land | 3.9 | 112 | 1.79 | 3.61 | 59.4% | 1 | $105,770 |
| Ignite Medical Resort Sugar Land, LLC Sugar Land | 3.9 | 90 | 1.73 | 3.82 | 62.2% | 1 | $137,052 |
| Focused Care at Westwood Houston | 5.7 | 125 | 1.93 | 3.08 | 38.9% | 3 | None |
| West Houston Rehabilitation and Healthcare Center Houston | 6.0 | 124 | 1.79 | 3.26 | 43.1% | 1 | $205,193 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.