Nursing home report
MISSOURI CITY, TX · Medicare-certified · 150 beds
Paradigm at First Colony has a 1-star overall rating, with 1-star health inspection and staffing ratings, though its quality measures are 4 stars. It has a recent federal penalty, $64,559 in fines over the last 24 months, and reported nurse staffing of 3.36 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
3.3618 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3618.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited October 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 694 — 42 CFR §483.25 — S/S: K
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2023 — limited pattern, immediate jeopardy to residents.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2023 — limited pattern, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: K
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal fine of $19,838 was recorded.
A federal fine of $44,721 was recorded.
On record with Medicare: 3 fines · $211,113 in total fines.
Federal fine
Nov 27, 2024
Federal fine
Oct 24, 2024
Federal fine
Aug 15, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
