Nursing home report
MISSOURI CITY, TX · Medicare-certified · 150 beds
PARADIGM AT FIRST COLONY has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. Reported staffing is 3.33 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $64,559 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.3312 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3312.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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.
