Skilled Nursing

PARADIGM AT FIRST COLONY

4710 LEXINGTON BLVD, MISSOURI CITY, TX 77459

150beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.9h

Hrs/resident · weekday

Expected: 3.2h

2.8h

Hrs/resident · weekend

vs 2.9h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
82%
LPNs
CNAs
69%

Administrator turnover: 3 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0689Severity KNov 27, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Dec 4, 2024

SeriousImmediate Jeopardy0684Severity KNov 27, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected: Dec 4, 2024

SeriousImmediate Jeopardy0694Severity KOct 24, 2024

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected: Oct 31, 2024

SeriousImmediate Jeopardy0689Severity JAug 15, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Aug 22, 2023

SeriousImmediate Jeopardy0686Severity JAug 15, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected: Aug 22, 2023

SeriousImmediate Jeopardy0678Severity JAug 15, 2023

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected: Aug 22, 2023

SeriousImmediate Jeopardy0656Severity KAug 15, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected: Sep 15, 2023

SeriousImmediate Jeopardy0600Severity KAug 15, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Aug 22, 2023

33 standard deficiencies in the last 3 years

View all
0677Severity DMar 18, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

0551Severity DDec 1, 2025

Give the resident's representative the ability to exercise the resident's rights.

0558Severity DNov 14, 2025

Reasonably accommodate the needs and preferences of each resident.

0610Severity ESep 8, 2025

Respond appropriately to all alleged violations.

0755Severity DJun 1, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0732Severity CNov 19, 2024

Post nurse staffing information every day.

0583Severity CNov 19, 2024

Keep residents' personal and medical records private and confidential.

0880Severity DOct 24, 2024

Provide and implement an infection prevention and control program.

0814Severity COct 24, 2024

Dispose of garbage and refuse properly.

0812Severity FOct 24, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0759Severity EOct 24, 2024

Ensure medication error rates are not 5 percent or greater.

0695Severity DOct 24, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0690Severity DOct 24, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0686Severity DOct 24, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0656Severity EOct 24, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0655Severity DOct 24, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0609Severity DOct 24, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0607Severity DOct 24, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0550Severity DOct 24, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0842Severity DAug 21, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0919Severity DJul 25, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

0842Severity DJul 25, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Severity EFeb 8, 2024

Provide and implement an infection prevention and control program.

0690Severity DFeb 8, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0689Severity ENov 2, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Severity DNov 2, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0814Severity DSep 8, 2023

Dispose of garbage and refuse properly.

0812Severity ESep 8, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803Severity ESep 8, 2023

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0695Severity DSep 8, 2023

Provide safe and appropriate respiratory care for a resident when needed.

0656Severity DSep 8, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0655Severity DSep 8, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0580Severity DJul 18, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

OAKBEND MEDICAL CENTER· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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