Paradigm At First Colony
4710 Lexington Blvd, Missouri City, TX, 77459
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Paradigm Healthcare
- Certified beds
- 150 · avg 109 residents/day
- Total nursing staff turnover
- 68.5% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 81.5% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $211,113 total
Medicare certification
- CMS Certification Number
- 455812
- Certified beds
- 150 beds · avg 109 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Oakbend Medical Center
- Chain affiliation
- Paradigm Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Paradigm Healthcare chain — 18 facilities across 2 states. Chain-wide average overall rating 1.9 / 5.
Disclosed owners (13 on record)
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2015
- Ssc Missouri City Operating Company Llc
Operational/managerial Control · since 2015
- Melissa Martin
Corporate Director · 9% · since 2015
- Ruthanne Mefford
Corporate Director · 9% · since 2015
- James r Mcclamroch
Corporate Director · 9% · since 2013
- Jeff Council
Corporate Director · 9% · since 2013
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 41)
- D0677·Mar 18, 2026Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0551·Dec 1, 2025Complaint
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
- D0558·Nov 14, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- E0610·Sep 8, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0755·Jun 1, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- K0689·Nov 27, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0684·Nov 27, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- C0732·Nov 19, 2024Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Federal penalties
By year
- 20242 fines · $65K
- 20231 fine · $147K
Most recent events
- Nov 27, 2024Fine · $20K
- Oct 24, 2024Fine · $45K
- Aug 15, 2023Fine · $147K
Largest single fine on record: $147K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Jan 22, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Paradigm At First Colonyinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.