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Families of residents at Paradigm at First Colony frequently praise the staff's warmth, professionalism, and hands-on care, especially during rehabilitation and wound-healing situations. Reviewers highlight cleanliness, a welcoming atmosphere, and standout staff members like Jonica who guided tours and answered questions thoroughly. One reviewer noted awareness of some mixed reviews online but found their own experience with staff and cleanliness to be excellent.
AI-generated from reviews and community data.
Paradigm at First Colony is a senior living community in Missouri City, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.7 out of 5 across 168 reviews.
Paradigm at First Colony is a skilled nursing / long term care community in Missouri City, Texas. The community is licensed for up to 150 residents.
Families rate Paradigm at First Colony 3.7 out of 5 based on 168 Google reviews.
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Help Me Choose3.7overall · 168 ratings combined
3.7★ on Google (168)
Anthony Berry
Jun 2026
Certain cna’s do not need to work in the memory care unit they seem like they don’t care they just going through the motions where is the compassion there are some very good cna’s very compassionate and professional to the cna’s that care many blessings keep leading by example
terry kimble
Jun 2026
I've read some of these reviews, and haven't found them to be true. Some staff are nice and friendly, and that's all I will say for now!
RBM EOE
May 2026
Zero stars would be too many. Avoid like the plague!! Terrible staff. Unconcerned about residents and disinterested in assisting them in any way. Absolutely no empathy or professionalism. Facility is old, worn, dirty, and neglected. Care for the facility is as bad as the care for the residents. Find any other place to take your loved one. This is not a fake review by a competitor as management will claim but by someone who frequents these types of facilities on a regular basis and sees "behind the scenes" regularly.
DIANA INA
May 2026
Omg I love this place. I see my daughter who is disabled 3-4 times a week .Each time she says she feels cared for and loved. They have taken time to understand her unique personality. She was admitted in January from a horrible group home where she went to sepsis from stage 4 decubitus. Methodist hospital did a debridement and when she got to Paradigm she had a huge open wound. To date the wound is healing and almost closed due to excellent wound care. I see how hard the staff work and I appreciate them. With the love in my heart may God continue to bless this staff and facility.
Kieara Lagrone
May 2026
I recently had the opportunity to experience Paradigm at First Colony, and I was truly impressed by the professionalism, hospitality, and level of care shown by the team. The staff was welcoming, attentive, and made the environment feel warm and positive. You can tell they genuinely care about the residents and families they serve. The building was clean, organized, and the atmosphere felt engaging and compassionate. Great leadership and teamwork definitely stand out here. Highly recommend!”
16 inspection visits in the last three years, 51 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 25, 2026
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 31, 2026
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 25, 2026
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 25, 2026
Give the resident's representative the ability to exercise the resident's rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 15, 2025
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 11, 2025
Respond appropriately to all alleged violations.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Dec 4, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Dec 4, 2024
Post nurse staffing information every day.
Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Nov 20, 2024
Keep residents' personal and medical records private and confidential.
Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Nov 20, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Oct 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 31, 2024
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 1, 2024
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 24, 2024
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 31, 2024
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 1, 2024
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 2, 2024
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 1, 2024
Provide properly protected cooking facilities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 1, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 31, 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 31, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 31, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 31, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 31, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024
Dispose of garbage and refuse properly.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 31, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 28, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 12, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 12, 2024
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 12, 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 3, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 3, 2023
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 9, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 15, 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 15, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2023
Dispose of garbage and refuse properly.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Aug 22, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Sep 15, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 22, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 22, 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.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 22, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 25, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Paradigm at First Colony offers Skilled Nursing / Long Term Care.
Paradigm at First Colony is located at 4710 Lexington Blvd in Missouri City, Texas.
Families of residents at Paradigm at First Colony frequently praise the staff's warmth, professionalism, and hands-on care, especially during rehabilitation and wound-healing situations. Reviewers highlight cleanliness, a welcoming atmosphere, and standout staff members like Jonica who guided tours and answered questions thoroughly. One reviewer noted awareness of some mixed reviews online but found their own experience with staff and cleanliness to be excellent.
Paradigm at First Colony had 16 government inspection visits in the last three years, with 51 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
Submit the Request Information form on this page to connect with Paradigm at First Colony and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
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