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Data / Nursing homes / Texas / Paradigm at First Colony

Paradigm at First Colony, Missouri City, TX: 1 star rating, fined $64,559 across 2 fines

Paradigm at First Colony in Missouri City, TX is owned by Oakbend Medical Center, is rated 1 of 5 stars by Medicare, and was fined $64,559 across 2 fines in the three years to October 1, 2026. CMS lists 33 health citations from inspections in that time, the latest survey on July 24, 2026, and 3 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
4710 Lexington Blvd, Missouri City, TX 77459
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
150
Residents per day
106 on average
Ownership type
For profit, limited liability company
Legal business name
Oakbend Medical Center
Chain
Paradigm Healthcare, 17 facilities
Fines
$64,559 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
33, of which 3 with actual harm or immediate jeopardy
Latest survey
July 24, 2026
CMS Certification Number
455812
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 27, 2024Fine$19,838Not listeddata.cms.gov
October 24, 2024Fine$44,721Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 24, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 29, 2026data.cms.gov
July 24, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 29, 2026data.cms.gov
July 24, 2026F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 29, 2026data.cms.gov
June 11, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 1, 2026data.cms.gov
March 18, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2026data.cms.gov
December 1, 2025F551Give the resident's representative the ability to exercise the resident's rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2025data.cms.gov
November 14, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2025data.cms.gov
September 8, 2025F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
June 1, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
November 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedDecember 4, 2024data.cms.gov
November 27, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K: pattern, immediate jeopardyCorrectedDecember 4, 2024data.cms.gov
November 19, 2024F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedNovember 20, 2024data.cms.gov
November 19, 2024F583Keep residents' personal and medical records private and confidential.C: widespread, minimal harm potentialCorrectedNovember 20, 2024data.cms.gov
October 24, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.K: pattern, immediate jeopardyCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F814Dispose of garbage and refuse properly.C: widespread, minimal harm potentialCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
August 21, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 28, 2024data.cms.gov
July 25, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
February 8, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2024data.cms.gov
February 8, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2024data.cms.gov
November 2, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
November 2, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 12 individual or personal trusts (1 managers, 11 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Oakbend Medical CenterDirect owner100%February 28, 2015data.cms.gov
SSC Missouri City Operating Company LLCOperational or managerial controlNot listedFebruary 28, 2015data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.