Paradigm At First Colony has received an F grade based on CMS data, with a score of 1/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Missouri City facility should carefully review its inspection history and quality metrics.
Staffing at Paradigm At First Colony is near the national average, with 3.42 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 41 deficiencies at Paradigm At First Colony, including 8 classified as serious — among the most concerning citation levels. The most notable finding involved: give the resident's representative the ability to exercise the resident's rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.42 | 3.8 | Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.72 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.20 | 2.4 | Average |
| Weekend Total Nursing | 3.05 | 3.8 | Below Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0551 Severity DGive the resident's representative the ability to exercise the resident's rights.Nov 30, 2025 · Resident Rights Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Nov 13, 2025 · Resident Rights Deficiencies
- Tag 0610 Severity ERespond appropriately to all alleged violations.Sep 7, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 31, 2025 · Pharmacy Service Deficiencies
- Tag 0684 Severity KProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 26, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.2% | 4.5% | Worse |
| Falls with major injury | 1.8% | 3.0% | Better |
| On antipsychotic medication | 22.4% | 14.5% | Worse |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 11.1% | 14.0% | Better |
| Excessive weight loss | 5.9% | 7.5% | Better |
| New/worsened incontinence | 11.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $211,113
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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