Paradigm at First Colony
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 166 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (64%)
- High RN turnover (80%)
Bottom 25% in Texas · Below recommended RN staffing · Above average staffing · Worst in PARADIGM HEALTHCARE chain · $211,113 in fines
What this means for your family
This facility has a highly capable admissions and administrative team that can be very helpful during the transition period. However, families must be extremely vigilant regarding daily care, specifically checking for cleanliness, proper nutrition, and ensuring that call lights are being answered promptly, as several reviewers have reported serious neglect.
Google Reviews
Google Reviews
166 reviews on Google“Families considering Paradigm at First Colony will find a highly polarized landscape. While many recent reviews praise the professionalism of the admissions team and the kindness of specific nursing staff, there are serious, recurring allegations of neglect, including bedsores, weight loss, and inadequate response to call lights. Recent trends suggest some administrative improvements, but significant concerns regarding cleanliness and staffing levels persist.”
Quality Themes
Tap a score for detailsStrengths
- Professional and helpful admissions and tour staff
- Compassionate nursing and rehabilitation team members
- Strong communication from specific administrators
- Effective physical therapy services
Concerns
- Inadequate response to call lights and resident needs (mentioned by 5 reviewers)
- Issues with cleanliness and unpleasant odors (mentioned by 4 reviewers)
- Staffing shortages, particularly during night or weekend shifts (mentioned by 3 reviewers)
- Loss or mismanagement of resident belongings and clothing (mentioned by 3 reviewers)
- Poor nutritional quality and cold meals (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 168 analyzed
How They Respond to Reviews
The owner uses highly repetitive, template-based responses for the vast majority of reviews, often providing the same 'Thank you for your review' message regardless of the review content. While they attempt more personalized engagement for long-form positive reviews and use a professional tone for negative feedback, the overall pattern is heavily reliant on automation or templates.
Questions for Your Tour
- 1I noticed that your administration is very active in responding to feedback; how does the leadership team currently use resident and family input to improve daily operations?
- 2What specific steps are being taken to ensure that call lights are answered promptly and that resident needs are met, especially during the night and weekend shifts?
- 3Could you tell me more about the dining experience, specifically regarding how you ensure meals are served at the right temperature and meet nutritional standards?
- 4What is your process for managing resident belongings and clothing to prevent items from being misplaced?
- 5How does the nursing team handle medication management and what protocols are in place to ensure accuracy and safety?
- 6What are your protocols for handling medical emergencies after hours, and how is the family notified?
Personalized based on this facility's data
Key Review Excerpts
“In terms of the guided tour, responses to my questions and working with the admissions, Jonica and Debbie were SO receptive and helpful.”
“My dad arrived and because we had two parents sick I called to make sure to talk to him since I couldn't get there. I called twice and a male nurse said maintenance was putting in a phone. Never happened. Liar.”
“The patients’ rooms smell and are dirty. The patients are drugged and underfed. Patients yell for food and are ignored.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
measures
Residents whose walking got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Two-thirds of this facility's 51 deficiencies were complaint-triggered, indicating families have filed reports about care concerns. The most recurring problems involve accident prevention and safety hazards, care planning, and infection control. While most issues show correction dates, problems with accident prevention have appeared repeatedly across multiple surveys from 2023 to 2024, suggesting persistent safety challenges that warrant careful consideration during any visit.
Mar 18, 2026Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jan 22, 2026Routine3
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Dec 1, 2025Complaint1
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Nov 14, 2025Complaint1
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Sep 8, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jun 1, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Nov 27, 2024
$19,838
Fine
Oct 24, 2024
$44,721
Fine
Aug 15, 2023
$146,554
Ownership & Operations
Who Operates This Facility
Oakbend Medical Center
government
FIRST COLONY NURSING & REHABILITATION, LLC
VICTORIA JOHNSON CLARK
Chain Affiliation
Paradigm Healthcare
18 facilities nationwide
Chain avg rating: 2.1/5 · Rank 15 of 15 (Worst)
Ownership & Management
Owners
Oakbend Medical Center
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
166 reviews from families & visitors
Official Website
Visit paradigmatfirstcolony.com
Medicare data downloads
Original nursing home datasets
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