Nursing HomeMedicaid Needs closer review

Paradigm at First Colony

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4710 Lexington Blvd, Lexington Colony · Missouri City, TX 77459|150 beds|Licensed & active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.7/5

based on 169 Google reviews

(281) 499-4710 Directions Website

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6flags

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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low overall rating (1/5 stars)
Low health inspection rating (1/5 stars)
Low staffing rating (1/5 stars)
2 Medicare penalties on record
Staff turnover reported at 67%
RN turnover reported at 91%

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 63% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Google Reviews

173 public Google reviews available

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 details

Strengths

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 · 173 analyzed

112

⚡35 reviews posted between Oct 8, 2025 – Oct 10, 2025 · 31 were 5-star

How They Respond to Reviews

0%response rate

Generic

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.”

Prospective resident's family · 2025★★★★★

“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.”

Long-term resident's family · 2025★☆☆☆☆

“The patients’ rooms smell and are dirty. The patients are drugged and underfed. Patients yell for food and are ignored.”

Long-term resident's family · 2025★☆☆☆☆

Source: 173 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.47hrs

63%

Registered nurses for medical care

Total Nursing

3.36hrs

82%

All nurses + aides combined

Staff Turnover

67%

Lower is better (< 30% = good)

RN Turnover

91%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents whose walking got worse

↓ Lower is better

This Facility1.2%

Better than Avg

Here

1.2%

14.1%

14.0%

Fort bend

11.4%

Residents on antipsychotic medication

↓ Lower is better

This Facility20.4%

Worse than Avg

Here

20.4%

15.4%

9.6%

Fort bend

7.7%

Residents with depression symptoms

↓ Lower is better

This Facility0.4%

Better than Avg

Here

0.4%

12.8%

2.4%

Fort bend

1.3%

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

↓ Lower is better

This Facility9.9%

Mixed vs Avgs

Here

9.9%

19.0%

13.4%

Fort bend

9.5%

Residents needing more daily help over time

↓ Lower is better

This Facility8.2%

Better than Avg

Here

8.2%

13.9%

15.8%

Fort bend

11.6%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility13.4%

Better than Avg

Here

13.4%

19.5%

18.0%

Fort bend

14.0%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility97.1%

Better than Avg

Here

97.1%

79.8%

88.0%

Fort bend

80.2%

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility90.4%

Better than Avg

Here

90.4%

82.0%

88.9%

Fort bend

78.6%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.2%

Worse than Avg

Here

2.2%

1.6%

1.5%

Fort bend

1.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

51findings in history

2penalties

Latest survey: 5 · near TX avg (9.1)

34 complaint-triggered findings

$211,113 in fines

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.

Jun 11, 2026Complaint1 finding

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Mar 18, 2026Complaint1 finding

0677Potential for harm · IsolatedCorrected

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 findings

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Dec 1, 2025Complaint1 finding

0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give the resident's representative the ability to exercise the resident's rights.

Nov 14, 2025Complaint1 finding

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Sep 8, 2025Complaint1 finding

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Federal Penalties

Fine

Nov 27, 2024

$19,838

Fine

Oct 24, 2024

$44,721

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

government

Management Company

FIRST COLONY NURSING & REHABILITATION, LLC

Administrator

VICTORIA JOHNSON CLARK

Chain Affiliation

Chain Name

Paradigm Healthcare

Chain Size

17 facilities nationwide

Chain avg rating: 2.1/5 · Rank 15 of 15 (Lowest rating)

Ownership & Management

Owners

Oakbend Medical Center

Owner · Organization

100%

Key personnel

Freudenberger, JosephW-2 Managing EmployeeBeard, BarryOfficer / DirectorCouncil, JeffOfficer / DirectorCrayton, TomOfficer / DirectorMartin, MelissaOfficer / Director

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(281) 499-4710

paradigmatfirstcolony.com

emcgee@paradigmhcs.com

4710 Lexington Blvd

Missouri City, TX 77459

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

169 reviews from families & visitors

Official Website

Visit paradigmatfirstcolony.com

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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