PARADIGM AT FIRST COLONY

Official Government Ratings

Care Quality Indicators

How PARADIGM AT FIRST COLONY Compares

PARADIGM AT FIRST COLONY is a 150-bed for-profit nursing facility in Missouri City, Texas. It holds an overall CMS rating of 1 out of 5 stars, below the Texas average of 2.7 stars. Its lowest sub-rating is health inspections at 1 star. Its rate of long-stay antipsychotic medication use (20.5%) is above the Texas average of 9.4% — a measure worth asking the staff about. With 150 certified beds, it maintains moderate occupancy at roughly 73% occupied.

Among the 4 nursing facilities ElderVoice tracks in Missouri City, the local average is 2.0 stars.

By the numbers vs. Texas average

• Long-stay antipsychotic medication use: 20.5% — worse than the Texas average of 9.4% (117% higher).
• Falls with major injury: 1.0% — better than the Texas average of 3.3% (69% lower).
• High-risk pressure ulcers: 8.4% — worse than the Texas average of 4.0% (109% higher).
• Short-stay rehospitalization: 18.4% — better than the Texas average of 25.8% (29% lower).

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Texas averages across 1176 facilities tracked by ElderVoice.

The Senior Community Around Missouri City

Missouri City sits in Fort Bend County, where adults 65 and older make up about 11.1% of the population — a share of seniors in line with Texas as a whole (12.5% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.

Residents 65+

87,818 (11.1%)

Median age

36.5 years

Median household income

$100,189

Median home value

$277,600

Demographics for Fort Bend County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Missouri City.

Facility Details