Nursing home · SNF / NF

Paradigm at First Colony

Federal · CMSActive CMS certificationCCN 455812For profit CMS overall

4710 Lexington Blvd, Missouri City, TX 77459 · Operated by Oakbend Medical Center · Chain Paradigm Healthcare

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

150

Avg residents / day

106

Inspections

Citations

Harm-level

Fines

$65k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 150 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 106.2 CMS, MDS-derived
CMS Certification Number: 455812
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 21, 1989
Ownership type: For profit - Limited Liability company
Operator (legal business name): Oakbend Medical Center
CMS chain: Paradigm Healthcare 17 facilities
Phone: (281) 499-4710
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Jul 24, 2026

Citations

39 health · 10 fire

Harm or worse

3 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K3	L·
Actual harm	G·	H·	I·
Potential harm	D22	E17	F4
Minimal	A·	B·	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$64,559

Payment denials

Latest

Nov 27, 2024

Date	Domain	Survey types	Citations	Most severe	Open
Jul 24, 2026	Health	Health Complaint	3	Potential harm	—	Open →
Jun 11, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Mar 18, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jan 22, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 22, 2026	Health	Health Standard	0	No citations	—	Open →
Dec 1, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Nov 14, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Sep 8, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 1, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Nov 27, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Nov 19, 2024	Health	Health Complaint	2	Minimal	—	Open →
Oct 24, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Oct 24, 2024	Health	Health Complaint, Health Standard	13	Immediate jeopardy	—	Open →
Aug 21, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jul 25, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Feb 8, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Nov 2, 2023	Health	Health Complaint	2	Potential harm	—	Open →
Sep 8, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Sep 8, 2023	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Nov 27, 2024	Civil money penalty (fine)	$19,838	—	455812\|Fine\|113410
Oct 24, 2024	Civil money penalty (fine)	$44,721	—	455812\|Fine\|113324

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K3	L·
Actual harm	G·	H·	I·
Potential harm	D22	E17	F4
Minimal	A·	B·	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 24, 2026	F-0603	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 29, 2026	Complaint
Jul 24, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 29, 2026	Complaint
Jul 24, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 29, 2026	Complaint
Jun 11, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 1, 2026	Complaint
Mar 18, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 25, 2026	Complaint
Jan 22, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 31, 2026
Jan 22, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 25, 2026
Jan 22, 2026	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 25, 2026
Dec 1, 2025	F-0551	Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 15, 2025	Complaint
Nov 14, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 11, 2025	Complaint
Sep 8, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 23, 2025	Complaint
Jun 1, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 5, 2025	Complaint
Nov 27, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Dec 4, 2024	Complaint
Nov 27, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Dec 4, 2024	Complaint
Nov 19, 2024	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Nov 20, 2024	Complaint
Nov 19, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Nov 20, 2024	Complaint
Oct 24, 2024	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Oct 31, 2024	Complaint
Oct 24, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 1, 2024
Oct 24, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 1, 2024
Oct 24, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 1, 2024
Oct 24, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 24, 2024
Oct 24, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 2, 2024
Oct 24, 2024	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 1, 2024
Oct 24, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 31, 2024	Complaint
Oct 24, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 31, 2024	Complaint
Oct 24, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 31, 2024	Complaint
Oct 24, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 31, 2024
Oct 24, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 31, 2024	Complaint
Oct 24, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 31, 2024
Oct 24, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 31, 2024
Oct 24, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 31, 2024	Complaint
Oct 24, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 31, 2024
Oct 24, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 31, 2024
Oct 24, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 31, 2024
Oct 24, 2024	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	C · Minimal Widespread	Corrected Oct 31, 2024
Aug 21, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 28, 2024	Complaint
Jul 25, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 12, 2024	Complaint
Jul 25, 2024	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 12, 2024	Complaint
Feb 8, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 12, 2024	Complaint
Feb 8, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 12, 2024	Complaint
Nov 2, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2023	Complaint
Nov 2, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 3, 2023	Complaint
Sep 8, 2023	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 9, 2023
Sep 8, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 15, 2023
Sep 8, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 15, 2023
Sep 8, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 15, 2023
Sep 8, 2023	F-0803	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 15, 2023
Sep 8, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 15, 2023
Sep 8, 2023	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Sep 15, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Oakbend Medical Center

CMS legal business name of the certified provider. Operates 35 facilities.

VerifiedLinked by exact legal name

CMS chain

Paradigm Healthcare

17 facilities in 2 states. CMS chain ID 620.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.1

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Oakbend Medical Center	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 28, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Oakbend Medical Center	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 28, 2015
Ssc Missouri City Operating Company LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 28, 2015
Barry Beard	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2012
Jeff Council	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2013
Tom Crayton	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2013
Melissa Martin	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2015
James Mcclamroch	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2013
Ruthanne Mefford	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2015
Mark Murray	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2011
Norma Petrosewicz	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2013
May Tape	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 15, 2008
Edward Uthman	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2008
Joseph Freudenberger	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 19, 2007
Joseph Freudenberger	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 19, 2007

Other facilities operated by Oakbend Medical Center

All 34 →

Facility	Beds	Last inspection	Citations (window)	Fines
Paradigm at Stevens 204 Walter St, Yoakum, TX 77995 CCN 455544	106	May 15, 2026	541 open	—
Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582	105	Jul 23, 2026	41	—
Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594	60	Aug 13, 2025	302 IJ1 open	$17k
Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon	120	Aug 18, 2026	615 IJ3 harm	$75k
Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714	148	Aug 5, 2026	405 IJ	$51k
Oakbend Medical Center 1705 Jackson Street, Rosenberg, TX 77469 CCN 455770	36	Jun 17, 2026	13	$12k
The Lev at Town Park 8820 Town Park Dr, Houston, TX 77036 CCN 455800	180	Nov 17, 2025	342 IJ1 harm	$31k
Robstown Nursing and Rehabilitation Center 603 E Ave J, Robstown, TX 78380 CCN 455838	94	Aug 26, 2026	253 IJ	$12k

Same chain in Texas

All 16 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582	105		Jul 23, 2026	41	—
Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594	60		Aug 13, 2025	302 IJ1 open	$17k
Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon	120		Aug 18, 2026	615 IJ3 harm	$75k
Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714	148		Aug 5, 2026	405 IJ	$51k
Paradigm at Woodwind Lakes 7215 Windfern Rd, Houston, TX 77040 CCN 675085SFF	180	Not rated	Jun 5, 2026	461 IJ4 harm	$90k
Paradigm at Faith Memorial 811 Garner Rd, Pasadena, TX 77502 CCN 675321	112		Apr 23, 2026	322 IJ	$19k
Paradigm at Sweeny 109 N Mckinney, Sweeny, TX 77480 CCN 675344SFF CandidateAbuse icon	90		Jul 1, 2026	304 IJ1 harm	$50k
Paradigm at the Pines 705 Hwy 418 W, Silsbee, TX 77656 CCN 675391	90		Dec 10, 2025	381 IJ	$8,281

Coordinates as published by CMS.

Address: 4710 Lexington Blvd, Missouri City, TX 77459
ZIP: 77459
County: Fort Bend County FIPS 48157
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Park Manor of Quail Valley 2350 Fm 1092, Missouri City, TX 77459 CCN 676073	2.3 km	125	Jun 24, 2025	311 IJ	—
Chelsea Gardens 4422 Riverstone Blvd, Missouri City, TX 77459 CCN 676334	3.9 km	60	Jun 10, 2026	213 IJ	$77k
Windsor Quail Valley Post-Acute Healthcare 3640 Hampton Dr, Missouri City, TX 77459 CCN 676371	4.1 km	120	May 14, 2026	164 IJ	$52k
Sugar Land Health Care Center 333 Matlage Way, Sugar Land, TX 77478 CCN 675538	5.8 km	150	Jul 30, 2026	271 IJ	$15k
The Crescent 11353 Sugar Park Lane, Sugar Land, TX 77478 CCN 676323	6.2 km	112	Jul 30, 2026	467 IJ	$106k
Ignite Medical Resort Sugar Land, LLC 1803 Wescott Avenue, Sugar Land, TX 77479 CCN 676384	6.3 km	90	Jun 30, 2026	273 IJ	$137k
Focused Care at Westwood 8702 Course Drive, Houston, TX 77099 CCN 676116	9.1 km	125	Aug 12, 2026	42	—
West Houston Rehabilitation and Healthcare Center 13428 Bissonnet, Houston, TX 77083 CCN 676381Abuse icon	9.6 km	124	Aug 5, 2026	397 IJ	$205k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455812	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455812	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455812

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Paradigm at First Colony

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Oakbend Medical Center

Same chain in Texas

Nearby nursing homes

Paradigm at First Colony

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Oakbend Medical Center

Same chain in Texas

Nearby nursing homes