West Houston Senior Living Guide

Paradigm at First Colony

Nursing home in Missouri City, Texas
4710 Lexington Blvd, Missouri City, TX 77459

Paradigm at First Colony is a skilled nursing and rehabilitation facility in Missouri City, Texas, offering post-hospital care, 24-hour nursing, long-term care, and physical, occupational and speech therapy. Services also include wound care, respiratory and cardiac care, dialysis, hospice care, and private or semi-private rooms with housekeeping, laundry and transportation coordination.

Medicare inspection and staffing data

From CMS Care Compare, as of 2026-09-01. The community can't edit these facts.

Medicare overall rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality of care measures
4 of 5
Nurse time per resident
3.4 hours a day
RN turnover
91% in the last year
Certified beds
150 (about 104 residents on an average day)
Fines on record
2 fines, $64,559 total (last 3 years)
Ownership
For profit - Limited Liability company, part of PARADIGM HEALTHCARE
Medicare certified since
April 1989

What they offer

Care offered
Skilled nursing, Rehabilitation, Hospice, Home care
Amenities
Private & semi-private rooms, Beauty and barber services, Complimentary WiFi and cable, Transportation coordination, Housekeeping and laundry, Dining services, Activities and social events, Dialysis
Google rating
3.7 from 163 reviews · read them
Office hours
Every day: Open 24 hours

Care, pricing and amenities are summarized from the community's own website. Confirm before you visit.

Questions to ask when you tour

  • What is the monthly base rate, and what does each level of care add on top?
  • How many caregivers are on duty during the day and overnight, and how many residents does each one cover?
  • What happens if care needs increase: can my parent stay, and at what cost?
  • Do you accept long-term care insurance, VA Aid and Attendance, or Medicaid?

Other options in Missouri City

Small care home · 2810 Troy Dr
  • Licensed for 7 residents
  • Texas Type B
  • Google 5.0 (64)

Shepherd Personal Care Home is a small residential assisted living home in Missouri City, TX, offering assisted living and respite care with 24/7 on-site caregivers, medication and insulin administration, and help with bathing, dressing and eating. It provides three meals and two snacks daily with specialized diets, coordinates home health, hospice and podiatry services, and has staff who speak several Indian languages.

Assisted living + memory care · 3505 FM 1092
  • Licensed for 87 residents
  • Texas Type B
  • 87 memory care beds
  • Google 4.6 (73)
  • From $3,595/mo

The Avenues of Fort Bend in Missouri City, TX, offers assisted living in 53 apartments and memory care in The Cottage, a secure neighborhood with 23 residences. Services include on-site physical, occupational and speech therapy through Select Rehabilitation, mental health services through Deer Oaks, scheduled transportation, and daily activities, with small dogs and cats allowed for assisted living residents.

Nursing home · 3640 Hampton Dr
  • 120 certified beds
  • Medicare
  • Google 4.1 (107)

Windsor Quail Valley Post-Acute Healthcare is a skilled nursing and rehabilitation facility in Missouri City, TX, operated by the non-profit Wellsential Health, accepting Medicare, Medicaid, managed care and private pay. It offers clinical services such as cardiac, stroke, wound, tracheostomy and IV care, respite care, physical, occupational and speech therapy including outpatient therapy, and lists hospice and home health services.

Nursing home · 2350 FM 1092
  • 125 certified beds
  • Medicare
  • Google 3.9 (130)

Park Manor of Quail Valley is a skilled nursing facility at 2350 FM 1092 in Missouri City, TX, offering short-term skilled nursing, rehabilitation, and long-term care. Its rehabilitation program includes physical, occupational, respiratory, and speech therapy coordinated by physicians, nurses, social workers, and therapists, and the facility received a Silver Quality Award from AHCA/NCAL.