{
 "id": "455812",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Paradigm at First Colony",
 "slug": "paradigm-at-first-colony",
 "path": "/tx/fort-bend/missouri-city/paradigm-at-first-colony",
 "address": {
  "street": "4710 LEXINGTON BLVD",
  "city": "Missouri City",
  "county": "Fort Bend",
  "state": "TX",
  "state_name": "Texas",
  "zip": "77459"
 },
 "phone": "2814994710",
 "coords": [
  29.601007,
  -95.580204
 ],
 "capacity": 150,
 "residents_per_day": 103.5,
 "status": "Medicare and Medicaid",
 "licensee": "Oakbend Medical Center",
 "administrator": null,
 "licensed_since": "1989-04-21",
 "last_visit": "2026-01-22",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Limited Liability company",
  "chain": "PARADIGM HEALTHCARE",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 1,
   "health_inspection": 1,
   "staffing": 1,
   "quality": 4
  },
  "cycle1": {
   "date": "2026-01-22",
   "total": 4,
   "standard": 0,
   "complaint": 4
  },
  "fines": {
   "count": 3,
   "dollars": 211113,
   "penalties": 3
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.36176,
   "turnover_pct": 67
  },
  "on_record": {
   "immediate_jeopardy": 8,
   "actual_harm": 0,
   "potential_harm": 30,
   "minimal": 3
  },
  "penalties_on_file": {
   "count": 3,
   "dollars": 211113
  },
  "owners": [
   {
    "name": "OAKBEND MEDICAL CENTER",
    "role": "Organization",
    "since": "since 02/28/2015",
    "share": "100%"
   },
   {
    "name": "FREUDENBERGER, JOSEPH",
    "role": "Individual",
    "since": "since 06/19/2007",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BEARD, BARRY",
    "role": "Individual",
    "since": "since 01/01/2012",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "COUNCIL, JEFF",
    "role": "Individual",
    "since": "since 01/01/2013",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CRAYTON, TOM",
    "role": "Individual",
    "since": "since 01/01/2013",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MARTIN, MELISSA",
    "role": "Individual",
    "since": "since 01/01/2015",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MCCLAMROCH, JAMES",
    "role": "Individual",
    "since": "since 01/01/2013",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MEFFORD, RUTHANNE",
    "role": "Individual",
    "since": "since 01/01/2015",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MURRAY, MARK",
    "role": "Individual",
    "since": "since 01/01/2011",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "PETROSEWICZ, NORMA",
    "role": "Individual",
    "since": "since 01/01/2013",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "TAPE, MAY",
    "role": "Individual",
    "since": "since 01/15/2008",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "UTHMAN, EDWARD",
    "role": "Individual",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-03-18",
   "tag": "0677",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-12-01",
   "tag": "0551",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-11-14",
   "tag": "0558",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-09-08",
   "tag": "0610",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2025-06-01",
   "tag": "0755",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-11-27",
   "tag": "0684",
   "sev": "K",
   "complaint": true
  },
  {
   "date": "2024-11-27",
   "tag": "0689",
   "sev": "K",
   "complaint": true
  },
  {
   "date": "2024-11-19",
   "tag": "0583",
   "sev": "C",
   "complaint": true
  },
  {
   "date": "2024-11-19",
   "tag": "0732",
   "sev": "C",
   "complaint": true
  },
  {
   "date": "2024-10-24",
   "tag": "0694",
   "sev": "K",
   "complaint": true
  },
  {
   "date": "2024-10-24",
   "tag": "0812",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-10-24",
   "tag": "0656",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2024-10-24",
   "tag": "0759",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-10-24",
   "tag": "0550",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-10-24",
   "tag": "0607",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-10-24",
   "tag": "0609",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-10-24",
   "tag": "0655",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-10-24",
   "tag": "0686",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-10-24",
   "tag": "0690",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-10-24",
   "tag": "0695",
   "sev": "D",
   "complaint": true
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "455812"
 }
}