PARADIGM AT FIRST COLONY
4710 LEXINGTON BLVD
MISSOURI CITY, TX, 77459
2814994710
CCN: 455812
1
Overall1
Health1
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
NATIONAL SPINE MEDICAL CENTERS
1128b8
Excluded 2005-04-20
UNITED MEMORIAL MEDICAL CENTER
1128b7
Excluded 2023-12-14
Ownership
| Name | Role | % |
|---|---|---|
| OAKBEND MEDICAL CENTER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BEARD, BARRY | CORPORATE DIRECTOR | NOT APPLICABLE |
| COUNCIL, JEFF | CORPORATE DIRECTOR | NOT APPLICABLE |
| CRAYTON, TOM | CORPORATE DIRECTOR | NOT APPLICABLE |
| MARTIN, MELISSA | CORPORATE DIRECTOR | NOT APPLICABLE |
| MCCLAMROCH, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| MEFFORD, RUTHANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| PETROSEWICZ, NORMA | CORPORATE DIRECTOR | NOT APPLICABLE |
| TAPE, MAY | CORPORATE DIRECTOR | NOT APPLICABLE |
| UTHMAN, EDWARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| MURRAY, MARK | CORPORATE DIRECTOR | NOT APPLICABLE |
| FREUDENBERGER, JOSEPH | CORPORATE OFFICER | NOT APPLICABLE |
| SSC MISSOURI CITY OPERATING COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FREUDENBERGER, JOSEPH | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (3)
| Date | Type | Amount |
|---|---|---|
| 2024-11-27 | Fine | $20K |
| 2024-10-24 | Fine | $45K |
| 2023-08-15 | Fine | $147K |
Health Deficiencies (41)
2025-12-01 · Health
D
F551 · Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
2025-11-14 · Health
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2025-09-08 · Health
E
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2025-06-01 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-11-27 · Health
K
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-11-19 · Health
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
C
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2024-10-24 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
C
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
K
F694 · Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-08-21 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2024-07-25 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2024-02-08 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2023-11-02 · Health
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2023-09-08 · Health
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F803 · Nutrition and Dietary Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2023-08-15 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
F678 · Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
K
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-07-18 · Health
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2023-04-11 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.42
RN Hrs/Resident/Day0.54
0.50
LPN Hrs/Resident/Day0.81
0.72
CNA Hrs/Resident/Day2.33
2.20
PT Hrs/Resident/Day0.12
0.06
Data as of 2026-03-01