Paradigm At First Colony
PARADIGM AT FIRST COLONY in MISSOURI CITY, TX — inspection on December 1, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
established.
Interview with facility Social Worker on 10/08/2025 at 1:40PM she stated that she had some concerns with the POA documentation due to the APS case against the POA.
The Social Worker stated that she was told by the facility Administrator not to send clinical records because of the POA not being valid.
Social Worker stated that Residents #1 was alert x 3 at times but may need some redirection.
Social Worker said Resident #1was currently being seen by psychological services for anxiety and psychoactive behaviors.
Interview with facility Administrator on 10/08/2025 at 2:00PM she stated that the POA was not valid due to Resident #1 having cognitive impairment and dementia.
Administrator stated that Resident #1 could not have known what she was signing because of memory issues and the POA coerced Resident #1 into signing the invalid document.
Administrator stated the POA signed Resident #1 out and did not disclose where she was taking her and returned to the facility with Durable Power of Attorney paper stating she was now the POA and would like Resident #1's clinicals to be faxed to another skilled nursing facility.
The Administrator stated, I did not have my Social Worker faxed clinicals due to the POA did not appear to be valid.
The Administrator stated the Durable Power of Attorney was not valid because it was notarized by someone that did not know Resident #1 and she looked up the notary and she only sold food.
The Administrator stated she did not have to send notary to a corporate attorney due to her feeling the notary was not valid even though it had the seal of the State of Texas along with Notary ID # and expiration date.
The Administrator stated when she asked Resident #1 if she wanted to go to another facility, Resident #1 told her No.
Interview with Resident #1 on 10/09/2025 at 10:10AM Resident #1 stated she was ok with moving to another facility because she can never live by herself anymore.
Resident # 1 stated she knew her POA and they lived in the same apartment complex and she was her friend. Resident #1 stated she recalls signing a lot of paperwork since she has been in this place and she knows her friend will take care of her.
Resident#1 stated she was not forced into sign POA she wanted her friend and neighbor to help her make good decisions. Resident #1 stated that the president was Trump and she was in a nursing home, it was 2025 and Fall time of the year.
Record review of the facility's discharge and transfer policy states as follows:The Facility is committed to ensuring safe discharge dispositions and will make every effort to facilitate a smooth transition of care. In cases of difficult or immediate discharges, the Facility will follow CMS and State guidelines to maintain regulatory compliance and protect resident's rights and well-being.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.