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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Considered as one of the luxurious senior living facilities in Houston, The Buckingham allows for residents to feel stress-free with their exceptional services. Catering to residents of independent living, seniors are able to live independently in the comfort of the retirement home. Residents are encouraged to pursue their interests and find new activities to promote a nurturing environment. Buckingham only offers the best of the best, and it’s partly because of the people who make it a dwelling place. Through their quality service and exceptional senior care that puts them as the premier independent living in Houston, residents are able to feel like they’re not just at home but royalty at a palace– as the inspiration of where the name derives from. Residents of Buckingham are promised a high standard of security and comfort.
The Buckingham awaits an array of opportunities to be discovered–through their lifelong learning programs partnered with Rice University where residents can still continue learning whatever interests them; or build meaningful relationships with their other residents in and outside of the community; as well as providing social activities that peak the interests of the seniors who want to look for enjoyable activities in the community.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 18th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 31m per day | ▲ 250% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 18m per day | ▲ 37% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 56m per day | ▲ 45% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 13m per day | ▲ 41% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 6m per day | ▲ 230% State avg: 20m per day · National avg: 28m per day |
Lower than the Texas average: 63.5%The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administrated by Elise Green.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 6 | This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
THE BUCKINGHAM underwent a comprehensive inspection on January 04, 2023, resulting in two state standard violations. Both deficiencies were categorized under the Life Safety Code, with no Health Code violations listed. The facility was cited for failing to inspect, test, and maintain fire alarm system components, which was corrected by March 7, 2022. Additionally, a previous inspection on February 15, 2022, also noted this issue, indicating that it was ongoing at the time of the most recent inspection. No Health Code deficiencies were identified during either inspection. Enforcement actions were taken against THE BUCKINGHAM, with an administrative penalty assessed on January 31, 2025, totaling $2250.00 for failing to have sufficient staff to provide adequate supervision and care to residents.
Texas average 7.4
Last Health inspection on Aug 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 25 citations resulted from standard inspections; 11 of 25 resulted from complaint investigations; and 2 of 25 came from combined inspections (standard and complaint).
In line with Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
100% worse than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
809 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 0 | 47 | 16,754 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 18 | 0 | 18 | 7,406 | 92 | 100% | 8.7 |
| Registered Nurse | 22 | 0 | 22 | 7,008 | 92 | 100% | 8.2 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,734 | 91 | 99% | 7.5 |
| Speech Language Pathologist | 7 | 0 | 7 | 2,303 | 72 | 78% | 7.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,872 | 65 | 71% | 8 |
| Physical Therapy Aide | 6 | 1 | 7 | 1,720 | 74 | 80% | 7.2 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,387 | 88 | 96% | 8.1 |
| Qualified Social Worker | 3 | 0 | 3 | 646 | 71 | 77% | 6.3 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 622 | 76 | 83% | 6.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 2 | 0 | 2 | 500 | 63 | 68% | 7.9 |
| Physical Therapy Assistant | 5 | 0 | 5 | 489 | 63 | 68% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Medical Director | 0 | 1 | 1 | 208 | 31 | 34% | 6.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 89 | 13 | 14% | 6.8 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
71% higher than Texas averageTexas average: $80K
866% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
9 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 29, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 7, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
53% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.8
39% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.5%
23% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.2%
54% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
11% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
34.8%
687% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.6%
467% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.6%
25% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
7.6%
In line with Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.5%
28% worse than Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
65.7%
33% worse than Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.55
27% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.50
76% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
52.3%
42% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
20% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.5%
26% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.4%
In line with Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
30% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
66% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
41.0%
24% worse than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.0%
19% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
69% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
Historical financial and operational data for The Buckingham based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 297Payroll — State benchmarkedThis home is ranked 8th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Minimum Age: 55 Years Old
Room Sizes: 805 / 2,720 sq. ft
Housing Options: 1 Bed / 2 Bed / 3 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
11.4 miles from city center
Estimated distance in miles from Houston's city center to The Buckingham's address, calculated via Google Maps.
— 7.19 miles to nearest hospital (Texas Children's Hospital)
Add your location
The Buckingham is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Houston (Braeburn) | 90 | 57.8% | -9% | 4.09 | +8% | +13% | $39.2k | 9 | 3.0 | 1 | 80 | 55 | Leslie Griffin | $21.0M | $8.2M | 39.3% | 676152 | ||||
| The Buckingham |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Houston (Mid West) | 130 | 50.8% | -20% | 5.08 | +113% | +40% | $172.9k | 25 | 3.6 | 2 | 90 | 56 | Greystone Management Services Company, LLC | $32.2M | $15.5M | 48.1% | 676111 |
The Buckingham is in the Mid West neighborhood of Houston.
The legal owner and operator of The Buckingham is Buckingham Senior Living Community Inc..
The Buckingham has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TX state health department records, The Buckingham's license number is 148854.
According to TX state health department records, The Buckingham's license expires on June 28, 2027.
The Buckingham's occupancy is 51%.
Elise Green is the administrator of The Buckingham.
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