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The Buckingham
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Houston, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Front entrance of The Buckingham assisted living facility Exterior view of The Buckingham senior living facility Exterior view of The Buckingham with flowers in foreground Building exterior with flowers in the foreground Well-maintained outdoor area with fountain and flowers

The Buckingham

Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Houston, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
8580 Woodway Dr, Houston, TX 77063 View map
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The Buckingham accepts Medicare and private pay.
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The Buckingham accepts Medicare and private pay.

Overview of The Buckingham

The Buckingham offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Houston’s Mid West neighborhood. Assisted living includes help with dressing, bathing, and medication while a resident keeps a private living space. Independent living provides private living with community services but no daily care.

Memory care is provided in a secured setting with supervision. Respite care offers a short stay when a family caregiver needs to travel or recover, while skilled nursing provides licensed nursing care on site around the clock. The range of care types may suit a resident whose needs grow over time because different care levels are available within the same community.

The community has 130 beds, with one-bedroom, two-bedroom, and three-bedroom housing options. Medicare and private pay are accepted. Buckingham Senior Living Community operates the community, and Elise Green serves as administrator.

Total nurse staffing is 5 hours and 56 minutes per resident per day, representing the daily nursing time assigned to each resident. A Walk Score of 56 makes the area somewhat walkable, so some errands can be done on foot, and a resident who no longer drives may be able to reach nearby destinations independently.

Facility Direct Line (713) 955-1857

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 43.1% Above TX avg. ▲ 43.1% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 8.6% Above TX avg. ▲ 8.6% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 135.6% Above TX avg. ▲ 135.6% Above TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 46.7% Below TX avg. ▼ 46.7% Below TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Texas averages

Rank #4 / 234Nurse hours — State benchmarkedThis nursing home is ranked 4th out of 234 nursing homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 4th out of 234 nursing homes we track in Texas for nurse hours. 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.

5h 56m

63% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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 54m
+337% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info 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 15m
+32% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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 47m
+38% State avg: 2h 1m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
5h 7m
+71% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info 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
+68% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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 9m
+247% State avg: 20m per day · National avg: 28m per day

All 6 underlying metrics are above the state average

Standout metric: Registered Nurse (RN) is +337% above Texas average

By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 130 Rank #63 / 255Bed count — State benchmarkedThis nursing home is ranked 63rd out of 255 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #96 / 146Years in operation — State benchmarkedThis nursing home is ranked 96th out of 146 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
20 years
Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #70 / 275Walk Score — State benchmarkedThis nursing home is ranked 70th out of 275 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
56 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
57
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
32 days

About this community

License Details

Facility TypeType B
ExpirationJune 28, 2027
CountyHarris
License Number148854
Year Opened8/3/2006
CMS Certification Number676111
QualificationNursing

Ownership & Operating Entity

The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administered by Elise Green.

Management CompanyGREYSTONE MANAGEMENT SERVICES COMPANY LLC
OwnerBuckingham Senior Living, Inc.
Ownership TypeNonprofit Organization

Type Of Units

Alzheimer's Units
34 units
Total beds
130 units

Leadership

Administrator Emaildsheaffer@buckinghamhouston.com

Memory & Specialized Care

1 service
Alzheimer's Certification

Contact The Buckingham

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

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 Info 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.

1 enforcement action
  • January 31, 2025 Administrative Penalty

Inspection Scorecard Info 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.

Overall vs. TX average 1 Worse Metrics worse than Texas average:
• Inspections with citations (100% above) 3 Better Metrics better than Texas average:
• Total citations (63% below)
• Health citations (50% below)
• Life safety citations (67% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 38 This facility has 63% fewer total citations than a typical Texas nursing home (3 vs. TX avg 8).↓ 63% better
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 12 This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 26 This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityTX Averagevs. TX Avg
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 21 This facility has 100% more inspections with citations than a typical Texas nursing home (2 vs. TX avg 1).↑ 100% worse

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 7

Texas average 7.9

Last Health inspection on Aug 2025

Total health citations
25 Rank #130 / 234Health citations — State benchmarkedThis nursing home is ranked 130th out of 234 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 27.4

Citations per inspection
3.57 Rank #157 / 234Citations per inspection — State benchmarkedThis nursing home is ranked 157th out of 234 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 3.64

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).

Breakdown of citation severity (last 3 years)
Critical health citations
2
In line with Texas average

Texas average: 2

Serious health citations
0
100% better than Texas average

Texas average: 0.4

2 critical citations Texas average: 2
0 serious citations Texas average: 0.4
23 moderate citations Texas average: 24.6
0 minor citations Texas average: 0.4
Citations history (last 3 years)
Infection Control moderate citation Aug 28, 2025
Corrected
Pharmacy moderate citation Aug 28, 2025
Corrected
Pharmacy moderate citation Aug 28, 2025
Corrected
Pharmacy moderate citation Aug 28, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 135
Employees 132
Contractors 3
Average shift 7.8 hours
0% compared with Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 45,219

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 22 RN Staff are full-time employees. No contractors work on this role. 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 18 LPN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 47 CNA Staff are full-time employees. No contractors work on this role. 47
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.8%

809 contractor hours this quarter

Physical Therapy Aide: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4704716,75492100%7.7
Licensed Practical Nurse180187,40692100%8.7
Registered Nurse220227,00892100%8.2
Other Dietary Services Staff8082,7349199%7.5
Speech Language Pathologist7072,3037278%7.2
Clinical Nurse Specialist4041,8726571%8
Physical Therapy Aide6171,7207480%7.2
Medication Aide/Technician3031,3878896%8.1
Qualified Social Worker3036467177%6.3
Respiratory Therapy Technician4046227683%6.1
Administrator1015126470%8
Nurse Practitioner1015126470%8
Dietitian2025006368%7.9
Physical Therapy Assistant5054896368%7.6
Mental Health Service Worker1014565762%8
Medical Director0112083134%6.7
Occupational Therapy Aide011891314%6.8
47 Certified Nursing Assistant
% of Days 100%
18 Licensed Practical Nurse
% of Days 100%
22 Registered Nurse
% of Days 100%
8 Other Dietary Services Staff
% of Days 99%
View All Staffing Data in Houston

Penalties and fines

Includes penalties issued in 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)

Total fines amount $138K Rank #148 / 237Federal fines — State benchmarkedThis nursing home is ranked 148th out of 237 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 237 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
71% higher than Texas average

Texas average: $80K

Number of fines 24
866% more fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $138K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Mar 29, 2025 · $14K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 29, 2025
$14K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.8
39% better than Texas average

Texas average: 16.0

Long-stay resident measures
Below average Texas avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.5%
23% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 7.2%
54% better than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.9%
11% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 34.8%
687% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.6%
467% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.6%
25% better than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.6%
In line with Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 70.5%
28% worse than Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 65.7%
33% worse than Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.55
27% better than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.50
76% better than Texas average

Texas average: 2.07

Short-stay resident measures
Average Texas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.3%
42% worse than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
20% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 65.5%
26% worse than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.4%
In line with Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.4%
30% better than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.3%
66% better than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 41.0%
24% worse than Texas average

Texas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.0%
19% better than Texas average

Texas average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

69% of new residents, usually for short-term rehab.

Typical stay 18 days

Private pay

31% of new residents, often for short stays.

Typical stay 1 - 2 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$28.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$14.6M
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$28.4M Rank #3 / 218Net patient revenue — State benchmarkedThis nursing home is ranked 3rd out of 218 nursing homes we track in Texas. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$14.6M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #7 / 218Payroll costs — State benchmarkedThis nursing home is ranked 7th out of 218 nursing homes we track in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$15.0M 52.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #133 / 199Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 133rd out of 199 nursing homes we track in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$28.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$43.0M
How we calculate these figures

This home is administered by Elise Green.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 676111

Show certification details

What does this home offer?

Minimum age icon
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Minimum Age: 55 Years Old

Pets allowed icon
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No pets allowed

Room sizes icon
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Room Sizes: 805 / 2,720 sq. ft

Housing options icon
Housing options icon

Housing Options: 1 Bed / 2 Bed / 3 Bed

Building type icon
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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (69% of admissions), and a typical Medicare stay runs around 18 days.

Admissions
590 total

Coverage residents most often arrive under.

Medicare 69%
Private pay 31%
Discharges
651 total

Coverage residents most often leave under.

Medicare 62%
Private pay 38%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Living Spaces & Floor Plans for The Buckingham

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Places of interest near The Buckingham

Address 8.8 miles from city center Info Estimated distance in miles from Houston's city center to The Buckingham's address, calculated via Google Maps. — 1.13 miles to nearest hospital (Silver Medical Services LLC)

Calculate Travel Distance to The Buckingham

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Compare Assisted Living around Houston

Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Park Manor of CyFair ★ ★ ★ ★ ★
AL
NH
SNF
Houston (White Oak Bend)
120
Facility 120
TX AVG 108
Rank #96 / 255
90.4%
Facility 90.4%
TX AVG 71.2%
Rank #20 / 162
+27%
3.07
Facility 3.07
TX AVG 3.63
Rank #161 / 234
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ +82%-16%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
8
Facility 8
TX AVG 25.9
Rank #13 / 234
2.0
Facility 2.0
TX AVG 3.7
Rank #23 / 234
-109-
55
Facility 55
TX AVG 43
Rank #76 / 275
Winnie-Stowell Hospital District
$9.7MFiscal year ending 08/2024
Facility $9.7MFiscal year ending 08/2024
TX AVG $9.4M
Rank #77 / 218
$4.4MFiscal year ending 08/2024
Facility $4.4MFiscal year ending 08/2024
TX AVG $5.4M
Rank #127 / 218
45.1%Fiscal year ending 08/2024
Facility 45.1%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #169 / 199
675818
Buckner Parkway Place ★ ★ ★ ★ ★
AL
IL
MC
NH
RC
Houston (Energy Corridor)
42
Facility 42
TX AVG 108
Rank #232 / 255
93.1%
Facility 93.1%
TX AVG 71.2%
Rank #13 / 162
+31%
4.29
Facility 4.29
TX AVG 3.63
Rank #39 / 234
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +2%+18%
$45.7k
Facility $45.7k
TX AVG $81.8k
Rank #167 / 237
18
Facility 18
TX AVG 25.9
Rank #72 / 234
3.0
Facility 3.0
TX AVG 3.7
Rank #89 / 234
339-
81
Facility 81
TX AVG 43
Rank #7 / 275
Buckner Retirement Services, Inc
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
TX AVG $9.4M
Rank #184 / 218
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
TX AVG $5.4M
Rank #38 / 218
132%Fiscal year ending 12/2023
Facility 132%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #9 / 199
675777
Clarewood House Assisted Living ★ ★ ★ ★ ★
AL
IL
MC
NH
SNF
Houston (Sharpstown)
90
Facility 90
TX AVG 108
Rank #173 / 255
--
0.44
Facility 0.44
TX AVG 3.63
Rank #234 / 234
 ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ -29%-88%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
5
Facility 5
TX AVG 25.9
Rank #5 / 234
1.7
Facility 1.7
TX AVG 3.7
Rank #10 / 234
-35-
50
Facility 50
TX AVG 43
Rank #106 / 275
Clarewood House, Inc
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
TX AVG $9.4M
Rank #153 / 218
$6.2MFiscal year ending 12/2023
Facility $6.2MFiscal year ending 12/2023
TX AVG $5.4M
Rank #54 / 218
90.9%Fiscal year ending 12/2023
Facility 90.9%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #21 / 199
676021
Caraday of Houston ★ ★ ★ ★ ★
AL
MC
NH
RC
SNF
Houston
150
Facility 150
TX AVG 108
Rank #29 / 255
--
4.01
Facility 4.01
TX AVG 3.63
Rank #57 / 234
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -32%+10%
$53.5k
Facility $53.5k
TX AVG $81.8k
Rank #174 / 237
15
Facility 15
TX AVG 25.9
Rank #43 / 234
3.8
Facility 3.8
TX AVG 3.7
Rank #173 / 234
-12-
41
Facility 41
TX AVG 43
Rank #152 / 275
Caraday Houston LLC
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
TX AVG $9.4M
Rank #214 / 218
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
TX AVG $5.4M
Rank #198 / 218
66.5%Fiscal year ending 12/2023
Facility 66.5%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #60 / 199
676470
The Buckingham ★ ★ ★ ★ ☆
AL
IL
MC
NH
RC
SNF
Houston (Mid West)
130
Facility 130
TX AVG 108
Rank #63 / 255
--
5.93
Facility 5.93
TX AVG 3.63
Rank #4 / 234
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +113%+63%
$32.4k
Facility $32.4k
TX AVG $81.8k
Rank #148 / 237
25
Facility 25
TX AVG 25.9
Rank #130 / 234
3.6
Facility 3.6
TX AVG 3.7
Rank #157 / 234
257-
56
Facility 56
TX AVG 43
Rank #70 / 275
Buckingham Senior Living, Inc
$28.4MFiscal year ending 12/2023
Facility $28.4MFiscal year ending 12/2023
TX AVG $9.4M
Rank #3 / 218
$15.0MFiscal year ending 12/2023
Facility $15.0MFiscal year ending 12/2023
TX AVG $5.4M
Rank #7 / 218
52.7%Fiscal year ending 12/2023
Facility 52.7%Fiscal year ending 12/2023
TX AVG 71.6%
Rank #133 / 199
676111

Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Financial Assistance for
Assisted Living in Texas

The Buckingham is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about The Buckingham

What neighborhood is The Buckingham in?

The Buckingham is in the Mid West neighborhood of Houston.

Who is the owner of The Buckingham?

The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administered by Elise Green.

Is The Buckingham in a walkable area?

The Buckingham has a walk score of 56. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of The Buckingham?

According to TX state health department records, The Buckingham's license number is 148854.

When does The Buckingham's license expire?

According to TX state health department records, The Buckingham's license expires on June 28, 2027.

What is the occupancy rate at The Buckingham?

The Buckingham's occupancy is 50.8%.

How long has The Buckingham been in business?

The Buckingham has been operating for approximately 20 years, based on available licensing and registration records.

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