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Independent Living in Frederick

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.

Buckingham‘s Choice

Independent Living in Frederick

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.

Buckingham‘s Choice

3200 Baker Cir, Adamstown, MD 21710 View map
Overview of Buckingham‘s Choice

Buckingham’s Choice provides exceptional service for seniors of independent living, assisted, and memory care living. The nurturing environment empowers and enhances the quality of life for residents by tailored care to each unique individual. Personalized care caters to each individual’s needs while maintaining independence and individuality. Buckingham’s Choice offers a vibrant lifestyle for a graceful senior living experience.

They pride themselves on their unmatched level of care thanks to their remarkable staff who offer compassionate service. Community features include 24-hour care, delicious meals served three times daily, social activities, engaging events, housekeeping and laundry services, and optimum security provided.

(301) 874-5630

Managed by Jonathan D. Grant

Executive Vice President and Chief Operating Officer

Over 35 years in retirement

Jonathan D. Grant serves as Executive Vice President and Chief Operating Officer at Acts Retirement-Life Communities. With over 35 years in retirement and health care, he has held leadership roles including Administrator and Executive Director at other communities. He holds a bachelor's in communications and an MBA from Florida Atlantic University and is a Fellow of the LeadingAge Leadership Program.

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.
5/5
Maryland average: 3.4/5
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.
4/5
Maryland average: 3.2/5
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.
5/5
Maryland average: 3.5/5
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.
4/5
Maryland average: 3.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 44m per day

This home provides 10% more nursing time per resident than the Maryland average.

Maryland average: 4h 17m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 42

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Maryland average
Occupancy rate 56.8%
Residents per day (avg) 26
Occupancy rate
56.8%
Residents per day (avg)
26

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

71% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

29% of new residents, often for short stays.

Typical stay 7 - 8 months

Finances and operations

Voluntary non-profit community
Home revenue
$22.3M
Surplus of revenue
$4.1M
Voluntary non-profit community
Home revenue
$22,250,262.00
Surplus of revenue
$4,089,110.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.5M
38.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.7M
Total costs $18.2M
Years in operation
30 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 3 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Additional licensing details

CMS Certification Number: 215329

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Mrs. Jaclyn Harris, President/CEO

Care Services

Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Assisted Living
Skilled Nursing
Memory Care
Rehabilitation Therapy
Respite Care

Amenities & Lifestyle

Fitness Center
Gourmet Dining
Social Spaces
Nature Trails
Outdoor Areas

Programs & Activities

Specific Programs
Assisted Living, Skilled Nursing Care, Memory Care, Rehabilitation Therapy, Respite Care
Operating Hours
24/7

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: 3-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Buckingham‘s Choice

Assisted Living Independent Living Memory Care Nursing Home Hospice Care
Contact Buckingham‘s Choice

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicare

Health Inspection History

Inspections
Total health inspections 3

Maryland average 3.9


Last Health inspection on Nov 2024

Total health citations 29

Maryland average 49.9

Citations per inspection
9.67

Maryland average 12.81


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

28 of 29 citations resulted from standard inspections; and 1 of 29 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Maryland average

Maryland average: 0.5


Serious Health citations More info 0
100% better than Maryland average

Maryland average: 0.6

0 critical citations More info Maryland average: 0.5

0 serious citations More info Maryland average: 0.6

25 moderate citations More info Maryland average: 47.2

4 minor citations More info Maryland average: 1.7
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Nov 22, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Nov 22, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Nov 22, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Nov 22, 2024
Corrected

Compare Independent Living around Frederick The information below is reported by the Maryland Department of Health, Office of Health Care Quality.

Filter by care type
Buckingham‘s Choice
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.

Adamstown
42
No
3
Private Rooms
30
A+
Creekside at Taskers Chance
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.

Frederick (Taskers Chance)
-
Yes
32
Private Rooms
17
A+
Spring Ridge Senior Apartments
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.

Frederick
-
No
0
Private Rooms
-
-
Taney Village Apartments
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.

Frederick (Heather Ridge)
-
Yes
69
Private Rooms
-
-
Victoria Park at Walkersville
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.

Walkersville
-
No
45
Private Rooms
19
A+

Places of interest near Buckingham‘s Choice

Address 8 miles from city center — 14.15 miles to nearest hospital (Frederick Health Mt Airy)

Address 3200 Baker Cir, Adamstown, MD 21710

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 64
Employees 63
Contractors 1
Staff to resident ratio 2.29:1
26% better than Maryland average

Maryland average ratio: 1.81:1

Avg staff/day 22
Average shift 7.5 hours
6% worse than Maryland average

Maryland average: 8 hours

Total staff hours (quarter) 15,052
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 12.3 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1%

157 contractor hours this quarter

Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant190195,48991100%7.5
Registered Nurse130132,40491100%8
Licensed Practical Nurse3031,3768189%12.3
Respiratory Therapy Technician4041,0226976%6
Physical Therapy Assistant5057236571%6.1
Nurse Practitioner4045125763%8.2
Administrator1015126470%8
Clinical Nurse Specialist1015106571%7.9
Dietitian1014675965%7.9
Mental Health Service Worker1014626268%7.4
Other Dietary Services Staff1014395662%7.8
Speech Language Pathologist3033766470%5.2
Physical Therapy Aide1013215662%5.7
Qualified Social Worker2022403943%6
Occupational Therapy Aide0111572426%6.5
RN Director of Nursing1011611%16
Occupational Therapy Assistant2021455%2.8
Medical Director101131314%1
19 Certified Nursing Assistant
% of Days 100%
13 Registered Nurse
% of Days 100%
3 Licensed Practical Nurse
% of Days 89%
4 Respiratory Therapy Technician
% of Days 76%
5 Physical Therapy Assistant
% of Days 71%
4 Nurse Practitioner
% of Days 63%
1 Administrator
% of Days 70%
1 Clinical Nurse Specialist
% of Days 71%
1 Dietitian
% of Days 65%
1 Mental Health Service Worker
% of Days 68%
1 Other Dietary Services Staff
% of Days 62%
3 Speech Language Pathologist
% of Days 70%
1 Physical Therapy Aide
% of Days 62%
2 Qualified Social Worker
% of Days 43%
1 Occupational Therapy Aide
% of Days 26%
1 RN Director of Nursing
% of Days 1%
2 Occupational Therapy Assistant
% of Days 5%
1 Medical Director
% of Days 14%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
28 residents
Residents by payment source
Medicare
6 residents (21.4%)
Medicaid
1 resident (3.6%)
Private pay or other
21 residents (75%)
Programs & Services
CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

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. 11.0
15% better than Maryland average

Maryland average: 12.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.2
18% better than Maryland average

Maryland average: 25.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.2%
6% better than Maryland average

Maryland average: 23.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.1%
23% better than Maryland average

Maryland average: 25.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.5%
11% worse than Maryland average

Maryland average: 2.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 14.7%
126% worse than Maryland average

Maryland average: 6.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Maryland average

Maryland average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.4%
23% better than Maryland average

Maryland average: 5.8%

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

Maryland average: 20.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.4%
12% better than Maryland average

Maryland average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than Maryland average

Maryland average: 92.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Maryland average

Maryland average: 96.6%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
27% better than Maryland average

Maryland average: 78.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.7%
94% worse than Maryland average

Maryland average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
24% better than Maryland average

Maryland average: 80.6%

Guides for Better Senior Living

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Financial Aid for Maryland Seniors

Get financial aid guidance

Community Options Waiver

Maryland Medicaid Community Options Waiver

Age 65+ or disabled, Maryland resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple) (excludes home, car).

High urban demand; rural outreach efforts.

Senior Care Program

Maryland Senior Care

Age 65+, Maryland resident, at risk of nursing home placement.

~$2,000/month (individual, varies by county).

$11,000 (individual).

Limited funding; waitlists common in high-demand areas.

Maryland Nursing Home Medicaid

Maryland Medical Assistance (Medicaid) Nursing Home Program

Age 65+, Maryland resident, Medicaid-eligible, requires nursing home-level care.

$943/month (individual); most income applied to care costs.

$2,500 (individual), $3,000 (couple); spousal protections up to $155,356.

Home equity limit $636,000; estate recovery applies post-55.

Senior Assisted Living Subsidy Program

Maryland Senior Assisted Living Group Home Subsidy

Age 62+, Maryland resident, in or moving to approved assisted living, low/moderate income.

~$34,000/year (individual, varies by county).

Not strict; prioritizes low-income.

Not available statewide; facility must be licensed by MDH.

Veterans Aid and Attendance (A&A) Benefit

Maryland VA Aid and Attendance

Wartime veteran/spouse, age 65+ or disabled, needs ADL help, Maryland resident.

Net income minus medical expenses < $1,984/month (individual with A&A).

$155,356 (net worth limit).

High veteran population in suburban/rural areas.

Senior Prescription Drug Assistance Program (SPDAP)

Maryland Senior Prescription Drug Assistance Program

Age 65+, Maryland resident (6+ months), Medicare Part D enrolled.

$48,560/year (individual, 300% FPL).

None specified.

Supplements Medicare Part D; annual enrollment required.

Medicare Savings Programs (MSP)

Maryland Medicare Savings Programs

Age 65+, Maryland resident, Medicare Part A/B enrollee.

$2,014/month (QMB), $2,706/month (SLMB/QI, individual).

$9,090 (individual), $13,630 (couple).

Includes QMB, SLMB, QI categories.

Community Personal Assistance Services (CPAS)

Maryland Medicaid Community Personal Assistance Services

Age 65+, Maryland resident, Medicaid-eligible, needs ADL assistance.

$943/month (individual); spend-down available.

$2,500 (individual), $3,000 (couple).

Consumer-directed option allows hiring family caregivers.

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