Buckingham‘s Choice

Independent Living Home
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 Official CMS rating based on health inspections, staffing and quality measures.
5/5
Maryland average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Maryland average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Maryland average: 3.0/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Maryland average: 3.7/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 44m per day

This home provides 25% more nursing time per resident than the state average.

Maryland average: 3h 46m 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 home
Other
Home revenue
$22.3M
Surplus of revenue
$4.1M
Voluntary non-profit home Other
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

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

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

Compare Independent Living around Frederick

The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
Buckingham‘s Choice
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Adamstown
42
No
A+
3
56.8%
$20,863,924.00
$8,508,247.00
40.8%
25.70
5/5
4.7331
4/5
5/5
4/5
29
+54%
+25%
-31%
1 Bed
Creekside at Taskers Chance
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Frederick (Taskers Chance)
-
Yes
A+
32
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 Bed / 2 Bed
Spring Ridge Senior Apartments
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Frederick
-
No
-
0
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 Bed / 2 Bed
Taney Village Apartments
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Frederick (Heather Ridge)
-
Yes
-
69
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 Bed
Victoria Park at Walkersville
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Walkersville
-
No
A+
45
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 Bed / 2 Bed

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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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

64
Total Staff
63
Employees
1
Contractors
15,052
Total Hours (Quarter)
22
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse138 No
Licensed Practical Nurse312.3 No
Certified Nursing Assistant197.5 No
Staff by Category
Administration
2 staff
6.8hs shift avg
Nursing Staff
36 staff
8.1hs shift avg
Physicians & Practitioners
5 staff
8hs shift avg
Therapy Services
16 staff
5.8hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
6hs shift avg
Dietary Services
2 staff
7.9hs shift avg
Other Services
1 staff
7.4hs shift avg
Contractor Analysis
1%
of total hours from contractors
157 contractor hours this quarter
Occupational Therapy Aide: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
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

Health Inspection History

Inspections
Total health inspections 3

Maryland average 3.9


Last Health inspection on Nov 2024

Total health citations 29
Citations per inspection
9.67

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 Nov 22, 2024
Corrected

Nutrition moderate citation Nov 22, 2024
Corrected

Quality of Care moderate citation Nov 22, 2024
Corrected

Care Planning moderate citation Nov 22, 2024
Corrected

Facility Characteristics

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

Ownership: Non-Profit Corporation
Part of: Acts Life
Resident Census by Payment Source
28 Total Residents
Medicare 6 (21.4%)
Medicaid 1 (3.6%)
Private Pay/Other 21 (75%)
Programs & Services
CCRC

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

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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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