Buckingham‘s Choice
Buckingham‘s Choice is an Independent Living Home in Maryland
Buckingham‘s Choice is an Independent Living Home in Maryland
Buckingham‘s Choice
Buckingham‘s Choice is an Independent Living Home in Maryland
Buckingham‘s Choice is an Independent Living Home in Maryland
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.
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.
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Occupancy trails most facilities in the state, suggesting excess open capacity. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Resident stays are comparable to other state facilities, implying stable turnover.
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Home revenue lands near the state median, signaling steady but not standout inflows. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income exceeds the majority of state facilities, highlighting strong profitability.
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Medicare nights lag behind other facilities, revealing limited Medicare demand. Medicaid nights fall below most peers, pointing to lighter Medicaid reliance. Private pay nights hover around the statewide average, supporting a diversified mix.
How BBB ratings work
Additional licensing details
Staffing
Key information about the people who lead and staff this community.
Leadership
What does this home offer?
Housing Options: Private Rooms
Building Type: 3-story
Transportation Services
Fitness and Recreation
Types of Care at Buckingham‘s Choice
Comparison Chart
The information below is reported by the Maryland Department of Health, Office of Health Care Quality.For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
For seniors needing help with daily tasks but not full-time nursing.
For self-sufficient seniors seeking community and minimal assistance.
Touring Checklist for Senior Living
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Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
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Places of interest near Buckingham‘s Choice
8 miles from city center
3200 Baker Cir, Adamstown, MD 21710
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 13 | 8 | No |
| Licensed Practical Nurse | 3 | 12.3 | No |
| Certified Nursing Assistant | 19 | 7.5 | No |
Staff by Category
Contractor Analysis
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 19 | 0 | 19 | 5,489 | 91 | 100% | 7.5 |
| Registered Nurse | 13 | 0 | 13 | 2,404 | 91 | 100% | 8 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,376 | 81 | 89% | 12.3 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,022 | 69 | 76% | 6 |
| Physical Therapy Assistant | 5 | 0 | 5 | 723 | 65 | 71% | 6.1 |
| Nurse Practitioner | 4 | 0 | 4 | 512 | 57 | 63% | 8.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 510 | 65 | 71% | 7.9 |
| Dietitian | 1 | 0 | 1 | 467 | 59 | 65% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 462 | 62 | 68% | 7.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 439 | 56 | 62% | 7.8 |
| Speech Language Pathologist | 3 | 0 | 3 | 376 | 64 | 70% | 5.2 |
| Physical Therapy Aide | 1 | 0 | 1 | 321 | 56 | 62% | 5.7 |
| Qualified Social Worker | 2 | 0 | 2 | 240 | 39 | 43% | 6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 157 | 24 | 26% | 6.5 |
| RN Director of Nursing | 1 | 0 | 1 | 16 | 1 | 1% | 16 |
| Occupational Therapy Assistant | 2 | 0 | 2 | 14 | 5 | 5% | 2.8 |
| Medical Director | 1 | 0 | 1 | 13 | 13 | 14% | 1 |
Health Inspection History
Source: CMS Health Citations (Jun 2018 – Nov 2024)
Citation Severity Distribution
Top Deficiency Categories
Citation Sources
State Comparison (MD)
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Nov 22, 2024 | E | Nutrition | F0804 | Corrected |
| Nov 22, 2024 | E | Nutrition | F0812 | Corrected |
| Nov 22, 2024 | D | Quality of Care | F0689 | Corrected |
| Nov 22, 2024 | E | Care Planning | F0641 | Corrected |
| Nov 22, 2024 | E | Care Planning | F0656 | Corrected |
| Nov 22, 2024 | D | Care Planning | F0657 | Corrected |
| Aug 19, 2019 | D | Infection Control | F0880 | Corrected |
| Aug 19, 2019 | F | Nutrition | F0812 | Corrected |
| Aug 19, 2019 | D | Pharmacy | F0758 | Corrected |
| Aug 19, 2019 | D | Care Planning | F0638 | Corrected |
| Aug 19, 2019 | D | Care Planning | F0655 | Corrected |
| Aug 19, 2019 | D | Care Planning | F0656 | Corrected |
| Aug 19, 2019 | D | Care Planning | F0657 | Corrected |
| Aug 19, 2019 | D | Care Planning | F0658 | Corrected |
| Aug 19, 2019 | D | Care Planning | F0661 | Corrected |
| Aug 19, 2019 | D | Care Planning | F0842 | Corrected |
| Aug 19, 2019 | D | Resident Rights | F0578 | Corrected |
| Aug 19, 2019 | D | Resident Rights | F0580 | Corrected |
| Aug 19, 2019 | D | Resident Rights | F0584 | Corrected |
| Jun 22, 2018 | C | Nutrition | F0812 | Corrected |
| Jun 22, 2018 | D | Pharmacy | F0758 | Corrected |
| Jun 22, 2018 | D | Care Planning | F0641 | Corrected |
| Jun 22, 2018 | D | Care Planning | F0645 | Corrected |
| Jun 22, 2018 | C | Care Planning | F0655 | Corrected |
| Jun 22, 2018 | E | Care Planning | F0656 | Corrected |
| Jun 22, 2018 | D | Care Planning | F0842 | Corrected |
| Jun 22, 2018 | C | Resident Rights | F0577 | Corrected |
| Jun 22, 2018 | D | Resident Rights | F0584 | Corrected |
| Jun 22, 2018 | C | Resident Rights | F0623 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Resident Census by Payment Source
Programs & Services
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for Maryland Seniors
- General: Age 65+ or disabled, Maryland resident, Medicaid- eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
- MD Specifics: High urban demand; rural outreach efforts.
- Services: Personal care (5-7 hours/day, e.g., bathing, dressing), respite care (up to 240 hours/year), adult day care ($70/day), home modifications ($1,500 avg.).
- General: Age 65+, Maryland resident, at risk of nursing home placement.
- Income Limits: ~$2,000/month (individual, varies by county).
- Asset Limits: $11,000 (individual).
- MD Specifics: Limited funding; waitlists common in high-demand areas.
- Services: In-home care (3-5 hours/week), respite care (up to 10 days/year), meals (~$6/meal), transportation (~5 trips/month), case management.
- General: Age 65+, Maryland resident, Medicaid-eligible, requires nursing home-level care.
- Income Limits (2025): $943/month (individual); most income applied to care costs.
- Asset Limits: $2,500 (individual), $3,000 (couple); spousal protections up to $155,356.
- MD Specifics: Home equity limit $636,000; estate recovery applies post-55.
- Services: 24/7 nursing care, meals, therapy, medications (unlimited per medical need).
- General: Age 62+, Maryland resident, in or moving to approved assisted living, low/moderate income.
- Income Limits (2025): ~$34,000/year (individual, varies by county).
- Asset Limits: Not strict; prioritizes low-income.
- MD Specifics: Not available statewide; facility must be licensed by MDH.
- Services: Personal care, meals, 24-hour supervision (up to $1,500/month subsidy typical).
- General: Wartime veteran/spouse, age 65+ or disabled, needs ADL help, Maryland resident.
- Income Limits (2025): Net income minus medical expenses < $1,984/month (individual with A&A).
- Asset Limits: $155,356 (net worth limit).
- MD Specifics: High veteran population in suburban/rural areas.
- Services: Cash benefit ($1,478-$2,471/month, varies by status) for care costs.
- General: Age 65+, Maryland resident (6+ months), Medicare Part D enrolled.
- Income Limits (2025): $48,560/year (individual, 300% FPL).
- Asset Limits: None specified.
- MD Specifics: Supplements Medicare Part D; annual enrollment required.
- Services: Up to $40/month premium subsidy, reducing drug costs.
- General: Age 65+, Maryland resident, Medicare Part A/B enrollee.
- Income Limits (2025): $2,014/month (QMB), $2,706/month (SLMB/QI, individual).
- Asset Limits: $9,090 (individual), $13,630 (couple).
- MD Specifics: Includes QMB, SLMB, QI categories.
- Services: Covers premiums (up to $174.70/month Part B), co-pays, deductibles.
- General: Age 65+, Maryland resident, Medicaid-eligible, needs ADL assistance.
- Income Limits (2025): $943/month (individual); spend-down available.
- Asset Limits: $2,500 (individual), $3,000 (couple).
- MD Specifics: Consumer-directed option allows hiring family caregivers.
- Services: Personal care (hours vary, typically 20-30/week), chores, nurse supervision.
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