Maryland average 3.9
Last Health inspection on Nov 2024
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.
Maryland average 3.9
Last Health inspection on Nov 2024
Maryland average 49.9
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.
Maryland average: 0.5
Maryland average: 0.6
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
158 contractor hours this quarter
| Certified Nursing Assistant | 20 | 0 | 20 | 4,977 | 92 | 100% | 7 |
| Registered Nurse | 14 | 0 | 14 | 2,505 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,060 | 74 | 80% | 11.2 |
| Physical Therapy Assistant | 4 | 0 | 4 | 587 | 70 | 76% | 4.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 533 | 65 | 71% | 8.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 523 | 64 | 70% | 8.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 446 | 61 | 66% | 7.3 |
| Dietitian | 1 | 0 | 1 | 438 | 58 | 63% | 7.6 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 304 | 62 | 67% | 4.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 270 | 59 | 64% | 4.5 |
| Physical Therapy Aide | 1 | 0 | 1 | 180 | 54 | 59% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 144 | 24 | 26% | 6 |
| Qualified Social Worker | 2 | 0 | 2 | 80 | 17 | 18% | 4.7 |
| Occupational Therapy Assistant | 1 | 1 | 2 | 21 | 7 | 8% | 3 |
| Medical Director | 1 | 0 | 1 | 14 | 14 | 15% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
71% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Part of a Continuing Care Retirement Community offering multiple care levels
Historical financial and operational data for Buckingham‘s Choice from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
No pets allowed
Housing Options: Private Rooms
Building Type: 3-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (71% of admissions), and a typical Medicare stay runs around 28 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
2.8 miles from city center
Estimated distance in miles from Adamstown's city center to Buckingham‘s Choice's address, calculated via Google Maps.
— 14.15 miles to nearest hospital (Frederick Health Mt Airy)
Add your location
Info below is compiled from CMS reports & the MD Dept. of Health (OHCQ), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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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.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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 Maryland average is: 50.3% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Homewood Living Frederick | NH AL IL MC SNF | Frederick | 120
Facility
120
MD AVG
42
Rank
#72 / 684 |
68.4%
Facility
68.4%
MD AVG
82.2
Rank
#76 / 91 | -17% | 4.83
Facility
4.83
MD AVG
3.77
Rank
#19 / 120 | +3% | +28% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 123 | 19
Facility
19
MD AVG
49.9
Rank
#12 / 123 | 6.3
Facility
6.3
MD AVG
12.8
Rank
#12 / 123 | - | 82 | - | 14 | Phillip Bowers | $21.8MFiscal year ending 12/2023
Facility
$21.8MFiscal year ending 12/2023
MD AVG
$18.4M
Rank
#29 / 105 | $15.3MFiscal year ending 12/2023
Facility
$15.3MFiscal year ending 12/2023
MD AVG
$8.4M
Rank
#10 / 105 | 70.1%Fiscal year ending 12/2023
Facility
70.1%Fiscal year ending 12/2023
MD AVG
50.3%
Rank
#11 / 105 | 215245 | ||||
| Buckingham‘s Choice | NH AL MC RC SNF | Adamstown | 42
Facility
42
MD AVG
42
Rank
#222 / 684 |
59.0%
Facility
59.0%
MD AVG
82.2
Rank
#82 / 91 | -28% | 5.05
Facility
5.05
MD AVG
3.77
Rank
#16 / 120 | +64% | +34% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 123 | 29
Facility
29
MD AVG
49.9
Rank
#27 / 123 | 9.7
Facility
9.7
MD AVG
12.8
Rank
#46 / 123 | - | 25 | - |
3
Facility
3
MD AVG
66
Rank
#930 / 953 | - | $19.9MFiscal year ending 12/2023
Facility
$19.9MFiscal year ending 12/2023
MD AVG
$18.4M
Rank
#34 / 105 | $9.9MFiscal year ending 12/2023
Facility
$9.9MFiscal year ending 12/2023
MD AVG
$8.4M
Rank
#28 / 105 | 49.5%Fiscal year ending 12/2023
Facility
49.5%Fiscal year ending 12/2023
MD AVG
50.3%
Rank
#34 / 105 | 215329 | ||||
| Citizens Nursing Home | NH HOS MC RC SNF | Frederick | 170
Facility
170
MD AVG
42
Rank
#22 / 684 |
93.5%
Facility
93.5%
MD AVG
82.2
Rank
#22 / 91 | +14% | 3.80
Facility
3.80
MD AVG
3.77
Rank
#45 / 120 | -21% | +1% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 123 | 41
Facility
41
MD AVG
49.9
Rank
#60 / 123 | 10.3
Facility
10.3
MD AVG
12.8
Rank
#50 / 123 | 1 | 159 | - | 41 | Frederick County Maryland | $25.8MFiscal year ending 06/2024
Facility
$25.8MFiscal year ending 06/2024
MD AVG
$18.4M
Rank
#15 / 105 | $14.1MFiscal year ending 06/2024
Facility
$14.1MFiscal year ending 06/2024
MD AVG
$8.4M
Rank
#14 / 105 | 54.6%Fiscal year ending 06/2024
Facility
54.6%Fiscal year ending 06/2024
MD AVG
50.3%
Rank
#22 / 105 | 215105 | ||||
| Autumn Lake Healthcare at Braddock Heights | NH HOS RC SNF | Frederick (Braddock Estates) | 65
Facility
65
MD AVG
42
Rank
#189 / 684 |
87.8%
Facility
87.8%
MD AVG
82.2
Rank
#46 / 91 | +7% | 3.36
Facility
3.36
MD AVG
3.77
Rank
#65 / 120 | -24% | -11% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 123 | 54
Facility
54
MD AVG
49.9
Rank
#81 / 123 | 18.0
Facility
18.0
MD AVG
12.8
Rank
#103 / 123 | - | 57 | - | - | As Family Vb Holdings LLC | $7.1MFiscal year ending 12/2023
Facility
$7.1MFiscal year ending 12/2023
MD AVG
$18.4M
Rank
#98 / 105 | $1.2MFiscal year ending 12/2023
Facility
$1.2MFiscal year ending 12/2023
MD AVG
$8.4M
Rank
#100 / 105 | 16.8%Fiscal year ending 12/2023
Facility
16.8%Fiscal year ending 12/2023
MD AVG
50.3%
Rank
#73 / 105 | 215199 | ||||
| Frederick Health & Rehabilitation Center | NH HOS MC RC SNF | Frederick (Wyngate) | 120
Facility
120
MD AVG
42
Rank
#72 / 684 |
94.0%
Facility
94.0%
MD AVG
82.2
Rank
#18 / 91 | +14% | 3.29
Facility
3.29
MD AVG
3.77
Rank
#77 / 120 | -50% | -13% | $13.5k
Facility
$13.5k
MD AVG
$65.0k
Rank
#90 / 123 | 109
Facility
109
MD AVG
49.9
Rank
#119 / 123 | 27.3
Facility
27.3
MD AVG
12.8
Rank
#119 / 123 | 3 | 113 | - | 55 | - | $13.4MFiscal year ending 12/2023
Facility
$13.4MFiscal year ending 12/2023
MD AVG
$18.4M
Rank
#77 / 105 | $6.6MFiscal year ending 12/2023
Facility
$6.6MFiscal year ending 12/2023
MD AVG
$8.4M
Rank
#52 / 105 | 49.7%Fiscal year ending 12/2023
Facility
49.7%Fiscal year ending 12/2023
MD AVG
50.3%
Rank
#32 / 105 | 215184 |
Buckingham‘s Choice is located in Adamstown, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Buckingham‘s Choice has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.
Buckingham‘s Choice's occupancy is 56.8%.
Buckingham‘s Choice has been operating for approximately 31 years, based on available licensing and registration records.
No, Buckingham‘s Choice has a no-pet policy.
Buckingham‘s Choice is registered as a non-profit in MD.
Yes — there are 6 photos of Buckingham‘s Choice in the photo gallery on this page.
Buckingham‘s Choice is located at 3200 Baker Cir, Adamstown, MD 21710.
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