5/5
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.
5/5
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.
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.
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.
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.
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.
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.
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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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 31m per day | ▲ 86% State avg: 49m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 27m per day | ▼ 50% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
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 9m per day | ■ Avg State avg: 2h 8m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 35m per day | ■ Avg State avg: 3h 31m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 8m per day | ▲ 35% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
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 16m per day | ▲ 109% State avg: 37m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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.
100% better than Maryland averageMaryland average: 0.5
100% better than Maryland averageMaryland average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
22% more staff per resident than Maryland average
11% worse than Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 14 RN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
All 4 LPN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.2 hoursHelps with daily care and mobility.
All 20 CNA Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
158 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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.
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 averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
18% better than Maryland averageMaryland average: 25.7
Percent of long-stay residents whose need for help with daily activities has increased
22.2%
6% better than Maryland averageMaryland average: 23.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.1%
23% better than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
11% worse than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
14.7%
126% worse than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
4.4%
23% better than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
11.4%
12% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland averageMaryland average: 96.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
27% better than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
94% worse than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
24% better than Maryland averageMaryland average: 80.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
Total residents
28Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Buckingham‘s Choice from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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.
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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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.
8.0 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)
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The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| Homewood Living Frederick | NH AL IL MC | Frederick | 120
Facility
120
MD AVG
43
Rank
#79 / 697 | 72.3% | -12% | 4.25 | +3% | +13% | $0 | 19
Facility
19
MD AVG
49.9
Rank
#12 / 149 | 6.3 | - | 83 | - |
14
Facility
14
MD AVG
43
Rank
#788 / 985 | Phillip Bowers | $21.8M | $15.3M | 70.1%
Facility
70.1%
MD AVG
38.5%
Rank
#124 / 148 | 215245 | ||||
| Buckingham‘s Choice | NH AL MC RC | Adamstown (Baker Circle) | 42
Facility
42
MD AVG
43
Rank
#237 / 697 | 56.8% | -31% | 4.73 | +64% | +25% | $0 | 29 | 9.7 | - | 25 | - |
3
Facility
3
MD AVG
43
Rank
#930 / 985 | - | $19.9M | $9.9M | 49.5% | 215329 | ||||
| Autumn Lake Healthcare at Braddock Heights | NH AL | Frederick (Braddock Estates) | 65
Facility
65
MD AVG
43
Rank
#202 / 697 | 73.7% | -11% | 3.10 | -24% | -18% | $0 | 54
Facility
54
MD AVG
49.9
Rank
#99 / 149 | 18.0 | - | 55 | - |
0
Facility
0
MD AVG
43
Rank
#959 / 985 | As Family Vb Holdings LLC | $7.1M | $1.2M | 16.8% | 215199 | ||||
| Citizens Nursing Home | NH HC MC RC | Frederick (Rosemont Avenue) | 170
Facility
170
MD AVG
43
Rank
#24 / 697 | 94.2% | +14% | 3.31 | -21% | -12% | $0 | 41 | 10.3 | 1 | 159 | - |
41
Facility
41
MD AVG
43
Rank
#508 / 985 | Frederick County Maryland | $25.8M | $14.1M | 54.6% | 215105 | ||||
| Autumn Lake Healthcare at Ballenger Creek | NH | Frederick (Ballenger Creek Center) | 130
Facility
130
MD AVG
43
Rank
#66 / 697 | 87.8% | +7% | 3.16 | -43% | -16% | $0 | 59
Facility
59
MD AVG
49.9
Rank
#108 / 149 | 19.7 | 2 | 116 | - |
36
Facility
36
MD AVG
43
Rank
#563 / 985 | 347 Ballenger Holdco LLC | $19.4M | $1.4M | 7.4% | 215001 |
Buckingham‘s Choice is located in Adamstown, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Buckingham‘s Choice is in the Baker Circle neighborhood of Adamstown.
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 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.
(301) 874-5630 will put you in contact with the team at Buckingham‘s Choice.
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