Total health inspections
3
Maryland average 3.9
Last Health inspection on Nov 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Buckingham‘s Choice
Nursing Home, Assisted Living, Independent Living, Memory Care & Hospice Care · Frederick, MD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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
Nursing Home, Assisted Living, Independent Living, Memory Care & Hospice Care · Frederick, MD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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 accepts Medicare and private pay.
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.
Quality ratings
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.
Staffing hours breakdown
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 nursing care / resident
This home is ranked 18th out of 144 homes in Maryland. 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.
This home is ranked 18th out of 144 homes in Maryland. 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.
4h 44m per day
Rank #18 / 144Nurse hours — State benchmarkedThis home is ranked 18th out of 144 homes in Maryland. Shows adjusted nurse hours per resident per day benchmarked to the Maryland average, with a ranking across 144 Maryland SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Maryland avg
+10%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 59m per day |
Types of Care at Buckingham‘s Choice
Assisted Living
Independent Living
Memory Care
Nursing Home
Hospice Care
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
56.8%
Rank #136 / 146Occupancy rate — State benchmarkedThis home is ranked 136th out of 146 homes in Maryland. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 146. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
85 days
Occupancy rate
56.8%
Rank #136 / 146Occupancy rate — State benchmarkedThis home is ranked 136th out of 146 homes in Maryland. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 146. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
85 days
31 years in operation Rank #30 / 209Years in operation — State benchmarkedThis home is ranked 30th out of 209 homes in Maryland. Shows how long this facility has been in operation compared to other Maryland SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 3 / 100 Rank #931 / 986Walk Score — State benchmarkedThis home is ranked 931st out of 986 homes in Maryland. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Maryland SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
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
How BBB ratings work
About this community
CMS Certification Number215329
Staffing
Key information about the people who lead and staff this community.
ContactMrs. Jaclyn Harris, President/CEO
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Rehabilitation Therapy
Fitness Center
Gourmet Dining
Social Spaces
Nature Trails
Outdoor Areas
Operating Hours24/7
Health Inspection History
Inspections
Total health citations
29
Rank #30 / 146Health citations — State benchmarkedThis home is ranked 30th out of 146 homes in Maryland. Shows this facility's total health deficiency citations benchmarked to the Maryland State average, with a ranking across all 146 MD SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Maryland average 49.9
Citations per inspection
9.67
Rank #55 / 146Citations per inspection — State benchmarkedThis home is ranked 55th out of 146 homes in Maryland. Shows average deficiency citations per CMS inspection for this facility versus the Maryland mean across 146 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 8 years)
Critical Health citations
0
100% better than Maryland averageMaryland average: 0.5
Serious Health citations
0
100% better than Maryland averageMaryland average: 0.6
Citations history (last 8 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
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
62
Employees
60
Contractors
2
Staff to resident ratio
2.21:1
22% better than Maryland average
Avg staff/day
20
Average shift
7.1 hours
11% worse than Maryland average
Total staff hours (quarter)
13,105
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1.2%
158 contractor hours this quarter
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
20 Certified Nursing Assistant
% of Days
100%
14 Registered Nurse
% of Days
100%
4 Licensed Practical Nurse
% of Days
80%
4 Physical Therapy Assistant
% of Days
76%
1 Other Dietary Services Staff
% of Days
71%
1 Clinical Nurse Specialist
% of Days
70%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Mental Health Service Worker
% of Days
66%
1 Dietitian
% of Days
63%
4 Respiratory Therapy Technician
% of Days
67%
3 Speech Language Pathologist
% of Days
64%
1 Physical Therapy Aide
% of Days
59%
1 Occupational Therapy Aide
% of Days
26%
2 Qualified Social Worker
% of Days
18%
2 Occupational Therapy Assistant
% of Days
8%
1 Medical Director
% of Days
15%
Penalties and fines
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.0
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.2
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.2%
Percent of long-stay residents whose need for help with daily activities has increased
22.2%
6% better than Maryland averageMaryland average: 23.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.1%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
11% worse than Maryland averageMaryland average: 2.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
14.7%
Percent of long-stay high risk residents with pressure ulcers
14.7%
126% worse than Maryland averageMaryland average: 6.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Maryland averageMaryland average: 1.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
23% better than Maryland averageMaryland average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Maryland averageMaryland average: 20.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.4%
Percent of long-stay residents who received an antipsychotic medication
11.4%
12% better than Maryland averageMaryland average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Maryland averageMaryland average: 92.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland averageMaryland average: 96.6%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
27% better than Maryland averageMaryland average: 78.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
94% worse than Maryland averageMaryland average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
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.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
28
Medicare
6
21.4% of residents
Medicaid
1
3.6% of residents
Private pay or other
21
75% of residents
Programs & Services
CCRC
Part 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.
Financial Trends
Historical financial and operational data for Buckingham‘s Choice based on CMS SNF Cost Reports.
Occupancy Rate
56.8%
↑ 0.6pp vs 2022
Net Income
$4.1M
↑ ~$351.4K vs 2022
Total Payroll
$9.9M
↑ ~$429.7K vs 2022
Profit Margin
19.6%
↓ 0.0pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$22.3M
Surplus of revenue
$4.1M
Voluntary non-profit community
Home revenue
$22.3M Rank #52 / 145Revenue — State benchmarkedThis home is ranked 52nd out of 145 homes in Maryland. Shows this facility's annual revenue compared to the Maryland SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$4.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #47 / 145Payroll — State benchmarkedThis home is ranked 47th out of 145 homes in Maryland. Shows total annual staff payroll benchmarked to the Maryland average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #47 / 145Payroll — State benchmarkedThis home is ranked 47th out of 145 homes in Maryland. Shows total annual staff payroll benchmarked to the Maryland average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.2M
What does this home offer?
Housing Options: Private Rooms
Building Type: 3-story
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Over 35 years of experience
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.
Places of interest near Buckingham‘s Choice
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)
Calculate Travel Distance to Buckingham‘s Choice
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Financial Assistance for
Nursing Home in Maryland
Buckingham‘s Choice is located in Adamstown, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Frequently Asked Questions about Buckingham‘s Choice
What neighborhood is Buckingham‘s Choice in?
Buckingham‘s Choice is in the Baker Circle neighborhood of Adamstown.
Is Buckingham‘s Choice in a walkable area?
Buckingham‘s Choice has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.
Are there photos of Buckingham‘s Choice?
Yes — there are 2 photos of Buckingham‘s Choice in the photo gallery on this page.
What is the phone number of Buckingham‘s Choice?
(301) 874-5630 will put you in contact with the team at Buckingham‘s Choice.
Is Buckingham‘s Choice Medicare or Medicaid certified?
Yes — Buckingham‘s Choice is a CMS-certified provider of Medicare and Medicaid.
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