Texas average 7.4
Last Health inspection on Aug 2025
The Buckingham occupies a 130-bed facility at 8580 Woodway Dr in Houston’s Mid West neighborhood, 11.4 miles from downtown Harris County. Operated by Greystone Management Services Company LLC and administered by Elise Green, the facility opened in August 2006. The license designates it a long-term care facility offering independent, assisted, and memory care alongside nursing home services.
Current occupancy sits at 51% (66 of 130 beds), trailing the Texas average of 63.5%. The community operates on a Medicare-and-private-pay model: 69% of new residents are Medicare-funded short-stay rehabilitation patients (averaging 18 days), while 31% are private-pay residents with typical stays of 1–2 years. Medicaid is not accepted.
Daily nursing hours/resident total 5 hours 5 minutes; 34% above the Texas average of 3 hours 47 minutes, positioning The Buckingham 18th among 289 state nursing homes.
The RN component, at 1 hour 31 minutes daily, surpasses the average by 250%, delivering markedly stronger clinical oversight than peer facilities. LPNs contribute 1 hour 18 minutes (37% above average), and certified nursing aides 2 hours 56 minutes (45% above average). Weekend nursing sustains 4 hours 13 minutes/resident, 41% above state benchmark; with weekend RN hours at 1 hour 6 minutes, 230% above average. Physical therapy hours run 7 minutes/day, 75% above average.
Personnel comprise 22 registered nurses, 18 licensed practical nurses, 47 certified nursing aides, seven speech language pathologists, four clinical nurse specialists, and auxiliary therapy staff.
Health inspection ratings stand at 2 stars, 30.8% below Texas average.
Three-year citation totals reach 25, including 2 critical and 23 moderate violations, with quality-of-life-and-care deficiencies comprising 36%.
Federal penalties imposed over 2023–2025 total $138,000 across nine assessments; 71% above the Texas average and 866% above the typical fine count.
An administrative penalty in January 2025 ($2,250) specifically addressed inadequate staffing for resident supervision.
Pressure ulcer prevalence in high-risk long-stay residents registers at 34.8%, drastically, 687%; above state benchmark of 4.4%. Urinary tract infections affect 4.6% of residents, 467% worse than the 0.8% average. High-risk clinical events score 13.2, 53% worse than Texas average. Functional decline metrics, conversely, run 39% better.
Short-stay rehabilitation outcomes show 60% of residents successfully discharged to home or community, 19% better than average.
Financially, The Buckingham reports gross revenue of $32.2 million but carries a net operating loss of $12.7 million. Payroll comprises 48.1% of revenue, ranked 123rd of 297 Texas facilities; below the typical 51–63% investment.
Occupancy declined 12.5%age points between 2022 (63.4%) and 2023 (50.8%).
The Buckingham accommodates Medicare-funded short-term rehabilitation and private-pay long-term residents, supported by high nursing staffing levels yet marked by clinical risks and regulatory penalties.
The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administered by Elise Green.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
| 2 | 6 | This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Life safety citations
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
Texas average 7.4
Last Health inspection on Aug 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 25 citations resulted from standard inspections; 11 of 25 resulted from complaint investigations; and 2 of 25 came from combined inspections (standard and complaint).
Texas average: 2
Texas average: 0.4
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
809 contractor hours this quarter
| Certified Nursing Assistant | 47 | 0 | 47 | 16,754 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 18 | 0 | 18 | 7,406 | 92 | 100% | 8.7 |
| Registered Nurse | 22 | 0 | 22 | 7,008 | 92 | 100% | 8.2 |
| Other Dietary Services Staff | 8 | 0 | 8 | 2,734 | 91 | 99% | 7.5 |
| Speech Language Pathologist | 7 | 0 | 7 | 2,303 | 72 | 78% | 7.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,872 | 65 | 71% | 8 |
| Physical Therapy Aide | 6 | 1 | 7 | 1,720 | 74 | 80% | 7.2 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,387 | 88 | 96% | 8.1 |
| Qualified Social Worker | 3 | 0 | 3 | 646 | 71 | 77% | 6.3 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 622 | 76 | 83% | 6.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 2 | 0 | 2 | 500 | 63 | 68% | 7.9 |
| Physical Therapy Assistant | 5 | 0 | 5 | 489 | 63 | 68% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Medical Director | 0 | 1 | 1 | 208 | 31 | 34% | 6.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 89 | 13 | 14% | 6.8 |
Includes penalties issued in 2023-2025
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 (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
69% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
Historical financial and operational data for The Buckingham 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.
Minimum Age: 55 Years Old
No pets allowed
Room Sizes: 805 / 2,720 sq. ft
Housing Options: 1 Bed / 2 Bed / 3 Bed
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 (69% of admissions), and a typical Medicare stay runs around 18 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
8.8 miles from city center
Estimated distance in miles from Houston's city center to The Buckingham's address, calculated via Google Maps.
— 1.13 miles to nearest hospital (Silver Medical Services LLC)
Add your location
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Park Manor of CyFair | AL NH SNF | Houston (White Oak Bend) | 120
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89.2%
TX AVG
67.3
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3.27
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7
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25.9
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2.3
TX AVG
3.7
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55
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55
TX AVG
41
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#385 / 1389 | Hmg Park Manor Of Cyfair, L.l.c | $9.7MFiscal year ending 08/2024
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$9.7MFiscal year ending 08/2024
TX AVG
$8.4M
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#142 / 280 | $4.4MFiscal year ending 08/2024
Facility
$4.4MFiscal year ending 08/2024
TX AVG
$3.5M
Rank
#143 / 280 | 45.1%Fiscal year ending 08/2024
Facility
45.1%Fiscal year ending 08/2024
TX AVG
47%
Rank
#141 / 280 | 675818 | ||||
| Houston Transitional Care | AL HOS MC NH PC RC SNF | Houston (Braeburn) | 70
Facility
70
TX AVG
79
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#503 / 972 |
96.0%
Facility
96.0%
TX AVG
67.3
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#4 / 195 | +43% | 3.17
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3.17
TX AVG
3.63
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$0
TX AVG
$81.8k
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#1 / 278 | 16
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16
TX AVG
25.9
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#69 / 274 | 5.3
Facility
5.3
TX AVG
3.7
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#254 / 274 | - | 67 | - |
75
Facility
75
TX AVG
41
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#67 / 1389 | Ahmad El-Saadi | $12.3MFiscal year ending 12/2023
Facility
$12.3MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#32 / 280 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#129 / 280 | 41.4%Fiscal year ending 12/2023
Facility
41.4%Fiscal year ending 12/2023
TX AVG
47%
Rank
#275 / 280 | 676435 | ||||
| Caraday of Houston | AL MC NH RC SNF | Houston (Northside / Northline) | 150
Facility
150
TX AVG
79
Rank
#63 / 972 | - | - | 3.76
Facility
3.76
TX AVG
3.63
Rank
#87 / 273 | -32% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 15
Facility
15
TX AVG
25.9
Rank
#61 / 274 | 3.8
Facility
3.8
TX AVG
3.7
Rank
#190 / 274 | - | 12 | - |
41
Facility
41
TX AVG
41
Rank
#707 / 1389 | E&R Cunningham Investments, LP | $2.7MFiscal year ending 12/2023
Facility
$2.7MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#278 / 280 | $1.8MFiscal year ending 12/2023
Facility
$1.8MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#275 / 280 | 66.5%Fiscal year ending 12/2023
Facility
66.5%Fiscal year ending 12/2023
TX AVG
47%
Rank
#96 / 280 | 676470 | ||||
| Brazos Tower at Bayou Manor | AL IL MC NH SNF | Houston (Braeswood) | 33
Facility
33
TX AVG
79
Rank
#757 / 972 | - | - | 5.78
Facility
5.78
TX AVG
3.63
Rank
#7 / 273 | -37% | +59% | $46.6k
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$46.6k
TX AVG
$81.8k
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#193 / 278 | 5
Facility
5
TX AVG
25.9
Rank
#6 / 274 | 1.7
Facility
1.7
TX AVG
3.7
Rank
#9 / 274 | - | 28 | - |
64
Facility
64
TX AVG
41
Rank
#209 / 1389 | Sharon Darden | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#26 / 280 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#54 / 280 | 151%Fiscal year ending 12/2023
Facility
151%Fiscal year ending 12/2023
TX AVG
47%
Rank
#265 / 280 | 676282 | ||||
| The Buckingham | AL IL MC NH RC SNF | Houston (Mid West) | 130
Facility
130
TX AVG
79
Rank
#134 / 972 | - | - | 5.08
Facility
5.08
TX AVG
3.63
Rank
#17 / 273 | +113% | +40% | $59.9k
Facility
$59.9k
TX AVG
$81.8k
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#201 / 278 | 25
Facility
25
TX AVG
25.9
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#170 / 274 | 3.6
Facility
3.6
TX AVG
3.7
Rank
#174 / 274 | 2 | 73 | - |
56
Facility
56
TX AVG
41
Rank
#365 / 1389 | Greystone Management Services Company, LLC | $28.4MFiscal year ending 12/2023
Facility
$28.4MFiscal year ending 12/2023
TX AVG
$8.4M
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#14 / 280 | $15.0MFiscal year ending 12/2023
Facility
$15.0MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#10 / 280 | 52.7%Fiscal year ending 12/2023
Facility
52.7%Fiscal year ending 12/2023
TX AVG
47%
Rank
#119 / 280 | 676111 |
The Buckingham is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.
The Buckingham is in the Mid West neighborhood of Houston.
The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administered by Elise Green.
The Buckingham has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TX state health department records, The Buckingham's license number is 148854.
According to TX state health department records, The Buckingham's license expires on June 28, 2027.
The Buckingham's occupancy is 50.8%.
The Buckingham has been operating for approximately 19 years, based on available licensing and registration records.
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