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
| 3 | 6 | This facility has 50% fewer total citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better |
|
Health citations
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% 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
| 2 | 1 | This facility has 100% more inspections with citations than a typical Texas nursing home (2 vs. TX avg 1).↑ 100% worse |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
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 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.
1 penalty in the past 3 years
Mar 29, 2025 · $14K
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.
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.
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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 Texas average is: 71.6% 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.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Park Manor of CyFair | AL NH SNF | Houston (White Oak Bend) | 120
Facility
120
TX AVG
78
Rank
#192 / 980 |
90.4%
Facility
90.4%
TX AVG
71.2
Rank
#20 / 163 | +27% | 3.07
Facility
3.07
TX AVG
3.63
Rank
#161 / 234 | +82% | -16% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 237 | 7
Facility
7
TX AVG
25.9
Rank
#11 / 234 | 2.3
Facility
2.3
TX AVG
3.7
Rank
#38 / 234 | - | 109 | - |
55
Facility
55
TX AVG
42
Rank
#384 / 1,345 | Hmg Park Manor Of Cyfair, L.l.c | $9.7MFiscal year ending 08/2024
Facility
$9.7MFiscal year ending 08/2024
TX AVG
$9.4M
Rank
#77 / 218 | $4.4MFiscal year ending 08/2024
Facility
$4.4MFiscal year ending 08/2024
TX AVG
$5.4M
Rank
#127 / 218 | 45.1%Fiscal year ending 08/2024
Facility
45.1%Fiscal year ending 08/2024
TX AVG
71.6%
Rank
#169 / 199 | 675818 | ||||
| Caraday of Houston | AL MC NH RC SNF | Houston | 150
Facility
150
TX AVG
78
Rank
#58 / 980 | - | - | 4.01
Facility
4.01
TX AVG
3.63
Rank
#57 / 234 | -32% | +10% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 237 | 15
Facility
15
TX AVG
25.9
Rank
#52 / 234 | 3.8
Facility
3.8
TX AVG
3.7
Rank
#163 / 234 | - | 12 | - |
41
Facility
41
TX AVG
42
Rank
#709 / 1,345 | E&R Cunningham Investments, LP | $2.7MFiscal year ending 12/2023
Facility
$2.7MFiscal year ending 12/2023
TX AVG
$9.4M
Rank
#214 / 218 | $1.8MFiscal year ending 12/2023
Facility
$1.8MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#198 / 218 | 66.5%Fiscal year ending 12/2023
Facility
66.5%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
#60 / 199 | 676470 | ||||
| Buckner Parkway Place | AL IL MC NH RC | Houston (Energy Corridor) | 42
Facility
42
TX AVG
78
Rank
#716 / 980 |
93.1%
Facility
93.1%
TX AVG
71.2
Rank
#13 / 163 | +31% | 4.29
Facility
4.29
TX AVG
3.63
Rank
#39 / 234 | +2% | +18% | $45.7k
Facility
$45.7k
TX AVG
$81.8k
Rank
#161 / 237 | 17
Facility
17
TX AVG
25.9
Rank
#72 / 234 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#136 / 234 | 3 | 39 | - |
81
Facility
81
TX AVG
42
Rank
#30 / 1,345 | Buckner Retirement Services Inc | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
TX AVG
$9.4M
Rank
#184 / 218 | $7.5MFiscal year ending 12/2023
Facility
$7.5MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#38 / 218 | 132%Fiscal year ending 12/2023
Facility
132%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
#9 / 199 | 675777 | ||||
| Brazos Tower at Bayou Manor | AL IL MC NH SNF | Houston (Braeswood) | 33
Facility
33
TX AVG
78
Rank
#756 / 980 | - | - | 5.38
Facility
5.38
TX AVG
3.63
Rank
#13 / 234 | -37% | +48% | $46.6k
Facility
$46.6k
TX AVG
$81.8k
Rank
#164 / 237 | 5
Facility
5
TX AVG
25.9
Rank
#6 / 234 | 1.7
Facility
1.7
TX AVG
3.7
Rank
#8 / 234 | - | 34 | - |
64
Facility
64
TX AVG
42
Rank
#209 / 1,345 | Sharon Darden | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
TX AVG
$9.4M
Rank
#197 / 218 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#39 / 218 | 151%Fiscal year ending 12/2023
Facility
151%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
#8 / 199 | 676282 | ||||
| The Buckingham | AL IL MC NH RC SNF | Houston (Mid West) | 130
Facility
130
TX AVG
78
Rank
#126 / 980 | - | - | 5.93
Facility
5.93
TX AVG
3.63
Rank
#4 / 234 | +113% | +63% | $59.9k
Facility
$59.9k
TX AVG
$81.8k
Rank
#171 / 237 | 25
Facility
25
TX AVG
25.9
Rank
#148 / 234 | 3.6
Facility
3.6
TX AVG
3.7
Rank
#150 / 234 | 2 | 57 | - |
56
Facility
56
TX AVG
42
Rank
#364 / 1,345 | Greystone Management Services Company, LLC | $28.4MFiscal year ending 12/2023
Facility
$28.4MFiscal year ending 12/2023
TX AVG
$9.4M
Rank
#3 / 218 | $15.0MFiscal year ending 12/2023
Facility
$15.0MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#7 / 218 | 52.7%Fiscal year ending 12/2023
Facility
52.7%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
#133 / 199 | 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 20 years, based on available licensing and registration records.
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