3/5
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.
3/5
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.
The Buckingham offers nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in Houston’s Mid West neighborhood. Assisted living includes help with dressing, bathing, and medication while a resident keeps a private living space. Independent living provides private living with community services but no daily care.
Memory care is provided in a secured setting with supervision. Respite care offers a short stay when a family caregiver needs to travel or recover, while skilled nursing provides licensed nursing care on site around the clock. The range of care types may suit a resident whose needs grow over time because different care levels are available within the same community.
The community has 130 beds, with one-bedroom, two-bedroom, and three-bedroom housing options. Medicare and private pay are accepted. Buckingham Senior Living Community operates the community, and Elise Green serves as administrator.
Total nurse staffing is 4 hours and 25 minutes per resident per day, representing the daily nursing time assigned to each resident. A Walk Score of 56 makes the area somewhat walkable, so some errands can be done on foot, and a resident who no longer drives may be able to reach nearby destinations independently.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 4th out of 233 nursing homes we track in Texas for nurse hours. 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 25mStandout metric: Registered nurse (RN) is +179% above Texas average
0 of 6 metrics below Texas average
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. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 8.2-hour shifts
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 8.7-hour shifts
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. All 47 are the facility's own employees; no agency contractors work in this role.
47 staff · 7.7-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
135
132 employees · 3 contractors · 63 on an average day
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↓ 4% · TX 8.1 hThis facility: 7.8 h, 4% below the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
45,219 staff hours this quarter
See full Texas ranking →98.2% of staff hours were worked by the facility's own employees
Texas average: 94.4% · Contractors this quarter: Physical Therapy Aide (1), Medical Director (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A mid-sized community that may balance personal attention with shared amenities and social activities.
130
Rank #65 / 257Bed count — State benchmarked This nursing home is ranked 65th out of 257 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #97 / 147Years in operation — State benchmarked This nursing home is ranked 97th out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #74 / 276Walk Score — State benchmarked This nursing home is ranked 74th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administered by Elise Green.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 3 | 7.0 | This facility has 57% fewer total citations than a typical Texas nursing home (3 vs. TX avg 7).↓ 57% better |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 1 | 4.0 | This facility has 75% fewer health citations than a typical Texas nursing home (1 vs. TX avg 4).↓ 75% better |
|
Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 6.0 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Enforcement actions
Formal penalties the state issued against this facility. In Texas these are administrative penalties, recorded by the Health and Human Services Commission. Recorded January 31, 2025.
| 1 | 0.2 | This facility has 400% more enforcement actions than a typical Texas nursing home (1 vs. TX avg 0.2).↑ 400% worse |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 2 | 1.0 | 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.
100% corrected
25 of 25 citations corrected Latest inspection: Aug 28, 2025 · 6 citations, all corrected
Most cited category: Quality of Life & Care, 9 of 25 citations · 6 categories in total
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
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Corrected
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Corrected
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).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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 Aug 2026
1 penalty in the past 3 years
Latest: Mar 29, 2025 · $14,069 civil money penalty
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,069Totals count every penalty on record; the history lists the past 3 years. Texas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 51% · TX 4.1This facility: 2.0, 51% below the TX average of 4.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 3% · TX 3.1This facility: 3.0, 3% below the TX average of 3.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
20.1
Score · lower is better
↑ 154% · TX 7.9This facility: 20.1, 154% above the TX average of 7.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
33.6
Score · lower is better
↑ 133% · TX 14.5This facility: 33.6, 133% above the TX average of 14.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 7 worse, 1 near TX average
8 short-stay measures: 2 better, 2 worse, 1 near TX average, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
34.9%
↑ 121% · TX 15.8This facility: 34.9, 121% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
45.3%
↑ 224% · TX 14.0This facility: 45.3, 224% above the TX average of 14.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.7%
↑ 54% · TX 13.4This facility: 20.7, 54% above the TX average of 13.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.4%
↑ 307% · TX 0.8This facility: 3.4, 307% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
↓ 67% · TX 3.3This facility: 1.1, 67% below the TX average of 3.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
16.4%
↑ 331% · TX 3.8This facility: 16.4, 331% above the TX average of 3.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.9%
↓ 4% · TX 3.0This facility: 2.9, 4% below the TX average of 3.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · TX 2.4This facility: 0.0, 100% below the TX average of 2.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
8.8%
↓ 9% · TX 9.6This facility: 8.8, 9% below the TX average of 9.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.1%
↓ 10% · TX 96.5This facility: 87.1, 10% below the TX average of 96.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
65.7%
↓ 33% · TX 98.0This facility: 65.7, 33% below the TX average of 98.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.55
↓ 27% · TX 2.13This facility: 1.55, 27% below the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.50
↓ 76% · TX 2.07This facility: 0.50, 76% below the TX average of 2.07 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
41.0%
↓ 24% · US 53.7This facility: 41.0, 24% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
60.0%
↑ 19% · US 50.6This facility: 60.0, 19% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
↓ 66% · US 0.8This facility: 0.3, 66% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
↓ 69% · TX 1.5This facility: 0.5, 69% below the TX average of 1.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.9%
↓ 30% · TX 88.9This facility: 61.9, 30% below the TX average of 88.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.5%
↓ 26% · TX 88.0This facility: 65.5, 26% below the TX average of 88.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.4%
↑ 2% · TX 25.9This facility: 26.4, 2% above the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
↓ 30% · TX 12.0This facility: 8.4, 30% below the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
74% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
The Buckingham’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, but less than last year
−33.4% operating margin
+17.9 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.8M) trims the net loss to −$11.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Texas homes
47.9% payroll share of revenue
TX average 68.8%Rank #150 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 150th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $2.2M while revenue rose $7.6M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Big revenue, persistent losses
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $36.0M | +$7.6M | Trend 20172024 | TX median $9.3M | Rank in TX Rank #4 / 225Net patient revenue — State benchmarked This nursing home is ranked 4th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 99% of homes | Top 2% in TX Higher net patient revenue than 99% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $48.0M | +$5.0M | Trend 20172024 | TX median — | Rank in TX Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$12.0M | +$2.6M | Trend 20172024 | TX median — | Rank in TX Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −33.4% | +17.9 pts | Trend 20172024 | TX median — | Rank in TX Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.8M | — | Trend — | TX median — | Rank in TX Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$11.2M | +$1.5M | Trend — | TX median — | Rank in TX Not ranked | Loss The bottom line is below zero even after other income. |
Spends less of revenue on staff than most Texas homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $17.2M | +$2.2M | Trend 20172024 | TX median $4.9M | Rank in TX Rank #7 / 225Payroll costs — State benchmarked This nursing home is ranked 7th out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 97% of homes | Top 3% in TX by size Higher payroll than 97% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 47.9% | −4.8 pts | Trend 20172024 | TX median 57.6% | Rank in TX Rank #150 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 150th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 26% of homes | 20.9 pts under TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $21.1M | $25.9M | $27.8M | $25.6M | $26.0M | $26.5M | $28.4M | $36.0M |
| Operating expenses | $31.7M | $41.2M | $56.2M | $44.6M | $49.1M | $41.4M | $43.0M | $48.0M |
| Net patient income | −$10.5M | −$15.3M | −$28.4M | −$19.0M | −$23.0M | −$14.9M | −$14.6M | −$12.0M |
| Operating margin | −49.9% | −58.9% | −102.2% | −74.0% | −88.6% | −56.3% | −51.4% | −33.4% |
| Net income | −$8.4M | −$12.6M | −$26.3M | −$17.1M | −$10.0M | −$13.9M | −$12.7M | −$11.2M |
| Payroll costs | $10.9M | $12.7M | $14.0M | $14.7M | $13.3M | $14.7M | $15.0M | $17.2M |
| Payroll share of revenue | 51.6% | 48.8% | 50.4% | 57.2% | 51.2% | 55.6% | 52.7% | 47.9% |
| Beds | 324 | 356 | 504 | 504 | 504 | 504 | 504 | 504 |
| Gross revenue | $23.2M | $28.9M | $31.5M | $27.2M | $28.1M | $28.7M | $30.3M | $38.5M |
| Salaries | $9.4M | $10.9M | $11.8M | $12.6M | $11.6M | $12.7M | $13.1M | $15.0M |
| Wage-related costs | $1.5M | $1.7M | $2.2M | $2.1M | $1.7M | $2.1M | $1.9M | $2.2M |
| Contract labor | $0.0M | $0.2M | $0.1M | $0.1M | $0.1M | $0.2M | $0.5M | $0.3M |
| Other operating costs | $20.8M | $28.6M | $42.2M | $29.9M | $35.7M | $26.6M | $28.0M | $30.8M |
| Net patient revenue per day | $174 | $182 | $194 | $208 | $214 | $227 | $304 | $260 |
| Cost per day | $261 | $290 | $393 | $362 | $404 | $355 | $460 | $347 |
| Average length of stay | 120.1 days | 56.4 days | 66.4 days | 37.1 days | 42.4 days | 42.2 days | 32.2 days | 61.9 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (74% of admissions), and a typical Medicare stay runs around 23 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)
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Communities are listed from highest-ranked to lowest-ranked based on our 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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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 Texas average is: 68.8% 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Park Manor of CyFair | NH SNF | Houston (White Oak Bend) | 120
Facility
120
TX AVG
109
Rank
#98 / 257 |
94.8%
Facility
94.8%
TX AVG
71.5%
Rank
#20 / 175 | +33% | 2.83
Facility
2.83
TX AVG
3.50
Rank
#159 / 233 | +82% | -19% | $0
Facility
$0
TX AVG
$66.1k
Rank
#1 / 236 | 8
Facility
8
TX AVG
27.7
Rank
#12 / 234 | 2.0
Facility
2.0
TX AVG
3.6
Rank
#21 / 234 | - | 114 | - |
55
Facility
55
TX AVG
44
Rank
#80 / 276 | Winnie-Stowell Hospital District | $11.1MFiscal year ending 08/2025
Facility
$11.1MFiscal year ending 08/2025
TX AVG
$10.2M
Rank
#62 / 225 | $4.8MFiscal year ending 08/2025
Facility
$4.8MFiscal year ending 08/2025
TX AVG
$5.8M
Rank
#122 / 225 | 43%Fiscal year ending 08/2025
Facility
43%Fiscal year ending 08/2025
TX AVG
68.8%
Rank
#170 / 202 | 675818 | ||||
| Capstone Healthcare Estates on Orem | NH HOS MC PC RC SNF | Houston (Central Southwest) | 120
Facility
120
TX AVG
109
Rank
#98 / 257 |
79.1%
Facility
79.1%
TX AVG
71.5%
Rank
#63 / 175 | +11% | 2.86
Facility
2.86
TX AVG
3.50
Rank
#208 / 233 | -25% | -18% | $34.4k
Facility
$34.4k
TX AVG
$66.1k
Rank
#148 / 236 | 19
Facility
19
TX AVG
27.7
Rank
#78 / 234 | 2.4
Facility
2.4
TX AVG
3.6
Rank
#40 / 234 | 1 | 95 | - |
55
Facility
55
TX AVG
44
Rank
#80 / 276 | - | $9.2MFiscal year ending 12/2024
Facility
$9.2MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#116 / 225 | $4.1MFiscal year ending 12/2024
Facility
$4.1MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#155 / 225 | 44.7%Fiscal year ending 12/2024
Facility
44.7%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#164 / 202 | 676314 | ||||
| Buckner Parkway Place | NH AL IL MC RC | Houston (Energy Corridor) | 42
Facility
42
TX AVG
109
Rank
#235 / 257 |
91.9%
Facility
91.9%
TX AVG
71.5%
Rank
#13 / 175 | +29% | 3.84
Facility
3.84
TX AVG
3.50
Rank
#38 / 233 | +2% | +10% | $45.7k
Facility
$45.7k
TX AVG
$66.1k
Rank
#170 / 236 | 18
Facility
18
TX AVG
27.7
Rank
#66 / 234 | 3.0
Facility
3.0
TX AVG
3.6
Rank
#87 / 234 | 3 | 39 | - |
81
Facility
81
TX AVG
44
Rank
#9 / 276 | Buckner Retirement Services, Inc | $6.1MFiscal year ending 12/2024
Facility
$6.1MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#188 / 225 | $8.3MFiscal year ending 12/2024
Facility
$8.3MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#36 / 225 | 136.8%Fiscal year ending 12/2024
Facility
136.8%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#11 / 202 | 675777 | ||||
| Courtyard Nursing and Rehabilitation | NH RC SNF | Houston (Southeast Houston) | 120
Facility
120
TX AVG
109
Rank
#98 / 257 |
61.5%
Facility
61.5%
TX AVG
71.5%
Rank
#142 / 175 | -14% | 3.37
Facility
3.37
TX AVG
3.50
Rank
#120 / 233 | -58% | -4% | $0
Facility
$0
TX AVG
$66.1k
Rank
#1 / 236 | 18
Facility
18
TX AVG
27.7
Rank
#66 / 234 | 6.0
Facility
6.0
TX AVG
3.6
Rank
#228 / 234 | 1 | 74 | - |
73
Facility
73
TX AVG
44
Rank
#24 / 276 | Stanwick Senior Care LLC | $6.9MFiscal year ending 12/2024
Facility
$6.9MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#167 / 225 | $4.1MFiscal year ending 12/2024
Facility
$4.1MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#154 / 225 | 59.4%Fiscal year ending 12/2024
Facility
59.4%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#85 / 202 | 455613 | ||||
| The Buckingham | NH AL IL MC RC SNF | Houston (Mid West) | 130
Facility
130
TX AVG
109
Rank
#65 / 257 | - | - | 4.42
Facility
4.42
TX AVG
3.50
Rank
#4 / 233 | +113% | +26% | $14.1k
Facility
$14.1k
TX AVG
$66.1k
Rank
#94 / 236 | 25
Facility
25
TX AVG
27.7
Rank
#126 / 234 | 3.6
Facility
3.6
TX AVG
3.6
Rank
#155 / 234 | 2 | 73 | - |
56
Facility
56
TX AVG
44
Rank
#74 / 276 | Buckingham Senior Living, Inc | $36.0MFiscal year ending 12/2024
Facility
$36.0MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#4 / 225 | $17.2MFiscal year ending 12/2024
Facility
$17.2MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#7 / 225 | 47.9%Fiscal year ending 12/2024
Facility
47.9%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#150 / 202 | 676111 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
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. Somewhat 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 74.9%.
The Buckingham has been operating for approximately 20 years, based on available licensing and registration records.
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