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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.
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 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 Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 18th out of 289 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 24m per day | ▲ 223% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 6m per day | ▲ 16% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 42m per day | ▲ 34% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 30m per day | ▲ 51% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 39% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 51m per day | ▲ 156% State avg: 20m per day · National avg: 28m per day |
Lower than the Texas average: 63.5%The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administrated 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.
Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
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.
| 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
Violations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Citations per year
Average citations per year since 2023.
| 0.7 | 2 | This facility has 65% fewer citations per year than a typical Texas nursing home (0.7 vs. TX avg 2).↓ 65% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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).
In line with Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
100% fewer staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 22 RN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 47 CNA Staff are full-time employees. No contractors work on this role.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
809 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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)
71% higher than Texas averageTexas average: $80K
866% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
6 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 29, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 7, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
53% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.8
39% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.5%
23% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.2%
54% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
11% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
34.8%
687% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.6%
467% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.6%
25% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
7.6%
In line with Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.5%
28% worse than Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
65.7%
33% worse than Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.55
27% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.50
76% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
52.3%
42% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
20% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.5%
26% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.4%
In line with Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
30% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
66% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
41.0%
24% worse than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.0%
19% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 297Payroll — State benchmarkedThis home is ranked 8th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Minimum Age: 55 Years Old
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.
11.4 miles from city center
Estimated distance in miles from Houston's city center to The Buckingham's address, calculated via Google Maps.
— 7.19 miles to nearest hospital (Texas Children's Hospital)
Add your location
The Buckingham is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| Treemont Senior Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Houston (Mid West) | 54
Facility
54
TX AVG
80
Rank
#657 / 988 | - | - | 4.85
Facility
4.85
TX AVG
3.63
Rank
#26 / 289 | -33% | +33% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 11
Facility
11
TX AVG
25.9
Rank
#32 / 292 | 3.7
Facility
3.7
TX AVG
3.7
Rank
#190 / 292 | - | 43 |
58
Facility
58
TX AVG
41
Rank
#328 / 1391 | Treemont Care, LLC | $5.2M
Facility
$5.2M
TX AVG
$8.4M
Rank
#268 / 297 | $3.3M
Facility
$3.3M
TX AVG
$3.5M
Rank
#249 / 297 | 63.2%
Facility
63.2%
TX AVG
47%
Rank
#30 / 297 | 676009 | ||||
| The Buckingham |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Houston (Mid West) | 130
Facility
130
TX AVG
80
Rank
#136 / 988 |
50.8%
Facility
50.8%
TX AVG
63.5%
Rank
#240 / 297 | -20% | 5.08
Facility
5.08
TX AVG
3.63
Rank
#18 / 289 | +113% | +40% | $59.9k
Facility
$59.9k
TX AVG
$81.8k
Rank
#271 / 294 | 25
Facility
25
TX AVG
25.9
Rank
#181 / 292 | 3.6
Facility
3.6
TX AVG
3.7
Rank
#181 / 292 | 2 | 73 |
56
Facility
56
TX AVG
41
Rank
#367 / 1391 | Greystone Management Services Company, LLC | $32.2M
Facility
$32.2M
TX AVG
$8.4M
Rank
#12 / 297 | $15.5M
Facility
$15.5M
TX AVG
$3.5M
Rank
#8 / 297 | 48.1%
Facility
48.1%
TX AVG
47%
Rank
#123 / 297 | 676111 | ||||
| Buckner Parkway Place |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Houston (Energy Corridor) | 92
Facility
92
TX AVG
80
Rank
#410 / 988 | - | - | 5.10
Facility
5.10
TX AVG
3.63
Rank
#18 / 289 | +2% | +41% | $45.7k
Facility
$45.7k
TX AVG
$81.8k
Rank
#195 / 294 | 17
Facility
17
TX AVG
25.9
Rank
#89 / 292 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#163 / 292 | 3 | 38 |
81
Facility
81
TX AVG
41
Rank
#30 / 1391 | Buckner Retirement Services Inc | $23.3M
Facility
$23.3M
TX AVG
$8.4M
Rank
#28 / 297 | $8.5M
Facility
$8.5M
TX AVG
$3.5M
Rank
#37 / 297 | 36.5%
Facility
36.5%
TX AVG
47%
Rank
#257 / 297 | 675777 | ||||
| The Medallion Jewish Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Houston (Braeburn) | 90
Facility
90
TX AVG
80
Rank
#419 / 988 | - | - | 4.09
Facility
4.09
TX AVG
3.63
Rank
#62 / 289 | +8% | +13% | $25.5k
Facility
$25.5k
TX AVG
$81.8k
Rank
#183 / 294 | 9
Facility
9
TX AVG
25.9
Rank
#19 / 292 | 3.0
Facility
3.0
TX AVG
3.7
Rank
#117 / 292 | 1 | 93 |
55
Facility
55
TX AVG
41
Rank
#387 / 1391 | Leslie Griffin | $21.0M
Facility
$21.0M
TX AVG
$8.4M
Rank
#34 / 297 | $8.2M
Facility
$8.2M
TX AVG
$3.5M
Rank
#41 / 297 | 39.3%
Facility
39.3%
TX AVG
47%
Rank
#233 / 297 | 676152 |
The Buckingham is in the Mid West neighborhood of Houston.
The legal owner and operator of The Buckingham is Buckingham Senior Living Community Inc..
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 51%.
Elise Green is the administrator of The Buckingham.
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