+44 (20) 81461545
Pricing Call
(888) 927-9409
The Buckingham
Nursing Home, Assisted Living, Independent Living, Memory Care & Respite Care · Houston, TX
CMS overall rating Info 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.
Front entrance of The Buckingham assisted living facility Exterior view of The Buckingham senior living facility Exterior view of The Buckingham with flowers in foreground Building exterior with flowers in the foreground Well-maintained outdoor area with fountain and flowers

The Buckingham

Nursing Home, Assisted Living, Independent Living, Memory Care & Respite Care · Houston, TX
CMS overall rating Info 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.
8580 Woodway Dr, Houston, TX 77063 View map Calculator: See prices in your area
The Buckingham accepts Medicare and private pay.
Contact Us Explore Open Rooms
Calculator: See prices in your area
The Buckingham accepts Medicare and private pay.

Overview of The Buckingham

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.

Facility Direct Line (713) 955-1857
Facility Direct Line (713) 955-1857

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 43.1% Above TX avg. ▲ 43.1% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 8.6% Above TX avg. ▲ 8.6% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 135.6% Above TX avg. ▲ 135.6% Above TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 46.7% Below TX avg. ▼ 46.7% Below TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 18th out of 296 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.
5h 5m per day
Rank #18 / 296Nurse hours — State benchmarkedThis home is ranked 18th out of 296 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 296 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Texas avg (3h 38m per day)
vs Texas avg
+40%

0 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +223% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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 Info 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 Info 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 Info 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 Info 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 Info 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

Capacity and availability

Avg. Length of Stay
32 days
Bed community size
130-bed community Rank #136 / 988Bed count — State benchmarkedThis home is ranked 136th out of 988 homes in Texas. 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.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
19 years in operation Rank #255 / 583Years in operation — State benchmarkedThis home is ranked 255th out of 583 homes in Texas. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 56 / 100 Rank #367 / 1391Walk Score — State benchmarkedThis home is ranked 367th out of 1391 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
51%
Rank #247 / 304Occupancy rate — State benchmarkedThis home is ranked 247th out of 304 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 304. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Texas average: 63.5%
Occupied beds
66 / 130
Average occupied beds in Texas homes 75 beds

License Details

Facility TypeType B
StatusLicensed
ExpirationJune 28, 2027
CountyHarris
License Number148854
Year Opened8/3/2006
CMS Certification Number676111
QualificationNursing

Ownership & Operating Entity

The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administered by Elise Green.

Management CompanyGREYSTONE MANAGEMENT SERVICES COMPANY LLC
OwnerBuckingham Senior Living, Inc.
Ownership TypeNonprofit Organization

Type Of Units

Alzheimer's Units
34 units
Total beds
130 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Administrator Emaildsheaffer@buckinghamhouston.com

Memory & Specialized Care

1 service
Alzheimer's Certification

Contact The Buckingham

Inspection History

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.

Since 2023 · 3 years of data 1 enforcement action 2 citations 1 inspection

Enforcement Actions Info 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.

Since 2023
1 enforcement action
  • January 31, 2025 Administrative Penalty

Inspection Scorecard Info 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.

Since 2023 vs. Texas state average
Overall vs. TX average 0 Worse No metrics in this bucket. 1 At Avg Metrics at Texas average:
• Inspections with citations (at TX avg) 3 Better Metrics better than Texas average:
• Total citations (67% below)
• Life safety citations (67% below)
• Citations per year (65% below)
Latest Inspection January 4, 2023 Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 26 This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 26 This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better
Citations per year Info Average citations per year since 2023. 0.72 This facility has 65% fewer citations per year than a typical Texas nursing home (0.7 vs. TX avg 2).↓ 65% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityTX Averagevs. TX Avg
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 11 This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • THE BUCKINGHAM underwent a comprehensive inspection on January 04, 2023, resulting in two state standard violations. Both deficiencies were categorized under the Life Safety Code, with no Health Code violations listed. The facility was cited for failing to inspect, test, and maintain fire alarm system components, which was corrected by March 7, 2022. Additionally, a previous inspection on February 15, 2022, also noted this issue, indicating that it was ongoing at the time of the most recent inspection. No Health Code deficiencies were identified during either inspection. Enforcement actions were taken against THE BUCKINGHAM, with an administrative penalty assessed on January 31, 2025, totaling $2250.00 for failing to have sufficient staff to provide adequate supervision and care to residents.
Show Inspection Reports

Health Inspection History

Inspections since 2023
Total health inspections 7

Texas average 7.4

Last Health inspection on Aug 2025

Total health citations
25 Rank #187 / 299Health citations — State benchmarkedThis home is ranked 187th out of 299 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 299 TX facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 25.9

Citations per inspection
3.57 Rank #186 / 299Citations per inspection — State benchmarkedThis home is ranked 186th out of 299 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 299 facilities with citation data. Lower is better.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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).

Breakdown of citation severity (last 3 years)
Critical health citations
2
In line with Texas average

Texas average: 2

Serious health citations
0
100% better than Texas average

Texas average: 0.4

2 critical citations Texas average: 2
0 serious citations Texas average: 0.4
23 moderate citations Texas average: 23
0 minor citations Texas average: 0.4
Citations history (last 3 years)
Infection Control moderate citation Aug 28, 2025
Corrected
Pharmacy moderate citation Aug 28, 2025
Corrected
Pharmacy moderate citation Aug 28, 2025
Corrected
Pharmacy moderate citation Aug 28, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 135
Employees 132
Contractors 3
Staff to resident ratio 0 : 0
100% fewer staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 63
Average shift 7.8 hours
0% compared with Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 45,219

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 22 RN Staff are full-time employees. No contractors work on this role. 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 18 LPN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 47 CNA Staff are full-time employees. No contractors work on this role. 47
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.8%

809 contractor hours this quarter

Physical Therapy Aide: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4704716,75492100%7.7
Licensed Practical Nurse180187,40692100%8.7
Registered Nurse220227,00892100%8.2
Other Dietary Services Staff8082,7349199%7.5
Speech Language Pathologist7072,3037278%7.2
Clinical Nurse Specialist4041,8726571%8
Physical Therapy Aide6171,7207480%7.2
Medication Aide/Technician3031,3878896%8.1
Qualified Social Worker3036467177%6.3
Respiratory Therapy Technician4046227683%6.1
Administrator1015126470%8
Nurse Practitioner1015126470%8
Dietitian2025006368%7.9
Physical Therapy Assistant5054896368%7.6
Mental Health Service Worker1014565762%8
Medical Director0112083134%6.7
Occupational Therapy Aide011891314%6.8
47 Certified Nursing Assistant
% of Days 100%
18 Licensed Practical Nurse
% of Days 100%
22 Registered Nurse
% of Days 100%
8 Other Dietary Services Staff
% of Days 99%
7 Speech Language Pathologist
% of Days 78%
4 Clinical Nurse Specialist
% of Days 71%
7 Physical Therapy Aide
% of Days 80%
3 Medication Aide/Technician
% of Days 96%
3 Qualified Social Worker
% of Days 77%
4 Respiratory Therapy Technician
% of Days 83%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
2 Dietitian
% of Days 68%
5 Physical Therapy Assistant
% of Days 68%
1 Mental Health Service Worker
% of Days 62%
1 Medical Director
% of Days 34%
1 Occupational Therapy Aide
% of Days 14%
View All Staffing Data in Houston

Penalties and fines

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)

Total fines amount $138K Rank #217 / 301Federal fines — State benchmarkedThis home is ranked 217th out of 301 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 301 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
71% higher than Texas average

Texas average: $80K

Number of fines 24
866% more fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $138K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 29, 2025
$14K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 7, 2023
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 17, 2023
$14K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.8
39% better than Texas average

Texas average: 16.0

Long-stay resident measures
Above average Texas avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.5%
23% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 7.2%
54% better than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.9%
11% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 34.8%
687% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.6%
467% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.6%
25% better than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.6%
In line with Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 70.5%
28% worse than Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 65.7%
33% worse than Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.55
27% better than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.50
76% better than Texas average

Texas average: 2.07

Short-stay resident measures
Average Texas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.3%
42% worse than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
20% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 65.5%
26% worse than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.4%
In line with Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.4%
30% better than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.3%
66% better than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 41.0%
24% worse than Texas average

Texas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.0%
19% better than Texas average

Texas average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

69% of new residents, usually for short-term rehab.

Typical stay 18 days

Private pay

31% of new residents, often for short stays.

Typical stay 1 - 2 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Government
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$28.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$14.6M
Government
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$28.4M Rank #12 / 304Revenue — State benchmarkedThis home is ranked 12th out of 304 homes in Texas. Shows this facility's annual revenue compared to the Texas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$14.6M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #8 / 304Payroll — State benchmarkedThis home is ranked 8th out of 304 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.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$15.0M 52.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #127 / 304Payroll % — State benchmarkedThis home is ranked 127th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$28.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$43.0M
How we calculate these figures

This home is administered by Elise Green.

This home is owned by Greystone Management Services Company, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 676111

Show certification details

What does this home offer?

Minimum age icon
Minimum age icon

Minimum Age: 55 Years Old

Room sizes icon
Room sizes icon

Room Sizes: 805 / 2,720 sq. ft

Housing options icon
Housing options icon

Housing Options: 1 Bed / 2 Bed / 3 Bed

Building type icon
Building type icon

Building Type: 3-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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.

Admissions
590 total

Coverage residents most often arrive under.

Medicare 69%
Private pay 31%
Discharges
651 total

Coverage residents most often leave under.

Medicare 62%
Private pay 38%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Living Spaces & Floor Plans for The Buckingham

Places of interest near The Buckingham

Address 8.8 miles from city center Info 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)

Calculate Travel Distance to The Buckingham

Add your location

Address

Compare Nursing Homes around Houston

The information below is reported by the Texas Health and Human Services Commission.

5 facilities compared · CMS & TX Dept. of Health data

Caraday of Houston
NH
MC
RC
Houston (Northside / Northline)
150
Facility 150
TX AVG 80
Rank #63 / 988
--
3.76
Facility 3.76
TX AVG 3.63
Rank #93 / 296
 -32%+4%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
15
Facility 15
TX AVG 25.9
Rank #66 / 299
3.8
Facility 3.8
TX AVG 3.7
Rank #202 / 299
-12-
41
Facility 41
TX AVG 41
Rank #709 / 1391
E&R Cunningham Investments, LP
$2.7M
Facility $2.7M
TX AVG $8.4M
Rank #299 / 304
$1.8M
Facility $1.8M
TX AVG $3.5M
Rank #297 / 304
66.5%
Facility 66.5%
TX AVG 47%
Rank #103 / 304
676470
Houston Transitional Care
NH
HC
MC
NC
PC
RC
Houston (Braeburn)
70
Facility 70
TX AVG 80
Rank #517 / 988
90.3%
Facility 90.3%
TX AVG 63.5%
Rank #18 / 304
+42%
3.17
Facility 3.17
TX AVG 3.63
Rank #222 / 296
 +22%-13%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
16
Facility 16
TX AVG 25.9
Rank #76 / 299
5.3
Facility 5.3
TX AVG 3.7
Rank #274 / 299
-67-
75
Facility 75
TX AVG 41
Rank #67 / 1391
Ahmad El-Saadi
$12.3M
Facility $12.3M
TX AVG $8.4M
Rank #31 / 304
$5.1M
Facility $5.1M
TX AVG $3.5M
Rank #134 / 304
41.4%
Facility 41.4%
TX AVG 47%
Rank #301 / 304
676435
The Buckingham
NH
AL
IL
MC
RC
Houston (Mid West)
130
Facility 130
TX AVG 80
Rank #136 / 988
50.8%
Facility 50.8%
TX AVG 63.5%
Rank #247 / 304
-20%
5.08
Facility 5.08
TX AVG 3.63
Rank #18 / 296
 +113%+40%
$59.9k
Facility $59.9k
TX AVG $81.8k
Rank #217 / 301
25
Facility 25
TX AVG 25.9
Rank #187 / 299
3.6
Facility 3.6
TX AVG 3.7
Rank #186 / 299
273-
56
Facility 56
TX AVG 41
Rank #367 / 1391
Greystone Management Services Company, LLC
$28.4M
Facility $28.4M
TX AVG $8.4M
Rank #12 / 304
$15.0M
Facility $15.0M
TX AVG $3.5M
Rank #8 / 304
52.7%
Facility 52.7%
TX AVG 47%
Rank #127 / 304
676111
Magnolia Crossing Nursing and Rehabilitation Center
NH
NC
Houston
128
Facility 128
TX AVG 80
Rank #152 / 988
73.1%
Facility 73.1%
TX AVG 63.5%
Rank #110 / 304
+15%
3.31
Facility 3.31
TX AVG 3.63
Rank #191 / 296
 -31%-9%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
17
Facility 17
TX AVG 25.9
Rank #91 / 299
2.4
Facility 2.4
TX AVG 3.7
Rank #57 / 299
-108-
39
Facility 39
TX AVG 41
Rank #754 / 1391
Magnolia Crossing Nh LLC
$8.7M
Facility $8.7M
TX AVG $8.4M
Rank #183 / 304
$6.3M
Facility $6.3M
TX AVG $3.5M
Rank #83 / 304
72.2%
Facility 72.2%
TX AVG 47%
Rank #29 / 304
676333
The Heights of North Houston
NH
MC
RC
Houston (Hollow Tree Lane)
131
Facility 131
TX AVG 80
Rank #133 / 988
71.1%
Facility 71.1%
TX AVG 63.5%
Rank #125 / 304
+12%
3.32
Facility 3.32
TX AVG 3.63
Rank #191 / 296
 +22%-9%
$31.5k
Facility $31.5k
TX AVG $81.8k
Rank #180 / 301
29
Facility 29
TX AVG 25.9
Rank #214 / 299
4.8
Facility 4.8
TX AVG 3.7
Rank #258 / 299
398-
53
Facility 53
TX AVG 41
Rank #433 / 1391
Touchstone Strategies-Nw Houston LLC
$8.7M
Facility $8.7M
TX AVG $8.4M
Rank #155 / 304
$3.7M
Facility $3.7M
TX AVG $3.5M
Rank #139 / 304
42.5%
Facility 42.5%
TX AVG 47%
Rank #120 / 304
676356
Nursing Home Explorer

Financial Assistance for
Nursing Home in Texas

The Buckingham is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about The Buckingham

What neighborhood is The Buckingham in?

The Buckingham is in the Mid West neighborhood of Houston.

Who is the owner of The Buckingham?

The Buckingham is legally operated by Buckingham Senior Living Community Inc., and administered by Elise Green.

Is The Buckingham in a walkable area?

The Buckingham has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of The Buckingham?

According to TX state health department records, The Buckingham's license number is 148854.

When does The Buckingham's license expire?

According to TX state health department records, The Buckingham's license expires on June 28, 2027.

What is the occupancy rate at The Buckingham?

The Buckingham's occupancy is 51%.

Is The Buckingham a government-operated facility?

The Buckingham is a government-operated nursing facility in TX.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Updated on
Pricing
More
More Actions
Contact Contact Map Book a Tour Let's Chat