The Buckingham in Houston has a 4-star overall rating, with strong staffing (5 stars; 5.21 hours per resident per day vs. the 4.1 federal benchmark) but weaker quality measures (2 stars) and a 3-star health inspection rating. It also had $14,069 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving treatment/care orders, notifying residents and families about changes, and medication error rates.
Last inspection: August 28, 2025Penalties, last 24 months: $14,069recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2118.
Staffing detail
Registered nurses
1.40
Licensed practical nurses
1.10
Nurse aides
2.71
Weekend nursing
4.50
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 22%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—9.4%—
Residents with a fall causing major injury
3.8%0%Improving
Residents with pressure ulcers (bedsores)
39.6%9.9%Improving
Residents with a urinary tract infection
4.2%0%Improving
Residents who lost too much weight
4.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—32.2%—
Long-stay residents on antianxiety or sleep medication
4.2%15%Worsening
Short-stay residents newly given an antipsychotic
3.1%0.4%Improving
Residents with a long-term catheter
0%3.1%Worsening
Residents with new or worsening incontinence
—20.1%—
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—65.7%—
Long-stay residents given the pneumonia vaccine
69.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—65.5%—
Short-stay residents given the pneumonia vaccine
43.8%83.2%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to keep medication mistakes below the allowed level. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $14,069 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 9 fines · $59,940 in total fines.
Federal fine
Mar 29, 2025
$14,069
Federal fine
Aug 7, 2023
$4,587
Federal fine
Jul 17, 2023
$13,762
Federal fine
Jun 26, 2023
$4,587
Federal fine
Jun 20, 2023
$4,587
Federal fine
Jun 12, 2023
$4,587
Federal fine
Jun 5, 2023
$4,587
Federal fine
May 30, 2023
$4,587
Operator & ownership
Ownership
Non profit - Other
Occupancy
72.9 residents on an average day (79% of 92 beds)
Resident voice
Resident council
Medicare history
Certified for 19 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.