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Nursing home report

THE BUCKINGHAM

HOUSTON, TX · Medicare-certified · 92 beds

Needs attention
Non-profit
4 of 5 overall

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.

Facility ratings

Health inspections

Staffing

5.2118 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $14,069 was recorded.

  5. 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.