The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Buckingham's Choice
Registered name: WILLOWBROOKE CT SKILLED CARE BUCKINGHAM'S CHOICE
ADAMSTOWN, MD · Medicare-certified · 42 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall
Buckingham's Choice in Adamstown, MD has an overall 5 out of 5 stars, with 5-star health inspection, staffing, and quality ratings. It reports 4.32 nurse staffing hours per resident per day versus the 4.1 federal benchmark, no fines in the last 24 months, and recent inspection citations related to food handling and resident assessment/face-to-face visit requirements.
Facility ratings
Health inspections
Staffing
4.3218 hrs/resident/day
Quality measures
Last inspection: February 17, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3218.
Staffing detail
- Registered nurses
- 1.54
- Licensed practical nurses
- 0.58
- Nurse aides
- 2.20
- Weekend nursing
- 3.84
Hours per resident per day.
Total staff turnover: 12%
Registered nurse turnover: 0%
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
—2.9%—
Residents with a fall causing major injury
—0%—
Residents with pressure ulcers (bedsores)
—10.8%—
Residents with a urinary tract infection
—0%—
Residents who lost too much weight
—5.6%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—8.2%—
Long-stay residents on antianxiety or sleep medication
—6.2%—
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—3.8%—
Residents with depressive symptoms
—0%—
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
—100%—
Long-stay residents given the pneumonia vaccine
—100%—
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to make sure the resident and doctor met face-to-face at all required visits. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 712 — 42 CFR §483.30 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Mar 31, 2020
Now operated by Willowbrooke Court Skilled Care Center at Buckingham's Choice, previously Buckingham's Choice.
- Ownership
- Non profit - Corporation
- Chain
- Part of ACTS RETIREMENT-LIFE COMMUNITIES · 27 homes · 4.7 stars avg
- Occupancy
- 24.8 residents on an average day (59% of 42 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 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.