The Buckingham has received an F grade based on CMS data, with a score of 28/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Houston facility should carefully review its inspection history and quality metrics.
The Buckingham provides above-average staffing with 5.74 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 25 deficiencies at The Buckingham, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure medication error rates are not 5 percent or greater..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.74 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.52 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.30 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.93 | 2.4 | Above Average |
| Weekend Total Nursing | 4.90 | 3.8 | Above Average |
| Weekend RN Hours | 1.10 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Aug 27, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiAug 27, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Aug 27, 2025 · Infection Control Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Aug 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventAug 27, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 33.1% | 4.5% | Worse |
| Falls with major injury | 2.9% | 3.0% | Average |
| On antipsychotic medication | 11.1% | 14.5% | Better |
| Urinary tract infections | 5.4% | 2.5% | Worse |
| ADL decline (daily activities) | 27.3% | 14.0% | Worse |
| Excessive weight loss | 2.4% | 7.5% | Better |
| New/worsened incontinence | 13.4% | 45.0% | Better |
⚠️ Penalties & Fines
13 penalties recorded by CMS
Total fines: $87,456
How This Grade Was Calculated
This facility's grade of F is based on a score of 28 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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