ElderGrade
C

62.9/100

Average

The Buckingham

8580 Woodway Drive, Houston, TX 77063

CMS 4/5 stars #28 of 96 in Harris County (713) 979-3777
Certified beds
92
Occupancy
62%
Ownership
Non-profit
Accepts
Medicare

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $32,418 in federal fines

    CMS has fined this facility across 3 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

8.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -1.1 for 20 total citations against a national median of 17

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.93 total nurse hours per resident per day (national median 3.77)
  • 1.81 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 30% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $32,418 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 5.66 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.81 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.88 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 30.30%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 25 citations

Last standard health inspection: August 28, 2025 (11 months ago).

E Aug 28, 2025 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

E Aug 28, 2025 F0761

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

E Aug 28, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Aug 28, 2025 F0677

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Aug 28, 2025 F0690

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

No actual harm, potential for more than minimal harm

D Aug 28, 2025 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

E Jul 31, 2025 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

E Jul 31, 2025 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
JACOB, PHILIP Individual W-2 MANAGING EMPLOYEE
OOMMEN, BIJU Individual W-2 MANAGING EMPLOYEE
BREWER, CHARLES Individual CORPORATE DIRECTOR
WATERHOUSE, CHARLES Individual CORPORATE DIRECTOR
GREYSTONE MANAGEMENT SERVICES COMPANY, LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about The Buckingham

What is the ElderGrade for The Buckingham? +

The Buckingham holds an ElderGrade of C (62.9 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at The Buckingham? +

Residents receive an average of 5.66 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Buckingham been cited for harming residents? +

Yes. 2 of the 25 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does The Buckingham accept Medicaid? +

CMS lists this facility as Medicare, so it is not recorded as Medicaid certified. Confirm directly with the home before admission.