The Buckingham
Strong Medicare quality ratings; families often praise exceptional physical therapy and rehab services. Still worth an in-person visit.
based on 168 Google reviews

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What this means for your family
The Buckingham is an excellent choice for independent living and physical rehabilitation due to its beautiful grounds and great therapy team. However, if you are considering the skilled nursing unit, you must closely monitor medication administration and call response times, as recent reviews indicate significant lapses in care.
Google Reviews
Google Reviews
168 reviews on Google“The Buckingham offers a beautiful, high-end environment with highly praised amenities and excellent physical therapy services. However, while the independent living section receives much praise, the skilled nursing facility (SNF) faces significant criticism regarding slow response times, medication errors, and inconsistent nursing care.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab services
- Beautiful, well-maintained, and clean facilities
- High-quality amenities and atmosphere
- Strong memory care support and activities
Concerns
- Slow response times to call bells (mentioned by 4 reviewers)
- Inconsistent medication management (mentioned by 2 reviewers)
- Communication gaps between staff and families (mentioned by 3 reviewers)
- Staffing shortages or lack of attentiveness (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 174 analyzed
How They Respond to Reviews
The owner provides highly personalized responses to positive reviews, often mentioning specific staff members or amenities. For negative reviews, they use a consistent empathetic template that disavows the reported behavior and attempts to move the conversation to a private channel.
Questions for Your Tour
- 1We've heard wonderful things about the physical therapy and rehab services here; could you tell us more about how the therapy team works with residents?
- 2How does the nursing team ensure that medication schedules are followed accurately and consistently for every resident?
- 3What steps are in place to ensure that call bells are answered promptly, especially during busier shifts or overnight?
- 4How do you maintain consistent and clear communication between the nursing staff and family members regarding a resident's daily well-being?
- 5What kind of daily activities and social engagement programs are available to keep residents active and involved in the community?
- 6In the event of a medical emergency after hours, what is the specific protocol for contacting both the physician and the family?
Personalized based on this facility's data
Key Review Excerpts
“The staff in the memory care unit truly care and do their best for the residents. The memory patients are always out of their rooms during the day, there's lots of activities, and the outdoor area is safe and beautiful (and huge!)”
“They provided exceptional care, especially their PT services. (The food was wonderful, too.)”
“I was shocked when I saw an employee mistreating a pt because he was falling asleep as she was trying to feed him. Hitting him on his chest.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
5
measures
9
measures
2
measures
Residents vaccinated for the flu
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
The Buckingham has a concerning pattern with 13 complaint-triggered deficiencies where families reported problems, indicating recurring issues with medication management, care planning, and daily care assistance. The facility shows persistent problems across multiple surveys from 2023-2025 in the same areas, particularly medication errors and inadequate care planning. While all deficiencies show correction dates, the repetitive nature of complaints in core care areas suggests ongoing quality challenges families should carefully evaluate.
Aug 28, 2025Routine8
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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 drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 31, 2025Complaint4
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 29, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 26, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jul 25, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jul 25, 2024Routine2
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Federal Penalties
Fine
Mar 29, 2025
$14,069
Fine
Aug 7, 2023
$4,587
Fine
Jul 17, 2023
$13,762
Fine
Jun 26, 2023
$4,587
Fine
Jun 20, 2023
$4,587
Fine
Jun 12, 2023
$4,587
Fine
Jun 5, 2023
$4,587
Fine
May 30, 2023
$4,587
Fine
May 23, 2023
$4,587
Ownership & Operations
Who Operates This Facility
Buckingham Senior Living, INC
nonprofit
GREYSTONE
MARIA E VIRAY
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
168 reviews from families & visitors
Official Website
Visit buckinghamhouston.com
Medicare data downloads
Original nursing home datasets
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