The Buckingham
8530 WOODWAY DRIVE, Houston, TX, 77063
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Other
- Certified beds
- 92 · avg 66 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 13 fines · $87,456 total
State licensing & capacity
- License number
- 149657
- Service type
- Medicare Only
- Licensed capacity
- 92 beds
- Bed type breakdown
- 92 Medicare-only
- Current license effective
- July 30, 2024
- Current license expires
- July 30, 2027
- Initial license date
- September 15, 2006
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Buckingham Senior Living, Inc (Nonprofit Organization)
- Operator / manager
- Greystone
- Administrator
- Maria E Viray
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (5 on record)
- Charles Waterhouse
Corporate Director · since 2013
- Philip Jacob
W-2 Managing Employee · since 2011
- Greystone Management Services Company, Llc
Operational/managerial Control · since 2006
- Biju Oommen
W-2 Managing Employee · since 2002
- Charles b Brewer
Corporate Director · since 2002
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 25)
- E0880·Aug 28, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Aug 28, 2025
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.
- E0759·Aug 28, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0755·Aug 28, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0690·Aug 28, 2025
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.
- D0677·Aug 28, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0842·Jul 31, 2025Complaint
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.
- E0686·Jul 31, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20251 fine · $14K
- 202312 fines · $73K
Most recent events
- Mar 29, 2025Fine · $14K
- Aug 7, 2023Fine · $4,587
- Jul 17, 2023Fine · $14K
- Jun 26, 2023Fine · $4,587
- Jun 20, 2023Fine · $4,587
- Jun 12, 2023Fine · $4,587
Largest single fine on record: $14K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Aug 28, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Buckingham is a 92-bed Medicare-only nursing home in Houston's Harris County, licensed to Buckingham Senior Living, Inc (nonprofit) and managed by Greystone. CMS rates it 2 stars overall, with a 2-star health inspection score. Staffing rates 4 stars — among the top 10% of Texas nursing homes on that measure. Thirteen CMS fines totaling $87,456 have been assessed; the state median across fined facilities is $20,699. The facility is operating at roughly 72% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 344 minutes of nursing care per day, well above the 241-minute threshold for a 4-star-staffing facility in Texas. Staff hours per resident exceed what a typical resident mix would require, meaning the workload is lighter than the raw minutes might suggest — residents here, on average, need less hands-on care than at a typical facility.
Thirteen CMS fines totaling $87,456 have been assessed here. The median fine total among fined Texas facilities is $20,699, and about 30% of Texas nursing homes have no fines at all. The health inspection rating is 2 stars, which is what drives the overall 2-star rating despite the stronger staffing score.
The facility is operating at roughly 72% of its 92 licensed beds — about 66 residents per day on average. Paired with the inspection record, low occupancy at a Medicare-only facility can reflect referral patterns or reputation in the local discharge-planning community.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What's behind 13 fines
Ask what specific deficiencies generated the 13 CMS fines totaling $87,456, and what corrective steps have been completed since each citation.
Health inspection score vs staffing score
The facility rates 4 stars on staffing but 2 stars on health inspections — ask which deficiency categories recur most often across the last three inspection cycles.
Why occupancy runs at 72%
With roughly 26 beds unfilled on a typical day, ask whether the lower census reflects a planned admission pace, referral patterns, or something else.
Resident Council structure and reach
A Resident Council meets here, but no Family Council — ask how families raise concerns formally, and how often the Resident Council's feedback reaches administration.
Greystone's management role
Greystone manages the facility on behalf of the nonprofit licensee — ask which operational decisions rest with Greystone versus the Buckingham Senior Living board.
Weekend staffing in practice
Reported weekend nursing hours average about 294 minutes per resident per day — ask how weekend staffing is scheduled and whether the same core team works Saturday and Sunday.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.