| Ffiii Houston SNF Tenant LLC | |
| 8580 Woodway Drive, Houston, Texas 77063 | |
| (713) 979-3777 | |
| Name | Ffiii Houston SNF Tenant LLC |
|---|---|
| Location | 8580 Woodway Drive, Houston, Texas |
| Certified By | Medicare |
| No. of Certified Beds | 92 |
| Occupancy Rate | 62.17% |
| Medicare ID (CCN) | 676111 |
| Legal Business Name | Buckingham Senior Living Community Inc |
| Ownership Type | Non Profit - Other |
| NPI Number | 1356396279 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Buckingham Senior Living Community Inc |
| Address | 8530 Woodway Dr, Houston, TX 77063 |
| Phone Number | 713-979-3777 |
| NPI Number | 1205787256 |
| Match | Possible same name, address or phone number |
| Organization Name | Ffiii Houston SNF Tenant LLC |
| Address | 8580 Woodway Drive, Houston, TX 77063 |
| Phone Number | 713-979-3100 |
| NPI Number | 1215129663 |
| Match | Possible same name, address or phone number |
| Address | 8550 Woodway Dr, Houston, TX 77063 |
| Phone Number | 832-496-2580 |
| NPI Number | 1720270150 |
| Match | Possible same name, address or phone number |
| Organization Name | The Buckingham |
| Address | 8550 Woodway Dr, Houston, TX 77063 |
| Phone Number | 713-979-3777 |
| NPI Number | 1801740360 |
| Match | Possible same name, address or phone number |
| Organization Name | Ignite Medical Resort West Houston LLC |
| Doing Business As | Ignite Medical Resort Laural Parke |
| Address | 8550 Woodway Dr, Houston, TX 77063 |
| Phone Number | 847-453-4000 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.66 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.81 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.2 | 0.86 |
| Nurse aide hours per resident per day | 2.66 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.88 | 3.42 |
| RN hours per resident per day on the weekend | 1.16 | 0.48 |
| Physical therapist hours per resident per day | 0.11 | 0.07 |
| Total nursing staff turnover | 30.3% | 45.8% |
| Registered nurse turnover | 25% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $14,069 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 28, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 3, 2025 |
| Aug 28, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 3, 2025 |
| Aug 28, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Oct 3, 2025 |
| Aug 28, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 3, 2025 |
| Aug 28, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 3, 2025 |
| Aug 28, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 3, 2025 |
| Jul 31, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Sep 15, 2025 |
| Jul 31, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Sep 15, 2025 |
| Jul 31, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 15, 2025 |
| Jul 31, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 15, 2025 |
| Mar 29, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Immediate jeopardy, isolated | Corrected by Apr 18, 2025 |
| Mar 29, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Apr 18, 2025 |
| Feb 26, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Mar 25, 2025 |
| Jul 25, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Aug 23, 2024 |
| Jul 25, 2024 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 23, 2024 |
| Jul 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Aug 23, 2024 |
| Feb 1, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Jun 1, 2023 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jul 14, 2023 |
| Jun 1, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 14, 2023 |
| Jun 1, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 14, 2023 |
| Jun 1, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 14, 2023 |
| Jun 1, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 14, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 34.92 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.9 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.32 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.37 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.08 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.1 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.88 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.46 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 45.3 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.22 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 65.71 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.46 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 16.35 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.67 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.77 | 15.38 |
Afton Oaks Nursing and Rehabilitation Center Location: 7514 Kingsley St, Houston, Texas 77087 Phone: (713) 644-8393 |