Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Buckingham Valley Rehabilitation And Nursingcenter during CMS and state inspections, most recent first.
A resident with intact cognition and multiple medical diagnoses was found to be self-administering several medications, including Fluticasone nasal spray and gummy vitamins, without an interdisciplinary team assessment or documentation as required by facility policy. The medications were observed unsecured in the resident's room, and the DON confirmed that no assessment had been completed.
Staff did not adhere to a physician's order requiring midodrine hydrochloride to be held if a resident's systolic blood pressure was above 120 mm/Hg. The medication was administered multiple times outside of these parameters to a resident with heart failure, diabetes, and chronic kidney disease, as confirmed by record review and administrative interview.
A resident admitted for skilled and rehabilitation services was signed in by staff and subsequently left the facility with her husband, but staff failed to document any identifying or admission information in the clinical record, as confirmed by the DON.
The facility failed to provide necessary adaptive eating equipment for two residents with conditions such as dysphagia and hemiplegia, despite care plans indicating the need for tools like rocker knives and built-up utensils. Both residents reported frequently not receiving these items, making eating more difficult.
The facility failed to maintain a medication error rate of less than five percent on the West Unit. Observations revealed that medications for three residents were administered significantly later than the prescribed times, resulting in a medication error rate of 62.5%. An LPN confirmed the medication pass was late.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to assess a resident's capability to self-administer medications as required by its own policy. According to the policy, an interdisciplinary team must determine which medications may be safely self-administered, and this assessment must be documented in the resident's medical record. For one resident with diagnoses including limitation of activities due to disability, Ehlers-Danlos Syndrome, and anxiety disorder, there was no documentation of such an assessment for several medications, including Fluticasone nasal spray, artificial tears, saline nasal spray, and gummy vitamins. Observations revealed that these medications were left unsecured in the resident's room, and the resident reported self-administering them daily. Clinical record review confirmed the absence of documentation regarding an assessment for self-administration. The DON confirmed that the required assessment had not been completed for this resident, which was not in accordance with facility policy.
Failure to Follow Physician's Medication Order Based on Blood Pressure Parameters
Penalty
Summary
Facility staff failed to follow a physician's order for a resident with diagnoses including heart failure, diabetes, and chronic kidney disease. The order specified that midodrine hydrochloride should be administered three times daily for hypotension, but only if the resident's systolic blood pressure (SBP) was 120 mm/Hg or lower. Clinical record review showed that staff administered the medication multiple times in June, July, and August when the resident's SBP exceeded 120 mm/Hg, contrary to the order. This was confirmed by the Administrator during an interview.
Incomplete Clinical Record at Admission
Penalty
Summary
The facility failed to maintain complete and accurate clinical records for one resident during the admissions process. Facility policy required that all possible information about a resident be obtained at admission to support care planning and resident comfort. Documentation showed that the resident arrived from the hospital for skilled and rehabilitation services, was signed in by staff, and then left the facility with her husband shortly after arrival. However, there was no documentation in the clinical record to indicate that staff obtained any identifying or admission information about the resident. The Director of Nursing confirmed that the clinical record lacked all required admission information for this resident.
Failure to Provide Adaptive Eating Equipment
Penalty
Summary
The facility failed to provide necessary adaptive eating equipment for two residents, leading to a deficiency in care. Resident 52, who has diagnoses including dysphagia, quadriplegia, muscle weakness, and lack of coordination, was observed without the required rocker knife and built-up utensils during a meal. Despite being alert and oriented, Resident 52 reported frequently not receiving these adaptive tools, which made eating more difficult. The care plan for Resident 52 specifically included the provision of these utensils to assist with meals. Similarly, Resident 56, who has hemiplegia, stroke, dysphagia, and lack of coordination, was also observed without the necessary rocker knife during a meal. The resident, who is alert and oriented and requires setup help with dining, confirmed that the rocker knife was often not provided. The care plan for Resident 56 included the use of a rocker knife to aid in feeding. These observations and resident interviews indicate a failure by the facility to adhere to the care plans and provide the necessary adaptive equipment for these residents.
Medication Administration Errors
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent on the West Unit. The facility policy required medications to be administered as ordered by the physician, within 60 minutes prior to or after the scheduled times. However, observations on March 1, 2024, revealed that medications for three residents were administered significantly later than the prescribed times. Resident 1, who had diagnoses including stroke, hypertension, and arthritic pain, received their 8:00 a.m. medications at 9:40 a.m. Resident 2, with diagnoses including GERD, anxiety, seizures, and diabetes, received their 8:00 a.m. medications at 10:00 a.m., and their insulin at 10:18 a.m. Resident 4, with diagnoses including hypertension, GERD, urinary retention, and depression, received their 8:00 a.m. and 9:00 a.m. medications at 10:36 a.m. An interview with the LPN confirmed the medication pass was late. During the medication pass observation, there were 24 medication opportunities, and 15 medication errors were identified, resulting in a medication error rate of 62.5%. This significant deviation from the facility's policy and physician's orders led to the deficiency. The report highlights the failure of the staff to adhere to the prescribed medication administration times, which is critical for the effective management of the residents' health conditions.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Buckingham
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harborview Rehabilitation Care Center At Doylestow | 3.4 mi | ★★★★★ | 8 | 1 |
| Liberty Pointe Rehabilitation And Healthcare Ctr | 3.7 mi | ★★★★★ | 9 | 0 |
| Wesley Enhanced Living - Doylestown | 4 mi | ★★★★★ | 13 | 0 |
| Heritage Pointe Rehabilitation And Healthcare Ctr | 4 mi | ★★★★★ | 5 | 0 |
| Neshaminy Manor Home | 5.5 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.