Skilled nursing facility · CMS certification number 676111
FFIII Houston SNF Tenant LLC
HOUSTON, Texas · Medicare · 92 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $14,069.00 · Payment denials: 0. The most recent penalty on file: March 29, 2025, Fine, $14,069. Every penalty on file ↓
FFIII Houston SNF Tenant LLC: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 11, 2025.
- Net patient revenue rose from $28.4M in fiscal year 2023 to $36.0M in fiscal year 2024.
- Its result from service to patients: −$14.9M (2022), −$14.6M (2023), −$12.0M (2024).
- Its cost reports on file run from fiscal year 2006 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on June 11, 2025, no other change appears in the CMS files.
- Its net patient revenue of $36.0M ranks 2nd of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- All 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
FFIII Houston SNF Tenant LLC: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1429261 | 2023 · report 1377387 | 2022 · report 1359382 | 2021 · report 1328987 | 2020 · report 1304113 | 2019 · report 1268050 | 2018 · report 1239956 | 2017 · report 1242696 | 2016 · report 1171091 | 2015 · report 1142430 | 2014 · report 1148035 | 2013 · report 1074264 | 2012 · report 1080864 | 2011 · report 1015530 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | June 11, 2025 | May 8, 2024 | July 20, 2023 | August 4, 2022 | November 10, 2021 | September 16, 2020 | August 7, 2019 | August 28, 2019 | July 28, 2017 | August 24, 2016 | December 9, 2016 | July 30, 2014 | November 24, 2014 | October 26, 2012 |
| Total patient revenue | $38,469,196 | $30,331,020 | $28,669,417 | $28,133,838 | $27,210,012 | $31,516,832 | $28,863,827 | $23,163,517 | $24,192,662 | $23,404,326 | $21,531,109 | $22,041,789 | $25,084,433 | $23,529,469 |
| Contractual allowances and discounts | $2,512,746 | $1,929,809 | $2,204,684 | $2,127,163 | $1,576,817 | $3,742,419 | $2,931,106 | $2,029,494 | $2,158,538 | $2,415,511 | $1,849,776 | $2,416,067 | $3,428,559 | $3,040,899 |
| Net patient revenue | $35,956,450 | $28,401,211 | $26,464,733 | $26,006,675 | $25,633,195 | $27,774,413 | $25,932,721 | $21,134,023 | $22,034,124 | $20,988,815 | $19,681,333 | $19,625,722 | $21,655,874 | $20,488,570 |
| Total operating expenses | $47,973,853 | $42,986,110 | $41,363,521 | $49,052,865 | $44,594,027 | $56,159,716 | $41,214,167 | $31,682,759 | $26,066,119 | $25,270,218 | $24,655,213 | $24,252,897 | $23,584,377 | $22,810,564 |
| Net income from service to patients | −$12,017,403 | −$14,584,899 | −$14,898,788 | −$23,046,190 | −$18,960,832 | −$28,385,303 | −$15,281,446 | −$10,548,736 | −$4,031,995 | −$4,281,403 | −$4,973,880 | −$4,627,175 | −$1,928,503 | −$2,321,994 |
| Total other income | $806,897 | $1,879,446 | $979,296 | $13,062,165 | $1,818,183 | $2,127,661 | $2,725,865 | $2,156,189 | $485,195 | $1,065,777 | $1,555,502 | $949,230 | $1,159,205 | $882,254 |
| Net income after other income | −$11,210,506 | −$12,705,453 | −$13,919,492 | −$9,984,025 | −$17,142,649 | −$26,257,642 | −$12,555,581 | −$8,392,547 | −$3,546,800 | −$3,215,626 | −$3,418,378 | −$3,677,945 | −$769,298 | −$1,439,740 |
| Net income | −$11,210,506 | −$12,705,453 | −$13,919,492 | −$9,984,025 | −$17,142,649 | −$26,257,642 | −$12,555,575 | −$8,392,539 | −$3,546,794 | −$3,215,625 | −$3,418,734 | −$3,677,945 | −$769,298 | −$1,439,740 |
| Total facility beds, all components | 504 | 504 | 504 | 504 | 504 | 504 | 356 | 324 | 324 | 324 | 324 | 324 | 324 | 324 |
| Bed days available, all components | 184,464 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 10,171 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 127,986 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 138,157 | 93,484 | 116,553 | 121,481 | 123,267 | 142,875 | 142,362 | 121,411 | 127,066 | 128,484 | 129,758 | 113,576 | 109,915 | 101,926 |
| Medicare discharges | 401 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 20,984 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 21,385 | 651 | 542 | 527 | 305 | 437 | 449 | 236 | 229 | 274 | 314 | 287 | 298 | 437 |
| Average length of stay, Medicare, in days | 25.36 | 18.61 | 20.53 | 23.86 | 24.93 | 24.41 | 29.77 | 35.95 | 47.53 | 42.31 | 36.28 | 38.87 | 146.86 | 30.09 |
| Average length of stay, all patients, in days | 6.46 | 143.6 | 215.04 | 230.51 | 404.15 | 326.95 | 317.06 | 514.45 | 554.87 | 468.92 | 413.24 | 395.74 | 368.84 | 233.24 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 415472 | 2009 · report 387991 | 2008 · report 357196 | 2007 · report 358324 | 2006 · report 292452 |
|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | August 28, 2006 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 |
| Days, where not a full year | — | — | — | — | 125 |
| Processed by CMS | August 17, 2011 | September 21, 2010 | September 25, 2009 | October 27, 2009 | August 21, 2007 |
| Net patient revenue | $20,453,407 | $19,661,123 | $18,101,831 | $14,845,593 | $8,052,725 |
| Total operating expenses | $22,942,508 | $22,750,795 | $21,944,084 | $30,951,418 | $17,798,178 |
| Net income from service to patients | −$2,489,101 | −$3,089,672 | −$3,842,253 | −$16,105,825 | −$9,745,453 |
| Total other income | $992,868 | $1,283,966 | $1,105,588 | $1,187,132 | $1,354,134 |
| Net income | −$1,496,233 | −$1,805,706 | −$2,736,665 | −$14,918,693 | −$8,391,319 |
| Total facility beds, all components | 324 | 324 | 324 | 324 | 324 |
| Total patient days, all components | 113,303 | 112,434 | 106,817 | 92,869 | 81,878 |
| Total discharges, all components | 465 | 341 | 302 | 240 | 48 |
| Average length of stay, Medicare, in days | 33.37 | 34.93 | 31.85 | 32.08 | 33.04 |
| Average length of stay, all patients, in days | 243.66 | 329.72 | 353.7 | 386.95 | 1,705.79 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006. Checked against the form’s own arithmetic: what that check shows.
FFIII Houston SNF Tenant LLC: nurse staffing hours by quarter →
Who owns FFIII Houston SNF Tenant LLC, as filed with CMS
Care Compare
- CORPORATE DIRECTOR: BREWER, CHARLES (individual), since 07/26/2002; WATERHOUSE, CHARLES (individual), since 10/02/2013
- OPERATIONAL/MANAGERIAL CONTROL: GREYSTONE MANAGEMENT SERVICES COMPANY, LLC (organization), since 07/26/2006
- W-2 MANAGING EMPLOYEE: JACOB, PHILIP (individual), since 08/29/2011; OOMMEN, BIJU (individual), since 07/26/2002
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of BUCKINGHAM SENIOR LIVING COMMUNITY INC (enrollment ID O20060608000123).
- CORPORATE DIRECTOR: CHARLES B BREWER (individual), since 07/26/2002; CHARLES WATERHOUSE (individual), since 10/02/2013
- OPERATIONAL/MANAGERIAL CONTROL: GREYSTONE MANAGEMENT SERVICES COMPANY, LLC (organization), since 07/26/2006
- W-2 MANAGING EMPLOYEE: BIJU OOMMEN (individual), since 07/26/2002; PHILIP JACOB (individual), since 08/29/2011
Ownership percentage for each: not stated in the filing.
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: CHARLES B BREWER; CHARLES WATERHOUSE; BIJU OOMMEN; PHILIP JACOB.
Private equity company, real estate investment trust and holding company: No: GREYSTONE MANAGEMENT SERVICES COMPANY, LLC.
Inspections of FFIII Houston SNF Tenant LLC
- Cycle 1: health August 28, 2025 (6 deficiencies), fire safety August 28, 2025 (2)
- Cycle 2: health July 25, 2024 (10 deficiencies), fire safety July 25, 2024 (1)
- Cycle 3: health June 1, 2023 (9 deficiencies), fire safety June 1, 2023 (5)
Deficiencies cited at FFIII Houston SNF Tenant LLC
25 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 13 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0677, quality of life and care: August 28, 2025 (D, corrected October 3, 2025); February 26, 2025 (E, from a complaint, corrected March 25, 2025).
- F 0690, quality of life and care: August 28, 2025 (D, corrected October 3, 2025); February 1, 2024 (D, from a complaint, corrected March 1, 2024).
- F 0755, pharmacy service: August 28, 2025 (D, corrected October 3, 2025).
- F 0759, pharmacy service: August 28, 2025 (E, corrected October 3, 2025); June 1, 2023 (E, corrected July 14, 2023).
- F 0761, pharmacy service: August 28, 2025 (E, corrected October 3, 2025); June 1, 2023 (E, corrected July 14, 2023).
- F 0880, infection control: August 28, 2025 (E, corrected October 3, 2025); February 1, 2024 (D, from a complaint, corrected March 1, 2024).
- F 0656, resident assessment and care planning: July 31, 2025 (D, from a complaint, corrected September 15, 2025); July 25, 2024 (E, from a complaint, corrected August 23, 2024).
- F 0684, quality of life and care: July 31, 2025 (D, from a complaint, corrected September 15, 2025); March 29, 2025 (J, from a complaint, corrected April 18, 2025).
- F 0686, quality of life and care: July 31, 2025 (E, from a complaint, corrected September 15, 2025).
- F 0842, resident assessment and care planning: July 31, 2025 (E, from a complaint, corrected September 15, 2025).
- F 0580, resident rights: March 29, 2025 (J, from a complaint, corrected April 18, 2025).
- F 0638, resident assessment and care planning: July 25, 2024 (D, corrected August 23, 2024).
- F 0812, nutrition and dietary: July 25, 2024 (D, from a complaint, corrected August 23, 2024); June 1, 2023 (E, corrected July 14, 2023).
- F 0694, quality of life and care: February 1, 2024 (D, from a complaint, corrected March 1, 2024).
- F 0695, quality of life and care: February 1, 2024 (D, from a complaint, corrected March 1, 2024).
- F 0640, resident assessment and care planning: June 1, 2023 (E, corrected July 14, 2023).
- F 0760, pharmacy service: June 1, 2023 (E, corrected July 14, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 29, 2025 | Fine | $14,069 | 113730 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
FFIII Houston SNF Tenant LLC in Care Compare
- Ownership Type: Non profit - Other
- Legal Business Name: BUCKINGHAM SENIOR LIVING COMMUNITY INC
- Date First Approved to Provide Medicare and Medicaid Services: 2006-08-28
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: Y
- Urban: Y
- County/Parish: Harris
- Telephone Number: 7139793777
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 73.3
- Overall Rating: 3
- Health Inspection Rating: 3
- QM Rating: 2
- Long-Stay QM Rating: 2
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for FFIII Houston SNF Tenant LLC: no change in ownership since September 20, 2022.
Other nursing facilities in HOUSTON
Report a figure on FFIII Houston SNF Tenant LLC’s record that differs from its CMS file, quoting 676111.