1,547 Continuing Care Retirement Communities in the United States

Nurse hours

4.59 /day

Staff turnover

28%

Serious cites

0

Hollenbeck Palms runs on a nonprofit model with 106 certified beds, and the staffing numbers are genuinely strong: 4.59 nurse hours per resident day, roughly 19% above the national average of 3.86. Turnover sits at 28.1% against a national 45.8%, which suggests workers are staying put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is where the picture gets more complicated, 39 deficiencies, including one at the harm level and four tied to abuse, though the most recent inspection was in December 2025, so the record is current.

Nurse hours

3.81 /day

Staff turnover

49%

Serious cites

0

Hildebrand Care Center in Canon City runs 75 certified beds under corporate ownership, and its inspection record is genuinely strong, a 4 out of 5 on health inspections and a perfect 5 on quality measures, with a survey completed in December 2025. What holds it back is the care floor and the record underneath. Nurse staffing sits at 3.81 hours per resident day, just under the national average, and weekends drop about 12% below the home's own weekday levels. Turnover is 48.6%, above the national 45.8%. Fifteen deficiencies are on file, three involving harm or jeopardy and one tied to abuse, with a $15,642 fine.

Nurse hours

4.10 /day

Staff turnover

46%

Serious cites

0

Alliance Health and Rehabilitation Center sits in Deland with 130 certified beds and for-profit partnership ownership. The staffing numbers tell a steady story: 4.10 nurse hours per resident day, roughly 6% above the national average, though weekend coverage drops about 12% below its own weekday level. Turnover lands at 45.5%, essentially matching the national rate. On inspections, the record shows 7 deficiencies with none at the harm or jeopardy level and none abuse-related, and the most recent survey came in February 2025. Quality measures scored 5 out of 5 stars, with staffing and health inspections each at 4. If you're weighing this one against others in Volusia County, the clean deficiency record and above-average staffing are the real substance here.

Nurse hours

4.81 /day

Staff turnover

28%

Serious cites

0

Harbour Health Center runs on a for-profit LLC structure with 104 certified beds, and the staffing numbers are where it stands out: 4.81 nurse hours per resident day, roughly a quarter above the national average, with turnover at 28.2% against a national 45.8%. Weekend coverage dips about 15% below its own weekday level, so care thins out on Saturdays and Sundays. The trouble sits on the inspection side, 15 deficiencies on record, one at harm or jeopardy level, three tied to abuse, and two fines totaling $35,597. The most recent inspection was March 2026. Strong staffing and a 4/5 quality measure score are real, but they don't erase what inspectors found.

Nurse hours

4.91 /day

Staff turnover

37%

Serious cites

0

Snyder Village runs on more nursing hours than most places, 4.91 per resident day against a national average of 3.86, and that staffing holds up on weekends better than at many homes, though it still dips about 10% below weekday levels. Turnover sits at 36.9%, noticeably under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The inspection record is clean where it counts: five deficiencies, none causing harm or jeopardy and none tied to abuse, with the most recent state visit in March 2025. Woodford County's nonprofit ownership rounds out a picture of a home that is, by the numbers, steady rather than spectacular.

Nurse hours

4.97 /day

Staff turnover

19%

Serious cites

0

Addolorata Villa sits in Wheeling with 86 certified beds and a church-affiliated nonprofit owner. Staffing is the standout number: 4.97 nurse hours per resident day, roughly 29% above the national average, with weekend coverage dipping only about 10% below weekdays and turnover at 19% against a national 45.8%. That kind of retention usually means consistent caregivers who know the residents. The inspection record is where it gets harder to read. Twenty-five deficiencies are on file, including eight at the harm or jeopardy level and six tied to abuse, plus five fines totaling $161,411. The most recent inspection was January 2026. Strong staffing, real quality marks, but a citation history a family should ask about directly.

Nurse hours

5.01 /day

Staff turnover

44%

Serious cites

0

Good Samaritan Home in Quincy runs 203 certified beds as a nonprofit, and its nurse staffing sits at 5.01 hours per resident day, roughly 30% above the national average of 3.86. That's the strongest thing in its file, and weekends dip only about 8% below its own weekday levels. Turnover is 44.4%, a hair under the national 45.8%. Against that, the current record shows 16 deficiencies, three at harm or jeopardy level and three abuse-related, plus one fine of $26,640. The last inspection was August 2024. Staffing looks like the reason this home lands where it does; the deficiency history is what a family should ask about directly.

Nurse hours

5.47 /day

Staff turnover

39%

Serious cites

0

Westminster Village runs one of the better staffing operations you'll find in Indiana, 5.47 nurse hours per resident day, well above the national average, and weekend coverage only dips about 6% below weekdays, which matters because that's where a lot of homes cut corners. Turnover sits at 39.3%, better than the national rate. The trouble is the inspection record: 15 deficiencies, one serious enough to cause harm, and a $72,545 fine. A recent January 2026 inspection means that record is fresh, not stale. Strong hands-on care, but a survey history that suggests problems with how care gets delivered and documented. Worth asking the administrator directly about that harm-level finding before you decide.

Nurse hours

4.08 /day

Staff turnover

33%

Serious cites

0

Lutheran Life Villages runs about 4.08 nurse hours per resident per day, roughly 6% above the national average, and its staff retention is stronger than most, 33% turnover against a national 45.8%. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Sundays and holidays. The 11 deficiencies on record include three tied to abuse, though none rose to harm or jeopardy, and the most recent inspection was August 2025. Quality measures score well; the health inspection side is more mixed. As a nonprofit, it answers to a board rather than shareholders, which tends to shape how it spends on direct care.

Nurse hours

4.13 /day

Staff turnover

40%

Serious cites

0

Eastern Star Masonic Home runs on 4.13 nurse staffing hours per resident day, about 7% above the national average, and turnover sits at 39.5%, lower than the 45.8% typical elsewhere. Those are real strengths. The trade-offs show up in the inspection record: 19 deficiencies, two of them abuse-related, though none rose to actual harm or jeopardy. Weekend staffing drops roughly 13% below its own weekday level, so care can thin out on Saturdays and Sundays. The last inspection was in April 2025, so the picture is reasonably current. For a 76-bed nonprofit in Boone, this reads as a generally solid home with a specific weekend and abuse-reporting pattern worth asking about directly.

Nurse hours

4.26 /day

Staff turnover

40%

Serious cites

0

Halcyon House sits in Washington, Iowa, with 54 certified beds and a nonprofit owner. The staffing numbers are strong, 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 11% below weekdays. Turnover runs 40%, better than the 45.8% national figure, and CMS gives top marks for staffing and quality measures. The tension is in inspections: a 2/5 health inspection rating, five deficiencies on record, one serious enough to reach harm or jeopardy level. No abuse citations. The most recent inspection was March 2026. Good hands on deck, but the survey history is where the concern lives.

Nurse hours

3.96 /day

Staff turnover

33%

Serious cites

0

Heritage House runs a nonprofit operation with 61 beds in Atlantic, and the staffing numbers are the first thing worth noticing. At 3.96 nurse hours per resident day, it sits just above the national average, and weekend coverage dips about 11% below its own weekday level, a gap families should ask about directly. Staff turnover is 33.3%, well under the 45.8% national figure, which matters for whether your parent sees the same faces week to week. The inspection record shows 11 deficiencies, none involving harm or abuse, with the most recent state visit in September 2025. Ownership is nonprofit, which often means steadier budgets and less pressure to trim direct care hours.

Nurse hours

4.52 /day

Staff turnover

40%

Serious cites

0

Lexington Park runs on 4.52 nurse hours per resident per day, about 17% above the national average, and weekend staffing dips only around 8% below its own weekday level, a modest drop, though it's worth asking how coverage holds up on Sundays. Turnover sits at 39.5%, better than the 45.8% national figure but still meaning roughly two in five caregivers leaving in a year, which matters for how well staff know residents. The inspection record is the strongest signal here: a 5/5 health inspection rating with just 8 deficiencies on file, none at the harm level and none abuse-related, from an inspection dated April 2026. Corporate-owned and for-profit, but the numbers back it up.

Nurse hours

4.51 /day

Staff turnover

49%

Serious cites

0

Meadowlark Hills runs a strong clinical floor: 4.51 nursing hours per resident day, roughly 17 percent above the national average, with top marks in staffing and quality measures. Inspections are recent and the health inspection rating sits at 4 of 5, but the record isn't spotless, 30 deficiencies, including one at the harm level and one tied to abuse, plus a single $8,278 fine. Staff turnover at 48.8 percent edges past the national 45.8, and weekend coverage dips about 7 percent below weekday levels. The nonprofit ownership and recent survey work in its favor; the abuse-related finding and churn are what a family should ask about directly.

Nurse hours

3.58 /day

Staff turnover

33%

Serious cites

0

Sharon Lane runs lean on nursing hours, 3.58 per resident per day against a national average of 3.86, and weekends dip about 12% below what the home staffs on weekdays. What offsets that is retention: turnover sits at 32.6%, well under the 45.8% national figure, so the people providing that care tend to stick around. The inspection record backs it up: 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent look from regulators in November 2025. For-profit, LLC-owned, 78 beds, in Shawnee. The staffing numbers say watch the weekends; the rest says this is a stable building.

Nurse hours

4.05 /day

Staff turnover

27%

Serious cites

0

Arkansas City Presbyterian Manor runs on a nonprofit model with 60 certified beds, and the staffing numbers tell a steady story: 4.05 nurse hours per resident day, roughly 5% above the national average. Weekend coverage dips about 11% below its own weekday level, which is common but worth knowing if you're planning visits. Annual turnover sits at 26.8%, well under the national 45.8%, so the people caring for residents tend to stay. The current record shows seven deficiencies, none at the harm level and none abuse-related, with an inspection as recent as August 2025.

Nurse hours

4.15 /day

Staff turnover

41%

Serious cites

0

The Apostolic Christian Home in Sabetha is a 76-bed nonprofit run by a church, and its staffing is the strongest part of the picture: 4.15 nurse hours per resident day, about 8% above the national average, with a 5-out-of-5 staffing rating and turnover at 41%, better than the 45.8% national figure. Weekends run roughly 11% leaner than weekdays, which is common but worth knowing if your visits fall on Saturdays or Sundays. The caution is inspections: a 2-out-of-5 health inspection rating, 30 deficiencies on the current record, including two at the harm level and one abuse-related, plus a $13,397 fine. The most recent inspection was December 18, 2024, so that record is fairly fresh.

Nurse hours

5.39 /day

Staff turnover

46%

Serious cites

0

Pleasant View Home runs 122 certified beds in Inman under church-related nonprofit ownership, and its record is mixed in ways that matter. The staffing picture is the weak spot: a one-star CMS staffing rating against a turnover rate of 46.3%, slightly worse than the 45.8% national average. Inspections from October 2024 turned up 22 deficiencies, including one at the harm or jeopardy level and five tied to abuse, a serious count for a single home. Quality measures score well at four stars, and the three-star inspection rating suggests surveyors found problems that weren't severe across the board. The nonprofit, church-affiliated structure may mean steadier local oversight than a chain, but it hasn't translated into stable staffing or a clean survey history. Ask about the abuse deficiencies and turnover directly.

Nurse hours

4.70 /day

Staff turnover

36%

Serious cites

0

Christwood runs a small 30-bed nonprofit home in Covington, and the staffing picture is the strongest part of it: 4.70 nurse hours per resident day, about 22% above the national average, with weekend coverage dipping roughly 12% below its own weekday level. Turnover sits at 35.7%, notably under the 45.8% national figure, which matters for consistency of care. Inspections are recent, from late January 2026, and the record shows 8 deficiencies with none at the harm or jeopardy level and nothing abuse-related. The quality measure score is the softer spot at 3 out of 5, so ask what specific measures are pulling that down.

Nurse hours

4.13 /day

Staff turnover

25%

Serious cites

0

Goodwill Mennonite Home sits in Grantsville with 107 certified beds and a church-affiliated nonprofit owner, which tends to mean steadier hands on deck. The staffing numbers back that up: 4.13 nurse hours per resident day, about 7% above the national average, and turnover of 24.5% is roughly half the national rate of 45.8%, that kind of retention matters more than any single inspection score. Weekend coverage does dip about 12% below weekdays, so ask how that plays out on a Saturday. On paper the record shows 37 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus one fine of $13,250. The last inspection was April 2025, so the picture is current.