1,547 Continuing Care Retirement Communities in the United States

Nurse hours

4.07 /day

Staff turnover

47%

Serious cites

0

Citizens Medical Center Ltcu sits in Colby, run by a nonprofit corporation, and the staffing picture is better than most: 4.07 nurse hours per resident day against a national average of 3.86. Weekends get thinner, though, roughly 17 percent below the home's own weekday coverage, and that gap is where problems tend to surface in nursing homes. The inspection record shows 17 deficiencies, two serious enough to reach harm or jeopardy level and one tied to abuse, with a single fine of $17,124 and a last inspection in August 2024. Staff turnover runs 47.4 percent, slightly above the national figure, so the people delivering that above-average care are still cycling through.

Nurse hours

4.27 /day

Staff turnover

—

Serious cites

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Knollwood Nursing Center, a nonprofit home with 82 certified beds in Worcester, runs nurse staffing at 4.27 hours per resident day, about 11% above the national average of 3.86. That's real coverage, though weekends drop roughly 9% below weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The inspection record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. That's a clean record on the serious stuff. Staffing earns 3 out of 5 stars from CMS, below its 4-star inspection and quality scores, which suggests the hours are decent but not exceptional for the resident needs here.

Nurse hours

3.81 /day

Staff turnover

50%

Serious cites

0

Northgate Unit of Lakeview Christian Home runs on staffing numbers that sit just under the national mark, 3.81 nurse hours per resident day against 3.86, so families should know the difference is small on paper but shows up on weekends, when coverage drops roughly 18% below the home's own weekday level. The inspection record is the stronger story: 30 deficiencies on file, none reaching harm or jeopardy, with one tied to abuse, and the most recent state visit came in April 2025. Annual turnover at 50% runs above the 45.8% national average, meaning a good share of the people caring for your relative will be new each year. Nonprofit ownership, and 4/5 stars across health inspections, quality measures, and staffing.

Nurse hours

4.47 /day

Staff turnover

—

Serious cites

0

Barclay Friends runs 4.47 nurse hours per resident day, roughly 16% above the national average of 3.86. Weekend staffing does dip about 5% below its own weekday level, which is worth asking about if your family visits mostly on Saturdays or Sundays. The inspection record is thin in a good way: one deficiency total, none at the harm or jeopardy level, none abuse-related, and the last inspection was June 2025, so the picture is current. CMS rated the health inspection side 4 out of 5, with quality measures and staffing each at 3. As a nonprofit corporation with 64 certified beds, it's small enough that you'll likely get to know the staff. The staffing number is the real strength here; the mid-range quality and staffing stars are what keep it from scoring higher.

Nurse hours

4.23 /day

Staff turnover

48%

Serious cites

0

Somerfield At The Heritage runs 4.23 nurse hours per resident day, about 10% above the national average, and weekends dip roughly 15% below its own weekday coverage, worth knowing if most of your visits fall on Saturdays and Sundays. The current record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, though the last inspection was April 2022, so that record is getting old. Annual turnover sits at 47.6%, slightly worse than the national 45.8%, which means roughly half the staff you meet this year may not be there next year. The county's for-profit LLC ownership is typical for Tennessee. Strong marks on health inspections and quality measures, thinner on staff retention.

Nurse hours

7.44 /day

Staff turnover

47%

Serious cites

0

Summit Square runs 18 certified beds, and the nurse staffing number is genuinely high, 7.44 hours per resident day, roughly double the national average. But that average hides a dip: weekends run about 19% lighter than weekdays, so coverage depends on when you visit. Turnover sits at 47.1%, slightly above the national rate, which means the people providing that care keep changing. The inspection record is where the picture darkens: 27 deficiencies on file, three serious enough to involve harm or jeopardy, one tied to abuse, and a $50,021 fine. The most recent inspection was December 2025, so it's current. A nonprofit operator with strong staffing marks and a troubled compliance history.

Nurse hours

4.69 /day

Staff turnover

30%

Serious cites

0

Josephine Caring Community runs a church-affiliated nonprofit home with 160 beds in Stanwood, and the staffing numbers are genuinely strong, 4.69 nurse hours per resident day, about a fifth above the national average, with turnover at 30.4% against a national 45.8%. That retention matters more than the raw hours, since familiar aides tend to catch changes in a resident's condition earlier. The caution is in the inspection record: 31 deficiencies, including one at the harm level and one tied to abuse, with the most recent inspection in September 2025. Weekend staffing also drops roughly 19% below its own weekday coverage, which is worth asking about directly, who is on the floor on a Saturday night, and how many.

Nurse hours

4.87 /day

Staff turnover

58%

Serious cites

0

The Mission at Blue Skies of Texas East runs 4.87 nurse hours per resident day, about 26 percent above the national average, which is real coverage. But weekends drop roughly 18 percent below its own weekday level, and 57.6 percent of staff left last year against a national 45.8 percent, so the people providing that care keep changing. The current record shows 25 deficiencies, two at harm or jeopardy level and one abuse-related, with a $17,345 fine and an inspection in July 2025. Nonprofit ownership and a 4-star inspection rating suggest decent systems, but the turnover and weekend gaps tell you to ask who's actually on the floor on a Sunday.

Nurse hours

3.22 /day

Staff turnover

18%

Serious cites

0

Haven Health Green Valley runs lean on nursing hours, about 3.22 per resident day, roughly 17% under the national average, and weekends drop another 11% below its own weekday coverage. That's the kind of pattern families notice when a Saturday call button goes unanswered. What stands out in the other direction is retention: 18.4% annual turnover against a national average near 46%, which suggests a steadier crew than most homes manage. State inspectors last visited in May 2024 and logged 35 deficiencies, two tied to abuse, though none rose to the harm or jeopardy level. For-profit ownership through a limited liability company, with middling marks on health inspections and staffing but strong scores on quality measures.

Nurse hours

4.45 /day

Staff turnover

38%

Serious cites

0

Brookdale Santa Catalina runs on more nursing hours than most homes, 4.45 per resident per day against a national average of 3.86, and its staff tends to stay longer than the industry norm. The tradeoff is a record with 31 deficiencies, four of them tied to abuse, though none rose to the level of actual harm or jeopardy. The last inspection was in June 2025, so the picture is reasonably current. Weekend coverage dips about 8% below weekdays, which is common but worth asking about for a 42-bed home. Corporate-owned and for-profit, it earns its strongest marks on staffing and middling ones on inspections and quality measures.

Nurse hours

4.11 /day

Staff turnover

40%

Serious cites

0

Edgewater At Waterman Village runs on a nonprofit model with 120 certified beds, and the staffing numbers are a real strength: 4.11 nurse hours per resident day, roughly 6% above the national average. Retention is better than most too, 40.4% turnover against a national 45.8%. The catch is consistency. Weekend staffing drops about 12% below its own weekday level, so care can feel different depending on when you visit. The inspection record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related. That combination, solid staffing, no serious safety findings, but a middling inspection history, explains why this lands as a solid B rather than something higher.

Nurse hours

4.40 /day

Staff turnover

40%

Serious cites

0

Lutheran Hillside Village in Peoria runs on a nonprofit model with 107 certified beds, and the staffing numbers are the first thing that stands out: 4.40 nurse hours per resident day, roughly 14% above the national average. Weekend coverage dips about 7% below its own weekday level, though, so care isn't perfectly even across the week. Staff turnover sits at 40.2%, lower than the 45.8% national rate, which matters for continuity. On inspections, the home holds a 5/5 rating with its last visit in December 2024, and while 13 deficiencies appear on the current record, none reached harm or jeopardy level, just one is abuse-related.

Nurse hours

4.49 /day

Staff turnover

45%

Serious cites

0

The British Home in Brookfield runs a nonprofit operation with 72 certified beds, and its nurse staffing sits at 4.49 hours per resident day, about 16% above the national average of 3.86. That helps explain the top staffing rating from CMS. Weekend coverage runs roughly 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 45.1%, essentially matching the national average of 45.8%, so retention isn't a standout problem here. The inspection record is more mixed: 18 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. The last inspection was February 27, 2025. Quality and inspection ratings both sit at 4 out of 5.

Nurse hours

5.21 /day

Staff turnover

—

Serious cites

0

The Willows Health Center runs 50 certified beds in Rockford under nonprofit ownership, and its staffing sits well above average, 5.21 total nurse hours per resident day, roughly 35% more than the national figure. That's the strongest card in its hand, though weekend coverage drops about 17% below its own weekday level, so the weekday-to-weekend difference is worth asking about. The trade-off shows up in its record: 26 deficiencies, one serious enough to reach harm or jeopardy, plus three tied to abuse, and one fine of $12,909. With the last inspection dated November 2025 and quality and staffing each rated 4 out of 5, you're looking at a home that invests in staff but has real compliance problems to weigh.

Nurse hours

5.41 /day

Staff turnover

36%

Serious cites

0

Radford Green runs on 5.41 nursing hours per resident per day, roughly 40% above the national average, and weekend staffing holds within about 6% of weekday levels, rare for a for-profit home. Annual turnover sits at 35.7%, well under the national 45.8%, so the people around your parent are more likely to stay. The caution is on the record: 25 deficiencies, 6 serious enough to risk harm, one tied to abuse, and $68,794 in fines, with the last inspection in February 2025. Strong staffing and quality measures, a thinner inspection history. Worth asking the administrator directly what changed since.

Nurse hours

3.50 /day

Staff turnover

37%

Serious cites

0

Avon Health & Rehabilitation Center runs 137 certified beds as a for-profit corporation, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekends about 14% thinner than weekdays. Turnover is 36.8%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated February 26, 2026. Quality measures score well and inspections score well; the softer spot is staffing, especially on weekends when your family member is most likely to visit.

Nurse hours

3.40 /day

Staff turnover

27%

Serious cites

0

Colonial Oaks runs a tight ship on the things inspectors check. A five-star health inspection rating with only four deficiencies on record, none at the harm level, none related to abuse, and a clean inspection from July 2024 puts it well ahead of most homes on regulatory compliance. Where it gives ground is staffing: 3.40 nurse hours per resident day sits about 12% under the national average, and weekends run roughly 14% lighter than weekdays. The saving grace is retention. Turnover of 26.6% is well below the national 45.8%, which means the aides and nurses who are there tend to stay, and that consistency matters more than raw hours in a lot of families' day-to-day experience.

Nurse hours

4.09 /day

Staff turnover

13%

Serious cites

0

Golden Years Homestead runs on a nonprofit model with 111 certified beds, and its staffing sits at 4.09 nurse hours per resident day, roughly 6% above the national average of 3.86. That's a real cushion, though weekends run about 10% thinner than weekdays, so coverage isn't perfectly even across the week. What stands out most is retention: 12.6% annual turnover against a national average near 46%, meaning the people caring for residents here tend to stay. The inspection record is more mixed, 21 deficiencies, including one at the harm level and three tied to abuse, plus a $15,646 fine. The most recent inspection was in August 2025. Good staffing consistency, but the deficiency history is worth asking about directly.

Nurse hours

5.35 /day

Staff turnover

46%

Serious cites

0

Evansville Protestant Home runs on a nonprofit model with 49 certified beds, and its strongest number is staffing: 5.35 nurse hours per resident day, roughly 39% above the national average. That cushion matters, though weekends dip about 8% below the home's own weekday levels. Turnover sits at 46%, almost identical to the national 45.8%, so continuity of caregivers isn't a distinguishing strength. Where the record gets harder to read is inspections and care quality, both rated 2 out of 5, with 19 deficiencies on file and one at the harm or jeopardy level, none abuse-related. The most recent inspection was April 2025, so the picture is current. Strong hands-on staffing, middling oversight results.

Nurse hours

4.53 /day

Staff turnover

47%

Serious cites

0

Green Hills runs on a strong direct-care workforce: 4.53 nurse hours per resident day is about 17 percent more than the national average, and that shows up in a five-star staffing rating. The catch is consistency, weekend coverage drops roughly 13 percent below weekday levels, and turnover sits at 47.1 percent, slightly worse than the national average, so the faces around your family member may change often. Seven deficiencies on record, none involving harm, jeopardy, or abuse, and a January 2026 inspection is recent enough to trust. Quality measures are the weak spot at two stars, which is worth asking about directly even though the care hours look good on paper.