1,547 Continuing Care Retirement Communities in the United States

Nurse hours

3.91 /day

Staff turnover

62%

Serious cites

0

Luther Oaks sits in Bloomington with just 19 certified beds, so it's a small operation, and small homes can go either way. The staffing number looks solid at 3.91 nurse hours per resident day, slightly above the national average, though weekends dip about 7% below its own weekday coverage, which is when families tend to visit and notice. The bigger issue is turnover: 61.5% annually against a national average of 45.8%, meaning a lot of caregivers are cycling through. Inspections in August 2024 turned up 21 deficiencies, including one at the harm level and one abuse-related. Good quality measure scores, but the inspection record and churn are worth asking about directly.

Nurse hours

4.04 /day

Staff turnover

51%

Serious cites

0

Hamilton Grove is a church-affiliated nonprofit in New Carlisle with 85 beds, and its staffing sits at 4.04 nurse hours per resident day, about 5% above the national average. That edge narrows on weekends, when coverage drops roughly 10% below the home's own weekday level, and turnover runs at 51.1% against a national 45.8%, so the staff you meet may not be there next year. The inspection record shows 28 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related; the most recent inspection came in May 2025. Quality measures score well, but that single harm-level finding is the number worth asking about directly.

Nurse hours

— /day

Staff turnover

21%

Serious cites

0

Parkview Haven is a 42-bed county-owned home in Francesville, and the single most encouraging number is its staff turnover: 21.1% a year against a national average of 45.8%. Keeping caregivers in place matters more than almost anything else in a building this small. The tradeoff shows up in staffing levels, which CMS rates near the bottom, and in 22 deficiencies on the current record, including two tied to abuse, though none rose to actual harm or jeopardy. Quality measures come in above average, and the last inspection was recent, in June 2025. Read the survey report yourself and ask how they're covering shifts.

Nurse hours

4.67 /day

Staff turnover

45%

Serious cites

0

Morrison Woods sits in Muncie with 68 certified beds and for-profit LLC ownership. Nurse staffing runs 4.67 hours per resident day, about 21% above the national average, and turnover at 45% is essentially right at the national figure. The trade-offs show up elsewhere: a 3/5 health inspection rating with 17 deficiencies on the current record, two of them abuse-related, though none rose to harm or jeopardy level. Weekend staffing dips roughly 7% below weekday levels. The 5/5 quality measure rating is the strongest number here, but the inspection record and those two abuse citations are what a family should be asking about directly.

Nurse hours

3.26 /day

Staff turnover

10%

Serious cites

0

Sunrise Hill runs lean on daily nursing hours, 3.26 per resident, roughly 15% under the national average, and weekends dip another 11% below its own weekday staffing. That's the tradeoff at a 76-bed for-profit home in rural Tama County. What stands out is retention: 10.3% turnover against a national average near 46%, meaning the aides and nurses here largely stay put, which matters more for daily care than a single staffing number. The inspection record is mostly clean (three deficiencies) but includes one harm-level and one abuse-related finding, so ask directly how those were resolved. Last inspected December 2025, so the record is current.

Nurse hours

3.50 /day

Staff turnover

53%

Serious cites

0

Concord Care Center runs 46 beds in Garner under for-profit LLC ownership, and the inspection record is the strongest part of the picture, the state visited in September 2025 and found 11 deficiencies, none of which rose to harm or jeopardy. The one abuse-related citation is worth asking about directly. Where the home gives ground is staffing: 3.50 nurse hours per resident day sits about 9% under the national average, weekend coverage dips roughly 12% below its own weekday levels, and 53.2% of staff turned over in a year against a 45.8% national rate. That combination, solid surveys, thinner and less stable coverage, is what keeps this from grading higher despite strong quality measure scores.

Nurse hours

4.28 /day

Staff turnover

40%

Serious cites

0

River Hills Village sits at 84 certified beds under for-profit LLC ownership in Keokuk, and the staffing picture is its clearest strength: 4.28 nurse hours per resident day, roughly 11% above the national average. Turnover runs 40%, better than the 45.8% norm, though weekend coverage dips about 7% below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 8 deficiencies, one serious enough to reach harm or jeopardy level, none abuse-related, with the most recent survey in September 2025. Quality measures score well; the health inspection side is more middle-of-the-road.

Nurse hours

3.94 /day

Staff turnover

45%

Serious cites

0

Wesley On Grand runs on a solid staffing base: 3.94 nurse hours per resident day, a bit above the national average of 3.86. Weekend coverage dips about 5% from weekday levels, and turnover sits at 44.7%, marginally better than the 45.8% national figure. The inspection record is clean where it matters, four deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in June 2025. Quality measures land mid-range. It's a nonprofit home with 80 beds whose strongest asset is a spotless harm-level record and dependable weekday staffing; the trade-offs are thinner weekend coverage and a quality-measure score that won't impress anyone.

Nurse hours

4.54 /day

Staff turnover

49%

Serious cites

0

Kennybrook Village sits in Grimes with 40 certified beds and an individual for-profit owner. The nurse staffing number is the standout: 4.54 hours per resident day, roughly 18% above the national average, which is why CMS gives it 4 stars on staffing. Weekend coverage drops about 12% from weekday levels, so ask how that plays out on Saturdays. Turnover runs 49.1%, a bit above the national 45.8%, not alarming, but worth knowing. Twelve deficiencies are on record, none at harm or jeopardy level and none abuse-related, and the last inspection was January 2026. Inspection and quality measures both sit at 3 stars.

Nurse hours

4.18 /day

Staff turnover

50%

Serious cites

0

The Cottages in Pella runs a nonprofit shop with 100 certified beds, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage dips about 7% below its own weekday levels, and half the staff turns over each year against a 45.8% national figure. That mix helps explain a staffing rating of 4 out of 5 and quality measures at 4 out of 5, but the health inspection side tells a harder story: 21 deficiencies on record, including 2 at the harm or jeopardy level and 3 tied to abuse, with $40,054 in fines across two penalties. The most recent inspection was August 25, 2025, so the record is current rather than stale. Good day-to-day care numbers, serious inspection findings.

Nurse hours

4.09 /day

Staff turnover

51%

Serious cites

0

Kansas Christian Home runs a church-affiliated nonprofit with 54 beds in Newton, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average, which is the main reason its staffing rating lands at 4 stars. That cushion thins on weekends, when hours drop about 11% below the home's own weekday pace. Annual turnover of 50.9% edges past the national 45.8%, and the inspection record shows 27 deficiencies, including one at the harm level and two tied to abuse. Its last inspection was May 2026, so that record is recent, not stale. Quality and health inspection measures both come in at 3 stars, solid enough, but the deficiency history is the piece worth asking about directly.

Nurse hours

4.75 /day

Staff turnover

—

Serious cites

0

Willow Brooke runs a small 38-bed nonprofit home in Chestertown with real nurse coverage: 4.75 hours per resident day, roughly 23% above the national average, and that's the number families should weigh most. Weekends dip about 13% below its own weekday staffing, so ask how that gap gets covered. The inspection record is where the picture gets murkier. Twenty-six deficiencies are on file, including one at the harm level and two tied to abuse, with a single $15,440 fine. The most recent inspection was December 2025, so the record is current. Strong staffing and a recent survey coexist here with real findings, worth asking about directly.

Nurse hours

4.39 /day

Staff turnover

50%

Serious cites

0

Oak Crest Village sits in Parkville with 80 certified beds and a non-profit owner. Its nurse staffing runs 4.39 hours per resident day, roughly 14% above the national average, though weekends drop about 9% below its own weekday levels, and turnover hits 50% against a national 45.8%. The inspection record is where things get complicated: 26 deficiencies total, including 3 at harm or jeopardy level and 4 abuse-related, with one fine of $49,725. The last inspection was February 2026, so the record is recent. Strong staffing and 4-out-of-5 stars across inspection, quality, and staffing measures coexist with a genuinely concerning deficiency history. Ask about the abuse citations and the weekend coverage gap directly.

Nurse hours

3.96 /day

Staff turnover

37%

Serious cites

0

Day Brook Village runs 92 certified beds as a nonprofit, and the staffing picture is genuinely solid: 3.96 nurse hours per resident day sits just above the national average of 3.86, and turnover at 37.2% is meaningfully better than the 45.8% typical elsewhere. Weekend coverage dips about 10% below weekday levels, which is common but worth asking about. The catch is the inspection record, 39 deficiencies on file, though none at harm or jeopardy level and none abuse-related, and the most recent state visit was April 2025. The low inspection score and high quality-measure score tell you care practices look better than the paperwork trail does. Ask to see the plan of correction for those 39 citations.

Nurse hours

4.08 /day

Staff turnover

33%

Serious cites

0

Mayflower Place runs on a for-profit LLC structure with 72 certified beds in West Yarmouth, and its staffing is the clearest strength: 4.08 nurse hours per resident day, about 6% above the national average, with a 4-out-of-5 staffing rating. Turnover sits at 32.9%, well below the national 45.8%, which matters for consistency of care. The concerns are elsewhere. Inspections turned up 40 deficiencies, including 9 tied to abuse, though none rose to harm or jeopardy level. Quality measures rate 2 out of 5, and weekend staffing drops roughly 10% below weekday levels. The last inspection was November 2025, so the record is recent.

Nurse hours

3.87 /day

Staff turnover

49%

Serious cites

0

Heritage Living Center is county-owned and holds 48 beds in Park Rapids, and the numbers behind its grade are mostly steady. Nurse staffing sits at 3.87 hours per resident day, essentially level with the national average, though weekends run about 9% thinner than weekdays, worth asking about if your family member needs care on Saturdays and Sundays. The inspection record is stronger than average, with a recent visit in August 2025 and nine deficiencies, but two of those stand out: one at the harm or jeopardy level and one abuse-related. Staff turnover of 48.9% edges past the national 45.8%, so expect some churn among caregivers.

Nurse hours

4.00 /day

Staff turnover

61%

Serious cites

0

Linden Woods Village sits in Gladstone with 40 certified beds under for-profit LLC ownership. The clinical picture is genuinely strong on paper: a 4/5 inspection rating, a 5/5 on quality measures, and 12 deficiencies on record with none at the harm level and none abuse-related. Staffing runs 4.00 nurse hours per resident day, roughly 4% above the national average, but weekends drop about 12% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger flag is turnover at 61.1% against a national 45.8%, nearly a third higher. Consistent caregivers matter for people who can't advocate for themselves, and that churn is worth asking about directly.

Nurse hours

4.07 /day

Staff turnover

45%

Serious cites

0

United Methodist Communities At Bristol Glen runs a 60-bed nonprofit home in Newton, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average. Weekend coverage dips about 7% below its own weekday level, so ask how that plays out on Sundays. Staff turnover is 44.8%, essentially in line with the national figure of 45.8%. Six deficiencies appear on the current record, one serious enough to involve harm or jeopardy, though none are abuse-related. One fine totaling $8,278 has been issued. The last inspection was May 2024, and CMS gives 4 out of 5 stars across health inspections, quality measures, and staffing.

Nurse hours

3.84 /day

Staff turnover

53%

Serious cites

0

Vancrest of St Mary's runs a tight ship on the clinical side: a five-star health inspection record with just ten deficiencies, none of them causing harm or involving abuse, and the most recent visit from state surveyors came in December 2025. Quality measures also score five stars. Staffing is where the picture softens. At 3.84 nurse hours per resident day, it sits just under the national average, and weekend coverage drops roughly ten percent from its own weekday level, worth asking about if your family visits Saturdays and Sundays. Annual turnover of 52.6% runs well above the 45.8% national figure, meaning more than half the nursing staff turns over each year. Good care when people are there; keeping them there is the harder part.

Nurse hours

3.62 /day

Staff turnover

31%

Serious cites

0

The Meadows of Delphos runs 54 beds under corporate ownership, and its staffing sits a bit thin, 3.62 nurse hours per resident day, roughly 6% under the national average, with weekends dropping about 9% below its own weekday levels. The good news is that people tend to stay: turnover is 31.4%, well below the 45.8% national figure, which usually means steadier caregivers who know the residents. Inspections in January 2025 turned up 13 deficiencies, none causing harm, though one is abuse-related, and the health and quality ratings both landed at 4 out of 5. It's a decent home on paper, with a staffing edge worth asking about directly.