1,547 Continuing Care Retirement Communities in the United States

Nurse hours

4.46 /day

Staff turnover

50%

Serious cites

0

Valley View Village is a nonprofit home in Des Moines with 79 beds, and its staffing is genuinely its strong point, 4.46 nurse hours per resident day, about 16% above the national average. Weekend coverage dips roughly 9% below weekday levels, which is common but worth knowing if you're visiting on a Saturday. The harder numbers sit elsewhere: staff turnover of 50% runs above the 45.8% national average, and the current record carries 23 deficiencies, including two at the harm or jeopardy level. The last inspection was in May 2025, and one fine totaling $9,110 has been levied. Consistent nursing hours are a real plus, but the inspection history and turnover suggest asking pointed questions about consistency of care.

Nurse hours

4.21 /day

Staff turnover

48%

Serious cites

0

Prairie Gate runs a nonprofit shop with 72 beds, and the staffing numbers are the strongest part of the picture, 4.21 nurse hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 10% below its own weekday levels. That staffing strength is offset by a health inspection record that produced 23 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $27,630; the most recent inspection was July 2025. Staff turnover sits at 47.5%, slightly above the national 45.8%. The quality measure rating of 4/5 suggests clinical outcomes look better than the inspection history would imply.

Nurse hours

— /day

Staff turnover

24%

Serious cites

0

The not-for-profit home in Needham runs 72 beds and staffs nurses at 6.85 hours per resident day, roughly 77% above the national average, with turnover at 24.3% against a national 45.8%, so the people caring for your relative tend to stay. Weekends dip about 8% below weekday coverage, which is worth knowing if your visits fall on Saturdays. The trouble sits in its record: 11 deficiencies, two serious enough to involve harm or jeopardy, three tied to abuse, and one fine of $16,153. Its last inspection was July 18, 2025, so that history is recent. Strong staffing and a shakier safety record are both true here.

Nurse hours

4.55 /day

Staff turnover

61%

Serious cites

0

Hilltop runs a tight ship on the clinical side. The last state inspection in May 2025 turned up five deficiencies, none of them causing harm or tied to abuse, which is a clean record for a 50-bed for-profit under limited liability ownership. Nursing hours come in at 4.55 per resident day, roughly 18% above the national average, and that shows up in the four-star staffing rating. The catch is turnover: 60.6% of staff leave each year against a national average near 46%, and weekend coverage drops about 12% below weekday levels. Those two numbers are worth asking about directly, steady hands and consistent weekend care matter as much as raw hours on paper.

Nurse hours

4.71 /day

Staff turnover

38%

Serious cites

0

Lutheran Senior Services At Breeze Park runs a 50-bed nonprofit home in Saint Charles, and its nurse staffing sits around 4.71 hours per resident day, roughly a fifth above the national average, though weekends drop about 11% below its own weekday coverage. Staff turnover is 37.9%, better than the 45.8% national figure, and the last inspection was in March 2024. The record also shows 16 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single fine of $41,347. Strong daily staffing and steadier retention count for a lot here, but those harm-level findings and the abuse citation are the kind of history worth asking about directly before you decide.

Nurse hours

4.77 /day

Staff turnover

69%

Serious cites

0

The staffing numbers look good on paper, 4.77 nurse hours per resident day, roughly a quarter above the national average, and the federal staffing rating backs that up. But 68.7% of staff turned over in a year against a national average near 46%, which means those hours are often delivered by people still learning the building, and weekend coverage drops about 11% below weekday levels. The inspection record shows 22 deficiencies with two tied to abuse, though none rose to actual harm or jeopardy, and the last state visit was April 2025. A for-profit LLC operation with that much churn is worth asking about directly.

Nurse hours

4.09 /day

Staff turnover

51%

Serious cites

0

Manzano Del Sol is a for-profit home in Albuquerque with 117 beds, and its numbers pull in two directions. Nurse staffing runs about 4.09 hours per resident day, roughly 6% above the national average, though weekends dip about 10% below its own weekday coverage, and staff turnover sits at 50.6% against a national 45.8%. The trouble is the inspection record: a 1-out-of-5 health inspection rating, 33 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, plus two fines totaling $25,935. That gap between decent staffing and a rough regulatory history is the whole story here, and it's worth asking administrators directly how they're closing it.

Nurse hours

5.17 /day

Staff turnover

36%

Serious cites

0

Glen Arden runs about 5.17 nurse hours per resident day, roughly a third more than the national average of 3.86, and its staff turnover of 36% sits below the 45.8% national figure, numbers that suggest a stable, well-staffed floor. Weekend coverage dips about 9% from weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The tradeoff shows up in oversight: 21 deficiencies on the current record, two serious enough to reach harm or jeopardy level, and a single fine of $108,046. The most recent inspection was in December 2025. Small homes of 40 beds can be either tightly run or thinly supervised, and here the staffing strength and the inspection record point in different directions.

Nurse hours

3.09 /day

Staff turnover

32%

Serious cites

0

Regal Heights runs 280 beds in Jackson Heights under for-profit partnership ownership, and its nurse staffing sits at 3.09 hours per resident day, roughly 20% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 31.5% against a national 45.8%, meaning the aides and nurses who are there tend to stay. The current record shows 20 deficiencies, none at harm or jeopardy level, but one abuse-related citation. The last inspection was February 2026. Quality measures score well; the health inspection side does not.

Nurse hours

4.34 /day

Staff turnover

51%

Serious cites

0

Shepherd of the Valley Liberty runs on decent nurse coverage, 4.34 hours per resident day, roughly 12% above the national average, and that shows up in a four-star staffing rating. The catch is weekends, when hours drop about 13% below the home's own weekday level, and a 50.6% annual turnover rate that sits above the national figure. On inspections, the record shows 18 deficiencies, including one at the harm level and two tied to abuse; the last survey was September 2025. Church-affiliated nonprofit ownership with 79 beds rounds out the picture.

Nurse hours

4.00 /day

Staff turnover

40%

Serious cites

0

Otterbein Lebanon runs on more nursing hours than most homes, about 4.00 per resident day against a national average near 3.86. Weekend coverage dips roughly 7% below its own weekday level, which is typical but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 39.8%, better than the 45.8% national figure. The record shows 16 deficiencies, one serious enough to reach harm or jeopardy level, and none tied to abuse. Inspectors were last on site in September 2025, and the health inspection rating came back 4 out of 5 stars, with quality measures at 5. It's a nonprofit corporation with 154 certified beds.

Nurse hours

3.75 /day

Staff turnover

30%

Serious cites

0

St. Francis Senior Ministries is a church-affiliated nonprofit in Tiffin with 54 certified beds, and its numbers tell a fairly steady story. Nurse staffing sits at 3.75 hours per resident day, roughly 3% under the national average, and weekend coverage drops about 13% below what the home staffs on weekdays. Staff turnover is the bright spot: 30.4%, well under the national 45.8%, which suggests people stick around here. The home was inspected in April 2025 and carries 22 deficiencies, none at the harm or jeopardy level, though four are abuse-related. Its health inspection and quality measure ratings both sit at four stars, with staffing at three.

Nurse hours

3.60 /day

Staff turnover

48%

Serious cites

0

St. Ann's runs a 120-bed for-profit partnership home in Oklahoma City with a solid inspection record, 22 deficiencies, none at the harm level, though one is abuse-related. The 4-star health inspection rating backs that up, and the last survey was in May 2024, so the picture is current. Where it slips is staffing: 3.60 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 9% below its own weekday level, and turnover at 48.3% runs slightly above the national rate of 45.8%. That mix, clean inspections, thinner and less stable staffing, is what separates this home from the top tier.

Nurse hours

3.48 /day

Staff turnover

26%

Serious cites

0

Riverton Rehabilitation has 111 certified beds and is owned by an individual for-profit operator. Its staffing sits at 3.48 nurse hours per resident day, roughly 10% under the national average of 3.86, and weekends run about 8% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Turnover is the interesting part: 26.3% against a national average near 46%, which suggests a steadier crew than most places even if there aren't quite enough of them. Inspections back that up, 11 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent visit in December 2025.

Nurse hours

4.40 /day

Staff turnover

48%

Serious cites

0

Buffalo Valley Lutheran Villag runs a solid B, and the staffing numbers explain why. At 4.40 nurse hours per resident day, it's about 14% above the national average of 3.86, that's real coverage, though weekends dip roughly 6% below its own weekday level, so ask about Saturday and Sunday shifts specifically. Turnover sits at 47.5%, just above the national 45.8%, meaning nearly half the nursing staff turns over annually. The 37 deficiencies on record include two abuse-related citations, but none at the harm or jeopardy level, which matters. Inspectors were last on site in September 2025, so the record is fairly current.

Nurse hours

4.03 /day

Staff turnover

24%

Serious cites

0

Scenery Hills runs 4.03 nurse hours per resident day, a bit above the national average, and its staff turnover of 24.1% is roughly half the national rate, unusual stability for a for-profit limited liability company. The catch is on the health inspection side: 23 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection dated May 2026. Weekend staffing also drops about 11% below its own weekday level. Consistent caregivers matter, but a harm-level finding and an abuse citation are the kind of record a family should read closely before deciding.

Nurse hours

4.56 /day

Staff turnover

65%

Serious cites

0

Wesley Enhanced Living - Doylestown runs 60 certified beds under nonprofit ownership, and the staffing numbers are genuinely strong: 4.56 nurse hours per resident day, roughly 18% above the national average of 3.86. Weekends dip about 7% below its own weekday coverage, which is worth asking about if your family member needs more hands-on help on Saturdays and Sundays. The bigger concern is turnover, 65.3% annually against a national average of 45.8%, meaning most of the people caring for residents in a given year are relatively new. Inspections look solid: five deficiencies on record, none at harm or jeopardy level, none abuse-related, with the most recent survey in March 2026.

Nurse hours

4.14 /day

Staff turnover

43%

Serious cites

0

The Williamsport Home runs 4.14 total nurse staffing hours per resident day, roughly 7% above the national average of 3.86, a real edge, though weekend coverage dips about 11% below its own weekday levels, so the weekday-to-weekend gap is worth asking about directly. Its 31 deficiencies include zero at the harm or jeopardy level, but two abuse-related citations appear on the record, which is the kind of finding you'd want to understand before deciding. Staff turnover sits at 43%, slightly better than the 45.8% national figure, and the last inspection was recent at January 29, 2026. As a nonprofit, it answers to a mission rather than shareholders, which tends to show up in staffing consistency over time.

Nurse hours

3.48 /day

Staff turnover

28%

Serious cites

0

Wood Village runs lean on daily nursing hours, 3.48 per resident, roughly 10 percent under the national average, and weekends dip another 9 percent below its own weekday pace. What stands out instead is retention: 27.9 percent turnover against a national average of 45.8 percent means the aides and nurses here tend to stay, which matters more for daily care than a staffing ratio on paper. The inspection record backs that up, with a 5/5 health inspection rating, only two deficiencies on file, none involving harm or abuse, and a recent May 2025 survey. Nonprofit ownership and a 4/5 quality measure rating round out a home that's stable rather than flush.

Nurse hours

3.99 /day

Staff turnover

52%

Serious cites

0

Nurse staffing at this Mesquite nonprofit runs 3.99 hours per resident day, slightly above the national average of 3.86, and weekends dip about 4% below its own weekday levels, a small drop, but worth asking about. The bigger concerns sit elsewhere: annual turnover is 52% against a national 45.8%, and the current record carries 15 deficiencies, four at harm or jeopardy level and one abuse-related, plus two fines totaling $28,941. The 5/5 quality measure score stands out, but that's largely self-reported data, while the 3/5 inspection rating reflects what surveyors actually found when they visited in March 2025.