1,547 Continuing Care Retirement Communities in the United States

Nurse hours

3.71 /day

Staff turnover

39%

Serious cites

0

Otterbein Sunset Village runs a little lean on nursing hours, 3.71 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday staffing, which is worth asking about if you're planning visits or worried about Saturday coverage. The 39 deficiencies on record with none at harm or jeopardy level suggest problems with process and documentation rather than immediate danger, though five abuse-related citations are not nothing. Staff turnover at 38.9% is better than the 45.8% national figure, and the most recent inspection was October 2024, so the record is reasonably current.

Nurse hours

3.79 /day

Staff turnover

41%

Serious cites

0

The Willows at Bellevue runs 3.79 nurse hours per resident day, just under the national average of 3.86, and weekend coverage drops about 13% below what it manages on weekdays. Turnover sits at 40.6%, better than the 45.8% national figure, and the home's record shows 15 deficiencies with none at the harm level and none tied to abuse; its last inspection was April 10, 2025. For a 60-bed for-profit, the inspection and quality marks come in strong, and the staffing shortfall against the national number is small enough that it reads more like a rounding gap than a pattern. The weekend dip is the number to ask about directly.

Nurse hours

3.75 /day

Staff turnover

40%

Serious cites

0

Violet Springs runs 58 beds in Pickerington under corporate ownership, and its staffing sits slightly under the national average at 3.75 nurse hours per resident day, thinning out further on weekends. Turnover at 39.7% is better than the 45.8% national figure, which matters because consistent caregivers know residents. The harder numbers are on the inspection side: 36 deficiencies on record, including two at the harm level and three tied to abuse, with a $16,801 fine. A 2/5 inspection rating alongside a 4/5 quality measure score suggests the day-to-day care metrics look better than the oversight record. Ask about those abuse-related findings directly before touring.

Nurse hours

4.01 /day

Staff turnover

40%

Serious cites

0

Bradford Village runs on better-than-average nurse coverage, 4.01 hours per resident day against a national mark of 3.86, and its staff turnover of 40.4% sits below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off is weekends, when staffing drops roughly 13% from weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. State inspectors last visited in February 2025 and logged 12 deficiencies, none involving harm or jeopardy, though one was abuse-related. At 122 beds under for-profit partnership ownership, this is a decent choice with a couple of specific questions worth asking.

Nurse hours

4.11 /day

Staff turnover

49%

Serious cites

0

Sarah Reed Senior Living runs on more nursing hours than most homes, 4.11 per resident day against a national average of 3.86, and that shows up in its four-out-of-five staffing rating. The trade-off is consistency: weekends dip about 9% below weekday coverage, and nearly half the staff turns over each year, slightly worse than the national rate. What stands out more is the inspection record: ten deficiencies on file, none causing harm or involving abuse, and a clean five-star health inspection rating with a visit as recent as December 2025. As a nonprofit with 106 beds, it's a stable operation with real strengths and one soft spot worth asking about.

Nurse hours

3.70 /day

Staff turnover

50%

Serious cites

0

Oxford Health Center runs on a nonprofit model with 90 certified beds, and its inspection record is genuinely solid, nine deficiencies total, none rising to harm or jeopardy, though two are abuse-related, which is worth asking about directly. The tradeoff shows up in staffing: 3.70 nurse hours per resident day sits about 4% under the national average, weekends dip another 6% below the home's own weekday coverage, and turnover hits 50% against a national 45.8%. Inspections and quality measures both rate well; staffing rates middle. A recent inspection in March 2026 means the picture is current. Ask about weekend coverage and what those abuse deficiencies involved.

Nurse hours

4.16 /day

Staff turnover

48%

Serious cites

0

Lutheran Home At Hollidaysburg runs a church-affiliated nonprofit with 89 beds, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average, though weekends dip about 8% below its own weekday coverage. That staffing earns 4 stars from CMS, but the inspection record tells a different story: 39 deficiencies on file, including 2 at the harm or jeopardy level and 3 tied to abuse, with two fines totaling $101,905. Staff turnover runs 48.2%, a bit above the national 45.8%. The most recent inspection was December 2025, so the record is current. Quality measures score 4 stars; health inspections score 2. Ask about those harm-level and abuse deficiencies specifically.

Nurse hours

3.84 /day

Staff turnover

42%

Serious cites

0

Courtyard Gardens runs a nonprofit home with 102 beds in Middletown, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86 nationwide. That sounds fine until you notice weekends drop about 12% below the home's own weekday coverage, which is when falls and medication errors tend to happen. Staff turnover is 42%, a bit better than the 45.8% national figure, and the last inspection in September 2024 produced 15 deficiencies, two of them serious enough to cause harm, plus one fine of $8,469. The four-star inspection rating is real, but those two harm-level findings and the weekend gap are what pull the overall picture down.

Nurse hours

5.34 /day

Staff turnover

66%

Serious cites

0

Quadrangle runs 5.34 nurse hours per resident day, about 38% above the national average, and that staffing shows up in its four-star staffing rating. The catch is turnover: 65.7% of staff leave each year, well above the 45.8% norm, so the people delivering that care keep changing, and weekend coverage drops roughly 10% below weekday levels. The inspection record is where it gets harder to defend, 36 deficiencies, including one at the harm level and three tied to abuse, with a two-star health inspection rating and a $8,278 fine. Its quality measures score four stars, but persistent turnover and a recent April 2025 inspection citing harm-level problems are the things to ask about directly.

Nurse hours

3.90 /day

Staff turnover

38%

Serious cites

0

Lutheran Home At Kane runs on a nonprofit model with 90 certified beds, and its nurse staffing sits at 3.90 hours per resident day, just a hair above the national average of 3.86. That margin is thin enough that weekend coverage matters: staffing drops about 13% below weekday levels, so care on Saturdays and Sundays may feel different from a Tuesday. Turnover is 37.7%, noticeably better than the 45.8% national figure, which suggests less churn among the people doing the daily work. The current deficiency record shows six citations, none at harm or jeopardy level and none abuse-related, with the last inspection in November 2025. Quality measures score lower than staffing and inspection results, so ask about specific clinical outcomes.

Nurse hours

4.45 /day

Staff turnover

93%

Serious cites

0

Monticello House has the bones of a strong nursing home: a five-star inspection record, five stars on quality measures, and no deficiencies at the harm or jeopardy level, with a clean record on abuse. Its 4.45 nurse hours per resident day sit about 15% above the national average. The problem is stability. Annual staff turnover runs 92.7%, roughly double the national figure, and weekend staffing drops about 11% below the home's own weekday level, so the coverage families tour on a Tuesday isn't quite what a Saturday looks like. A nonprofit owner and a recent inspection help. Whether aides stay long enough to know your mother is the open question.

Nurse hours

3.56 /day

Staff turnover

46%

Serious cites

0

Concordia At Arbutus Park runs 3.56 nurse hours per resident day, about 8% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover sits at 46.4%, roughly matching the national figure, so this isn't a retention crisis, it's a coverage question. The current inspection record shows 27 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, with $16,800 in fines across three events. A 3/5 health inspection rating against 4/5 marks for quality measures and staffing tells you the care model looks better on paper than the surveyor's clipboard. The most recent inspection was August 2025, so the record is current.

Nurse hours

4.46 /day

Staff turnover

36%

Serious cites

0

Brookdale Westlake Hills runs 4.46 nursing hours per resident day, comfortably above the national average, and its 35.7% turnover beats the typical home, staffing isn't the problem here. The trouble sits in inspections: 32 deficiencies on the current record, seven serious enough to involve harm or jeopardy, three tied to abuse, and six fines totaling just over $300,000. A 2-out-of-5 inspection rating with a April 9, 2026 survey suggests recent problems rather than old ones. Weekend coverage also dips about 15% below weekday levels, so care may thin out when families visit. For-profit corporate ownership, and a record that outweighs the staffing numbers.

Nurse hours

— /day

Staff turnover

48%

Serious cites

0

The Chesapeake runs on 4.94 nurse hours per resident day, roughly 28% above the national average of 3.86, which is the main reason it holds a 5/5 staffing rating. That said, weekends dip about 18% below its own weekday coverage, and turnover sits at 47.8%, slightly worse than the 45.8% national figure. Its inspection record shows 28 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the last survey was in December 2025. Quality measures come in at 5/5. As a nonprofit with 52 beds, the numbers point to strong day-to-day care with some staff-retention and weekend-coverage softness worth asking about directly.

Nurse hours

4.02 /day

Staff turnover

43%

Serious cites

0

Avamere Rehabilitation at Ridgemont runs 4.02 nurse hours per resident day, about 4% above the national average, and its 43% turnover is slightly better than the typical 45.8%. Those are real positives. The catch is in the details: weekend staffing drops roughly 9% below weekday levels, and the current record carries 34 deficiencies, including one at the harm level and two tied to abuse. State inspectors last visited in September 2025 and rated the home 4 out of 5 on health inspections and quality measures, yet only 2 out of 5 on staffing. That gap, good survey results sitting alongside thin staffing marks and dozens of cited problems, is what keeps this for-profit, limited-liability home in middling territory. Worth a visit and specific questions.

Nurse hours

4.93 /day

Staff turnover

39%

Serious cites

0

Cheney Care Center runs on a nonprofit model with 54 beds, and its staffing is the standout: 4.93 nurse hours per resident day, roughly 28% above the national average. That helps explain the four-star staffing rating, and turnover at 38.8% sits below the national 45.8%. Weekend hours dip about 10% from weekday levels, which is common but worth knowing if you're visiting Saturdays. The caution is in the record: 50 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in August 2025. A three-star inspection and three-star quality rating land in the middle. Strong hands-on care, but the compliance history is the thing to ask about directly.

Nurse hours

5.32 /day

Staff turnover

43%

Serious cites

0

Alta Healthcare Center of Camarillo runs 45 certified beds under a for-profit limited liability company, and the staffing picture is genuinely strong: 5.32 total nurse hours per resident day, roughly 38% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, and turnover sits at 42.9%, slightly better than the 45.8% national figure. The concerning part is the inspection record, 22 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $43,407 fine. The most recent inspection was May 2025, so that record is current, not stale. Strong daily staffing and a recent serious deficiency can both be true at once; ask what that harm-level finding involved.

Nurse hours

3.68 /day

Staff turnover

54%

Serious cites

0

Windflower Health Center runs on thin staffing. At 3.68 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so the coverage your relative gets on a Saturday won't match a Tuesday. Annual turnover of 53.9% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than average. The inspection record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related, with $4,922 in fines across two penalties. A recent April 2025 inspection and solid quality measures count for something, but the staffing pattern is the part worth asking about directly.

Nurse hours

3.55 /day

Staff turnover

44%

Serious cites

0

Citadel Post Acute runs 128 beds in Mesa under corporate for-profit ownership, and its inspection record is genuinely clean, five deficiencies on the current books, none at the harm or jeopardy level, with the last state visit in February 2025. That one abuse-related citation is worth asking about directly. Where the numbers thin out is daily staffing: 3.55 nurse hours per resident, roughly 8% under the national average, and weekends drop about 16% below the home's own weekday coverage. Turnover sits at 43.8%, slightly better than the national 45.8%. Quality measures score well, but quality scores reflect past performance, not who's on the floor on a Sunday.

Nurse hours

4.83 /day

Staff turnover

55%

Serious cites

0

The Reutlinger Community runs high on direct care: 4.83 nurse hours per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. But the weekend dips about 16% below its own weekday staffing, and turnover sits at 55.4%, nearly ten points above the national figure, so consistency is the weak spot. Inspections from November 2024 produced 19 deficiencies, none at the harm or jeopardy level, though one was abuse-related. For a 60-bed nonprofit in Contra Costa County, that reads as a well-staffed home on weekdays with a thinner weekend crew and steady churn to watch.