1,547 Continuing Care Retirement Communities in the United States

Nurse hours

4.23 /day

Staff turnover

19%

Serious cites

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Wesley Enhanced Living Main Line sits in Media with 60 certified beds and a nonprofit owner. The staffing numbers are the real story here: 4.23 nurse hours per resident day, roughly 9% above the national average, and turnover at 19.4% is unusually low against a national rate of 45.8%. Weekend coverage dips about 5% from weekday levels, which is a gap worth asking about directly. What holds the record back is the inspection side. Four deficiencies on file, one serious enough to reach harm or jeopardy level, and a single fine totaling $151,457. The last inspection was March 2026. Strong, stable staffing paired with a costly serious deficiency and middling inspection and quality ratings, that mix is what the grade reflects.

Nurse hours

4.37 /day

Staff turnover

47%

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Thornwald Home is a church-affiliated nonprofit in Carlisle with 83 certified beds, and its staffing is the clearest strength here: 4.37 nurse hours per resident day, about 13% above the national average of 3.86. Weekend coverage dips roughly 6% below its own weekday level, and turnover sits at 47.4%, slightly worse than the 45.8% national figure. Inspections are another story, 16 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse, plus a single fine of $9,110. The most recent inspection was December 11, 2025, so the record is current. Solid daily staffing, but the deficiency history is what a family should ask about directly.

Nurse hours

3.69 /day

Staff turnover

56%

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Transitions Healthcare Allens Cove runs 3.69 nurse hours per resident day, a bit under the national figure, and weekend coverage drops about 8% below what the home staffs on weekdays. Turnover sits at 56.3%, well above the national 45.8%, that's more than half the nursing staff leaving in a year, which matters for how well residents' routines and preferences get known. The 34 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level, and the last inspection was recent, in March 2026. Families should ask how the home covers weekends and what it's doing to hold onto aides.

Nurse hours

3.23 /day

Staff turnover

50%

Serious cites

0

Avalon Springs runs a 100-bed for-profit operation, and its staffing numbers sit below what you'd typically see elsewhere, 3.23 nurse hours per resident day against a national average of 3.86. Weekend coverage dips further, about 12% under its own weekday levels, which matters if your visits tend to fall on Saturdays and Sundays. Annual turnover hits 50%, slightly above the national figure, so you may see unfamiliar faces across shifts. The positives are real: five deficiencies on record, none involving harm or abuse, and a recent inspection. Quality and inspection scores hold up; staffing is the softer spot. Worth asking how they cover weekends before you decide.

Nurse hours

3.87 /day

Staff turnover

44%

Serious cites

0

Greenbriar At The Altamont runs 95 certified beds as a nonprofit corporation, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86 nationwide. That's not a cushion, it's a tie, and weekends dip about 19% below the home's own weekday coverage, so care looks thinner on Saturdays and Sundays. Turnover at 43.7% edges just under the 45.8% national figure, a modest positive. Six deficiencies are on record with none at harm or jeopardy level, though one is abuse-related. The last inspection was April 2021, meaning the public picture is roughly five years stale.

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Tempe Post Acute looks strong on paper where inspections and quality measures are concerned, top marks in both, and a recent survey from March 2026 with six deficiencies on record, only one of which rose to the level of actual harm. Nothing abuse-related. The problem is staffing, which sits at the very bottom of the federal scale. That's the number families should sit with, because it's the one that shapes daily life: how long you wait after pressing a call light, whether there's time for a real conversation at meals. A clean inspection record tells you the building is run lawfully. It doesn't tell you there are enough hands on the floor.

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Lakeview Terrace runs on unusually deep staffing for a 40-bed nonprofit home in Altoona, 7.48 nurse hours per resident day, nearly double the national figure, with weekend coverage dipping only about 12% below weekdays. Turnover sits at 27.6% against a 45.8% national average, which suggests aides and nurses tend to stay. The catch is inspections: a 2-out-of-5 health inspection rating and 12 deficiencies on record, though none involved harm or abuse, and the most recent survey came in October 2025. Quality and staffing both score 5 out of 5. So you're looking at a well-staffed, well-liked-by-measures home with paperwork and process problems that haven't hurt anyone yet.

Nurse hours

3.99 /day

Staff turnover

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The Healthcare Resort Of Olathe runs 70 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.99 hours per resident day, a little above the national average of 3.86, though weekends drop roughly 12% below its own weekday coverage. Where the record gets harder to overlook is inspections: 58 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, with $37,417 in fines across three cases. The most recent inspection was April 16, 2025. Strong quality measure scores don't cancel out that inspection history, and the staffing edge is thin enough that a weekend dip matters.

Nurse hours

4.05 /day

Staff turnover

—

Serious cites

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The Healthcare Resort of Leawood runs a for-profit operation with 70 certified beds, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average. But weekend coverage drops roughly 7% below its own weekday levels, so care thins out when families tend to visit. The bigger concern is the inspection record: 36 deficiencies on file, one serious enough to reach harm or jeopardy level, plus a $19,105 fine. A 2/5 inspection rating against 4/5 marks for both quality measures and staffing tells you the clinical numbers look better than the survey history. The most recent inspection was August 2025, so that record is current, not stale.

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Maplewood Park Place is small, 31 certified beds, and it's owned by a for-profit corporation, which is worth knowing going in. The inspection history is genuinely strong: five deficiencies on the current record, only one of them serious enough to reach harm or jeopardy, and nothing abuse-related. Federal inspectors gave it top marks on both health inspections and quality measures, and the most recent visit was in March 2025, so the record is current. Where the picture gets less tidy is staffing, which is what keeps a home with this inspection record from scoring higher. Ask the administrator directly about nurse and aide hours per resident per day, and how they hold up on nights and weekends.

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Staff turnover

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Brookhaven At Lexington runs 49 certified beds under nonprofit ownership, and its inspection record is genuinely clean, four deficiencies total, none at the harm or jeopardy level and nothing abuse-related, with a survey done as recently as November 2025. The federal inspection and quality measure ratings both sit at five stars, which tells you the clinical numbers and the survey history hold up on their own. What keeps the overall picture from being flawless is staffing relative to what you'd expect for a home with these marks. Read the numbers yourself: strong outcomes, small size, no serious citations. If you're weighing this one against others, ask about direct care hours per resident per day before you decide.

Nurse hours

3.51 /day

Staff turnover

55%

Serious cites

0

Regency At Livonia runs 128 certified beds, and its nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 15% below the home's own weekday level, which matters if you're visiting Saturday or Sunday and want to know who's actually on the floor. Staff turnover hits 55% against a national 45.8%, so aides and nurses cycle through faster than average. The current record shows 31 deficiencies, one of them serious enough to be flagged at the harm level, though none tied to abuse. Its last inspection was March 3, 2026, so the picture is recent. Quality measures score well above its staffing and inspection results, worth asking how that gap gets reconciled.

Nurse hours

4.74 /day

Staff turnover

42%

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Stone County Rehabilitation runs about 4.74 nurse hours per resident day, roughly 23% above the national average of 3.86, and turnover sits at 42.1%, slightly better than the 45.8% norm. That staffing picture looks solid on paper. But the quality measure rating is 1 out of 5, and the current record carries 9 deficiencies, 4 of them serious enough to involve harm or jeopardy, plus one fine of $8,190. Weekend coverage also dips about 20% below weekday levels, so the hours aren't evenly spread. A 4-star inspection from May 2025 counts for something, yet the clinical quality numbers and those four harm-level findings are what pull the overall picture down.

Nurse hours

3.34 /day

Staff turnover

36%

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0

Good Samaritan Society - Syracuse runs on thinner nurse coverage than most homes, at 3.34 hours per resident day against a national average near 3.86. Weekends dip further, roughly 17% below what the building staffs Monday through Friday, so a Saturday shift here looks noticeably different from a Tuesday. The tradeoff shows up in retention: turnover sits at 35.6%, well under the 45.8% national figure, which suggests people stay. Nine deficiencies are on the record with none at the harm level and none tied to abuse, and the last inspection came in January 2025. This is a nonprofit home with a solid inspection history and steadier-than-average staff, working with fewer hands per resident than the typical facility.

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Riverwoods At Exeter is an eight-bed nonprofit home, and that small scale shows in its record. Four deficiencies on file with none at the harm level and nothing abuse-related is a clean sheet by federal standards, and the most recent inspection came in March 2026, so you're looking at recent information rather than a stale survey. Quality measures score at the top of CMS's five-point scale, which speaks to how residents are actually doing day to day. The one number worth asking about is staffing: with only eight beds, coverage depends on a small crew, so find out who's on overnight and what happens when someone calls out.

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Staff turnover

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Ohio Living Rockynol runs 36 certified beds as a nonprofit, and its last inspection in June 2024 turned up four deficiencies, none at the harm level, none tied to abuse. That's a clean record, and the health inspection and quality measure scores both sit at the top of the federal scale. The catch is staffing, which lands at the lowest rating CMS gives. A small home can run lean, but that gap matters when you're thinking about how quickly someone answers a call light at 2 a.m. Ask what the direct-care hours per resident actually look like and how they cover nights and weekends before you decide.

Nurse hours

4.06 /day

Staff turnover

52%

Serious cites

0

The Villages at Southern Hills scores well on inspections, a five-star health inspection rating and just three deficiencies on record, none causing harm and none tied to abuse. That clean survey history, most recently updated in January 2025, is the strongest thing this Tulsa home has going for it. Staffing is the weak spot. The one-star staffing rating is the kind of number that shows up in day-to-day experience: fewer aides per resident, longer waits. Annual turnover at 51.8% sits above the national average of 45.8%, meaning more than half the workforce leaves each year. As a for-profit LLC with 110 beds, that churn can mean constantly training new faces. Families weighing this one should ask specifically how the home covers shifts on weekends and nights.

Nurse hours

3.28 /day

Staff turnover

40%

Serious cites

0

Holy Family Manor runs lean on direct care: 3.28 nurse hours per resident day against a national average of 3.86, and weekends drop roughly a quarter below its own weekday staffing. The tradeoff shows up in consistency, 39.5% annual turnover, better than the 45.8% national figure, which suggests the aides and nurses who are there tend to stay. Its inspection record is the strongest part of the picture: six deficiencies on file, none involving harm or abuse, and a survey completed in July 2025, so the findings are recent rather than stale. As a church-affiliated nonprofit with 208 beds, it isn't chasing margin, and that shows up in a clean regulatory record even where daily coverage runs thin.

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Staff turnover

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Wecare At The Green Home runs 120 certified beds as a nonprofit corporation, and its record splits in two directions. The quality measures look strong at 5 stars, and none of the 26 deficiencies on file rose to harm or jeopardy level. But staffing sits at 1 star, well below what you'd want for a building this size, and two deficiencies are abuse-related, which families should ask about directly. The last inspection was December 2024, so the findings are recent. A nonprofit owner and good clinical measures don't cancel out thin staffing or an abuse flag, ask how direct-care hours actually break down on evenings and weekends before deciding.

Nurse hours

3.51 /day

Staff turnover

—

Serious cites

0

Mon Valley Care Center runs 60 certified beds in Monongahela under for-profit partnership ownership, and its staffing numbers are the part worth slowing down on. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly another 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. Quality measures score well, but the lower staffing rating reflects a real gap, not a paperwork issue. Fewer hands per resident is the thing to ask about directly.