1,547 Continuing Care Retirement Communities in the United States

Nurse hours

4.15 /day

Staff turnover

—

Serious cites

0

The Forest At Duke is a four-bed nonprofit unit in Durham, and its inspection record is close to spotless, one deficiency on the books, none of it involving harm, jeopardy, or abuse, with a survey as recent as November 2024. Where it slips is staffing, and the picture is odd: total nurse hours run about 4.15 per resident day, roughly 8% above the national average, yet weekend coverage drops about 11% below the home's own weekday level. With only four certified beds, a single callout can swing the numbers in ways they wouldn't at a larger home, so read the low staffing rating alongside the size rather than on its own.

Nurse hours

4.96 /day

Staff turnover

51%

Serious cites

0

Trinity Elms runs a church-affiliated nonprofit home in Clemmons with 100 certified beds, and the staffing is the clearest strength here: 4.96 nurse hours per resident day, about 28% above the national average, with weekend coverage dipping only slightly below weekdays. That's a real cushion. The rest of the picture is thinner. Roughly half the nursing staff turned over in the past year, a bit worse than the national rate, and the current inspection record carries 14 deficiencies, including two at the harm level and one tied to abuse, along with $15,646 in fines. Quality measure scores sit at the low end. Good coverage, uneven execution.

Nurse hours

3.65 /day

Staff turnover

53%

Serious cites

0

O'Neill Healthcare Lakewood runs 114 certified beds under individual for-profit ownership, and its staffing numbers are the main thing to know. Nurses provide 3.65 hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday levels, which is when gaps tend to show up. Annual turnover sits at 52.7%, well above the 45.8% national figure, so the people caring for your family member change often. The health inspection rating is 3 out of 5, with 25 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy. The last inspection was in August 2023. Resident outcome measures score well; staffing doesn't.

Nurse hours

3.54 /day

Staff turnover

47%

Serious cites

0

Maple Knoll Village sits in Cincinnati with 80 certified beds and a nonprofit owner, and its inspection record is decent, 21 deficiencies total, though one reached harm-or-jeopardy level and one was abuse-related. The bigger issue is staffing: 3.54 nurse hours per resident day runs about 8% below the national average of 3.86, and weekends dip roughly 6% below its own weekday levels. Turnover sits at 46.9%, slightly above the national 45.8%. Federal quality measures score well and the last inspection was December 2023, so nothing here looks recent or unresolved. What you're weighing is a home that inspects fine but runs leaner on direct care than most.

Nurse hours

3.46 /day

Staff turnover

64%

Serious cites

0

Otterbein Portage Valley runs 50 beds in Pemberville as a nonprofit, and its record is a mixed bag. The clinical quality measures are genuinely strong, that CMS quality star sits at 5 out of 5, but nurse staffing comes in at 3.46 hours per resident day, about 10 percent under the national figure, and weekends run roughly 11 percent thinner than weekdays. Turnover is the bigger concern: 64.4 percent annually against a national average of 45.8 percent, meaning nearly two-thirds of staff left within the year. The current inspection record carries 27 deficiencies, including one at the harm level and one tied to abuse, though the most recent inspection was June 2025.

Nurse hours

3.80 /day

Staff turnover

45%

Serious cites

0

Western Hills Retirement Village runs 110 certified beds in Cincinnati under corporate for-profit ownership, and its staffing sits just below the national average, 3.80 nurse hours per resident day against 3.86 nationally. That gap is small, but weekends get thinner still, running about 9% below the home's own weekday coverage, so the hours aren't spread evenly across the week. The current inspection record shows 19 deficiencies, none at the harm level, though two are abuse-related and worth asking about directly. Staff turnover of 45.2% is essentially the national rate. Inspectors were last in on October 24, 2024. Quality measures score well; the staffing picture is where the tradeoff lives.

Nurse hours

4.49 /day

Staff turnover

55%

Serious cites

0

Ohman Family Living At Briar runs 4.49 nurse hours per resident day, about 16 percent more than the national average, and weekend staffing only dips around 6 percent below its own weekday level. That's a real cushion. The tension is in the numbers around it: staff turnover sits at 54.6 percent against a national average of 45.8 percent, and the federal staffing star comes out to 2 out of 5 despite the raw hours. Eighteen deficiencies appear on the current record, none of them at the harm level, though two are abuse-related. The last inspection was March 5, 2026, and quality measures score 5 out of 5 under corporate ownership.

Nurse hours

3.66 /day

Staff turnover

60%

Serious cites

0

Ohman Family Living At Holly sits in Newbury, and the inspection record is genuinely strong, five stars, four deficiencies total, none tied to abuse, and the most recent survey closed in December 2025. The staffing side tells a different story. At 3.66 nurse hours per resident day, it runs about 5% under the national average, and weekends drop roughly 11% below its own weekday coverage. Annual turnover of 60.3% is well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. A for-profit corporation owns the 92 certified beds. Good surveys paired with thin, churning staff is the tension here, worth asking how weekends are covered before you decide.

Nurse hours

3.49 /day

Staff turnover

34%

Serious cites

0

Otterbein St Marys runs leaner than most homes on daily nursing hours, about 3.49 per resident, roughly a tenth below the national figure, and weekends dip further, around 11% under its own weekday staffing. That gap matters most on Saturdays and Sundays when families often visit and needs don't pause. The current inspection record carries 24 deficiencies, including one at the harm level and four tied to abuse, which is a lot to weigh against otherwise solid marks on health inspections and quality measures. Staff turnover sits at 34%, better than the 45.8% national average, so the people caring for residents tend to stay. The last full inspection was September 2023, so the picture is somewhat dated. Corporate, for-profit ownership. Ask about weekend coverage and how the abuse-related findings were resolved.

Nurse hours

3.45 /day

Staff turnover

49%

Serious cites

0

Lutheran Village at Wolfcreek runs 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families visit and when problems tend to surface. Staff turnover sits at 49.1%, meaning roughly half the nursing team turns over in a year. The quality measure score is perfect, but that's largely self-reported data, while the inspection history shows 29 deficiencies with none at harm or jeopardy level and none abuse-related. The last inspection came in September 2025, so the record is current. Corporate-owned, 67 beds: decent care documentation, thinner staffing than average.

Nurse hours

3.60 /day

Staff turnover

48%

Serious cites

0

Concordia At Sumner runs 48 certified beds in Copley under nonprofit ownership, and the split in its record is worth understanding. Clinical quality measures score at the top of CMS's scale, and the last inspection in January 2026 produced 20 deficiencies with none at the harm level, but one was abuse-related. Staffing is where it gets thinner: 3.60 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 12% below its own weekday pace, and turnover at 48.1% runs a few points above the national 45.8%. For a family weighing a smaller home, that means asking directly how consistent the weekend aide and nurse roster actually is.

Nurse hours

3.43 /day

Staff turnover

43%

Serious cites

0

Manor of Grande Village is a for-profit corporate home with 88 certified beds in Twinsburg, and its staffing sits about 11 percent under the national average at 3.43 nurse hours per resident day. That gap widens on weekends, when coverage drops roughly 9 percent below the home's own weekday level. The inspection record shows 27 deficiencies, none at the harm or jeopardy level, but three are abuse-related, which is worth asking about directly. Staff turnover at 43.2 percent is slightly better than the 45.8 percent national figure, and the last inspection was in July 2024. Quality measures score well; staffing and inspections are more middling.

Nurse hours

3.61 /day

Staff turnover

41%

Serious cites

0

Grand The in Dublin runs 128 beds under for-profit LLC ownership, and its inspection record is the first thing that stands out: 66 deficiencies, two of them serious enough to cause harm or jeopardy, plus three tied to abuse. The last inspection was March 17, 2026, so that record is recent, not stale. Nurse staffing sits at 3.61 hours per resident day against a national average of 3.86, and weekends drop about 7% below the home's own weekday coverage, the stretches when families often visit. Turnover at 40.8% is actually better than the 45.8% national figure. The five-star quality measure score reflects charted care, not the inspection findings, and those two numbers are telling different stories here.

Nurse hours

3.57 /day

Staff turnover

57%

Serious cites

0

Smiths Mill runs a corporation-owned home of 58 beds where the care numbers pull in two directions. The clinical quality scores look strong, but staffing sits at 3.57 hours per resident day against a national average of 3.86, weekends run about 13% thinner than weekdays, and more than half the nursing staff turns over each year, 56.7% versus 45.8% nationally. The inspection record is the bigger concern: 51 deficiencies, three tied to abuse, and a two-star health inspection rating. None of those reached actual harm, and the last survey was recent, in April 2026. Consistency of caregivers is the question mark here.

Nurse hours

4.76 /day

Staff turnover

63%

Serious cites

0

Nurse staffing here runs 4.76 hours per resident day, about 23% above the national average of 3.86, which is the kind of cushion that matters on a bad night. Weekends dip roughly 10% below weekday levels, and annual turnover sits at 62.5% against a national 45.8%, so the coverage is generous, but the faces change a lot. On inspections, the home holds a 4/5 star rating with a recent March 2026 survey, though the current record shows 20 deficiencies, two serious enough to involve harm or jeopardy, and $17,934 in fines across two penalties. No abuse findings appear on record.

Nurse hours

4.49 /day

Staff turnover

60%

Serious cites

0

Garvey Manor is a church-affiliated nonprofit in Hollidaysburg with 132 beds, and its nurse staffing runs about 4.49 hours per resident day, roughly 16% above the national average. That's a real strength, though weekends dip about 12% below its own weekday level, so coverage isn't perfectly even. The harder numbers are elsewhere: staff turnover hits 60% against a national average near 46%, meaning a lot of the people providing that care are still new. The current record shows 29 deficiencies, including one at the harm level and two abuse-related, plus a $40,641 fine. The most recent inspection was July 2025. Strong quality scores sit alongside turnover and inspection findings worth asking about directly.

Nurse hours

3.70 /day

Staff turnover

44%

Serious cites

0

Oak Glen is a 226-bed for-profit home in Lewisburg, and its numbers tell a mixed story. Nurse staffing sits at 3.70 hours per resident day, a bit under the national average, and weekends run about 8% thinner than weekdays, worth knowing if your family tends to visit on Saturdays and Sundays. Turnover at 44% is basically in line with the national rate, so that's not a red flag here. What stands out more is the inspection record: 31 deficiencies, one tied to abuse, though none rose to actual harm or jeopardy. The state last visited in August 2025, so the record is current. Quality measures score well; the inspection side is where the concerns live.

Nurse hours

3.72 /day

Staff turnover

41%

Serious cites

0

Wesley Enhanced Living Pennypack Park runs 120 certified beds as a nonprofit, and its staffing sits just under the national average at 3.72 nurse hours per resident day. Weekends drop about 9% below its own weekday coverage, which matters most when families visit and needs pile up. Staff turnover of 41.2% is actually a bit better than the 45.8% national figure, so retention isn't the weak spot here. What pulls the record down is the inspection side: 36 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus one fine of $14,015. The last inspection was September 2025. Federal quality measures score 2 out of 5, so clinical outcomes lag behind the staffing picture.

Nurse hours

3.70 /day

Staff turnover

51%

Serious cites

0

St Mary Center runs 120 certified beds in Lansdale under individual for-profit ownership, and its staffing numbers are the thing to watch. At 3.70 nurse hours per resident day, it sits about 4% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage, a gap families should ask about directly. Annual turnover of 51.4% tops the national 45.8%, which matters because new faces mean less continuity for your relative. The inspection record shows 18 deficiencies, though none at harm level and none abuse-related, with a survey as recent as December 2025. Quality measures score well; staffing is where the shortfall lives.

Nurse hours

3.89 /day

Staff turnover

40%

Serious cites

0

Concordia At The Cedars runs a tight ship on the clinical side, with a five-star health inspection and a five-star quality measure score, and its last inspection in February 2026 found nine deficiencies, none serious enough to cause harm or jeopardy. That's a good record, and the 40.3% staff turnover sits below the national average of 45.8%, which matters for continuity of care. But the staffing picture is thinner than it looks: 3.89 nurse hours per resident day is barely above the national 3.86, and the CMS staffing rating is just 2 out of 5. Weekend coverage dips about 6% below weekday levels, and one abuse-related deficiency appears on the record.