1,547 Continuing Care Retirement Communities in the United States

Nurse hours

3.75 /day

Staff turnover

57%

Serious cites

0

Cross Keys Village runs a lean nursing staff for a nonprofit of its size, 3.75 hours per resident day sits just under the national average, and weekends drop about 13% below what the home staffs on weekdays, which is when families tend to visit and notice. Turnover at 57.1% is well above the national 45.8%, so consistent caregivers are harder to count on here than at the typical home. The good news is inspection history: a perfect health inspection record, a March 2026 survey, and only four deficiencies on file with none rising to harm or abuse. That combination, clean inspections, thinner and less stable staffing, is what pulls the grade to a solid but not top mark.

Nurse hours

3.95 /day

Staff turnover

48%

Serious cites

0

Wesley Village runs 160 certified beds as a nonprofit corporation, and its 3.95 nurse staffing hours per resident day sits just above the national average of 3.86, a thin margin, not a wide one. Weekend staffing drops roughly 13% below weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover of 47.7% runs slightly above the national 45.8%, meaning nearly half the nursing workforce turns over in a year. The inspection record shows 29 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations and a single fine of $8,021. The most recent inspection came in February 2026. Federal ratings put staffing at 4 out of 5 stars, but health inspections and quality measures both land at 3.

Nurse hours

4.56 /day

Staff turnover

62%

Serious cites

0

Concordia At Spiritrust Luther Ridge runs 4.56 nurse hours per resident day, well above the national average of 3.86, and that staffing level is the strongest part of its record. Weekends dip about 11% below the home's own weekday coverage, which matters when a resident declines on a Saturday. The problem sits elsewhere: 62.1% annual turnover means most of the people providing that care are new, three abuse-related deficiencies appear on the current record, and one deficiency rose to the harm level. The last inspection was May 2025. Twenty-five deficiencies and a 2-out-of-5 quality measure rating pull against the staffing number.

Nurse hours

4.04 /day

Staff turnover

46%

Serious cites

0

Wesley Commons runs a nonprofit operation in Greenwood with 80 certified beds, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average, which is the main reason its staffing rating reaches 4 stars. The catch is weekends, when coverage drops about 12% below what the home staffs on weekdays. Turnover is 45.6%, essentially identical to the national figure, so continuity isn't unusually bad here, just typical. What holds the overall picture back is the inspection record: five deficiencies, one of them serious enough to involve harm or jeopardy, plus a $14,521 fine. No abuse findings appear. The most recent inspection was February 2026, so the record is current.

Nurse hours

5.03 /day

Staff turnover

49%

Serious cites

0

The Retreat at Wellmore of Lexington runs about 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and its staffing rating reflects that. Weekend coverage dips about 7% below its own weekday level, so care thins out somewhat on Saturdays and Sundays. On inspections, the home holds a 4 out of 5 star rating with a recent May 2025 visit and no abuse citations, but 17 deficiencies are on the record, one at the harm or jeopardy level, plus a $16,153 fine. Annual turnover sits at 49.2%, a bit above the 45.8% national figure. Quality measures score 2 out of 5, which is where the overall picture softens.

Nurse hours

4.16 /day

Staff turnover

60%

Serious cites

0

Msm Brigham City runs a 41-bed for-profit home where the day-to-day nurse coverage looks solid on paper, 4.16 hours per resident, about 8% above the national average, with weekend staffing holding level with weekdays. The trouble shows up elsewhere. Staff turnover sits at 60% against a national 45.8%, meaning the people delivering that care are cycling out fast. Inspections tell a harder story: 47 deficiencies on the current record, 5 serious enough to involve harm or jeopardy, 8 tied to abuse, and $81,905 in fines across two penalties. A recent December 2025 inspection keeps the record current. Families weighing this home should ask who's actually on the floor night to night, and how the abuse findings were resolved.

Nurse hours

— /day

Staff turnover

43%

Serious cites

0

Milwaukee Catholic Home runs on a nonprofit model with 107 certified beds, and its most recent inspection in June 2025 turned up 15 deficiencies, none of which rose to the level of harm or jeopardy, and none tied to abuse. That's a meaningful distinction, because plenty of homes with cleaner-looking counts have worse findings buried in them. Where this one gets shakier is staffing, which earned just one star out of five, even though its 42.5% turnover rate is actually a bit better than the national average of 45.8%. Reading those two together, the issue doesn't look like people leaving so much as not enough of them to begin with.

Nurse hours

3.35 /day

Staff turnover

47%

Serious cites

0

Alta Mesa Health And Rehabilitation runs 70 certified beds in Mesa under corporate for-profit ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating with 11 deficiencies on file, none at the harm or jeopardy level, though two are abuse-related. Staffing is where the picture dims: 3.35 nurse hours per resident day sits about 13% under the national average, weekends drop roughly 21% below the home's own weekday levels, and turnover at 47.1% edges past the national figure. Quality measures score 5/5, but those reflect resident outcomes, not the hands available to deliver care. Ask about weekend coverage and how quickly they fill open positions before deciding.

Nurse hours

3.65 /day

Staff turnover

45%

Serious cites

0

Heritage Park runs 180 certified beds in Fort Wayne under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.65 hours per resident day, about 5% under the national average, and weekends drop roughly 17% below what the building manages on weekdays, that's the gap families notice when they visit on a Sunday. Turnover is 45.2%, essentially tracking the national rate. On the plus side, the inspection record shows 7 deficiencies with none at harm or jeopardy level and nothing abuse-related, and the last survey was recent. Quality measures score well, but the staffing figure is what pulls the overall picture down.

Nurse hours

3.67 /day

Staff turnover

46%

Serious cites

0

Zionsville Meadows runs 167 beds under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average. Weekends are the bigger gap: staffing drops about 19% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover is 46.2%, essentially matching the national rate, which means the staff churn here isn't unusual but isn't a strength either. The inspection record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. Quality measures score well; the staffing and inspection numbers are more middling, and that split is what the grade reflects.

Nurse hours

3.46 /day

Staff turnover

39%

Serious cites

0

Brownsburg Meadows is county-owned, which is unusual in this business, and its 147 beds run on 3.46 nurse hours per resident day, roughly ten percent under the national figure of 3.86. Weekends are thinner still, about fifteen percent below the home's own weekday coverage, so the gap families notice most is often Saturday and Sunday. Turnover sits at 38.7%, better than the 45.8% national rate, which suggests some stability in who's actually on the floor. Against that, the current record carries 24 deficiencies, including one at harm level and one abuse-related, and the most recent inspection was April 2025. The staffing and inspection stars land at 2 out of 5; the quality measures hit 5. Worth asking about those two deficiencies directly.

Nurse hours

4.07 /day

Staff turnover

44%

Serious cites

0

Fahrney-Keedy runs on 4.07 nurse hours per resident per day, a bit above the national average, and its inspection history is strong, zero deficiencies at the harm or jeopardy level and a recent survey. The catch is in the day-to-day: weekend staffing drops roughly 16% below weekday levels, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Staff turnover at 44% is average, which means aides and nurses cycle through at about the same rate as everywhere else. Twenty-nine deficiencies sit on the current record, two tied to abuse, and quality measures score low even as inspections score high.

Nurse hours

4.27 /day

Staff turnover

—

Serious cites

0

Crown Center At Laurel Lake runs 4.27 total nurse hours per resident day, roughly 11% above the national average, though weekends drop about 9% below its own weekday staffing. That helps explain the middle-of-the-road marks from CMS on staffing and health inspections, and the 17 deficiencies on the current record, one at the harm level, five tied to abuse, are worth reading closely rather than skimming. The $131,378 in fines across 23 penalties adds up. Last full inspection was August 2023, so the picture is based on data that's a little over a year old. Nonprofit ownership doesn't erase any of that.

Nurse hours

4.09 /day

Staff turnover

64%

Serious cites

0

Otterbein Sunset House is a small nonprofit home, just 24 certified beds, and its clinical quality scores are genuinely strong, with a top CMS rating on quality measures and no deficiencies at the harm or jeopardy level. The staffing picture is more complicated than the headline number suggests. Average nurse hours run slightly above the national figure, but weekends drop about 16% below the home's own weekday coverage, and annual turnover sits at 64.3% against a national average of 45.8%. That churn, plus 24 deficiencies on the current record including one abuse-related citation, is what pulls the grade down to a B despite the quality scores. The most recent inspection was May 2025, so the record is current.

Nurse hours

3.56 /day

Staff turnover

52%

Serious cites

0

Rainbow Health Care Community runs 106 certified beds in Bristow under for-profit limited liability ownership, and its nurses provide 3.56 hours of care per resident each day, about 8% under the national average of 3.86. Weekends drop roughly 16% below the home's own weekday staffing, and annual turnover sits at 51.9% against a national 45.8%, so the caregivers change over more often than at a typical home. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $53,804 fine. The last inspection was July 24, 2025. Quality measures score well, but staffing and inspection results tell the more useful story.

Nurse hours

3.76 /day

Staff turnover

—

Serious cites

0

Myerstown Nursing and Rehab runs 152 certified beds under nonprofit ownership, and its staffing sits at 3.76 nurse hours per resident day, about 3% under the national average of 3.86. That gap is small, and weekends dip only about 1% below weekdays, so coverage here looks fairly steady rather than stretched thin. The inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in August 2025. Quality measures score well above the staffing rating, which tells you residents' clinical outcomes are holding up even though the nurse hours aren't generous. For a family weighing a move, the care numbers look better than the labor numbers.

Nurse hours

3.40 /day

Staff turnover

25%

Serious cites

0

Avery Nursing Home runs on a church-affiliated nonprofit model with 194 certified beds, and its staff actually stick around, 24.6% turnover against a national average of 45.8% is a real strength, and the federal staffing rating reflects it. But the inspection record tells a different story: 43 deficiencies on file, five of them at harm or jeopardy level and two tied to abuse, with $87,416 in fines across four penalties. The most recent inspection was May 2025. Daily nurse staffing sits at 3.40 hours per resident, roughly 12% under the national figure, and weekends dip about 5% below the home's own weekday coverage. The quality measure rating lands mid-range.

Nurse hours

3.49 /day

Staff turnover

52%

Serious cites

0

Blue Palms runs 3.49 nurse hours per resident day, roughly 9% under the national figure, and weekends dip about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover sits at 51.9%, well above the national 45.8%, which means the people caring for your relative are often new. Inspections tell a harder story: 37 deficiencies on the current record, including one at the harm level and two tied to abuse, plus $16,801 in fines. The five-star quality measure score reflects good clinical numbers on paper, but with a two-star inspection history and a 2024 inspection date, ask direct questions about who's on the floor nights and weekends.

Nurse hours

4.74 /day

Staff turnover

76%

Serious cites

0

Presbyterian Village - Athens runs a nonprofit home with 40 certified beds, and the direct-care hours are real: 4.74 per resident day, roughly 23% above the national average of 3.86. That staffing level is the strongest argument in its favor, and CMS agrees with a 4-out-of-5 staffing star. The catch is consistency and inspection history. Weekend hours drop about 14% below weekdays, annual turnover sits at 75.7% against a 45.8% national average, and the current record carries 29 deficiencies, three at harm or jeopardy level and two abuse-related, plus $18,545 in fines across three events. The most recent inspection was November 2025, so that picture is current, not stale.

Nurse hours

4.49 /day

Staff turnover

40%

Serious cites

0

Michaelsen Health Center runs on a nonprofit model with 99 certified beds, and the staffing numbers back up its top CMS rating there, 4.49 nurse hours per resident day, roughly 16% above the national average. Turnover sits at 40.2%, a bit better than the 45.8% national figure, though weekend coverage drops about 6% below weekday levels, which is worth asking about. The tension shows up elsewhere: a 4/5 inspection rating as of February 2026, but 21 deficiencies on record, three of them serious enough to involve harm or jeopardy, and one $9,110 fine. A 2/5 quality measure score pulls against that strong staffing story, so ask how those measures are being managed.