1,547 Continuing Care Retirement Communities in the United States

Nurse hours

3.61 /day

Staff turnover

47%

Serious cites

0

Triple Creek runs 3.61 nurse hours per resident per day, about 7% under the national average of 3.86, and weekends drop roughly 17% below its own weekday staffing. That thin weekend coverage is worth asking about directly, since aides and nurses are hardest to replace then. Annual turnover sits at 47.1%, slightly above the 45.8% national figure, so expect some unfamiliar faces on the floor. The inspection record is cleaner than the staffing numbers suggest: 19 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. Quality measures score well. The tension here is real, good clinical outcomes and a recent clean inspection, carried by a for-profit corporation on staffing hours below average. Ask how they cover a weekend call-out.

Nurse hours

2.15 /day

Staff turnover

—

Serious cites

0

Casa Dorinda runs on 2.15 nurse hours per resident day, roughly 44% under the national average of 3.86, and weekend coverage drops about 15% below its own weekday level. That thin staffing is the main thing pulling its profile down, even though the quality measure rating is a perfect 5 and inspections came in at 4 out of 5, most recently in March 2026. The record shows 31 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse, and there's a single fine of $8,278. For a nonprofit with strong clinical scores, the daily staffing numbers are the piece worth asking about directly.

Nurse hours

— /day

Staff turnover

36%

Serious cites

0

Kirkwood By The River runs on 4.69 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and its staff tends to stick around, turnover of 35.8% is well below the 45.8% national figure. Weekends dip about 11% under weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows eight deficiencies with none tied to harm, jeopardy, or abuse, though the last full inspection was in October 2021, so that picture is getting old. Quality measure scores sit at 2 out of 5 even as staffing and inspections rate 4, a split worth understanding before you decide.

Nurse hours

— /day

Staff turnover

50%

Serious cites

0

Ingleside at Rock Creek runs a small, 34-bed nonprofit home in DC, and its nurse staffing stands out: 6.10 hours per resident day, roughly 58% above the national average, with weekend coverage dipping only modestly below weekdays. That staffing strength shows in its five-star ratings for staffing and quality measures. The concerns sit elsewhere. State inspectors have cited 42 deficiencies on the current record, including one at the harm level and four tied to abuse, and fined the home twice for a combined $39,419. Annual turnover of 50% tops the national average, meaning a lot of the people providing that strong staffing are relatively new.

Nurse hours

3.73 /day

Staff turnover

52%

Serious cites

0

Palms At Sebring runs 120 beds under individual for-profit ownership, and its inspection record is the weakest part of the picture, 32 deficiencies on file and a one-star health inspection rating, though none of those deficiencies rose to harm or jeopardy level and none involved abuse. Nurse staffing sits at 3.73 hours per resident day, a bit under the national average, and it thins out further on weekends, dropping about 11% below the home's own weekday coverage. Staff turnover is 52.1%, well above the national 45.8%, which matters for whether residents see the same faces. The quality measure rating of four stars suggests the clinical numbers they report look better than the inspection and staffing story. Last inspection: February 2025.

Nurse hours

4.12 /day

Staff turnover

53%

Serious cites

0

Westminster Village Kentuckiana runs on county government ownership and 94 certified beds, with nurse staffing at 4.12 hours per resident day, roughly 7% above the national average. That headline number softens on weekends, when coverage drops about 13% below the home's own weekday level, and annual turnover sits at 53% against a national 45.8%. The inspection record shows 26 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey dates to January 2026. CMS rates health inspections and quality measures both 2 out of 5, staffing 3 out of 5. Decent weekday hours, a thinner weekend, and steady turnover are what's actually driving the grade here.

Nurse hours

2.91 /day

Staff turnover

44%

Serious cites

0

Scenic Hills At The Monastery runs lean on direct care. At 2.91 nurse hours per resident day, it sits about 25% under the national average of 3.86, which is why CMS gives it a single staffing star. Turnover is 44.3%, slightly better than the 45.8% national figure, and weekend coverage dips about 6% below its own weekday level. Inspections are a different story: 14 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent survey dated May 2026. Quality measures earn 4 stars and health inspections 4 stars. For-profit corporate ownership. The pattern is a home that gets the clinical basics right but asks a small nursing staff to carry a lot.

Nurse hours

3.47 /day

Staff turnover

37%

Serious cites

0

Century Villa runs lean on nursing hours, 3.47 per resident day against a national average of 3.86, and weekends dip about 12% below what the home staffs on weekdays. That's the number to watch if your family member needs help on a Saturday. Turnover sits at 36.8%, better than the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The inspection record is clean where it counts: 15 deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent survey was December 2025. The non-profit owner has kept outcomes solid; the open question is whether staffing stays thin on weekends.

Nurse hours

4.01 /day

Staff turnover

65%

Serious cites

0

Charlestown Place At New Albany runs a hospital-district operation with 158 beds, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average. That edge narrows on weekends, when coverage drops about 10% below its own weekday level, and it's undercut by turnover of 64.9% against a national 45.8%, meaning a large share of caregivers are still new to the building. The inspection record is the harder problem: 52 deficiencies, four of them at harm or jeopardy level and four tied to abuse, with two fines totaling $31,784 and a health inspection rating of 1 out of 5. The most recent inspection was August 2025, so that picture is current, not stale. Quality measures score well; the day-to-day care environment is where the risk concentrates.

Nurse hours

3.19 /day

Staff turnover

51%

Serious cites

0

Rosegate Village runs on thin staffing. At 3.19 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly another 10% below its own weekday levels, that's when call lights tend to ring longest. Annual turnover of 51.3% tops the national figure, so the aides who know your mother may not be there in six months. The inspection record is cleaner than most: eight deficiencies, none at harm or jeopardy level, though three are abuse-related, which is worth asking about directly. A January 2026 inspection means the record is current. This is a nonprofit home that scores well on care measures but asks a lot of a stretched staff.

Nurse hours

3.60 /day

Staff turnover

43%

Serious cites

0

Azria Health Rose Vista runs 76 certified beds in Woodbine under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86. Weekends thin out further, roughly 14% below the home's own weekday coverage. Staff turnover is 42.6%, a touch better than the 45.8% national figure, but the inspection record is where the picture darkens: 22 deficiencies on file, including one at the harm or jeopardy level and one abuse-related. That last inspection closed in November 2025, so the findings are current, not old history.

Nurse hours

3.83 /day

Staff turnover

55%

Serious cites

0

Solon Nursing Care Center sits in Johnson County with 96 certified beds and a for-profit corporate owner. The inspection record is genuinely strong, nine deficiencies on file, just one at the harm level, nothing abuse-related, and a survey as recent as July 2025. Staffing runs slightly under the national average at 3.83 nurse hours per resident day, and weekends dip about 10% below the home's own weekday coverage. Turnover is the real pressure point: 55.3% annually against a 45.8% national figure, which matters more when a building is already lean on hours. Quality measures land at 2 out of 5 stars, a low mark that inspection results alone don't explain.

Nurse hours

6.85 /day

Staff turnover

63%

Serious cites

0

Madonna Manor has the staffing hours most families are told to look for, 6.85 per resident day, well above the national average, and the church-affiliated nonprofit ownership that often signals stability. The inspection record tells a different story. Twenty-one deficiencies on file, six of them serious enough to put residents at risk of harm, two tied to abuse, and $181,278 in fines across two penalties. Staff turnover sits at 63.3% against a national 45.8%, so the generous hours are delivered by a workforce that keeps changing. Weekend coverage also drops below weekday levels. The last inspection was recent, December 2025, meaning the problems are current rather than past.

Nurse hours

3.80 /day

Staff turnover

68%

Serious cites

0

Windemere Park's recent inspection history is its strongest card, a four-star health inspection rating with 24 deficiencies on record and none at the harm or jeopardy level, though two abuse-related citations are worth asking about directly. Staffing is where the picture gets thinner. At 3.80 nurse hours per resident day, it sits just under the national average, and weekends run about 11% below its own weekday coverage. The bigger number is turnover: 67.9% against a national average of 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. That churn matters more than a star rating when you're thinking about consistency of daily care.

Nurse hours

4.15 /day

Staff turnover

51%

Serious cites

0

Cerenity Marian in Saint Paul runs a nonprofit shop with 90 beds, and the staffing numbers look strong on paper, 4.15 nurse hours per resident day, roughly 7% above the national average, and weekends only dip about 12% below its own weekdays, which is better than many homes manage. The trouble sits elsewhere. Staff turnover is 50.9%, well past the 45.8% national figure, so the people delivering that care keep leaving, and CMS has cited 16 deficiencies on the current record, including two at harm or jeopardy level and one tied to abuse, with $130,913 in fines. The last inspection was recent, March 2026, so that record is current, not stale.

Nurse hours

3.52 /day

Staff turnover

44%

Serious cites

0

Foxwood Springs Living Center runs 108 certified beds in Raymore under for-profit LLC ownership, and the numbers show a home that's middling across the board. Nurse staffing sits at 3.52 hours per resident day, roughly 9 percent under the national average, and weekends dip about 7 percent below its own weekday coverage, so care gets thinnest exactly when families tend to visit. The inspection record carries 29 deficiencies, including one at the harm level and one tied to abuse, plus a $13,627 fine; the most recent inspection was January 2025. Turnover of 43.5 percent is slightly better than the national 45.8 percent, but it isn't enough to offset the thin staffing and the deficiency history.

Nurse hours

4.43 /day

Staff turnover

64%

Serious cites

0

Windsor Point runs 4.43 nurse hours per resident per day, roughly 15% above the national average, and its staffing rating reflects that. Inspections are a strength too, a 5/5 star health inspection rating, ten deficiencies on record with none at the harm level and none abuse-related, and the most recent visit just weeks ago. The concerns sit elsewhere: quality measures score 2/5, weekend staffing drops about 10% below its own weekday levels, and annual turnover hits 63.8% against a national average of 45.8%. For a 45-bed corporate-owned home, that churn is worth asking about directly, who's actually at the bedside on a Saturday, and how long they've been there.

Nurse hours

3.33 /day

Staff turnover

51%

Serious cites

0

Anchor Lodge runs leaner than most homes on nurse staffing, 3.33 hours per resident day against a national average of 3.86, with weekends about 7% thinner than its own weekdays. Turnover sits at 51.1%, above the 45.8% national mark, which means a lot of the people caring for residents are still learning the building. The inspection record shows 34 deficiencies, two of them serious enough to involve harm or jeopardy, and one fine of $20,678. No abuse findings, and the last inspection was recent, in December 2025. Quality measures score well; staffing is where the gaps show.

Nurse hours

3.75 /day

Staff turnover

54%

Serious cites

0

West View Healthy Living is a 93-bed nonprofit home in Wooster that just went through a fresh inspection in January 2025 and came out with a strong four-star health inspection rating. The trouble sits elsewhere: its staffing rating is one star, and 53.9% of staff turned over in a year, well above the 45.8% national average, that churn makes consistent daily care harder to deliver, which likely drags down its two-star quality measure score. Twenty deficiencies are on record, two tied to abuse, though none reached actual harm or jeopardy. A solid inspection shouldn't hide a thin, unstable workforce.

Nurse hours

4.77 /day

Staff turnover

88%

Serious cites

0

Montereau runs 4.77 nursing hours per resident day, which is genuinely above average. The problem is who's delivering those hours: annual turnover of 88 percent means most of the staff you'd meet on any given shift wasn't there last year, and weekend coverage drops about 7 percent below weekday levels. Twenty deficiencies sit on the current record, including one at the harm level and one tied to abuse, with a $14,901 fine. Inspections are recent, and the quality measure score holds up better than the staffing score does. Nonprofit ownership helps, but steady hands matter more here than headcount math.