1,547 Continuing Care Retirement Communities in the United States

Nurse hours

3.79 /day

Staff turnover

77%

Serious cites

0

Tranquility of Richmond Heights runs 60 beds under for-profit LLC ownership, and the staffing picture is the weak spot: 3.79 nurse hours per resident day sits just under the national average, and weekends drop about 5% below its own weekday level. Turnover is the bigger concern, 77.3% of nursing staff leaving annually, well above the 45.8% national figure, which makes consistent care hard to sustain. Inspections back that up with 33 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level. The 5/5 quality measure rating stands out against a 2/5 inspection score and 1/5 staffing score, so ask how that quality number is earned.

Nurse hours

4.78 /day

Staff turnover

72%

Serious cites

0

Baptist Village Of Owasso runs a nonprofit home with 120 beds, and the raw nursing hours look strong on paper, 4.78 per resident day, roughly a quarter above the national average. But look closer and the picture gets uneven: weekend staffing drops about 11% below its own weekday level, and annual turnover hits 71.9%, well above the 45.8% national figure. That churn matters more than the headline number, because consistent caregivers know residents. The inspection record shows 14 deficiencies, including two at the harm level and two related to abuse, with $18,155 in fines across two penalties.

Nurse hours

4.00 /day

Staff turnover

50%

Serious cites

0

Heritage Ridge runs a for-profit LLC operation with 90 certified beds in Philipsburg, and its staffing sits at 4.00 nurse hours per resident day, about 4% above the national average of 3.86. That edge is real but thin, and it narrows on weekends, when coverage drops roughly 5% below the home's own weekday level. Annual turnover hits 50%, higher than the 45.8% national figure, which means the people at the bedside keep changing. On the inspection side, the record shows 30 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The most recent state visit was July 2025. Staffing and health inspection each earned 2 out of 5 stars from CMS; quality measures came in at 3.

Nurse hours

3.55 /day

Staff turnover

71%

Serious cites

0

Quality Life Services - Sarver runs 66 certified beds under for-profit LLC ownership, and its staffing numbers are the thing to look at first. At 3.55 nurse hours per resident day, it sits about 8% under the national average, with weekends running roughly 9% thinner than its own weekdays. The bigger concern is turnover: 70.6% of staff leaving annually, against a national average of 45.8%, which means the people showing up for your family member are often still learning the building. Inspections in November 2025 turned up 37 deficiencies, four tied to abuse, though none reached harm or jeopardy level. Ownership is for-profit and staffing earns two stars.

Nurse hours

3.42 /day

Staff turnover

51%

Serious cites

0

Transitions Healthcare North Huntingdon runs 120 beds under for-profit LLC ownership, and its staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 6% below the home's own weekday coverage, and annual turnover is 51.4%, higher than the 45.8% national figure. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with three-out-of-five stars each for health inspections, quality measures, and staffing. Its last inspection was April 30, 2026. What you're looking at is a home that stays out of serious trouble but runs leaner on direct care than the typical facility, and cycles through staff faster.

Nurse hours

4.49 /day

Staff turnover

55%

Serious cites

0

The Suites At Jordan River runs a nonprofit shop with 60 beds in Collierville, and staffing is the one number that stands out in a good way: 4.49 nurse hours per resident day, roughly 16 percent above the national average. Weekends dip about 11 percent below its own weekday coverage, though, and turnover sits at 54.8 percent against a national 45.8, people are leaving faster than average. The tradeoff shows up on the clinical side, where the quality measure rating is 1 out of 5 and the last inspection in March 2025 produced 8 deficiencies, none at harm level but one tied to abuse. Three fines totaling $17,644 round out the record.

Nurse hours

3.92 /day

Staff turnover

66%

Serious cites

0

Parks Health Center sits in Odessa with 90 certified beds and a for-profit LLC owner that took over within the past year. The nurse staffing number looks fine on paper, 3.92 hours per resident day, just above the national average, but weekends run about 11% thinner than weekdays, and turnover is the real problem at 66.2% against a national 45.8%. That's a lot of new faces cycling through, and it's worth asking how they cover a weekend when someone calls in. The inspection record is the stronger side: 14 deficiencies, none at harm or jeopardy level, nothing abuse-related, and the most recent survey was October 2024.

Nurse hours

3.45 /day

Staff turnover

70%

Serious cites

0

Serenity Spring Senior Living at Scandia Village runs on thinner staffing than most places: 3.45 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 15% below its own weekday coverage. That's the kind of gap families feel on a Sunday afternoon. Turnover sits at 70.4%, well above the 45.8% national figure, so the aides and nurses caring for your relative are likely newer than the building itself suggests. The inspection record backs that up, 37 deficiencies, three tied to abuse and one serious enough to cause harm, with the most recent survey in May 2025. Individual for-profit ownership, 50 beds, and a two-star health inspection rating round out the picture.

Nurse hours

3.67 /day

Staff turnover

80%

Serious cites

0

Sunny Ridge runs 43 beds in Nampa under for-profit LLC ownership, and its staffing is the clearest signal in the numbers: 3.67 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage. That thin margin gets harder to ignore next to 80% annual turnover, nearly double the national 45.8%, because replacements rarely arrive trained. The inspection record shows 34 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related; the last state visit was January 2026. Quality measures score well, but a 2/5 staffing rating and 2/5 inspection rating tell you where the strain actually lives.

Nurse hours

3.99 /day

Staff turnover

53%

Serious cites

0

The Villages at Historic Silvercrest runs 14 deficiencies on its current record, including one abuse-related citation, though none rose to the harm or jeopardy level. That's a meaningful distinction, but fourteen findings is still a lot to work through. Staffing tells a mixed story: 3.99 nurse hours per resident day sits barely above the national average, and weekends drop about 16% below the home's own weekday numbers. Meanwhile, 52.5% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. The state's most recent inspection, in July 2025, is recent enough to be useful. Good inspection and quality scores are doing real work here; the staffing numbers are what hold this one back.

Nurse hours

3.02 /day

Staff turnover

44%

Serious cites

0

Heisinger Bluffs runs 60 beds under for-profit LLC ownership in Jefferson City, and its recent inspection record is decent, 18 deficiencies on file, none at the harm level, though one is abuse-related, and the last state visit came in March 2025. The real tension sits in the workforce numbers. At 3.02 nurse hours per resident day, this home staffs roughly a fifth below the national average of 3.86, and weekends drop another 16% beneath its own weekday levels. Turnover, at 44%, is basically in line with the national rate. So you're looking at a home that inspects reasonably well but runs lean on the floor, especially Saturdays and Sundays.

Nurse hours

3.53 /day

Staff turnover

—

Serious cites

0

Green Hills Center runs on thinner nurse coverage than most homes, 3.53 hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels, which is when problems tend to surface. The inspection record shows 16 deficiencies, including one at the harm level and one tied to abuse, plus a $16,801 fine. A recent inspection in September 2025 means the picture is current, not stale. Quality measures score well, but that staffing number and those deficiencies are what a family should ask about directly before deciding.

Nurse hours

3.41 /day

Staff turnover

41%

Serious cites

0

Willow Knoll runs lean on the floor: 3.41 nurse hours per resident day sits about 12 percent under the national average, and weekends dip roughly 15 percent below its own weekday coverage. That thinness is why CMS gives it a single staffing star even though inspection results look strong, eight deficiencies on record, none reaching harm or jeopardy, none tied to abuse, with a survey as recent as December 2025. Turnover is the bright spot. At 40.8 percent, it's below the 45.8 percent national average, which matters in a building where consistent caregivers are doing more with fewer hands. For-profit, limited liability ownership, 58 beds. The pattern here is a home that passes scrutiny but may feel stretched on a Saturday afternoon, worth asking about direct-care hours on weekends specifically.

Nurse hours

4.59 /day

Staff turnover

38%

Serious cites

0

Presbyterian Village runs about 4.59 nursing hours per resident each day, roughly 19% above the national average, and weekend coverage holds within about 10% of weekday levels. Staff turnover sits at 38.2%, better than the 45.8% national figure. The weaker spots are inspections and quality measures, both rated 2 out of 5, with 12 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, plus one fine of $64,718. The last inspection was January 29, 2026. For a 107-bed nonprofit, the bedside staffing is the real strength here; the survey history is what pulls the overall picture down.

Nurse hours

3.55 /day

Staff turnover

40%

Serious cites

0

Serenity Spring Senior Living At Northwood runs 107 beds under corporate ownership, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 40% is better than the 45.8% national figure, which matters for continuity of care. What stands out more is the inspection record: 38 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The most recent inspection was June 13, 2025, so that record is current, not stale.

Nurse hours

3.90 /day

Staff turnover

53%

Serious cites

0

The Highlands sits in Decorah with 86 certified beds and a nonprofit owner, and the numbers cut two ways. Nurse staffing runs 3.90 hours per resident day, just barely above the national average of 3.86, though weekends dip about 8% below its own weekday level. The bigger concerns show up in the inspection record: 34 deficiencies, four at the harm or jeopardy level, one tied to abuse, and $93,839 in fines across two penalties, with the most recent inspection in June 2025. Staff turnover of 53.3% lands well above the 45.8% national average, which matters for consistency of care. A 4/5 staffing star softens the picture, but the health inspection rating of 2/5 tells you where the trouble lives.

Nurse hours

3.99 /day

Staff turnover

72%

Serious cites

0

Elm Crest Retirement Community runs 50 certified beds in Harlan under nonprofit ownership, and its overall nurse staffing of 3.99 hours per resident day sits modestly above the national average of 3.86, roughly 3% higher. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, and annual staff turnover reaches 71.7% against a national figure of 45.8%, meaning most of the people providing care are relatively new to the building. The current record shows 18 deficiencies, one of them serious enough to involve harm or jeopardy, with none tied to abuse. Inspectors last visited in January 2026.

Nurse hours

3.53 /day

Staff turnover

36%

Serious cites

0

Riverbend Post Acute Rehabilitation runs 131 certified beds in Kansas City under for-profit corporate ownership, and CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent record of serious problems. The current inspection record shows 44 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus $84,023 in fines across two events. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends run about 7% thinner than weekdays. Turnover is 35.5%, better than the 45.8% national figure, but that's the one number here that works in its favor.

Nurse hours

4.02 /day

Staff turnover

37%

Serious cites

0

Sayre Christian Village runs a nonprofit home with 164 beds in Lexington, and its staffing is genuinely its strong point, 4.02 nurse hours per resident day, roughly 4% above the national average, with turnover at 37.1% against a national 45.8%. That stability matters, though weekend coverage drops about 10% below weekday levels, so ask how that gap gets covered. The harder questions sit in the inspection record: 20 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus $7,901 in fines across two penalties. Quality measure scores land at the bottom of CMS's scale. The most recent inspection was April 2025, so the record is current, worth asking about directly.

Nurse hours

5.17 /day

Staff turnover

58%

Serious cites

0

Neighborhoods Rehabilitation And Skilled Nursing B runs 5.17 nurse hours per resident day, roughly a third more hands-on time than the national average, but the staff giving that care turn over at 57.9% a year, well above the 45.8% norm. That churn sits alongside a troubled inspection file: 30 deficiencies, four serious enough to put residents at risk of harm, two tied to abuse, and $85,344 in fines, all from a survey finished in November 2024. For a 120-bed for-profit, the pattern is clear, enough people on the clock, but not the same ones for long, and the state's findings back that up.