1,547 Continuing Care Retirement Communities in the United States

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Windmere runs 57 certified beds as a nonprofit corporation, and its last inspection on March 3, 2026 turned up five deficiencies, none of them serious enough to cause harm or jeopardy, and no abuse findings at all. That's a clean record by any reasonable measure for a home this size. Federal inspectors rated it 4 out of 5 stars on health inspections, which lines up with what the deficiency counts show. Where it loses ground is staffing, which falls short of the national average and is what keeps the overall picture from being stronger. For a family weighing a small Passaic County home, the care environment here looks solid; the question is whether the staff-to-resident ratio gives you enough daily confidence.

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The Gardens of Taylor Glen is an 8-bed nonprofit home in Concord, and its inspection record is genuinely clean: 6 deficiencies on file, none of them causing harm or jeopardy, and nothing abuse-related. A 4-out-of-5 health inspection rating with a December 2025 survey means the state looked recently and found no serious problems, which is the main thing a small home's record can tell you. Where it gives ground is staffing, a B here reflects a home that passes its inspections comfortably but doesn't post the kind of nurse hours per resident that the strongest performers nationally do. For eight residents that gap matters less than it would at scale.

Nurse hours

3.37 /day

Staff turnover

65%

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Briarwood Village runs about 3.37 nurse hours per resident day, roughly 13 percent under the national average, and weekends drop another 11 percent below its own weekday coverage. That thin margin shows up in the numbers: staff turnover sits at 64.5 percent against a national average of 45.8 percent, meaning a large share of the people caring for residents are new to the building. Inspections paint a similar picture, a 1 out of 5 on health inspections, 28 deficiencies on the current record including one at the harm level and one abuse-related, plus a $17,345 fine. The last inspection was August 2024. Mercer County families comparing options should weigh that record against the stronger quality measure score.

Nurse hours

3.57 /day

Staff turnover

61%

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The Vista Center in Lisbon runs on thinner nursing coverage than most homes, about 3.57 nurse hours per resident each day, a bit under the national figure, and weekends dip further below its own weekday pace. That strain shows in the numbers: 61% of staff left over the past year, well above the 45.8% national average, and its staffing rating sits at the bottom of CMS's scale. Inspections tell a similar story. The current record carries 62 deficiencies, including three tied to abuse, though none reached the level of actual harm or jeopardy. The last survey was January 2025. Quality measures score well, but that's where the good news mostly stops.

Nurse hours

3.80 /day

Staff turnover

62%

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Forest Glen Rehabilitation And Healthcare Center runs 80 certified beds under for-profit LLC ownership, and its inspection record is a mixed bag. Health and quality measure ratings both sit at 4 out of 5, and the most recent inspection came in February 2026, so the picture is reasonably current, but 18 deficiencies are on file, including two at the harm or jeopardy level and two tied to abuse. Staff turnover is the bigger concern: 61.7% annually against a national average of 45.8%, meaning roughly three in five employees left within the year. High turnover often shows up in daily care, even when survey scores look respectable. Ask specifically how the home retains direct-care aides before you decide.

Nurse hours

3.78 /day

Staff turnover

47%

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Phoebe Allentown runs 343 certified beds as a nonprofit, and its staffing sits at 3.78 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 46.9%, slightly above the national 45.8%, meaning roughly half the nursing staff turns over in a year. The inspection record shows 13 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. One fine totaling $11,087 is on file, and the most recent inspection was July 17, 2025, so the picture is current. Quality measure scores sit at 2 out of 5.

Nurse hours

3.51 /day

Staff turnover

62%

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The Manor at Penn Village runs 159 certified beds in Selinsgrove under for-profit LLC ownership, and its staffing hours come in around 9% under the national average, with weekends dropping another 9% below its own weekday levels. That thin coverage shows up in the numbers: a 61.9% annual turnover rate against a national average of 45.8%, and CMS staffing and health inspection ratings both at 2 out of 5. What keeps this from being worse is the safety record, 66 deficiencies on file but none at harm or jeopardy level, nothing abuse-related, and a single fine of $3,145. The most recent inspection was in December 2025, so the picture is current.

Nurse hours

3.72 /day

Staff turnover

59%

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Lecom At Village Square runs about 110 beds as a nonprofit, and its most recent inspection wrapped up in December 2025, so the record is current. The staffing picture is where things get uneven: 3.72 nurse hours per resident day sits a bit under the national average, weekend coverage dips roughly 10% below its own weekdays, and staff turnover of 58.7% is well above the national 45.8%, that's a lot of new faces cycling through. On paper, the inspection history is decent, rated 4 out of 5 stars. But the current record carries 17 deficiencies, including one at the harm level and one tied to abuse, plus three fines totaling $14,971. Quality and staffing measures both land mid-range. Ask about weekend coverage and how they keep experienced aides.

Nurse hours

3.37 /day

Staff turnover

44%

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Caring Heart runs 269 certified beds in Philadelphia under nonprofit ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 44.3%, close to the national 45.8%, so that's not the standout problem here. The inspection record is. Fifty-six deficiencies are on file, one at the harm or jeopardy level and two tied to abuse, with a single fine of $24,675. The last inspection was June 12, 2025. Residents' quality measures score well, but staffing and health inspections both come in at 2 out of 5 stars, the gap between how the place measures and how it's actually run is worth asking about directly.

Nurse hours

3.98 /day

Staff turnover

34%

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Transitions Healthcare Shook Home runs a 65-bed for-profit operation in Chambersburg, and the staffing picture is genuinely its strong point: 3.98 nurse hours per resident day, slightly above the national average, with weekend coverage dipping about 12% below weekdays. Turnover sits at 33.9%, better than the 45.8% national figure. The trouble shows up everywhere else. Two out of five stars on health inspections and on quality measures, 30 deficiencies on the current record including three at harm or jeopardy level and one tied to abuse, plus a $205,694 fine. The last inspection was March 2026. Good hands on deck, but a documented pattern of serious problems that staffing alone doesn't offset.

Nurse hours

4.29 /day

Staff turnover

53%

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The Gables of Pelham runs 45 beds under for-profit LLC ownership, and its staffing score sits at the bottom of CMS's scale, one star out of five. Annual turnover is 53.1 percent against a national average of 45.8, so more than half the staff leaves every year. The inspection record shows 10 deficiencies, two of them serious enough to count as harm or jeopardy, and two tied to abuse. Two fines totaling $11,196 are on file, with the most recent inspection in July 2025. Quality measures also land at two stars. If you're considering this home, ask directly how they're addressing turnover and what changed after those abuse-related findings.

Nurse hours

3.07 /day

Staff turnover

36%

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Sharpville Residence runs lean on nursing hours, 3.07 per resident day, roughly a fifth below the national figure, and weekends dip about 8% below its own weekday coverage, which is when gaps tend to show up. Turnover works in its favor: 35.9% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Its inspection record backs that up, with 12 deficiencies on file, none involving harm or abuse, and one fine of $8,431. The hospital district ownership and a clean June 2024 inspection suggest steady management. Go in asking how the weekend floor actually gets covered.

Nurse hours

4.04 /day

Staff turnover

65%

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Signature Pointe runs 195 beds in Dallas under for-profit LLC ownership, and the nursing hours residents actually receive sit at 4.04 per day, roughly 5% above the national average. That sounds fine until you look at who's delivering those hours: annual turnover hits 64.6% against a national average of 45.8%, and weekends run about 8% thinner than weekdays. The inspection record is where the real concern lives, 32 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $38,436 fine. The most recent inspection was February 2025, so the picture is current. Strong quality measures don't offset a staffing churn problem and that deficiency history.

Nurse hours

3.49 /day

Staff turnover

44%

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Mountain Villa runs 48 beds in El Paso under corporate for-profit ownership, and the numbers point in two directions. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, with weekends about 10 percent thinner than weekdays, a pattern families should notice, since care doesn't pause on Saturdays. Staff turnover of 43.9 percent is slightly better than the national rate, and the health inspection record looks solid, with a 4-star rating and no deficiencies at the harm or jeopardy level. But the current record carries 23 deficiencies total, two tied to abuse, and the quality measure and staffing ratings both sit at 2 stars.

Nurse hours

5.98 /day

Staff turnover

68%

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Butterfield Trail Village runs a lot of nursing hours, 5.98 per resident day, roughly 55% above the national average, which is why its staffing rating holds at 4 stars. But the hours thin out on weekends, dropping about 15% below what the home itself staffs on weekdays, so coverage varies depending on when you visit. The bigger concern is turnover: 67.8% of staff leave each year, well above the 45.8% national rate, and that churn can undercut even generous staffing. The inspection record shows 14 deficiencies, three serious enough to put residents at risk of harm and one tied to abuse, plus a $58,006 fine. The last full inspection was December 2025.

Nurse hours

3.67 /day

Staff turnover

62%

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River Terrace is county-owned, which usually means steadier oversight than you'd get from a for-profit chain, and the inspection record backs that up: a five-star health inspection rating, just four deficiencies on the books, none causing harm and none tied to abuse, with the most recent visit in December 2025. The trouble sits in the day-to-day staffing. At 3.67 nurse hours per resident, it runs about 5% under the national average, and weekends drop roughly 16% below its own weekday coverage, that's when families tend to notice slower call bells. Turnover near 62%, well above the 45.8% national figure, means the people caring for your relative keep changing.

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Harbour View runs 84 beds in North Bergen under corporate ownership, and the numbers tell two different stories. The clinical quality measures look good, 4 out of 5, but staffing sits at the bottom of the federal scale, 1 out of 5, which matters because aides and nurses are who actually deliver that care day to day. The inspection record backs up the concern: 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $28,674 fine. State inspectors were last in on August 21, 2025, so the record is current. If you're weighing this one, ask direct questions about nurse aide hours per resident and what specifically was cited at that harm-level deficiency.

Nurse hours

4.15 /day

Staff turnover

64%

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La Vida Llena runs a nonprofit home with 50 certified beds in Albuquerque, and its nurses put in 4.15 hours per resident day, about 7% more than the national average. That cushion thins on weekends, when staffing drops roughly 17% below its own weekday levels. Annual turnover sits at 64.2%, well above the 45.8% national figure, so the people delivering that care keep changing. Inspectors visited in December 2025 and logged 21 deficiencies, none at the harm level but two tied to abuse. The federal quality measures come in at 1 out of 5 stars even as inspections earn 4.

Nurse hours

4.06 /day

Staff turnover

56%

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Avera Mother Joseph Manor runs a nonprofit shop with 81 certified beds, and the nurse staffing numbers look solid on paper, 4.06 hours per resident day, a bit above the national figure. But weekends tell a different story, with hours dropping roughly 17% below the home's own weekday levels, and annual turnover sits at 55.7%, well past the national 45.8%. The inspection record is where the real concern lives: 18 deficiencies, three of them serious enough to reach harm or jeopardy, plus one fine of $8,824. A 2025-12-17 inspection keeps the record current, though a 2-star inspection rating and 1-star quality measures don't inspire confidence. Strong staffing scores alone can't carry a record like this.

Nurse hours

4.20 /day

Staff turnover

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Wharton Nursing Home carries a heavier nurse staffing load than most places, 4.20 hours per resident day against a national average of 3.86, but weekends drop about 11% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Sunday. The inspection record is the real problem: 18 deficiencies, four serious enough to put residents at harm or jeopardy, and two tied to abuse, with $69,885 in fines and the most recent inspection from February 2024. Nonprofit ownership hasn't kept the clinical side clean, and that staffing edge doesn't offset what inspectors found.