1,547 Continuing Care Retirement Communities in the United States

Nurse hours

3.21 /day

Staff turnover

56%

Serious cites

0

Berkshire Health & Rehabilitation Center runs 180 certified beds in Vinton, and the numbers tell a mixed story. The clinical quality measures look strong, 5 out of 5 stars on CMS's quality rating, and its last health inspection, in June 2024, produced 28 deficiencies with none at the harm or jeopardy level and no abuse citations. Where it slips is staffing: 3.21 nurse hours per resident day, roughly 17% under the national average, and coverage thins out further on weekends. Annual turnover hits 56.1%, well above the national 45.8%, which means the people caring for residents are often new to the building. For a family weighing a move here, the care standards seem solid; the open question is whether there are consistently enough hands on shift.

Nurse hours

4.00 /day

Staff turnover

58%

Serious cites

0

St. Martin's In The Pines has a staffing edge on paper, 4.00 nurse hours per resident day, slightly above the national average, but that edge doesn't hold up on weekends, when coverage drops about 8% below its own weekday level. More striking is the turnover: 58.2% of staff leave each year against a national average of 45.8%, meaning the people providing that care keep changing. The inspection record is where this home has real trouble: 13 deficiencies, one serious enough to reach harm or jeopardy level, and nothing inspected since October 2019. A church-affiliated nonprofit with 128 beds and a single-star health inspection record carries risk a family should weigh carefully.

Nurse hours

3.77 /day

Staff turnover

81%

Serious cites

0

Accolade Healthcare Of Waterloo is county-owned, which usually signals steadier funding than a for-profit chain, and its health inspection record is genuinely solid, four stars, last surveyed in July 2025. The staffing side is where it frays. At 3.77 nurse hours per resident day it sits just under the national average, but that gap widens on weekends, when coverage drops roughly 11% below its own weekday level. Annual turnover of 81.2% is nearly double the national figure, meaning the aides and nurses your family member sees most may not be there next year. Eight deficiencies are on record, two involving harm or jeopardy and two tied to abuse.

Nurse hours

3.06 /day

Staff turnover

42%

Serious cites

0

Good Samaritan, Algona runs 72 certified beds as a nonprofit corporation, and it last cleared inspection in December 2025. Its nurses give 3.06 hours of care per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure. The current record carries 27 deficiencies, three at harm or jeopardy level and four tied to abuse, plus one fine of $7,070. Quality measures scored 2 of 5 stars, so what's on paper is a home getting thinner weekday coverage than most and carrying a heavier-than-typical enforcement history.

Nurse hours

4.54 /day

Staff turnover

47%

Serious cites

0

Topeka Presbyterian Manor runs a genuine split: the nursing hours are there, 4.54 per resident day against a national average of 3.86, and that earns a top-tier staffing rating. Weekend coverage dips about 8% below its own weekday level, though it stays respectable. The problems sit elsewhere. On the current record there are 33 deficiencies, five of them serious enough to put residents in harm's way and one tied to abuse, with four fines totaling $56,260. Health inspection and quality measure ratings both land at the bottom of the scale. Staff turnover, at 47.4%, runs slightly worse than the national figure. Good hours, troubled oversight, the staffing is not where the risk lives here.

Nurse hours

4.49 /day

Staff turnover

66%

Serious cites

0

Burcham Hills runs on more nursing hours than most places, about 4.49 per resident per day against a national average near 3.86, but those hours thin out on weekends and the staff doing them turn over at 65.9% a year, well above the 45.8% norm. The inspection record is where the trouble concentrates: 53 deficiencies, seven serious enough to put residents in harm's way, five tied to abuse, and a $37,557 fine, with the most recent look coming in May 2025. A nonprofit corporation owns the 133-bed building. Strong bedside hours can't outweigh that kind of citation history, especially when the people providing the care keep leaving.

Nurse hours

3.82 /day

Staff turnover

51%

Serious cites

0

St. Clare Commons runs 3.82 nurse hours per resident day, just under the national average, and weekends drop about 8% below what the home staffs on weekdays. The bigger concern is turnover: 50.8% annually against a 45.8% national rate, meaning roughly half the nursing staff leaves each year. Inspections tell a similar story, 49 deficiencies on record, including one at the harm level and six tied to abuse, plus a $40,433 fine. The most recent inspection was June 2025, so the record is current. Quality measures score well, but staffing and inspection results are where the problems sit.

Nurse hours

3.85 /day

Staff turnover

85%

Serious cites

0

Southern Hills runs 106 beds in Tulsa under for-profit LLC ownership, and its nurse staffing comes in at 3.85 hours per resident day, essentially level with the national average of 3.86. That's the good news. The trouble sits elsewhere: staff turnover hits 84.8 percent a year, nearly double the national rate of 45.8 percent, meaning the people providing care keep changing. Its current record shows 22 deficiencies, including one at the harm level and three tied to abuse, plus a $15,766 fine. Weekend staffing dips about 4 percent below weekdays. The last inspection was November 2024, so the picture is fairly recent.

Nurse hours

4.01 /day

Staff turnover

72%

Serious cites

0

The Holland Center runs 66 beds in Bucks County under corporate ownership, and the headline number is staffing: 4.01 nurse hours per resident day, about 4% above the national average. That's real, but it comes with churn, 71.7% annual turnover against a national 45.8%, meaning most of the people caring for your relative are new to the building. Weekends run about 7% leaner than weekdays. On inspections, the record shows 45 deficiencies, including two at harm or jeopardy level and two tied to abuse, with a $36,186 fine and a 2-out-of-5 inspection rating. Quality measures score well at 4/5, but the survey history is the part I'd ask about directly on a tour.

Nurse hours

4.86 /day

Staff turnover

65%

Serious cites

0

Summit Hills runs a small house, 27 beds, and staffs it better than most: 4.86 nurse hours per resident day against a national average of 3.86, with weekend coverage holding nearly level with weekdays. That's the good news. The harder fact is turnover at 65.4% against a national 45.8%, which means the people delivering those hours keep changing. Five deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection came in January 2026. Quality measures rate 2 of 5, the weakest mark in the file. Ownership is for-profit through a limited liability company. Strong hands-on hours, but a workforce that doesn't stay.

Nurse hours

3.68 /day

Staff turnover

52%

Serious cites

0

Sullivan Park runs about 92 deficiencies on its current record, including two at the harm level and eight tied to abuse, that's a lot of paper for a 125-bed building, and it's the main reason the state's last look at the place came in March 2025 with a 2-star inspection result. Nurse staffing sits at 3.68 hours per resident day, a bit under the national average, and it thins out further on weekends, down roughly 14% from weekday coverage. With 52.3% annual turnover, nearly half the nursing staff is replaced every year, which makes consistent care hard to hold onto. Two fines totaling $126,188 round out the picture.

Nurse hours

3.64 /day

Staff turnover

63%

Serious cites

0

Waunakee Valley Senior Living runs 84 certified beds under corporate for-profit ownership, and the numbers split in an unusual way. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, with weekends roughly 9% thinner than weekdays, which matters because that's when families often visit and when fewer eyes are on residents. Staff turnover is the bigger concern: 62.5% annually against a national average of 45.8%, meaning most of the people caring for your relative may be new to the building within the year. The inspection record shows 24 deficiencies, four at harm or jeopardy level and two tied to abuse, plus $32,856 in fines across two penalties. The quality measure score looks strong, but that's largely self-reported data, while the inspection and staffing stars tell a different story. Worth asking about directly.

Nurse hours

2.66 /day

Staff turnover

—

Serious cites

0

Independence Care Center Of Perry County runs a 133-bed nonprofit home in Perryville, and its most recent inspection on January 9, 2026 left 16 deficiencies on the record, none at the harm or jeopardy level, but one abuse-related. Staffing is where the numbers get thin: 2.66 nurse hours per resident day against a national average of 3.86, roughly 31% below, and weekends drop about 13% below the home's own weekday level. The federal staffing star sits at 1 out of 5. Health inspections earned 4 out of 5 and quality measures 2 out of 5, so the care process looks better on paper than the hands-on coverage behind it. Ask how they staff weekends before you decide anything.

Nurse hours

2.95 /day

Staff turnover

59%

Serious cites

0

Elderwood At Wheatfield runs about 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 19% below its own weekday staffing. That thin coverage shows up in the numbers: 59.3% annual turnover, well above the 45.8% national figure, and a 2-out-of-5 staffing rating from CMS. The 123-bed for-profit home carries 13 deficiencies on its current record, none at the harm level, but one abuse-related, and its last inspection was August 2024. Quality measures score well at 4 out of 5, so resident care indicators look stronger than the staffing that delivers them. Ask about weekend coverage and turnover before touring.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Greenbrier Village runs 150 beds as a for-profit corporation, and the numbers families tend to care about most don't flatter it. Staffing sits at the lowest tier CMS tracks, well below what the agency considers typical for a home this size, and the quality measure score is only slightly better. The inspection record shows 15 deficiencies, including one serious enough to put residents in harm's way and three tied to abuse, a pattern worth asking the administrator about directly. Five fines totaling $14,819 have accumulated, and while the most recent inspection in July 2025 is fairly current, a three-star inspection score with that violation mix suggests the problems aren't purely historical.

Nurse hours

3.44 /day

Staff turnover

46%

Serious cites

0

Maple Heights runs on thinner nurse coverage than most homes, 3.44 hours per resident day against a national average of 3.86, with weekends dipping roughly 12% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when backup is hardest to find. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, and a $12,735 fine; the most recent inspection was in March 2025. Staff turnover sits at 45.7%, essentially matching the national rate, so retention isn't the standout problem here, day-to-day staffing depth is. The quality measure score of 2 out of 5 suggests clinical outcomes have room to improve even where inspections look more middling.

Nurse hours

3.56 /day

Staff turnover

43%

Serious cites

0

Delmar Gardens North runs 240 beds in Black Jack, and the staffing numbers are the first thing worth knowing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly another 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 42.9%, is slightly better than the 45.8% national figure, which is one genuine bright spot. The rest is harder: 34 deficiencies on the current record, including 3 at harm or jeopardy level and 2 tied to abuse, plus a $39,299 fine. Its last inspection was November 2025, so the record is recent.

Nurse hours

3.72 /day

Staff turnover

58%

Serious cites

0

Christian Homes in Holdrege runs 86 beds as a nonprofit corporation, and its staffing sits at 3.72 nurse hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly another 10% below its own weekday coverage, which matters when residents need help on a Saturday. Annual turnover is 58.3%, well above the 45.8% national figure, so aides and nurses are cycling through faster than average. The inspection record carries 25 deficiencies, none at harm or jeopardy level but three tied to abuse, and the last survey was March 2026. CMS rates its health inspection, quality measures, and staffing each at 2, 1, and 2 stars out of five. Nothing here is dangerous, but the pattern is thin coverage and high churn.

Nurse hours

— /day

Staff turnover

64%

Serious cites

0

Hill View Skilled Nursing and Rehabilitation Center is a 72-bed nonprofit home in Portsmouth with strong inspection and quality scores from CMS, 4 out of 5 on both. But look past the stars and the picture gets mixed: 19 deficiencies on its current record, including one that caused actual harm or put a resident in jeopardy. Staff turnover runs at 64.3%, well above the national average of 45.8%, which matters more than any rating when you're thinking about who's actually at the bedside day after day. The most recent inspection was July 2024, so the record is reasonably current. If you're considering this home, ask directly about that harm-level deficiency and how they've kept licensed staff from walking out the door.

Nurse hours

3.32 /day

Staff turnover

36%

Serious cites

0

Westgate Hills runs lean on nursing hours, 3.32 per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday pace. That thin coverage shows up in the federal staffing rating, and the inspection record backs it up: 19 deficiencies, including one at the harm level and one tied to abuse, plus four fines totaling $52,764. The counterweight is that staff tend to stay, 36.4% turnover beats the national 45.8%, and the quality measure score is strong at 4 out of 5. A recent January 2026 inspection means the record is current, not stale. For-profit, LLC-owned, 110 beds. Ask about weekend coverage specifically when you visit.