Nursing homes across Adams County, Pennsylvania, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Concordia At Spiritrust Gettysburg runs about 4.11 nurse hours per resident each day, roughly 6% above the national average, and its staff turnover sits at 35.4% against a national 45.8%, meaning fewer caregivers are walking out the door here than at the typical home. Weekend staffing dips about 9% below weekday levels, so ask how that plays out on a Saturday. The 17 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was April 30, 2026. For a 60-bed nonprofit, the numbers describe steady, well-staffed care rather than anything flashy.
Concordia At Spiritrust Utz Terrace runs 4.19 nurse hours per resident day, roughly 8% above the national average of 3.86, and that staffing shows up in the weekend numbers too, which dip about 8% below the home's own weekday level rather than falling off a cliff. The current record carries 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated May 2026, so the picture is recent and clean where it counts. Turnover sits at 48.9%, a bit above the 45.8% national average, which is worth asking about directly. Forty beds under nonprofit ownership, strong marks across inspection, quality, and staffing stars.
Concordia At Spiritrust Sprenkle Drive runs about 3.56 nurse hours per resident day, roughly 8% under the national figure of 3.86, and weekends drop another 7% below its own weekday coverage. That thinner weekend floor matters because the home's current record carries 19 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $24,670. Staff turnover sits at 47.9%, a bit above the 45.8% national average. The quality measure score is strong, but staffing and inspection results are middling, and the last full inspection came in November 2025.
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.
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.
Transitions Healthcare Gettysburg runs 135 beds as a for-profit LLC, and the numbers tell a middling story. Nurse staffing sits at 3.74 hours per resident day, about 3% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is 49.6%, nearly four points above the national figure, and the current record carries 25 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $16,334 in fines. The last inspection was November 2025. Three stars on health inspections, quality measures, and staffing put this home squarely in the middle.
The Gardens at Gettysburg runs about 3.10 nurse hours per resident day, roughly 20% under the national average of 3.86, and weekends drop another 5% below its own weekday staffing. That thin coverage shows up in the federal staffing rating, which sits at 2 out of 5, and in turnover: 56.8% of staff left over the year, against a national norm of 45.8%, so aides and nurses are cycling through faster than residents can get to know them. Inspections are a different story. The home was last surveyed in May 2025 and holds a 4/5 health inspection rating, with 27 deficiencies on record, none at harm or jeopardy level, though one is abuse-related. It's a for-profit corporation with 102 beds.
Gettysburg Center runs on thinner staffing than most homes its size, and that gap shows up on weekends when coverage drops another 8 percent below its own weekday level. The 34 deficiencies on record, four of them serious enough to put residents in harm's way, three tied to abuse, point to problems that go beyond paperwork. Annual turnover sits at 52.7 percent, meaning more than half the nursing staff leaves each year, which makes consistent care hard to sustain. A for-profit corporation operates the 118-bed building, and its most recent inspection was in March 2026.