Kennett Square, PA · Chester County
★★★★★CMS 5/560 bedsNon-profit
- Nurse hours
- 5.58 /day
- Staff turnover
- 20%
- Serious cites
- 0
Crosslands runs 60 certified beds as a nonprofit corporation, and the staffing numbers stand out: 5.58 total nurse hours per resident day against a national average of 3.86, roughly 44% higher. Weekend staffing dips about 11% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Annual turnover sits at 20%, less than half the national figure of 45.8%, so the people caring for residents tend to stay. The record isn't spotless: eight deficiencies, one at the harm or jeopardy level and three flagged as abuse-related, plus a single fine of $12,735. A February 2026 inspection is recent.
Lexington, VA · Lexington City County
★★★★☆CMS 4/560 bedsNon-profitMedicaid
- Nurse hours
- 4.88 /day
- Staff turnover
- 40%
- Serious cites
- 0
Kendal At Lexington runs a nonprofit home with 60 certified beds, and the staffing numbers are the strongest part of the story: 4.88 nurse hours per resident day, roughly 26 percent above the national average of 3.86. Weekend coverage dips about 14 percent below its own weekday level, and staff turnover sits at 40 percent, better than the 45.8 percent national figure, though still a reminder that retaining caregivers is hard work everywhere.
The inspection record is a different matter. Twenty-three deficiencies, one at the harm or jeopardy level and one abuse-related, with a $10,033 fine and a 2-out-of-5 inspection rating from CMS. The last full look came in April 2024. Strong staffing and quality scores coexist here with a citation history worth asking about directly.
Kennett Square, PA · Chester County
★★★★★CMS 5/553 bedsFor-profit
- Nurse hours
- 6.02 /day
- Staff turnover
- 19%
- Serious cites
- 0
Kendal At Longwood runs on 6.02 nurse hours per resident day, well above the 3.86 national figure, and its staff turnover of 18.8% is less than half the national rate. Weekend coverage does dip about 16% below weekday levels, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record is strong: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in September 2025. One caveat, the quality measure rating sits at 3 out of 5, softer than its staffing and inspection marks. For-profit corporate ownership, 53 beds. The staffing and compliance numbers carry this one.
West Chester, PA · Chester County
★★★★★CMS 5/564 bedsNon-profitMedicaid
- Nurse hours
- 4.47 /day
- Staff turnover
- n/a
- Serious cites
- 0
Barclay Friends runs 4.47 nurse hours per resident day, roughly 16% above the national average of 3.86. Weekend staffing does dip about 5% below its own weekday level, which is worth asking about if your family visits mostly on Saturdays or Sundays.
The inspection record is thin in a good way: one deficiency total, none at the harm or jeopardy level, none abuse-related, and the last inspection was June 2025, so the picture is current. CMS rated the health inspection side 4 out of 5, with quality measures and staffing each at 3.
As a nonprofit corporation with 64 certified beds, it's small enough that you'll likely get to know the staff. The staffing number is the real strength here; the mid-range quality and staffing stars are what keep it from scoring higher.
Ithaca, NY · Tompkins County
★★★★☆CMS 4/548 bedsNon-profitMedicaid
- Nurse hours
- 4.77 /day
- Staff turnover
- 54%
- Serious cites
- 0
Kendal At Ithaca runs about 4.77 nurse hours per resident day, roughly a quarter above the national average, and it shows in the staffing numbers. Weekends dip about 12% below the home's own weekday level, so coverage thins out on Saturdays and Sundays even though the overall floor stays high.
Turnover is the catch: 54% of staff leaving annually against a national 45.8% means a lot of new faces rotating through, which matters for residents who rely on consistency. The record shows 9 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in December 2024. Quality measures score low, inspections middling, staffing high, a home carried by its hours per resident more than its clinical outcomes.