Nursing homes that had a suicide decedent did not differ from those that did not in size or ownership, but were more likely to be part of a continuing care retirement community. After accounting for size and ownership, nursing homes with a suicide decedent had significantly better overall rating scores (OR = 1.95; P < .006), health scores (OR = 1.60; P < .027), and staff scores (OR = 2.07; P < .007) and marginally better quality scores (OR = 1.56; P = .104) than nursing homes that did not experience a suicide, according to NHC metrics (Table 3). Additional adjustment for being part of a continuing care retirement community did not change these results. Nursing homes with a suicide decedent had significantly greater proportions of residents with elevated depressive symptoms (OR = 1.09; P < .004). Assisted living facilities that had a suicide decedent were significantly larger than those that did not (OR = 1.01; P < .001), even after accounting for type of care provided.