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1,547 Continuing Care Retirement Communities in the United States

1,547 of the 14,697 Medicare-certified nursing homes in the United States (11%) are CCRC, and all are listed below. 670 of the 1543 graded homes earn an A and 32 earn a D or F. They average 4.46 nursing hours per resident per day, 0.6 hours above the 3.86 for every home in the United States. Goodwin House Alexandria in Alexandria grades highest at A (100 out of 100).

How CCRC homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

4.46

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

42.4%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

81.3/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

670 grade A, 624 grade B, 217 grade C, 32 grade D,

The best-graded CCRC home in the United States is Goodwin House Alexandria in Alexandria, VA, grade A, 100/100.

Every CCRC nursing home in the United States

Showing 181 to 200 of 1,547, best-graded first.

A

94/100

Kendal At Lexington

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.

A

94/100

Shenandoah Valley Westminster Canterbury

Winchester, VA · Frederick County

CMS 4/551 bedsNon-profitMedicaid
Nurse hours
5.65 /day
Staff turnover
25%
Serious cites
0

Shenandoah Valley Westminster Canterbury runs 51 certified beds as a nonprofit, and the staffing numbers are the story here: 5.65 nurse hours per resident day, roughly 46% above the national average. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on a Sunday. Annual turnover sits at 25%, well under the national 45.8%. The trade-off is inspection history, 28 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2023. Quality and staffing measures score well; the health inspection record is more middling. Worth reading the actual deficiency reports before deciding.

A

94/100

Westminster Canterbury Blue Ri

Charlottesville, VA · Albemarle County

CMS 5/527 bedsFor-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
41%
Serious cites
0

Westminster Canterbury Blue Ri runs a small 27-bed unit in Charlottesville, and the staffing numbers stand out: 5.40 nurse hours per resident day, roughly 40 percent above the national average of 3.86. Weekend coverage dips about 11 percent below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 40.7 percent, a bit better than the 45.8 percent national figure, though still meaning four in ten staff leaving in a year. The inspection record is the caution flag: 22 deficiencies, including one at the harm level and two abuse-related, with the most recent inspection dated April 2026.

A

94/100

Arleigh Burke Pavilion

Mc Lean, VA · Fairfax County

CMS 5/549 bedsNon-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
25%
Serious cites
0

The numbers at Arleigh Burke Pavilion in McLean mostly speak for themselves. Nurse staffing runs 4.70 hours per resident day against a national average of 3.86, and the 24.6% annual turnover is roughly half the national rate, a sign people stick around. Weekend coverage dips about 11% below weekdays, worth asking about if your family visits Saturdays. The 13 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the last inspection was January 2025, so the picture is current. For a 49-bed nonprofit, that combination of low turnover and steady inspection history is the real story behind the grade.

A

94/100

Shorehaven Hlth & Rehab Ctr

Oconomowoc, WI · Waukesha County

CMS 5/588 bedsNon-profitMedicaid
Nurse hours
5.41 /day
Staff turnover
39%
Serious cites
0

Shorehaven runs on a nonprofit model with 5.41 nurse hours per resident day, roughly 40% above the national average of 3.86, that staffing depth is the core of its profile. Weekend coverage dips about 10% below its own weekday level, and turnover sits at 38.8%, better than the 45.8% national rate. Those numbers support the top CMS marks in staffing and quality measures, plus a 4/5 on health inspections. The record isn't clean, though. Ten deficiencies are on file, two at the harm or jeopardy level and two abuse-related, with the last inspection dated June 2025. For a family weighing this home, that combination, strong day-to-day staffing, some serious past findings, is what deserves your questions.

A

94/100

Sunny View Manor

Cupertino, CA · Santa Clara County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
14%
Serious cites
0

Sunny View Manor runs on unusually heavy staffing for a nursing home, 4.92 nurse hours per resident each day, roughly a quarter more than the national average, and its staff tend to stay, with turnover at 14.3% against a national rate near 46%. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on a Saturday. The tradeoff shows up in its record: 27 deficiencies, one serious enough to involve harm or jeopardy, though none related to abuse, and a single fine of $8,176. Its last inspection was in April 2025, and the nonprofit owner keeps both quality and staffing marks at the top of the federal scale.

A

94/100

The Terraces Of Los Gatos

Los Gatos, CA · Santa Clara County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
30%
Serious cites
0

The Terraces of Los Gatos runs on a nonprofit model with 59 certified beds, and its nurse staffing sits about 22 percent above the national average, roughly 4.73 hours per resident per day against 3.86. Turnover is 30.4 percent, well below the national 45.8, which matters because consistent caregivers tend to know residents' routines. Weekend coverage does dip about 12 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection history is the catch: 30 deficiencies on record, including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $32,487. The most recent inspection was January 9, 2025, so the picture is current.

A

94/100

Veterans Home Of California - Chula Vista

Chula Vista, CA · San Diego County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
4.80 /day
Staff turnover
17%
Serious cites
0

The state-run veterans home in Chula Vista runs 4.80 nurse hours per resident per day, roughly a quarter above the national average, with a 5/5 CMS staffing rating and turnover at 17.3 percent, well under the 45.8 percent national figure. Those numbers help explain its B grade, but the 34 deficiencies on file matter too, including one at the harm level and two abuse-related citations, with a single $8,018 fine. Weekend staffing dips about 12 percent below its own weekday level. A January 2026 inspection is recent enough to trust. Solid staffing and stable workforce; the citation record is the piece to weigh.

A

94/100

Trinity Terrace

Fort Worth, TX · Tarrant County

CMS 5/552 bedsNon-profit
Nurse hours
4.11 /day
Staff turnover
30%
Serious cites
0

Trinity Terrace runs on 4.11 nurse hours per resident per day, about 7% above the national average, and its staff turnover of 30.2% is well below the 45.8% national figure, that kind of retention matters more than any single inspection result. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family member needs more help on Saturdays and Sundays. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in March 2025. As a nonprofit, it answers to a board rather than shareholders, and the survey history suggests problems get fixed before they endanger anyone.

A

94/100

Sagecrest Alzheimers Care Center

San Angelo, TX · Tom Green County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
16%
Serious cites
0

Sagecrest runs about 4.73 nurse hours per resident day, roughly 22% above the national average of 3.86, and that staffing holds up beyond the weekday, with weekends dipping only about 10% below its own weekday level. Turnover sits at 15.9% against a national average of 45.8%, which matters for dementia care, where unfamiliar faces can unsettle residents. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was September 2024. As a nonprofit in San Angelo, it isn't chasing quarterly returns. The numbers point to steady, well-attended care rather than anything flashy.

A

94/100

Ventana By Buckner

Dallas, TX · Dallas County

CMS 5/572 bedsNon-profit
Nurse hours
5.11 /day
Staff turnover
45%
Serious cites
0

Ventana By Buckner runs 5.11 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekends dip only about 5% below its own weekday staffing. That consistency matters more than the raw number, since shortfalls usually show up on Saturdays and Sundays. The Dallas nonprofit carries 14 deficiencies on its current record, none at the harm level and none abuse-related, with its last inspection dated March 2026. Staff turnover sits at 44.8%, essentially matching the national rate of 45.8%, neither a warning sign nor a bragging point. For families weighing this one, the staffing depth and clean harm record are doing the real work here.

A

93.5/100

Moundridge Manor

Moundridge, KS · Mcpherson County

CMS 5/578 bedsNon-profitMedicaid
Nurse hours
4.86 /day
Staff turnover
20%
Serious cites
0

Moundridge Manor runs on church-affiliated nonprofit ownership and 4.86 nurse hours per resident day, roughly a quarter more staffing than the national average of 3.86. Weekend coverage dips about 17% below its own weekday level, which is worth asking about if your family visits Saturdays or Sundays. Staff turnover is 19.8%, less than half the national 45.8%, so the people caring for residents tend to stay. The record isn't spotless: seven deficiencies, two of them at harm or jeopardy level, and one fine of $20,295. No abuse citations, and the last inspection was September 2024. Strong staffing and low turnover are doing real work here; the harm-level findings are the part to raise directly with the administrator.

A

93/100

Sun Health Grandview Care Center

Sun City West, AZ · Maricopa County

CMS 5/572 bedsNon-profit
Nurse hours
5.27 /day
Staff turnover
36%
Serious cites
0

Sun Health Grandview runs on 5.27 nurse hours per resident per day, about a third more staffing than the typical American nursing home, and weekends dip only modestly from there. That extra coverage shows up in its inspection record: twelve deficiencies, but none involving harm or jeopardy, and nothing abuse-related, with a fresh survey as of August 2025. Staff turnover sits at 35.6 percent, roughly ten points better than the national average, which matters in a building this size. The nonprofit ownership and 4- and 5-star CMS ratings across health inspections, quality measures, and staffing point to a home that has kept its footing steady rather than scrambling to catch up.

A

93/100

Splendido At Rancho Vistoso

Tucson, AZ · Pima County

CMS 2/542 bedsFor-profit
Nurse hours
4.97 /day
Staff turnover
18%
Serious cites
0

Splendido At Rancho Vistoso runs 4.97 nurse hours per resident day, roughly 29% above the national average, and its 18.2% turnover is well under half the national figure. Those are real strengths. The catch is consistency: weekend staffing drops about 13% below weekday levels, and CMS gives the home just one star for staffing even with the high average, which suggests the hours aren't distributed as evenly as the total implies. Ten deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus an $8,018 fine. The last inspection was in March 2025. Quality measures score five stars, inspections four. This is a well-resourced home with a thin staffing cushion on weekends.

A

93/100

Piedmont Gardens Health Facility

Oakland, CA · Alameda County

CMS 5/594 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
21%
Serious cites
0

Piedmont Gardens runs on a nonprofit model with 94 certified beds, and the staffing numbers are where it separates itself. At 4.76 nurse hours per resident day, it sits roughly 23 percent above the national average of 3.86, and weekend coverage only dips about 5 percent below its own weekday levels, which is a smaller drop than many homes manage. Staff turnover tells a similar story: 21.2 percent against a national average of 45.8 percent, meaning the people caring for residents tend to stay. Eleven deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. For a family weighing options, the pattern here is steady hands and few red flags.

A

93/100

Grace Pointe Cont Care Sr Campus, Skilled Nursing

Greeley, CO · Weld County

CMS 5/553 bedsFor-profit
Nurse hours
4.69 /day
Staff turnover
42%
Serious cites
0

Grace Pointe runs lean on problems and heavy on staff. The 53-bed home is individually owned for profit, and its nurse staffing sits at 4.69 hours per resident day, roughly a fifth above the national average, with a five-star staffing rating and a five-star quality measure rating to match. Turnover is 42.3%, a bit better than the 45.8% national figure, though weekend coverage drops about 12% below its own weekday level. On the inspection side, the record shows 11 deficiencies, one at the harm or jeopardy level and none abuse-related, with the most recent survey dated February 2026. A four-star inspection rating alongside those numbers is a fairly steady picture.

A

93/100

Willowbrooke Court At St Andrews Estates

Boca Raton, FL · Palm Beach County

CMS 4/589 bedsNon-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
21%
Serious cites
0

Willowbrooke Court runs on a nonprofit model in Boca Raton, and the staffing numbers are the story here: 4.17 nurse hours per resident day, roughly 8% above the national average, with a five-star CMS staffing rating to match. Turnover sits at 21.4%, less than half the national rate of 45.8%, which matters because consistent caregivers tend to know residents' routines and catch changes early. Weekend coverage dips about 7% below weekday levels, worth asking about if your family visits mostly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm level and none abuse-related, with the most recent survey completed in May 2025.

A

93/100

St Mark Village

Palm Harbor, FL · Pinellas County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
39%
Serious cites
0

St. Mark Village runs about 5.14 nurse hours per resident per day, roughly a third more than the national average, and its staff turnover of 39% sits below the national 45.8%. Weekend coverage drops about 15% from its own weekday level, which is worth asking about if your family member needs more help on Saturdays and Sundays. The home carries four deficiencies on its current record, none at the harm level and none abuse-related, and its last inspection was in January 2024. It's a nonprofit with 80 beds, which tends to mean steadier ownership than a chain.

A

93/100

Plaza West

Sun City Center, FL · Hillsborough County

CMS 3/5113 bedsFor-profitMedicaid
Nurse hours
4.98 /day
Staff turnover
21%
Serious cites
0

Plaza West runs on strong staffing numbers. At 4.98 nurse hours per resident day, it sits about 29% above the national average, and its staff turnover of 21.4% is roughly half the national figure, that kind of retention usually means residents see familiar faces. Weekends dip about 10% below weekday coverage, worth asking about if your family visits on Saturdays. The tradeoff is inspections: a 2/5 health inspection rating and 19 deficiencies on record, though none at the harm level and none abuse-related. A recent July 2025 inspection means the picture is current. For-profit LLC ownership, 113 beds.

A

93/100

Vi At Lakeside Village

Lantana, FL · Palm Beach County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
5.56 /day
Staff turnover
13%
Serious cites
0

Vi at Lakeside Village runs 5.56 nurse hours per resident per day, roughly 44% above the national average of 3.86, that's a real staffing cushion, not a marginal one, and it's the main reason this home stands out. Just as telling: annual turnover sits at 12.9% against a national average of 45.8%, meaning the people caring for residents mostly stay put, which matters more than any single inspection score. Weekend staffing drops about 14% below its own weekday level, so coverage thins out on Saturdays and Sundays. Ten deficiencies are on record with none at the harm level and none abuse-related, and the last inspection was February 2026, recent enough to trust.

Frequently asked questions

How many CCRC nursing homes are there in the United States?
There are 1,547 CCRC Medicare-certified nursing homes in the United States, 11% of the 14,697 nursing homes there.
Are CCRC nursing homes better staffed?
In the United States they average 4.46 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.6 hours. Staff turnover averages 42.4% against 45.8%.
Which CCRC nursing home grades best in the United States?
Goodwin House Alexandria in Alexandria, VA, grade A, 100 out of 100.
Does being CCRC mean a nursing home is safe?
No. Of the 1,543 graded CCRC homes in the United States, 670 grade A and 32 grade D or F.
Do CCRC nursing homes in the United States accept Medicaid?
1,255 of the 1,547 are certified to accept Medicaid. See Medicaid and nursing homes.

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