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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 221 to 240 of 1,547, best-graded first.

A

93/100

Rivercrest Long Term Care

W Concord, MA · Middlesex County

CMS 5/5151 bedsNon-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
27%
Serious cites
0

Rivercrest runs 4.44 nurse hours per resident day, roughly 15% above the national figure, and its weekend staffing only dips about 6% below weekdays, a narrow gap by industry standards. The nonprofit's 27.3% turnover sits well under the 45.8% national average, meaning the people showing up are largely the same people over time. Five deficiencies on record, none involving harm or abuse, with an inspection completed in August 2025. Read together, these numbers describe a home that is staffed and stable rather than merely passing.

A

93/100

The Inn At Freedom Village

Holland, MI · Ottawa County

CMS 5/539 bedsFor-profit
Nurse hours
5.77 /day
Staff turnover
40%
Serious cites
0

The Inn at Freedom Village runs on unusually heavy staffing, 5.77 nurse hours per resident day, roughly half again the national average of 3.86, and that shows up in its CMS staffing rating and its clean record on harm: ten deficiencies total, none at the harm or jeopardy level, none abuse-related. Weekend coverage dips about 12% below weekdays, so ask how that plays out on a Sunday. Staff turnover sits at 40.4%, a bit better than the 45.8% national figure, which matters at a 39-bed home where residents see the same faces or don't. Ownership is for-profit corporate, and the last inspection was in March 2026.

A

93/100

Coventry House Inn

St Joseph, MI · Berrien County

CMS 4/532 bedsFor-profitMedicaid
Nurse hours
4.37 /day
Staff turnover
34%
Serious cites
0

Coventry House Inn runs 32 certified beds in St. Joseph, and the numbers show a home that leans hard on its nursing staff. At 4.37 hours per resident day, it's giving residents about 13% more nursing time than the typical American nursing home, a real difference in a small building where that attention gets spread across fewer people. Turnover sits at 34.1%, well under the national 45.8%, so the aides and nurses here tend to stick around longer than most. The inspection record shows 31 deficiencies, none of them involving harm or abuse, and the most recent visit was in January 2026, so the state has looked recently. Weekend staffing dips about 11% below weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays.

A

93/100

Covenant Living Of Golden Valley Care & Rehab Ctr

Golden Valley, MN · Hennepin County

CMS 5/588 bedsNon-profit
Nurse hours
4.70 /day
Staff turnover
23%
Serious cites
0

Covenant Living of Golden Valley runs on a church-affiliated nonprofit model, and the numbers behind it look steady. Nurses provide 4.70 hours of care per resident each day, roughly 22% more than the national average, and weekend coverage dips only about 7% below weekday levels, a modest gap compared to many homes. Annual turnover sits at 22.5%, about half the national rate, which suggests a staff that sticks around. The inspection record supports that: a May 2025 survey with just four deficiencies, none involving harm or abuse. Residents' quality measures rate well too. What you're looking at is consistency, adequate hands on deck, stable caregivers, and a clean recent state review.

A

93/100

Harmony Gardens

Maplewood, MN · Ramsey County

CMS 4/564 bedsNon-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
25%
Serious cites
0

Harmony Gardens runs on nurse staffing of 4.64 hours per resident day, roughly a fifth more than the national average, and its 24.7% turnover is well under half the national rate, people tend to stay. Weekends dip about 9% below weekday coverage, worth knowing if you visit then. The tradeoff sits on the inspection side: 23 deficiencies on the current record, including one at the harm level and three tied to abuse, which pulls the health inspection rating down to 3 out of 5. The most recent inspection was March 2026. Strong staffing and steady retention are real strengths here; the deficiency history is the part to ask about directly before deciding.

A

93/100

Saint Therese At Oxbow Lake

Brooklyn Park, MN · Hennepin County

CMS 3/564 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
27%
Serious cites
0

Saint Therese At Oxbow Lake runs on a non-profit model with 64 certified beds in Brooklyn Park, and its nurse staffing sits at 4.73 hours per resident day, about 22% above the national average of 3.86. Weekend coverage dips roughly 10% below its own weekday level, so the cushion narrows on Saturdays and Sundays. Staff turnover is 26.6%, well under the national 45.8%, which suggests people tend to stay. The inspection record carries more weight than the staffing story: 30 deficiencies on file, though none at harm or jeopardy level and none abuse-related. The last inspection was February 2026, so the picture is current. Strong daily care numbers, a thinner inspection history.

A

93/100

Lenoir Health Care Center

Columbia, MO · Boone County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
35%
Serious cites
0

Lenoir Health Care Center runs on 4.88 nurse hours per resident day, about 27% above the national average, and its weekend staffing only dips roughly 5% below weekday levels, a gap that trips up plenty of homes. Staff turnover sits at 34.8% against a national average near 46%, so the people caring for residents tend to stick around. The trade-off is a longer deficiency record: 13 citations on file, including one abuse-related finding, though none rose to actual harm or jeopardy. Its last inspection was April 2025, and the nonprofit operator posts top marks across health inspections, quality measures, and staffing.

A

93/100

St John's Lutheran Home

Billings, MT · Yellowstone County

CMS 3/5186 bedsNon-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
45%
Serious cites
0

St. John's Lutheran Home runs on 5.40 nurse hours per resident day, roughly 40% more than the national average of 3.86, and that staffing depth is what carries the rest of its record. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 44.6%, essentially matching the national rate of 45.8%. The trade-off shows up in its inspection history: 33 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy. Its most recent inspection was in July 2025, so the picture is reasonably current. As a nonprofit, it isn't answering to shareholders, and the quality measure rating suggests the clinical care generally holds up.

A

93/100

Las Ventanas Retirement Comm Snf

Las Vegas, NV · Clark County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.03 /day
Staff turnover
29%
Serious cites
0

Las Ventanas runs a lean ship on the staffing side. At just over five nurse hours per resident per day, it sits roughly 30% above the national average, and its staff turnover of 28.6% is well below the 45.8% national figure, meaning the people caring for residents tend to stick around. The trade-off is modest: weekend coverage dips about 8% from weekday levels, which is common but worth asking about. Its inspection record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in mid-2025. A nonprofit corporation operates the 60-bed home. For a family weighing options in Las Vegas, the numbers point to consistent care and stable staffing rather than any red flags.

A

93/100

Wiley Mission

Marlton, NJ · Burlington County

CMS 5/586 bedsNon-profitMedicaid
Nurse hours
5.89 /day
Staff turnover
26%
Serious cites
0

Wiley Mission is run by a church-affiliated nonprofit, and the numbers show a home that spends heavily on people. At 5.89 nurse hours per resident day, it beats the national average by more than half, and weekend staffing dips only about 10% below its own weekday level, a smaller drop than many homes see. Turnover sits at 25.7%, well under the national 45.8%. The tradeoffs are on the record: 19 deficiencies, two tied to abuse, though none reached harm or jeopardy. Its last inspection was in September 2024, and its health and quality ratings sit mid-range at three stars each.

A

93/100

Atrium At Navesink Harbor, The

Red Bank, NJ · Monmouth County

CMS 2/543 bedsNon-profitMedicaid
Nurse hours
4.91 /day
Staff turnover
38%
Serious cites
0

Atrium at Navesink Harbor is a small nonprofit home in Red Bank, and its numbers pull in two directions. Nurse staffing runs about 4.91 hours per resident day, roughly 27 percent above the national average, and turnover at 38.3 percent sits below the national 45.8 percent, a sign people tend to stay. Weekend staffing dips about 9 percent from weekday levels, which is common but worth asking about. The harder question is the inspection record: 32 deficiencies, one at the harm or jeopardy level and three abuse-related, with a one-star health inspection rating from CMS. That's a lot for 43 beds. Staffing is clearly the strength here; the survey history is the part a family should ask about directly.

A

93/100

The Osborn

Rye, NY · Westchester County

CMS 4/584 bedsNon-profit
Nurse hours
4.59 /day
Staff turnover
43%
Serious cites
0

The Osborn runs a leaner ship than most: 4.59 nurse hours per resident each day, roughly a fifth more staffing than the national average, and weekend coverage that dips only about 15% below weekday levels, a smaller gap than many homes show. Turnover sits at 42.6%, slightly better than the national 45.8%, though still meaning four in ten staff left last year. The inspection history is the softer spot: 19 deficiencies on record, none rising to harm or jeopardy and none abuse-related, with the most recent survey in February 2025. As a nonprofit, there's no ownership group extracting profit, which tends to show up in numbers like these.

A

93/100

Peconic Landing At Southhold

Greenport, NY · Suffolk County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
5.09 /day
Staff turnover
46%
Serious cites
0

Peconic Landing sits in Greenport with 66 certified beds and a nonprofit owner, and its nurse staffing runs about 5.09 hours per resident day, roughly a third more than the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so care can feel thinner on Saturdays and Sundays, though the current record holds just 8 deficiencies with none tied to harm or abuse. Staff turnover lands at 45.5%, essentially matching the national figure of 45.8%. The last health inspection came in April 2025.

A

93/100

The Knolls

Valhalla, NY · Westchester County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
24%
Serious cites
0

The Knolls runs a small house, 20 certified beds, under nonprofit ownership, and the staffing numbers are where it separates itself. At 4.70 nurse hours per resident day, it sits roughly 22 percent above the national average, and turnover of 24 percent is nearly half the national rate, which matters because consistent caregivers know the residents. Weekend coverage dips about 9 percent below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 8 deficiencies with none at the harm level and none abuse-related, and the most recent survey dates to October 2023, so the picture is recent.

A

93/100

Abernathy Laurels

Newton, NC · Catawba County

CMS 5/5174 bedsNon-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
33%
Serious cites
0

Abernathy Laurels runs on more nursing hours per resident than most homes in the country, about 13% above the national average, and its staff tends to stay, with turnover at 33.2% against a national rate near 46%. The inspection record is thin: three deficiencies, none causing harm or jeopardy, none tied to abuse, and the most recent state visit was in September 2025. Weekend coverage dips roughly 9% below weekday levels, which is common but worth asking about, since that's when families often visit. A nonprofit corporation operates the 174-bed home. There's no red flag in the numbers here, the weakest point is simply that weekend staffing gap.

A

93/100

Courtyard At Seasons

Cincinnati, OH · Hamilton County

CMS 4/545 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at Courtyard At Seasons runs about 4.19 hours per resident day, roughly 8% above the national average, and the weekend dip is fairly modest at around 8% below weekday levels. Staff turnover sits at 27.7%, well under the national 45.8%, which matters for consistency of care. On the inspection side, the home carries 23 deficiencies, but none at the harm or jeopardy level, and one abuse-related finding. The most recent inspection was September 2025, so the record is current. A 45-bed for-profit LLC with that staffing margin and low turnover is doing better than most on the things families notice day to day.

A

93/100

Birchaven Retirement Village

Findlay, OH · Hancock County

CMS 4/5118 bedsNon-profitMedicaid
Nurse hours
5.53 /day
Staff turnover
43%
Serious cites
0

Birchaven runs on a nonprofit model in Findlay, and the staffing numbers are its clearest strength, 5.53 nurse hours per resident day against a national average of 3.86. Weekend coverage dips only slightly below weekdays, so care doesn't thin out much when families tend to visit. Turnover sits at 42.9%, a touch better than the national 45.8%. What holds it back from a cleaner record is the inspection side: 28 deficiencies on file, none serious enough to cause harm, but six tied to abuse. That mix, strong daily staffing and quality marks, a longer-than-ideal deficiency history, is the tradeoff worth weighing. The last state visit was in January 2025.

A

93/100

Twin Towers

Cincinnati, OH · Hamilton County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
51%
Serious cites
0

Twin Towers runs on 5.06 nurse hours per resident day, well above the 3.86 national average, and its weekend staffing only dips about 8% below weekdays, a smaller drop than many homes show. Staff turnover sits at 51%, a bit above the 45.8% national figure, so that's the soft spot. Inspections found 12 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. The last full inspection was February 2026, so the record is current. Nonprofit ownership, strong marks on quality measures, and nurse coverage that genuinely exceeds the norm are what's carrying this one.

A

93/100

Ohio Living Sarah Moore

Delaware, OH · Delaware County

CMS 5/547 bedsNon-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
37%
Serious cites
0

Ohio Living Sarah Moore runs about 4.53 nurse hours per resident each day, roughly 17% above the national average, and its staff tends to stay: turnover sits at 37%, better than the 45.8% national figure. Weekend coverage dips about 10% below its own weekday staffing, so ask how that plays out on Saturdays and Sundays. The 19 deficiencies on record include none tied to harm or abuse, and the most recent inspection was in March 2026. Quality and staffing both score 5 out of 5 in CMS data, while inspections land at 3. This is a small nonprofit home, 47 beds, that performs well where it counts and has a clean harm record.

A

93/100

Cornwall Manor

Cornwall, PA · Lebanon County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
32%
Serious cites
0

Cornwall Manor runs about 5.1 nurse hours per resident each day, roughly a third more than the national average of 3.86, and its weekend staffing only dips about 10% below weekday levels. Staff turnover sits at 32.1%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The current record shows seven deficiencies, none involving harm or jeopardy and none abuse-related, and the most recent inspection was in June 2025. The weaker spot is the three-out-of-five quality measure rating, so ask what those specific measures cover. As a nonprofit with 96 certified beds, it isn't chasing quarterly returns.

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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