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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 241 to 260 of 1,547, best-graded first.

A

93/100

William Hood Dunwoody Care Ctr

Newtown Square, PA · Delaware County

CMS 5/581 bedsNon-profit
Nurse hours
5.98 /day
Staff turnover
38%
Serious cites
0

William Hood Dunwoody Care Center runs on about 5.98 nurse hours per resident per day, roughly 55% above the national average, and its five deficiencies sit entirely below the harm level, with no abuse citations on record. That staffing cushion holds up better than most places on weekends, dropping only about 10% from its own weekday level, and its 38.3% turnover is lower than the 45.8% national figure. The health inspection rating is perfect, the quality measures land at four of five stars, and the last inspection was recent enough to reflect current conditions. Nonprofit ownership and 81 beds round out a picture of a home that is well-staffed and consistently clean on paper.

A

93/100

Dock Terrace

Lansdale, PA · Montgomery County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
27%
Serious cites
0

Dock Terrace runs on 4.59 nurse hours per resident per day, roughly 19% above the national average, and its staff turnover sits at 26.7% against a national 45.8%. That combination matters more than any single number: enough hands on site, and the same hands staying long enough to know the residents. Weekend coverage dips about 10% below weekday levels, which is worth asking about directly. The current record shows zero deficiencies, including none at the harm level and none abuse-related, with the last inspection in September 2025. The nonprofit ownership and the 5/5 inspection and staffing ratings line up with what the numbers already suggest.

A

93/100

Tel Hai Retirement Community

Honey Brook, PA · Chester County

CMS 5/5119 bedsNon-profitMedicaid
Nurse hours
5.41 /day
Staff turnover
25%
Serious cites
0

Tel Hai in Honey Brook runs a nonprofit shop with 119 certified beds, and the numbers back up the reputation. Nurse staffing sits at 5.41 hours per resident day, roughly 40 percent above the national average, and only about a quarter of the staff turns over each year, compared with nearly 46 percent nationally. The trade-off is a slight weekend dip: staffing drops about 9 percent from weekday levels. The current inspection record is clean, with zero deficiencies of any kind and no abuse findings, and the most recent state visit came in November 2025. Quality measures land mid-pack.

A

93/100

Masonic Village At Sewickley

Sewickley, PA · Allegheny County

CMS 3/5128 bedsNon-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
30%
Serious cites
0

Masonic Village at Sewickley runs on a nonprofit model with 128 certified beds, and its staffing story is mixed. Total nurse hours land at 3.84 per resident day, just under the national mark, and weekend coverage drops about 12% from weekday levels, a gap families should ask about directly. Where it stands out is retention: 29.9% turnover against a national average near 46% means caregivers tend to stay. The inspection record carries 26 deficiencies, including one at harm level and four tied to abuse, and the last survey was mid-2025. Quality and staffing marks from CMS are strong; the inspection history is the piece to weigh carefully.

A

93/100

Concordia At Spiritrust Gettysburg

Gettysburg, PA · Adams County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
35%
Serious cites
0

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.

A

93/100

Moravian Hall Square Health And Wellness Center

Nazareth, PA · Northampton County

CMS 5/561 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
41%
Serious cites
0

Moravian Hall Square runs 4.73 nursing hours per resident per day, roughly 22% above the national figure of 3.86, and that staffing shows up in the federal stars: five out of five. Weekend coverage dips about 7% below its own weekday level, worth asking about if your family visits Saturdays and Sundays. Turnover sits at 40.7%, better than the 45.8% national average but still meaning four in ten caregivers left within a year. Inspections turned up 7 deficiencies, one serious enough to cite harm or jeopardy, with no abuse findings. The last state visit was March 2026, so the record is current.

A

93/100

Beaumont At Bryn Mawr

Bryn Mawr, PA · Delaware County

CMS 5/544 bedsNon-profit
Nurse hours
6.37 /day
Staff turnover
22%
Serious cites
0

Beaumont At Bryn Mawr runs on a nonprofit model with 44 certified beds, and the staffing numbers stand out right away: 6.37 nurse hours per resident day, roughly 65% above the national average of 3.86. That cushion matters most on weekends, when hours dip about 15% below the home's own weekday level, still well above average, but worth knowing if you'll be visiting then. Turnover sits at 22.2%, less than half the national 45.8%, which suggests aides and nurses tend to stay. Only two deficiencies appear on the current record, neither at the harm level and none abuse-related, with the last inspection dated May 2026.

A

93/100

Lutheran Community At Telford

Telford, PA · Montgomery County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
27%
Serious cites
0

Lutheran Community at Telford runs on 75 certified beds as a nonprofit, and the staffing numbers are the first thing that stands out: 4.66 nurse hours per resident day, roughly 21% above the national average. Weekend coverage dips about 10% below its own weekday level, which is normal but worth knowing if you're planning visits or worrying about Saturday care. Staff turnover sits at 27.1% against a national average near 46%, so the people caring for residents tend to stay. Six deficiencies on record, none at the harm level, none abuse-related, and the most recent inspection was July 2025. The inspection and staffing ratings both came back 5 out of 5.

A

93/100

Longwood At Oakmont

Verona, PA · Allegheny County

CMS 4/544 bedsNon-profit
Nurse hours
5.06 /day
Staff turnover
43%
Serious cites
0

Longwood At Oakmont runs on 5.06 nurse hours per resident each day, roughly a third more hands-on care than the typical American nursing home, and that shows up in its top staffing rating. Weekend coverage dips only slightly from weekday levels, which matters because that's where many homes quietly thin out. Turnover sits at 43.4%, a touch better than the national figure, so the crew is relatively stable. The caution is in the inspection record: 29 deficiencies, six tied to abuse, though none rose to actual harm or jeopardy. The most recent state visit was February 2026, so that picture is current, not stale.

A

93/100

Manchester Commons Of Presbyterian Seniorcare

Erie, PA · Erie County

CMS 5/578 bedsNon-profitMedicaid
Nurse hours
4.93 /day
Staff turnover
43%
Serious cites
0

Manchester Commons runs on unusually thick nurse coverage for a 78-bed nonprofit, 4.93 hours per resident day, roughly 28% above the national average, which is the kind of gap that shows up in everyday things like how fast call lights get answered. Weekend staffing does dip about 10% below its own weekday level, so ask how that plays out on a Sunday. Turnover sits at 42.6%, a bit better than the 45.8% national figure. Inspectors logged 15 deficiencies, none at the harm level and none abuse-related, with the most recent visit in July 2025. All three CMS star ratings land at 4 or 5.

A

93/100

Concordia Of The South Hills

Pittsburgh, PA · Allegheny County

CMS 5/546 bedsNon-profit
Nurse hours
4.55 /day
Staff turnover
38%
Serious cites
0

Concordia Of The South Hills runs on a nonprofit model with 46 certified beds in Pittsburgh, and the staffing numbers are the first thing that stands out: 4.55 nurse hours per resident per day, well above the 3.86 national average. Weekend coverage dips about 10% from its own weekday level, which is common but worth knowing if you're visiting or calling on a Saturday. Staff turnover sits at 37.5%, below the 45.8% national rate, so the people caring for residents tend to stick around. Its inspection record shows four deficiencies total, none involving harm or abuse, and the most recent inspection was in March 2026.

A

93/100

The Arboretum At The Woodlands

Greenville, SC · Greenville County

CMS 5/530 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
38%
Serious cites
0

Nurse staffing at The Arboretum runs 5.75 hours per resident per day, roughly half again what the typical American nursing home provides, and that holds up on weekends, which dip only about 8% below weekday levels. Staff turnover sits at 37.8%, better than the 45.8% national figure, and the home's last inspection came in November 2025, so nothing in the record is stale. The current file shows three deficiencies, none at the level of harm or jeopardy, though two involve abuse. That combination, steady hands on deck, relatively low turnover, recent scrutiny, is what drives the numbers behind its grade, with the abuse citations the piece worth asking about directly.

A

93/100

Westminster-Canterbury Of Richmond

Richmond, VA · Henrico County

CMS 5/5158 bedsNon-profitMedicaid
Nurse hours
4.75 /day
Staff turnover
44%
Serious cites
0

Westminster-Canterbury of Richmond runs 4.75 nurse hours per resident day, which is about 23% more than the national average of 3.86. Weekend coverage dips roughly 7% below its own weekday levels, and annual turnover sits at 43.8%, slightly under the national 45.8%, which for a nursing home this size is steadier than most. The health inspection record shows 14 deficiencies, but none at the harm or jeopardy level, and no abuse citations. State surveyors were last in the building in June 2024. As a nonprofit, it isn't working around shareholder returns, and the staffing and quality measure ratings both land at 4 out of 5.

A

93/100

Lasata Care Center

Cedarburg, WI · Ozaukee County

CMS 5/5106 bedsGovernmentMedicaid
Nurse hours
5.73 /day
Staff turnover
41%
Serious cites
0

Lasata Care Center is county-owned, and that shows up in the staffing numbers: 5.73 nurse hours per resident day, roughly 48% above the national average of 3.86. Weekend coverage dips only about 7% below its own weekday level, so care doesn't thin out much on Saturdays and Sundays. Staff turnover sits at 40.8%, better than the national 45.8%. The tradeoff is in the inspection record, 10 deficiencies, none at the harm or jeopardy level, but five flagged as abuse-related. That's worth asking about directly. The last inspection was January 7, 2026, so the picture is current.

A

93/100

Masonic Center For Health & Rehab Inc.

Dousman, WI · Waukesha County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
5.03 /day
Staff turnover
25%
Serious cites
0

The Masonic Center for Health & Rehab runs about 5.03 nursing hours per resident each day, roughly 30% above the national average, and its staff retention is unusually strong for this industry, turnover sits at 25.4% against a national figure near 46%. Weekend coverage dips about 10% below weekday levels, so ask how that plays out on a Sunday. Inspectors were last in on June 4, 2025, and the home carries three deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Nonprofit ownership under a corporate structure, 50 beds, and consistent staffing are the main things working in its favor.

A

93/100

Regents Point - Windcrest

Irvine, CA · Orange County

CMS 4/559 bedsNon-profitMedicaid
Nurse hours
4.99 /day
Staff turnover
31%
Serious cites
0

Regents Point - Windcrest runs a lean ship on the staffing side. Its 4.99 nurse hours per resident day sit about 29% above the national average, and the team sticks around far longer than most, 30.8% turnover against a national 45.8%. Weekend coverage dips roughly 8% below its own weekday level, worth knowing if you visit Saturdays. The record isn't spotless: 34 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site in May 2025. This nonprofit's clinical quality measures and inspection history both land at four stars, with staffing at the top of the scale.

A

93/100

The Meadows Of Napa Valley

Napa, CA · Napa County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
42%
Serious cites
0

Nurse staffing at The Meadows of Napa Valley runs about 4.82 hours per resident per day, roughly a quarter above the national average, and weekends dip only about 8% below weekday levels, so coverage stays fairly steady. The nonprofit's 41.7% turnover is modestly better than the 45.8% national figure. The tradeoff shows up in its record: 23 deficiencies, including one at the harm level and two abuse-related citations, with the last inspection in November 2024. Strong staffing and a five-star inspection rating sit alongside some serious past findings, which is the tension worth weighing when you visit.

A

93/100

Meadowood A Health And Rehabilitation Center

Stockton, CA · San Joaquin County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
5.20 /day
Staff turnover
29%
Serious cites
0

Meadowood runs on a non-profit model with 100 certified beds in Stockton, and the staffing numbers are the first thing that stands out: 5.20 nurse hours per resident day, roughly a third more than the national average of 3.86. That matters, though weekends run about 10% leaner than weekdays, so coverage isn't perfectly even across the week. Staff turnover sits at 28.7%, well under the 45.8% national figure, a sign people tend to stay. The tradeoff is a longer deficiency record: 38 total, three tied to abuse, though none rose to harm or jeopardy level. The last inspection was February 2025, so the picture is current.

A

93/100

The Hallmark

Houston, TX · Harris County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.33 /day
Staff turnover
51%
Serious cites
0

The Hallmark runs about 5.33 nurse hours per resident day, roughly 38% above the national average, and weekends dip only about 14% below its own weekday level, a modest drop by nursing home standards. Staff turnover sits at 51.3%, higher than the 45.8% national figure, so the people caring for residents do change fairly often. Its inspection record shows 16 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2025; both its inspection and quality measure ratings come in at 5 out of 5. For a 32-bed nonprofit home, the numbers describe steady care with a staffing churn worth asking about directly.

A

92.5/100

Pavilion For Health Care, The

Penney Farms, FL · Clay County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
4.91 /day
Staff turnover
34%
Serious cites
0

The Pavilion for Health Care runs on 4.91 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its inspection record is clean by any reasonable standard: three deficiencies total, none causing harm, none tied to abuse. Staff turnover sits at 34.4%, well below the national 45.8%, though weekends run about 15% thinner than weekdays, worth asking about if your family visits on Saturdays. This is a small nonprofit home of 50 beds in Clay County, last inspected in March 2026. The numbers describe a stable, well-staffed place, not a perfect one.

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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