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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 261 to 280 of 1,547, best-graded first.

A

92.5/100

Bethesda Home

Goessel, KS · Marion County

CMS 5/557 bedsNon-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
32%
Serious cites
0

Bethesda Home in Goessel runs on a nonprofit model with 57 certified beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average of 3.86, though weekend coverage drops about 16% below what the home provides on weekdays, worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover is the standout: 31.6% against a national average of 45.8%, meaning caregivers here tend to stay. Five deficiencies on the current record, none at the harm level and none abuse-related, with the last inspection in March 2025.

A

92.5/100

Good Shepherd Home

Fostoria, OH · Seneca County

CMS 4/595 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
32%
Serious cites
0

Good Shepherd Home runs on 4.60 nurse hours per resident day, about 19% more than the national average, and its staff turnover of 32% sits well under the 45.8% national figure, both signs of a stable, adequately covered floor. The trade-offs show up elsewhere: weekend staffing drops roughly 16% below its own weekday level, and the current record carries 30 deficiencies, one serious enough to reach harm or jeopardy, though none involve abuse. Inspectors last visited in October 2024. Quality measures score high, staffing solid, inspections middling, a home that's generally well-run with at least one lapse worth asking about directly.

A

92.5/100

United Zion Retirement Communi

Lititz, PA · Lancaster County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.94 /day
Staff turnover
19%
Serious cites
0

United Zion Retirement Communi runs one of the steadiest nurse staffing operations you'll find in Lancaster County, 4.94 hours per resident day against a national average of 3.86, with weekend coverage dipping only about 15% below weekday levels. Staff turnover sits at 19.2%, less than half the national figure, which matters because consistent caregivers notice changes in residents sooner. The tradeoff shows up in its inspection record: four deficiencies on file, two serious enough to reach harm or jeopardy level, plus one fine of $7,443. Federal inspectors last visited in August 2025. A nonprofit with that kind of staffing retention usually has the resources to fix what inspectors flag, the question is whether it does.

A

92.5/100

Veterans Home Of California - Redding

Redding, CA · Shasta County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
5.92 /day
Staff turnover
39%
Serious cites
0

The state-run Veterans Home of California in Redding employs nurses at 5.92 hours per resident day, roughly 53% above the national average of 3.86, and its staff turnover of 38.9% sits below the national 45.8%. That staffing depth shows up in the CMS ratings: 5 out of 5 for staffing, quality measures, and 4 out of 5 on health inspections, with the most recent inspection dated April 2026. The record isn't spotless. Twenty-one deficiencies are documented, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,278. Weekend coverage drops about 16% below weekday levels. Strong day-to-day staffing, a handful of serious findings worth asking about directly.

A

92/100

Willowbrooke Ct Skilled Care Ctr At Magnolia Trace

Huntsville, AL · Madison County

CMS 5/559 bedsNon-profit
Nurse hours
4.05 /day
Staff turnover
14%
Serious cites
0

Willowbrooke runs on a non-profit model with nurse staffing at 4.05 hours per resident day, roughly 5% above the national average, and its staff turnover sits at 14.3% against a national 45.8%. That retention number matters more than it might look, consistent caregivers know the residents. Weekend coverage dips about 8% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays. Four deficiencies on record, none involving harm or abuse, though the last inspection was May 2022, so the picture is a few years old. Quality and staffing both rate 5 out of 5 from CMS; health inspection sits at 3.

A

92/100

Atterdag Care Center

Solvang, CA · Santa Barbara County

CMS 3/550 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
20%
Serious cites
0

The staffing situation at Atterdag is unusual in two directions at once. Total nurse hours run 4.85 per resident day, roughly a quarter above the national average, and the 19.6% turnover is less than half the national figure, people tend to stay. But that same staffing rates only 1 star from CMS, likely because those hours aren't distributed the way the formula expects, and weekends drop about 12% below the home's own weekday level. The inspection record is heavier than you'd want: 32 deficiencies, one abuse-related, though none rose to harm or jeopardy. The most recent survey was January 2026, so the picture is current. As a nonprofit with 50 beds, it's small and locally run, worth visiting on a weekend.

A

92/100

Westminster Woods On Julington Creek

Jacksonville, FL · St. Johns County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
30%
Serious cites
0

Westminster Woods On Julington Creek runs a tight ship. Sixty beds in Jacksonville, nonprofit-owned, and zero deficiencies on its current record, none at the harm level, none abuse-related, with its last inspection in November 2024. Nurse staffing sits at 3.92 hours per resident day, just above the national average, though weekends dip about 8% below its own weekday level. The number that stands out is turnover: 30.2% versus a national average of 45.8%, meaning far fewer caregivers cycling through than at a typical home. Federal ratings put inspections and quality measures at the top of the scale. For a family weighing options, this is about as clean a record as you'll find.

A

92/100

Florida Presbyterian Homes Inc

Lakeland, FL · Polk County

CMS 4/568 bedsNon-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
26%
Serious cites
0

Florida Presbyterian Homes runs 68 certified beds as a church-affiliated nonprofit in Lakeland, and its staff retention is the standout number: 26.3% turnover against a national average of 45.8%, meaning most of the people caring for residents stick around. Total nurse staffing sits at 3.81 hours per resident day, a hair under the 3.86 national figure, and weekends run roughly 7% leaner than weekdays, so coverage thins out a bit on Saturdays and Sundays. The inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in February 2024. The quality and staffing measure ratings both come in at the top of CMS's scale.

A

92/100

Westminster Point Pleasant

Bradenton, FL · Manatee County

CMS 4/5120 bedsNon-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
33%
Serious cites
0

Westminster Point Pleasant runs a nonprofit home of 120 beds in Bradenton, and the numbers suggest steady, unspectacular care. Nurse staffing sits at 3.79 hours per resident day, just under the national average, and weekends dip about 8% below its own weekday coverage, worth asking about if your family visits on Saturdays. Staff turnover is the real bright spot: 33.3% against a national 45.8%, meaning aides and nurses here tend to stay. The inspection record shows 12 deficiencies, none at the harm level, though one is abuse-related and worth reading in full. That last inspection was recent, August 2025, so the picture is current rather than stale.

A

92/100

Covenant Living - Windsor Park

Carol Stream, IL · Du Page County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
18%
Serious cites
0

Covenant Living - Windsor Park runs about 3.97 nurse hours per resident day, a bit above the national average, and weekends dip roughly 7% below its own weekday coverage, worth asking about if your family visits mainly on Saturdays. The staffing numbers look strong otherwise: a 5/5 CMS staffing rating and 18.3% turnover, less than half the national rate, mean aides and nurses tend to stay. Inspections are another story. The February 2025 survey left 18 deficiencies on record, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $50,525. Quality measures score 5/5, so call and ask directly how those abuse and harm findings were resolved.

A

92/100

Mercy Circle

Chicago, IL · Cook County

CMS 5/523 bedsNon-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
33%
Serious cites
0

Mercy Circle is a small nonprofit home on Chicago's Southwest Side, church-affiliated, with only 23 certified beds. Staffing runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends dip roughly 7% below its own weekday level, so ask how coverage holds up on Saturdays. Turnover is 33.3%, well below the national 45.8%, which matters for consistent care. The inspection record shows 17 deficiencies, none at harm or jeopardy level, but two tied to abuse, so ask directly how those were resolved. Its last inspection was February 2025, and all three CMS star ratings sit at five.

A

92/100

Heritage Pointe Of Fort Wayne

Fort Wayne, IN · Allen County

CMS 5/568 bedsGovernmentMedicaid
Nurse hours
4.40 /day
Staff turnover
15%
Serious cites
0

Heritage Pointe of Fort Wayne runs on county government ownership, and the numbers show a home that's been steady for a while. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average, and weekend coverage only dips about 8% below its own weekday level, a smaller gap than many places manage. Turnover is the standout: 14.8% against a national average of 45.8%, meaning the people caring for residents largely stick around. The current record shows 5 deficiencies, none at the harm level, though 2 are abuse-related, which is worth asking about directly. The last inspection was January 2026, and both the health inspection and quality measure ratings came back at 5 out of 5.

A

92/100

Bethel Home

Montezuma, KS · Gray County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
29%
Serious cites
0

Bethel Home sits in Montezuma, Kansas, a 56-bed nonprofit run by a church group. The numbers that matter most here are the people: nurses provide 4.58 hours of care per resident each day, roughly 19 percent above the national average, and only 28.6 percent of staff leave annually against a national rate near 46 percent. That kind of retention usually shows up in how consistently residents see the same faces. Inspections in January 2025 turned up 15 deficiencies, including one causing harm and one tied to abuse, so there's real room for improvement despite the strong staffing and quality ratings. Weekend coverage dips about 13 percent below weekdays, worth asking about if your family visits then.

A

92/100

The Episcopal Church Home

Louisville, KY · Jefferson County

CMS 4/526 bedsNon-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
27%
Serious cites
0

The Episcopal Church Home is a small nonprofit in Louisville, 26 certified beds, and its staffing is the strongest thing about it. At 5.02 nurse hours per resident day, it runs about 30 percent above the national average, and weekend coverage only dips roughly 7 percent below weekdays, which is a smaller gap than many homes carry. Turnover sits at 27 percent against a national average near 46 percent, so the people caring for residents tend to stay. What pulls the record down is the inspection side: seven deficiencies on file, one serious enough to involve harm or jeopardy, and a $10,364 fine. The most recent inspection was August 2025, so that record is current, not stale history.

A

92/100

Lourdes Rehabilitation And Healthcare Center

Waterford, MI · Oakland County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
25%
Serious cites
0

Lourdes Rehabilitation And Healthcare Center runs on church-affiliated nonprofit ownership, and the numbers show a home that's mostly steady. Nurse staffing sits at 3.99 hours per resident day, a bit above the 3.86 national average, though weekends drop roughly 11% below weekday coverage, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 25.3%, well under the 45.8% national figure, which suggests less churn than most places. The inspection record shows 11 deficiencies, one at the harm level and none abuse-related, with a single $15,593 fine and a recent survey from August 2025.

A

92/100

Porter Hills Health Center

Grand Rapids, MI · Kent County

CMS 5/539 bedsNon-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
30%
Serious cites
0

Porter Hills Health Center runs on numbers that hold up. Nurse staffing sits at 4.58 hours per resident day, roughly 19 percent above the national average, and turnover is 30 percent against a national 45.8, meaning the people caring for residents tend to stick around. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related. Its last inspection was in July 2025, and it earned five stars for both health inspections and staffing, four for quality measures. Weekend staffing dips only about 4 percent below its own weekday level. Ownership is nonprofit. For 39 beds, that's a stable, well-staffed operation.

A

92/100

Continuing Care At Lantern Hill

New Providence, NJ · Union County

CMS 3/540 bedsNon-profit
Nurse hours
5.55 /day
Staff turnover
24%
Serious cites
0

Continuing Care At Lantern Hill runs lean on inspection results even though its staffing numbers look strong. At 5.55 nurse hours per resident day, it beats the national average by roughly 44%, and turnover sits at 23.9%, about half the national figure. Those are real strengths. But the health inspection side is a different story: a 2-out-of-5 star rating, six deficiencies on record including one at the harm level, and a $21,645 fine. The last inspection was January 2026, so the record is current. Weekends also run about 9% below weekday staffing, which matters in a 40-bed home where coverage gaps show up fast. Strong hands on deck, weaker compliance history.

A

92/100

The Arbor

Pittsboro, NC · Chatham County

CMS 5/516 bedsNon-profit
Nurse hours
4.46 /day
Staff turnover
0%
Serious cites
0

The Arbor is small, 16 certified beds, and that size shows up in the staffing numbers. At 4.46 nurse hours per resident day, it runs about 15 percent above the national average of 3.86, and weekend staffing actually sits slightly above its own weekday level, which is unusual. No staff turnover in the past year, against a national average near 46 percent, means the same people are showing up shift after shift. Six deficiencies sit on the current record, none at the harm or jeopardy level and none abuse-related; two fines total $6,350. The last inspection was April 2026, so the picture is current, and Chatham County's nonprofit owner has no profit motive pulling hours off the floor.

A

92/100

Ohio Living Mount Pleasant

Monroe, OH · Butler County

CMS 4/532 bedsNon-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
30%
Serious cites
0

Ohio Living Mount Pleasant runs a small 32-bed nonprofit home in Monroe, and the numbers behind its grade start with staffing: 4.08 nurse hours per resident day, roughly 6% above the national average. Weekend coverage dips about 6% below its own weekday level, which is worth asking about. Staff turnover sits at 30%, well under the national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in its inspection record, 11 deficiencies, one serious enough to involve harm or jeopardy, though none abuse-related. Its last inspection was in January 2026, recent enough to trust. Strong quality measures and steady staffing carry this one; the deficiency history is what to weigh.

A

92/100

Westerwood Rehabilitation

Columbus, OH · Franklin County

CMS 5/575 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
31%
Serious cites
0

Westerwood Rehabilitation sits at 75 certified beds in Columbus, run by a for-profit corporation. The numbers that stand out: nurse staffing at 4.32 hours per resident day, roughly 12% above the national average, and staff turnover near 31% against a national figure closer to 46%, a meaningful gap when consistent caregivers matter to families. Weekend coverage dips about 10% below weekday levels, which is common but worth asking about. The home carries 19 deficiencies on its current record, none at the harm level, though one is abuse-related. Its last inspection was February 2026, so the picture is recent.

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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