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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 281 to 300 of 1,547, best-graded first.

A

92/100

Marjorie P Lee Retirement Community

Cincinnati, OH · Hamilton County

CMS 5/588 bedsNon-profitMedicaid
Nurse hours
5.30 /day
Staff turnover
36%
Serious cites
0

Marjorie P Lee Retirement Community runs on unusually heavy nurse staffing for a nursing home, 5.30 hours per resident day, roughly a third more than the national figure. Weekend coverage dips only slightly from weekday levels, and turnover sits well under the national rate, which matters because stable caregivers tend to know residents' routines. The trade-off is a recent record with four deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. Inspectors were last in on January 29, 2026, so the picture is current, not stale. As a nonprofit with 88 beds, it isn't chasing volume; the numbers suggest a home placing real weight on direct care, with one inspection finding worth asking about directly.

A

92/100

Brethren Village

Lancaster, PA · Lancaster County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
5.21 /day
Staff turnover
38%
Serious cites
0

Brethren Village runs a strong staffing operation: 5.21 nurse hours per resident day, roughly 35% above the national average, with turnover at 38.1% versus 45.8% nationally. Weekend coverage dips about 7% below its own weekday levels, which is worth asking about, since that's when families often visit. The trouble sits in inspections. Six deficiencies are on the current record, including three at the harm or jeopardy level and three tied to abuse. CMS gave the health inspection domain 2 out of 5 stars, even as quality measures scored 5 out of 5. That gap usually means the care itself looks fine on paper while the survey record tells a rougher story. The most recent inspection was January 30, 2026, recent enough that this reflects current conditions, not old ones.

A

92/100

Quarryville Presbyterian Retirement Community

Quarryville, PA · Lancaster County

CMS 5/5130 bedsNon-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
21%
Serious cites
0

Quarryville Presbyterian runs 130 certified beds as a church-affiliated nonprofit, and the staffing story here is mostly about retention. A 20.7% annual turnover rate is less than half the national figure of 45.8%, which matters more than the headcount itself: 3.87 nurse hours per resident day sits essentially right at the national average of 3.86, so this home isn't outstaffing anyone, it's keeping the people it hires. Weekend coverage dips about 7% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The current record shows 12 deficiencies with none at harm or jeopardy level, though 2 are abuse-related and the last inspection was in August 2025.

A

92/100

Normandie Ridge

York, PA · York County

CMS 5/564 bedsNon-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
33%
Serious cites
0

Normandie Ridge runs about 4.17 nurse hours per resident each day, roughly 8% above the national average, though weekends dip close to 10% below its own weekday staffing. Staff turnover sits at 32.8%, well under the national 45.8%, which matters over time, fewer unfamiliar faces at the bedside. The 16 deficiencies on record include none at the harm level and none tied to abuse, and the most recent inspection came in September 2025, so the picture is current rather than stale. Nonprofit ownership under a corporation is worth noting, since it tends to mean the budget isn't stretched to satisfy shareholders.

A

92/100

Claremont Manor Care Center

Claremont, CA · Los Angeles County

CMS 3/559 bedsNon-profitMedicaid
Nurse hours
5.22 /day
Staff turnover
23%
Serious cites
0

Claremont Manor runs high on staffing: 5.22 nurse hours per resident day, about 35% above the national average, and it holds onto workers far better than most, 22.5% turnover against a national 45.8%. Weekend coverage dips roughly 12% below its own weekday level, which matters if your visits fall on Saturdays or Sundays. The inspection record is the caution flag. The home carries 55 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. Its last inspection was March 2026. A nonprofit with strong staffing and steady retention, but that deficiency list is where I'd focus your questions before touring.

A

92/100

Villa Gardens Health Care Unit

Pasadena, CA · Los Angeles County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
22%
Serious cites
0

Villa Gardens runs 5.06 nursing hours per resident day, roughly a third more than the national average, and its staff turnover sits at 21.8 percent against a national 45.8, that kind of retention usually means residents see the same faces month to month. Weekend coverage dips about 11 percent below its own weekday level, so ask how that plays out on Saturdays. The 31 deficiencies on record include nothing at the harm level and nothing abuse-related, which matters more than the raw count, though a 3/5 inspection rating suggests some of those findings weren't trivial. The last survey was December 2025, so the picture is current.

A

92/100

Palm Village Retirement Comm.

Reedley, CA · Fresno County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
33%
Serious cites
0

Palm Village is church-affiliated and nonprofit, and its 120 beds are staffed at 4.05 nurse hours per resident day, roughly 5% above the national average. Weekend coverage slips about 6% below its own weekday level, and turnover sits at 32.6%, well under the 45.8% national figure. The catch is the inspection record: 33 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a 2/5 health inspection star. That's a lot of citations for a home this size. Quality measures score 5/5, but those come largely from resident assessments the home reports itself. The most recent inspection was July 2025, so the record is current.

A

92/100

Rowntree Gardens

Stanton, CA · Orange County

CMS 4/558 bedsNon-profitMedicaid
Nurse hours
5.60 /day
Staff turnover
35%
Serious cites
0

Rowntree Gardens sits in Stanton with 58 certified beds and church-related nonprofit ownership. Nurse staffing runs 5.60 hours per resident day, roughly 45% above the national average of 3.86, though weekends come in about 12% lighter than weekdays, so coverage isn't perfectly even. Staff turnover sits at 35% against a national 45.8%, meaning fewer caregivers are cycling out the door than is typical. The tradeoff shows up in the inspection record: 55 deficiencies, one tied to abuse, none reaching harm or jeopardy, and a mid-tier three stars on health inspections despite five stars on quality measures.

A

92/100

The Arbour At Westminster Manor

Austin, TX · Travis County

CMS 5/590 bedsNon-profit
Nurse hours
4.96 /day
Staff turnover
40%
Serious cites
0

The Arbour at Westminster Manor runs about 4.96 nurse staffing hours per resident day, roughly 29 percent above the national average, and its 40.4 percent turnover sits below the national 45.8 percent, meaningful stability for a 90-bed nonprofit in Austin. Weekend staffing dips about 10 percent below its own weekday level, so coverage isn't perfectly even. The inspection record is where it gets complicated: 8 deficiencies, one at harm or jeopardy level and one abuse-related, plus a single $29,085 fine, with the most recent inspection in December 2025. Strong staffing and quality marks don't erase a harm-level finding, so ask specifically what happened and what changed since.

A

91.5/100

Jeanne Jugan Residence

Newark, DE · New Castle County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
6.78 /day
Staff turnover
29%
Serious cites
0

Jeanne Jugan Residence runs on a nonprofit model with 40 certified beds, and the staffing numbers back it up: 6.78 nurse hours per resident day, roughly 76% above the national average. Weekends dip about 17% below weekdays, which is worth asking about if your family visits then, but overall retention is strong, 29.3% turnover against a national 45.8% means caregivers tend to stay. The tradeoff shows up in the inspection record: 14 deficiencies on file, none at harm or jeopardy level, though 2 are abuse-related and should be questioned directly. With a 4/5 inspection rating, 5/5 staffing, and a recent April 2026 survey, the fundamentals hold up well.

A

91.5/100

Knollwood Hsc

Washington, DC · The District County

CMS 4/569 bedsNon-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
n/a
Serious cites
0

Knollwood Hsc sits in Washington with 69 certified beds and non-profit ownership, and its nurse staffing runs at 5.58 hours per resident day, roughly 44% above the national average of 3.86. That's a real gap, though weekend coverage dips about 9% below its own weekday level, so the weekday numbers aren't the whole story. The inspection record is where things get murkier: 39 deficiencies on file, including 3 at harm or jeopardy level and 4 tied to abuse, with the last inspection dated April 2023. Quality measures score well, but a record that includes harm-level and abuse-related findings is worth asking about directly before you decide.

A

91.5/100

Willowbrooke Court At Indian River Estates

Vero Beach, FL · Indian River County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
4.56 /day
Staff turnover
n/a
Serious cites
0

Willowbrooke Court is a small nonprofit home, just 20 certified beds, and the numbers behind it are strong. Nurse staffing runs 4.56 hours per resident day, about 18% above the national average, though weekend coverage dips roughly 8% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows three deficiencies, none at the harm or jeopardy level and none abuse-related, with one fine of $18,330. Its last inspection was April 2026, so the picture is current. With 20 beds, you're looking at a place where staff likely know every resident by name, a real advantage at this size, and one that shows in the ratings.

A

91.5/100

Wesley Village

Macomb, IL · Mc Donough County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
4.87 /day
Staff turnover
27%
Serious cites
0

Wesley Village sits in Macomb as a church-affiliated nonprofit with 73 certified beds, and the numbers back up the mission. Nurses provide 4.87 hours per resident day, about 26% more than the national average, and weekend staffing dips only 17% below its own weekday level, a modest gap compared to many homes. Staff turnover is 27%, well under the 45.8% national figure, which suggests people stay. The current record shows 9 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. Quality measures earn a middle-of-the-road 3 out of 5, so clinical outcomes aren't quite as strong as the staffing and inspection results.

A

91.5/100

Prairie Vista Village

Altoona, IA · Polk County

CMS 5/546 bedsFor-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
37%
Serious cites
0

Prairie Vista Village runs on 4.47 nurse hours per resident day, roughly 16% above the national average, and its weekend staffing holds about 16% below its own weekday level, a dip worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.3%, better than the 45.8% national figure, which matters for whether your parent sees the same faces month to month. Five deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a for-profit LLC with 46 beds, small enough that you can reasonably expect the administrator to know your mother's name.

A

91.5/100

The Commons Skilled Nursing & Rehabilitation

Lincoln, MA · Middlesex County

CMS 5/532 bedsNon-profit
Nurse hours
5.99 /day
Staff turnover
17%
Serious cites
0

The Commons runs on 5.99 nurse hours per resident per day, roughly 55 percent above the national average, and its staff turnover of 17.1 percent is well under the national 45.8 percent, a sign people stay. Weekend staffing dips about 16 percent below its own weekday level, so ask how that plays out on a Sunday. Inspectors were last in on November 26, 2025, and found 15 deficiencies, none at the harm level, though two were abuse-related and worth asking about directly. With 32 beds, it's small enough that you can get real answers from the people in charge.

A

91.5/100

Bellbrook

Rochester Hills, MI · Oakland County

CMS 5/536 bedsNon-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
41%
Serious cites
0

Bellbrook runs on a nonprofit model with 36 certified beds in Rochester Hills, and the staffing numbers show it: 4.46 nurse hours per resident day, about 16% above the national average of 3.86. Weekends dip roughly 16% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover sits at 40.9%, a bit better than the 45.8% national figure. Inspections in February 2026 produced eight deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Three 5/5 federal ratings across health, quality, and staffing back the numbers up.

A

91.5/100

Givens Health Center

Asheville, NC · Buncombe County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
5.26 /day
Staff turnover
32%
Serious cites
0

Givens Health Center in Asheville runs on 5.26 nurse staffing hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 18% below its own weekday level, so care may look thinner on Saturdays and Sundays. Staff turnover sits at 31.6%, well under the national 45.8%, a real advantage in a field where constant retraining erodes familiarity with residents. The nonprofit's inspection record carries 19 deficiencies, none at harm or jeopardy level and none abuse-related, with a 4/5 inspection rating and a March 2026 survey. The quality measure score of 3/5 is the softer spot.

A

91.5/100

Cypress Glen Retirement Community

Greenville, NC · Pitt County

CMS 5/56 bedsNon-profit
Nurse hours
7.29 /day
Staff turnover
n/a
Serious cites
0

Cypress Glen runs six certified beds in Greenville, which puts it in a category most families never encounter, a small, nonprofit operation where the numbers look almost too good. Nurse staffing sits at 7.29 hours per resident day, roughly 89% above the national average of 3.86, though weekend coverage drops about 13% from its own weekday level. The inspection record shows one deficiency total, none at the harm level and none tied to abuse, with the most recent visit in August 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five. For a six-bed home, that consistency across every measure is the story.

A

91.5/100

Daughters Of Miriam Center For Nursing & Rehabilit

Beachwood, OH · Cuyahoga County

CMS 2/5233 bedsFor-profitMedicaid
Nurse hours
5.60 /day
Staff turnover
54%
Serious cites
0

Daughters of Miriam, a 233-bed for-profit home in Beachwood, runs rich on paper: 5.60 nurse hours per resident day, roughly 45% above the national average, and top CMS marks for staffing and quality measures. But weekends drop about 22% below weekday staffing, and turnover sits at 54.2% against a 45.8% national average, so that bench is expensive to keep filled. Inspections tell the harder story, a 1-out-of-5 health inspection rating, 48 deficiencies on the current record with 5 at harm or jeopardy level, and a survey as recent as November 2024. Strong daily coverage, shaky oversight. Ask what those harm-level citations involved and how weekend coverage is actually staffed.

A

91.5/100

Friendship Village Of Dublin

Dublin, OH · Franklin County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
5.20 /day
Staff turnover
n/a
Serious cites
0

Friendship Village Of Dublin runs 5.20 total nurse staffing hours per resident day, roughly a third more than the 3.86 national average, and weekends only dip about 9% below its own weekdays. That's a real cushion, and it's why staffing holds four stars. The quality measures are stronger still at five. What pulls against that picture is the inspection record: 20 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The most recent state visit was November 2024. So you're looking at a nonprofit home where day-to-day care capacity is clearly above par, but the survey history has some weight in it. Ask to see the plan of correction for that harm-level citation before you decide.

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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