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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 301 to 320 of 1,547, best-graded first.

A

91.5/100

Kendal At Longwood

Kennett Square, PA · Chester County

CMS 5/553 bedsFor-profit
Nurse hours
6.02 /day
Staff turnover
19%
Serious cites
0

Kendal At Longwood runs on 6.02 nurse hours per resident day, well above the 3.86 national figure, and its staff turnover of 18.8% is less than half the national rate. Weekend coverage does dip about 16% below weekday levels, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record is strong: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in September 2025. One caveat, the quality measure rating sits at 3 out of 5, softer than its staffing and inspection marks. For-profit corporate ownership, 53 beds. The staffing and compliance numbers carry this one.

A

91.5/100

St Anne's Retirement Community

Columbia, PA · Lancaster County

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

St. Anne's runs on about 5 nursing hours per resident per day, roughly 30% more than the national average of 3.86, and its staff tends to stay, 25% annual turnover against a national rate near 46%. Weekend coverage dips about 18% below its own weekday level, which is worth asking about if your family visits primarily on Saturdays or Sundays. The record is otherwise clean: five deficiencies, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. Quality and inspection ratings both land at 4 out of 5, staffing at 5.

A

91.5/100

Harbor's Edge

Norfolk, VA · Norfolk City County

CMS 5/533 bedsNon-profit
Nurse hours
5.87 /day
Staff turnover
40%
Serious cites
0

Harbor's Edge runs 5.87 nurse hours per resident per day, well above the national average of 3.86, and that staffing shows up in its five-star rating on that measure. Turnover sits at 40.4 percent, a bit better than the 45.8 percent national figure. The inspection record is where you'll want to ask questions: 13 deficiencies, none at the harm level, but one abuse-related citation is worth raising directly with the administrator. Staffing also dips about 19 percent on weekends, so ask how coverage works on Saturdays and Sundays. A recent February 2026 inspection means the record is current.

A

91.5/100

The Culpeper

Culpeper, VA · Culpeper County

CMS 4/547 bedsNon-profitMedicaid
Nurse hours
5.69 /day
Staff turnover
20%
Serious cites
0

The Culpeper runs a nonprofit home of 47 beds, and its nurse staffing sits at 5.69 hours per resident day, roughly 47% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday levels, so care thins out somewhat on Saturdays and Sundays. Staff turnover is 20%, well under the 45.8% national average, which suggests people stay. The current record carries 19 deficiencies, one at the harm level and none abuse-related, with the last inspection in October 2023. CMS gives it top marks for staffing and middling marks for inspections and quality measures. Strong hours and low turnover are doing the heavy lifting here.

A

91.5/100

Windsormeade Of Williamsburg

Williamsburg, VA · James City County

CMS 5/522 bedsNon-profitMedicaid
Nurse hours
5.54 /day
Staff turnover
36%
Serious cites
0

Windsormeade of Williamsburg runs on church-affiliated nonprofit ownership, and the numbers back up what that structure often buys you: time with residents. Nurse staffing sits at 5.54 hours per resident day, roughly 43 percent above the national average, and turnover comes in at 35.7 percent against a national 45.8, staff tend to stay. The tradeoff worth knowing is weekends, when coverage drops about 21 percent below the home's own weekday level. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2023. With only 22 certified beds, this is a small home, which cuts both ways on consistency.

A

91.5/100

The Glebe

Daleville, VA · Botetourt County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.42 /day
Staff turnover
49%
Serious cites
0

The Glebe runs about 5.42 nurse hours per resident day, roughly 40% more than the national average of 3.86, that's the kind of cushion that matters when a resident needs help at 2 a.m. Weekend staffing dips about 21% below its own weekday levels, worth asking about, though the floor starts high. Seven deficiencies sit on the current record, none at the harm level and none abuse-related. Staff turnover lands at 49%, a bit above the 45.8% national figure. CMS gives this nonprofit five stars each for inspections, quality measures, and staffing, with its last inspection in April 2024.

A

91/100

Freedom Plaza Care Center

Peoria, AZ · Maricopa County

CMS 5/5111 bedsFor-profit
Nurse hours
4.87 /day
Staff turnover
32%
Serious cites
0

Freedom Plaza Care Center runs on 4.87 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff turnover of 32.1% sits well under the 45.8% national figure. That combination of more hands and steadier hands shows up on the health inspection side, where the home earned the top CMS rating and its last survey, in April 2024, turned up no deficiencies at the harm or jeopardy level. Twelve total deficiencies is not nothing, and one is abuse-related. Weekend coverage drops about 12% from weekday levels, so ask how that plays out on Saturdays. Ownership is a for-profit limited liability company.

A

91/100

California Home For The Aged

Fresno, CA · Fresno County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
34%
Serious cites
0

California Home For The Aged has one of those rare staffing pictures where nothing looks thin. At 4.24 nurse hours per resident day, it runs about 10% above the national average, and weekend coverage barely dips, roughly 5% off its own weekday level, which is small compared to most homes. Turnover sits at 33.9%, well under the 45.8% national figure, and a non-profit owner tends to hold staff longer. The catch is the inspection record: 35 deficiencies, including one at harm or jeopardy level and one abuse-related, though the most recent inspection was March 2025, so that count may not reflect current conditions.

A

91/100

Liberty Heights

Colorado Springs, CO · El Paso County

CMS 4/542 bedsFor-profit
Nurse hours
4.48 /day
Staff turnover
23%
Serious cites
0

Liberty Heights runs a tight ship on the floor: 4.48 nurse hours per resident day, about 16% above the national average, with a 5-star staffing rating to match. Turnover sits at 23.4%, roughly half the national rate of 45.8%, which matters more than any single number here, it means familiar faces, not a rotating cast. Weekends dip about 9% below weekday coverage, worth asking about. The trouble is inspections: 16 deficiencies on record, including one at the harm level and one abuse-related, plus a $39,035 fine. A July 2025 inspection is recent, and the 2-star health inspection rating reflects what surveyors found. Strong hands, shaky paperwork.

A

91/100

Pilgrim Manor

Cromwell, CT · Capitol County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
38%
Serious cites
0

Pilgrim Manor in Cromwell runs on a nonprofit model with 60 certified beds, and the staffing numbers are the first thing worth noting: 3.94 nurse hours per resident day, slightly above the national average, with weekends dipping about 7% below its own weekday levels. Staff turnover sits at 37.7%, which is meaningfully better than the 45.8% national figure, people tend to stay here longer than at the typical home. The current inspection record shows 16 deficiencies, including one at the harm level and four abuse-related, plus a single fine of $12,048. That's a mixed picture, but the last inspection was recent, in April 2024, and the quality and staffing ratings both come in at the top of the scale.

A

91/100

Stonegates

Greenville, DE · New Castle County

CMS 4/549 bedsFor-profit
Nurse hours
5.96 /day
Staff turnover
26%
Serious cites
0

Stonegates runs on unusually heavy staffing, 5.96 nurse hours per resident day against a national average of 3.86. That's not a rounding quirk; it's roughly half again as much hands-on time as the typical home, and turnover at 26.4% sits well under the 45.8% national figure, meaning the people providing that care tend to stay. Weekends thin out about 14% from weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The caution sits in the inspection record: 20 deficiencies, one serious enough to involve harm or jeopardy, one abuse-related, and a $48,696 fine. The most recent inspection came in December 2025, so the picture is current.

A

91/100

Oakton Place Health And Rehabilitation At The Arli

Naples, FL · Collier County

CMS 2/544 bedsFor-profit
Nurse hours
5.98 /day
Staff turnover
27%
Serious cites
0

Oakton Place runs on unusually heavy staffing, nearly six nursing hours per resident day, roughly half again the national figure, and its nurses stay: turnover of 27.3% sits well under the 45.8% national rate. The quality measures CMS tracks also come back strong. What drags the record down is inspections. Thirteen deficiencies are on file, four of them serious enough to put residents in harm's way, including one tied to abuse, and a single $170,235 fine followed the June 2024 visit. Weekend coverage thins by about 8% against weekdays, which matters in a 44-bed home where help is the whole safety net. Good hands on deck; a troubled paper trail.

A

91/100

Lenbrook

Atlanta, GA · De Kalb County

CMS 5/560 bedsNon-profit
Nurse hours
6.01 /day
Staff turnover
42%
Serious cites
0

Lenbrook runs 6.01 nurse hours per resident per day against a national average of 3.86, that's roughly half again as much hands-on time as the typical home. Weekend staffing dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Four deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection in late February 2026. Staff turnover sits at 41.6%, a bit better than the 45.8% national figure, though still meaningfully high. As a nonprofit, it answers to a board rather than shareholders.

A

91/100

Magnolia Place Nursing And Rehabilitation

Rome, GA · Floyd County

CMS 5/534 bedsNon-profitMedicaid
Nurse hours
6.41 /day
Staff turnover
48%
Serious cites
0

Magnolia Place runs on a nonprofit model with 34 certified beds in Rome, and the staffing numbers stand out, 6.41 nurse hours per resident day, roughly two-thirds above the national average of 3.86. Weekend coverage dips only about 3% below its own weekday level, so care doesn't thin out much when families tend to visit. Turnover sits at 48.3%, a touch above the 45.8% national figure, which is worth asking about directly. Five deficiencies appear on the current record, none at the harm level and none abuse-related, and the most recent inspection came in January 2026.

A

91/100

Arcadia Retirement Residence

Honolulu, HI · Honolulu County

CMS 4/591 bedsNon-profit
Nurse hours
4.61 /day
Staff turnover
25%
Serious cites
0

Arcadia Retirement Residence runs on unusually strong staffing for a nonprofit in Honolulu: 4.61 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 24.7%, roughly half the national rate, which matters because consistent caregivers know their residents. The tradeoff shows up in its inspection history, 37 deficiencies on record, including two at the harm level and three tied to abuse, with one $12,854 fine. The most recent inspection was October 2024, so that record is current. Strong hands-on care, a thinner record on compliance.

A

91/100

Lake Forest Place

Lake Forest, IL · Lake County

CMS 5/550 bedsNon-profit
Nurse hours
5.55 /day
Staff turnover
33%
Serious cites
0

Lake Forest Place runs on a genuinely strong staffing base: 5.55 nurse hours per resident day, roughly 44% above the national average, which is the kind of margin that shows up in day-to-day care. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 33.3%, meaningfully better than the 45.8% national figure, and the nonprofit ownership may help explain the stability. Against that, the current record carries 14 deficiencies, two of them serious enough to involve harm or jeopardy, and the last full inspection was in December 2024.

A

91/100

Methodist Manor Retirement Community

Storm Lake, IA · Buena Vista County

CMS 4/593 bedsNon-profitMedicaid
Nurse hours
4.26 /day
Staff turnover
26%
Serious cites
0

Methodist Manor in Storm Lake runs on a nonprofit model, and its staffing numbers show it. At 4.26 nurse hours per resident day, it sits about 10% above the national average, and it's one of the few homes where the 5-star staffing rating reflects real retention, 25.7% turnover against a national average of 45.8% is unusually steady. Weekends dip only about 6% below weekday coverage, which matters when you're thinking about who's actually on the floor on a Sunday. The caution is in the inspection record: 21 deficiencies, including one at harm level and one abuse-related, with the most recent survey in April 2026. Strong staffing and quality measures, but the compliance history is worth asking about directly.

A

91/100

Calvin Community

Des Moines, IA · Polk County

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

Calvin Community in Des Moines runs on a nonprofit model with 59 certified beds, and the staffing numbers are its strongest suit: 4.19 nurse hours per resident day, roughly 8% above the national average, with a 5/5 CMS staffing star. Weekend coverage dips about 11% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Turnover sits at 31.3% against a national average of 45.8%, meaning workers tend to stay longer here than at most homes. The tradeoff is a 3/5 inspection star with 12 deficiencies on record, though none involved harm or abuse, and one fine totaling $4,233. The last inspection was in December 2025, so the record is recent.

A

91/100

United Presbyterian Home

Washington, IA · Washington County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
35%
Serious cites
0

United Presbyterian Home runs 4.35 nurse hours per resident day, about 13 percent above the national average of 3.86. Weekend coverage drops roughly 14 percent from its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 35.1 percent against a national 45.8 percent, which matters for how well aides know your mother's routines. The current record shows 22 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in July 2025. This is a nonprofit with strong staffing and quality marks, but those two serious citations are the reason to read the inspection reports yourself before deciding.

A

91/100

Lawrence Presbyterian Manor

Lawrence, KS · Douglas County

CMS 3/540 bedsNon-profitMedicaid
Nurse hours
5.83 /day
Staff turnover
54%
Serious cites
0

Lawrence Presbyterian Manor runs 40 certified beds as a nonprofit corporation, and its nurse staffing sits at 5.83 hours per resident day, roughly half again what the typical American nursing home provides. Weekend coverage dips only slightly below weekday levels, so care doesn't thin out much when families visit. What pulls against that picture is turnover: 53.7% of staff leave each year, well above the 45.8% national figure, and the home carries 15 deficiencies on its current record, one tied to abuse, though none rose to the level of actual harm or jeopardy. Its last inspection was in February 2026, and CMS rates it 3 of 5 on health inspections but 4 of 5 on both quality measures and staffing.

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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