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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 321 to 340 of 1,547, best-graded first.

A

91/100

Bethany Home Association

Lindsborg, KS · Mcpherson County

CMS 4/585 bedsNon-profitMedicaid
Nurse hours
5.34 /day
Staff turnover
34%
Serious cites
0

Bethany Home Association runs a lean, well-staffed operation. At 5.34 nurse hours per resident day, it sits about 38% above the national average, and its staff turnover of 34% beats the national 45.8%, people tend to stay. The 20 deficiencies on record sound like a lot until you notice none reached harm or jeopardy level and none involved abuse, so they read more like paperwork and process issues than resident safety problems. Weekend staffing dips roughly 14% below its own weekday level, which is common but worth asking about. A 4-out-of-5 health inspection star and a recent August 2024 survey round out a picture of a nonprofit that's stable and adequately watched.

A

91/100

Tallgrass Creek, Inc

Overland Park, KS · Johnson County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
4.87 /day
Staff turnover
43%
Serious cites
0

Tallgrass Creek sits in Overland Park with 44 certified beds, run by a for-profit limited liability company. The staffing numbers are the strongest part of the picture: 4.87 total nurse hours per resident day, roughly a quarter above the national average of 3.86, though weekend coverage drops about 12% below its own weekday level. Staff turnover of 43.1% edges just under the national rate of 45.8%. What pulls the record down is the inspection history. Seventeen deficiencies are on file, including one at the harm or jeopardy level and one abuse-related, plus a $7,446 fine. The most recent inspection was February 2026. Strong daily staffing and a five-star health inspection rating sit alongside a deficiency record that includes the most serious category CMS tracks.

A

91/100

Stevens County Hospital Ltcu Dba Pioneer Manor

Hugoton, KS · Stevens County

CMS 2/577 bedsGovernmentMedicaid
Nurse hours
4.68 /day
Staff turnover
37%
Serious cites
0

Pioneer Manor is county-owned, and the staffing numbers show it: 4.68 nurse hours per resident day, roughly a fifth above the national average, and a five-star staffing rating to match. Turnover sits at 37.3%, better than the 45.8% national figure, though weekend coverage dips about 12% below weekday levels, so care can thin out on Saturdays and Sundays. The trouble is inspections. The current record carries 23 deficiencies, three of them at the level where a resident was harmed or put in immediate jeopardy, and one abuse-related. The health inspection rating is 1 out of 5, and the most recent survey was in December 2024. Strong staffing is real, but it hasn't kept the home out of serious trouble.

A

91/100

Charter House Inc

Rochester, MN · Olmsted County

CMS 5/532 bedsNon-profit
Nurse hours
9.47 /day
Staff turnover
54%
Serious cites
0

Charter House runs one of the thinnest-staffed business models you'll see anywhere, 9.47 nurse hours per resident day against a national average of 3.86, a number that would be hard to sustain if the census weren't so small and the nonprofit backing so steady. Weekends drop about 13% below weekday coverage, which matters in a 32-bed building where there's less slack to absorb a callout. Turnover sits at 53.8%, roughly eight points above the national figure, and the inspection record carries 10 deficiencies including one at the harm level and four tied to abuse. The last survey closed in late December 2025, so the file is fresh, and the single fine on record totals $8,824.

A

91/100

Gables Of Boutwells Landing

Oak Park Heights, MN · Washington County

CMS 4/5108 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Gables Of Boutwells Landing runs 4.65 nurse hours per resident day, roughly a fifth more than the national average of 3.86, and weekend coverage stays within about 5% of its weekday level, a gap that's often wider elsewhere. Staff turnover sits at 31%, well under the 45.8% national figure, which matters for whether residents see the same faces. The trade-off shows up on the health inspection side: 11 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a mid-tier inspection rating. No abuse citations, and the last survey was June 2026, so the picture is current.

A

91/100

Folkestone

Wayzata, MN · Hennepin County

CMS 5/530 bedsNon-profit
Nurse hours
4.67 /day
Staff turnover
35%
Serious cites
0

Folkestone is a small nonprofit home in Wayzata, 30 certified beds, which means you're not dealing with a big corporate chain calling the shots. Staffing sits at 4.67 nurse hours per resident day, roughly 21% above the national average, and weekends dip only about 9% below its own weekday level, so the place doesn't hollow out when Friday rolls around. Turnover runs 35.1% against a national average near 46%, meaning caregivers tend to stick. The inspection record shows nine deficiencies, none at the harm level and none abuse-related, with the most recent survey in November 2025. Its four- and five-star CMS ratings across health inspections, quality measures, and staffing line up with that picture.

A

91/100

Mason Pointe Care Center

Chesterfield, MO · St. Louis County

CMS 5/563 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
40%
Serious cites
0

Mason Pointe runs a nonprofit home with 63 beds in Chesterfield, and the numbers behind its record are mostly strong. Nurse staffing sits at 4.32 hours per resident day, about 12 percent above the national average, though weekend coverage drops roughly 13 percent from weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 40.3 percent, below the national 45.8 percent, and its last health inspection came in August 2024 with a 5-star inspection rating and 17 deficiencies on record, none at the harm level, one abuse-related. That single abuse citation is the item to ask about directly before you decide.

A

91/100

Woodland Pond At New Paltz

New Paltz, NY · Ulster County

CMS 4/540 bedsNon-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
31%
Serious cites
0

Woodland Pond runs a small 40-bed unit, and the staffing numbers are the story here: 5.37 nurse hours per resident day against a national average of 3.86. Weekends dip about 10% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover sits at 31.4%, well under the 45.8% national figure, which suggests people stay. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with three fines totaling $13,099. The last inspection was April 2025, so the picture is recent. Nonprofit ownership, steady staff, no serious citations, the marks that matter most to daily care look solid.

A

91/100

Penick Village

Southern Pines, NC · Moore County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
6.76 /day
Staff turnover
48%
Serious cites
0

Penick Village runs a small 32-bed nonprofit home in Southern Pines, and the numbers that stand out are the staffing ones: 6.76 nurse hours per resident day, roughly three-quarters more than the national average of 3.86, with weekend coverage holding almost level with weekdays. Turnover sits at 47.9%, only slightly above the 45.8% national figure, so that staffing depth isn't being erased by constant churn. The tradeoff is on the inspection side, nine deficiencies on the current record, one serious enough to involve harm or jeopardy, and one fine of $8,648, though the most recent inspection was April 2026 and nothing on file involves abuse.

A

91/100

Woodside Village

Grand Forks, ND · Grand Forks County

CMS 4/5138 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
40%
Serious cites
0

Woodside Village is run by a church-affiliated nonprofit and staffs at 5.25 nurse hours per resident day, roughly 36% above the national average of 3.86. Weekends dip about 10% below its own weekday levels, but the floor stays high. Annual turnover sits at 40%, better than the 45.8% national figure, and the last inspection was recent, in March 2026. What keeps it from a cleaner record: 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,278. That's a real concern worth asking about directly. The staffing and quality measure ratings both land at 4 out of 5, so the day-to-day care signals are solid even with those survey findings on the books.

A

91/100

Worthington Christian Village

Columbus, OH · Franklin County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
6.15 /day
Staff turnover
51%
Serious cites
0

Worthington Christian Village runs 6.15 nurse hours per resident day, roughly 59% above the national average of 3.86, and that staffing level is the main thing separating it from most homes its size. Weekends dip about 12% below its own weekday coverage, and turnover sits at 50.9% against a national 45.8%, so the floor isn't perfectly steady even with the strong numbers. The current record shows 17 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was in January 2026, and the quality and staffing ratings both come in at the top of CMS's scale.

A

91/100

Knolls Of Oxford

Oxford, OH · Butler County

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

Knolls Of Oxford runs on a nonprofit model with 50 certified beds in Butler County, and the inspection record is where it stands out, a five-star health inspection rating with just two deficiencies on file, though one of those reached harm or jeopardy level, which is worth asking about directly. Staffing sits at 3.67 nurse hours per resident day, about 5% under the national average, and weekends dip another 5% below the home's own weekday coverage. Turnover is the quieter strength here: 33.3% against a national average near 46%, meaning fewer unfamiliar faces from shift to shift. The last inspection was in December 2025, so the picture is current.

A

91/100

Brookview Health Care Center

Chambersburg, PA · Franklin County

CMS 4/556 bedsNon-profitMedicaid
Nurse hours
5.26 /day
Staff turnover
33%
Serious cites
0

Brookview Health Care Center runs 56 certified beds as a nonprofit corporation in Chambersburg, and its staff turnover sits at 32.9%, well below the 45.8% national average, which suggests people tend to stay. But the federal staffing rating comes in at just 1 out of 5, meaning the hours actually worked per resident fall short even if the workers who are there don't leave quickly. The inspection record shows 14 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with $16,801 in fines across three events. The most recent inspection was March 27, 2026.

A

91/100

Rydal Park Of Philadelphia Presbytery Homes, Inc

Rydal, PA · Montgomery County

CMS 4/5114 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
27%
Serious cites
0

Rydal Park runs 5.00 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home, and its staff turnover of 27.2% is well below the national 45.8%, that kind of retention usually shows up in how residents are cared for. Weekend coverage dips about 10% from weekday levels, though the drop is modest compared with many homes. The tradeoff sits in the inspection record: 24 deficiencies, two tied to abuse, with none rising to harm or jeopardy, and a March 2025 inspection that's reasonably recent. As a nonprofit, it isn't answering to shareholders. Strong staffing and low turnover carry real weight here, but read those two abuse-related citations closely before deciding.

A

91/100

Lafayette-Redeemer, The

Philadelphia, PA · Philadelphia County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
41%
Serious cites
0

Lafayette-Redeemer runs about 4.14 nurse hours per resident per day, roughly 7% above the national average, though weekends dip about 6% below its own weekday levels. Staff turnover sits at 40.6%, better than the 45.8% national figure but still meaning four in ten caregivers left within the year. The inspection record is clean where it matters most: four deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey completed in February 2025. That combination of steady staffing, a low-risk deficiency profile, and recent federal review is what puts this nonprofit home among the stronger performers in Philadelphia.

A

91/100

Pleasant View Communities

Manheim, PA · Lancaster County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
34%
Serious cites
0

Pleasant View Communities runs 92 certified beds in Manheim under nonprofit ownership, and the staffing numbers are the story here, 4.68 nurse hours per resident day, roughly a fifth above the national average, which is why CMS gives it five stars on staffing. Weekend coverage dips about 8% below its own weekday level, so the care isn't perfectly even across the week, but the floor stays high. Turnover sits at 34.2%, well under the 45.8% national figure, which matters for residents who rely on seeing familiar faces. Six deficiencies on record, none at the harm level, none abuse-related, and the last inspection was July 2025. Quality measures come in at three stars, the softer spot, so there's room to improve on clinical outcomes even with strong hands on deck.

A

91/100

Foxdale Village

State College, PA · Centre County

CMS 5/546 bedsNon-profit
Nurse hours
5.51 /day
Staff turnover
36%
Serious cites
0

Foxdale Village sits in State College with 46 certified beds and nonprofit ownership, and its nurse staffing runs about 43 percent above the national average at 5.51 hours per resident day. Weekend coverage dips roughly 10 percent below its own weekday levels, and turnover comes in at 36.2 percent, better than the 45.8 percent national figure. The record isn't spotless: eight deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,018. Its last inspection was November 2024, and the health and quality ratings both land at four stars.

A

91/100

Moravian Village Of Bethlehem

Bethlehem, PA · Northampton County

CMS 5/593 bedsNon-profit
Nurse hours
4.33 /day
Staff turnover
47%
Serious cites
0

Moravian Village of Bethlehem runs on 4.33 nurse hours per resident day, roughly 12 percent above the national average, and its weekend staffing holds within about 4 percent of weekday levels, a small dip that rarely means much. Staff turnover sits at 46.8 percent, a touch above the national figure of 45.8 percent, so retention is average rather than a strength. The record is otherwise clean: six deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent inspection came in June 2025. As a nonprofit with 93 beds, it shows steady staffing and a recent, unremarkable survey history.

A

91/100

Rehabilitation Center At Brethren Village Llc

Lancaster, PA · Lancaster County

CMS 5/520 bedsNon-profit
Nurse hours
8.52 /day
Staff turnover
32%
Serious cites
0

The Rehabilitation Center at Brethren Village runs just 20 certified beds in Lancaster, and the numbers behind its record are unusually steady. Nurse staffing sits at 8.52 hours per resident day, more than double the national average of 3.86, and while weekend coverage dips about 8% below its own weekday level, that floor is still far above what most homes provide. Staff turnover is 31.8% against a national 45.8%, meaning fewer caregivers cycling out the door. Its inspection record shows one deficiency total, none at harm level, none abuse-related, with the last survey in July 2025. Nonprofit ownership and a 5-star inspection and staffing rating back up what the numbers suggest.

A

91/100

Bridgewater Home , Inc.

Bridgewater, VA · Rockingham County

CMS 4/5127 bedsNon-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
32%
Serious cites
0

Bridgewater Home runs a genuinely well-staffed floor: 4.63 nurse hours per resident day, roughly 20% above the national average, and the low 31.9% turnover means the aides and nurses you meet are more likely to still be there next year. Weekend coverage dips about 13% below weekday levels, so ask how that plays out on a Saturday. The 26 deficiencies on record are worth reading closely, but none rose to harm or jeopardy and none involved abuse. Inspectors were last in on January 22, 2026, so the picture is current. A nonprofit with steady hands and no crisis-level findings.

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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