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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 341 to 360 of 1,547, best-graded first.

A

91/100

The Village At Orchard Ridge

Winchester, VA · Frederick County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
5.04 /day
Staff turnover
39%
Serious cites
0

The Village at Orchard Ridge runs about 5.04 nurse hours per resident day, roughly 31% above the national average of 3.86, and its CMS staffing rating comes in at 5 out of 5. Weekend coverage dips only about 5% below weekday levels, which is a small gap by industry standards. Staff turnover sits at 39.1%, better than the 45.8% national average, suggesting people tend to stay. The current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in March 2024. State survey and quality measure ratings both land at 4 out of 5. For a 20-bed nonprofit home, the numbers point to steady, well-staffed care.

A

91/100

Saratoga Retirement Community Health Center

Saratoga, CA · Santa Clara County

CMS 5/594 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
24%
Serious cites
0

Saratoga Retirement Community Health Center runs 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 23.9% is about half the national rate of 45.8%, two numbers that tend to matter more than anything else for day-to-day care. Weekend staffing dips about 7% below its own weekday level, worth asking about if your family member needs more hands-on help on Saturdays and Sundays. The record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2025. As a nonprofit with a 5-star health inspection rating, the pattern here is steady rather than spotless.

A

91/100

Freedom Village Healthcare Center

Lake Forest, CA · Orange County

CMS 5/552 bedsFor-profitMedicaid
Nurse hours
5.03 /day
Staff turnover
36%
Serious cites
0

Freedom Village Healthcare Center runs on 5.03 nurse hours per resident day, roughly 30% above the national average, and its staff turnover of 35.8% beats the 45.8% national figure, two numbers that usually don't travel together. Weekend staffing dips about 15% below its own weekday level, so coverage isn't perfectly even, but the floor stays high. The catch is the inspection record: 55 deficiencies on file, including 2 tied to abuse, though none at the harm or jeopardy level, and the most recent inspection came in late 2025. A 3/5 health inspection rating against 5/5 for staffing and quality measures sums up the split, strong day-to-day care, a paper trail that needs watching.

A

91/100

Laurel Creek Health Center

Fairfield, CA · Solano County

CMS 4/560 bedsNon-profit
Nurse hours
5.12 /day
Staff turnover
29%
Serious cites
0

Laurel Creek runs a leaner ship than most. At 5.12 nurse hours per resident day, it sits about a third above the national average, and its staff retention is unusually strong, 28.6% turnover against a national 45.8%, which usually means residents see the same faces instead of a rotating cast. Inspectors were last in on April 17, 2026, and the home carries 27 deficiencies, one of them serious enough to reach harm or jeopardy level; there's also a single fine of $35,493. Weekend coverage dips roughly 13% below weekday levels, worth asking about if your family visits Saturdays. This nonprofit's numbers point to solid care with a few real dents.

A

91/100

Covenant Village Care Center

Turlock, CA · Stanislaus County

CMS 4/550 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Covenant Village Care Center runs about 4.29 nurse hours per resident per day, roughly 11 percent above the national average, and its staff turnover of 30.9 percent sits well below the 45.8 percent typical elsewhere. Weekend coverage dips about 12 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The 18 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and the most recent inspection was in June 2025. As a nonprofit with four out of five stars on health inspections, quality measures, and staffing, the numbers point to steady care rather than a standout or a concern.

A

91/100

Samarkand Skilled Nursing Facility

Santa Barbara, CA · Santa Barbara County

CMS 5/563 bedsNon-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
35%
Serious cites
0

Samarkand runs about 4.38 nurse hours per resident per day, roughly 13% above the national average, and its staff turnover of 34.8% sits well below the 45.8% national figure, that combination matters more than any single number, since consistent caregivers who stay tend to know residents' routines. Weekend staffing dips about 11% below weekdays, which is common but worth asking about if your family visits on Saturdays or Sundays. The inspection record shows 28 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in January 2026, so the survey history is current and free of serious findings.

A

91/100

Querencia At Barton Creek

Austin, TX · Travis County

CMS 5/542 bedsNon-profit
Nurse hours
4.74 /day
Staff turnover
44%
Serious cites
0

Querencia At Barton Creek runs 42 certified beds as a nonprofit, and the staffing number is the one worth noticing: 4.74 nurse hours per resident day, roughly a quarter above the national average. Weekends dip about 12% below its own weekday coverage, so ask how that gap gets covered. Annual turnover sits at 43.6%, slightly better than the national 45.8%, meaningful in a field where replacing nurses constantly tends to show up in daily care. The inspection record isn't spotless: eight deficiencies, one serious enough to involve harm or jeopardy, and one $13,500 fine. No abuse citations. The last inspection was December 2025. Strong staffing, decent turnover, and one incident that deserves a direct question.

A

91/100

The Stayton At Museum Way

Fort Worth, TX · Tarrant County

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

The Stayton At Museum Way runs on a nonprofit model with 46 certified beds, and its staffing tells a real story: 4.64 nurse hours per resident day, roughly 20% above the national average. That said, weekend coverage dips about 11% below its own weekday levels, so care can thin out on Saturdays and Sundays. Staff turnover sits at 37.8%, noticeably better than the 45.8% national figure, which suggests people stick around. The tradeoff shows up in the inspection record, 24 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in November 2025. Strong quality scores and steady staffing, but that deficiency count is worth asking about directly.

A

91/100

Mrc The Crossings

League City, TX · Galveston County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
39%
Serious cites
0

Mrc The Crossings runs a tight ship on nearly every measure that matters. The nonprofit home puts 4.35 nursing hours behind each resident daily, roughly 13% above the national average, and its staff turnover of 39.1% sits well under the typical 45.8%, a signal that caregivers tend to stay. One deficiency on the current record, none involving harm or abuse, and a December 2024 inspection round out the picture. The one soft spot: weekend staffing dips about 8% below its own weekday level, so ask how coverage looks on Saturdays and Sundays. Otherwise, the numbers here are about as clean as they come.

A

90.5/100

St Paul's Towers

Oakland, CA · Alameda County

CMS 5/543 bedsNon-profit
Nurse hours
4.22 /day
Staff turnover
23%
Serious cites
0

St. Paul's Towers runs on 4.22 nurse hours per resident per day, roughly 9% above the national average, and its weekend staffing dips about 15% below its own weekday levels, a gap worth asking about if your family visits mainly on Saturdays and Sundays. The turnover number is the standout: 23.3% against a national average of 45.8%, meaning far fewer caregivers cycle through than at the typical home. Twenty deficiencies sit on the current record, but none at the harm level and none abuse-related, with the last inspection in September 2024. As a nonprofit, it has no shareholder pressure driving census or cost decisions.

A

90.5/100

The Willows At East Lansing

East Lansing, MI · Clinton County

CMS 5/565 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
30%
Serious cites
0

The Willows At East Lansing runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially dead even with the national average, not above it. Weekends drop about 16% below the home's own weekday coverage, so care thins out when families tend to visit. Staff turnover is 30%, which is meaningfully better than the 45.8% national rate and suggests workers are staying. The current record shows 30 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026.

A

90.5/100

Crestview Retirement Community

Bryan, TX · Brazos County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
10%
Serious cites
0

Crestview runs on nonprofit ownership in Bryan, and the numbers behind its A grade start with staff who stay. Annual turnover of 10% is remarkably low next to the 45.8% national figure, and total nurse staffing of 4.29 hours per resident day sits about 11% above the national average. The catch is weekends, when coverage drops roughly 18% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Eight deficiencies on record, one at the harm level, none abuse-related, with the most recent inspection in August 2025.

A

90/100

The Terraces At Los Altos Health Facility

Los Altos, CA · Santa Clara County

CMS 4/530 bedsNon-profit
Nurse hours
5.45 /day
Staff turnover
47%
Serious cites
0

Nurse staffing at The Terraces at Los Altos runs about 41 percent above the national average, 5.45 hours per resident day, and that shows up in a five-star staffing rating. The catch is weekends, when hours drop roughly 14 percent below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 47.1 percent, slightly worse than the national 45.8, and inspectors have logged 38 deficiencies, two tied to abuse, though none at the harm or jeopardy level and the last full inspection was recent, in August 2025. For 30 beds, that's a lot of regulatory paperwork for a small home.

A

90/100

Suites At Clermont Park Care Center, The

Denver, CO · Denver County

CMS 5/563 bedsNon-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
37%
Serious cites
0

The Suites at Clermont Park runs 4.47 nursing hours per resident day, about 16 percent above the national average, and its staff turnover of 36.8 percent sits well below the 45.8 percent national figure, a sign people tend to stay. Weekend staffing dips roughly 13 percent from weekday levels, which is worth asking about if your visits land on Saturdays or Sundays. State inspectors were last in on February 18, 2026, and the home carries 13 deficiencies on its current record, one of them serious enough to reach harm or jeopardy level, though none involve abuse. Ownership is nonprofit. The one harm-level citation is the detail I'd want explained before deciding anything.

A

90/100

Continuing Care At Wind Crest

Highlands Ranch, CO · Douglas County

CMS 5/544 bedsNon-profit
Nurse hours
5.11 /day
Staff turnover
49%
Serious cites
0

Continuing Care At Wind Crest runs a 44-bed nonprofit home in Highlands Ranch, and its staffing is the headline: 5.11 nurse hours per resident day, roughly a third more than the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 48.5%, a bit above the 45.8% national figure, so continuity of caregivers isn't guaranteed. The inspection record is strong, the most recent look was in August 2024, with seven deficiencies logged, none causing harm or jeopardy and none related to abuse.

A

90/100

Edgehill Health Center

Stamford, CT · Western Ct County

CMS 5/546 bedsFor-profit
Nurse hours
5.17 /day
Staff turnover
20%
Serious cites
0

Edgehill Health Center runs on unusually strong staffing for a for-profit home: 5.17 nurse hours per resident day, roughly a third more than the national average, and its 20.4% turnover is less than half the national rate, a sign people tend to stay. Weekend coverage dips about 13% below weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Five deficiencies on record, none at the harm level and none abuse-related, with the most recent inspection in February 2026. Quality measures sit mid-range at 3 out of 5 stars, so ask how the home is working on those specific areas.

A

90/100

Abbey Delray South

Delray Beach, FL · Palm Beach County

CMS 4/590 bedsNon-profitMedicaid
Nurse hours
4.16 /day
Staff turnover
15%
Serious cites
0

Abbey Delray South runs on unusually steady staffing for a Florida nursing home. Nurses provide about 4.16 hours of care per resident each day, roughly 8% above the national average, and only 14.5% of staff left over the past year, the typical U.S. nursing home loses closer to 46%. That continuity matters, though weekend coverage dips about 9% below weekday levels. The tradeoff shows up in inspections: 29 deficiencies on the current record, including one abuse-related finding, none rising to harm or jeopardy, and a single $4,963 fine. The most recent inspection was February 2025. The nonprofit owner holds a 2-star health inspection rating against 5-star marks for staffing and quality measures.

A

90/100

Vicar's Landing Nursing Home

Ponte Vedra Beach, FL · St. Johns County

CMS 5/530 bedsNon-profit
Nurse hours
5.61 /day
Staff turnover
48%
Serious cites
0

Vicar's Landing runs a small 30-bed nonprofit home in Ponte Vedra Beach, and the numbers hold up well. Nurse staffing sits at 5.61 hours per resident day, roughly 45% above the national average of 3.86, which is the kind of margin that shows up in daily care rather than on a brochure. The record is clean: two deficiencies total, none at the harm level, none abuse-related, and the last inspection was recent. Turnover at 48% edges slightly past the national 45.8%, and weekend staffing dips about 14% below weekdays, so the one question worth asking is who's actually on the floor on a Saturday.

A

90/100

Westminster Oaks

Tallahassee, FL · Leon County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
29%
Serious cites
0

Westminster Oaks runs a tight ship on the things that are hardest to fake. Its last inspection was in August 2025, and the record shows four deficiencies with none rising to harm or jeopardy and nothing abuse-related. Nurse staffing sits at 3.79 hours per resident day, a hair under the national average of 3.86, and weekends dip about 9% below its own weekday level, so coverage thins out on Saturdays and Sundays. The number worth noticing is turnover: 29% against a national average of 45.8%, meaning far fewer people are cycling out the door than at the typical home. That kind of retention tends to show up in how consistently residents see the same faces.

A

90/100

Addington Place At College Harbor

Saint Petersburg, FL · Pinellas County

CMS 5/552 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
35%
Serious cites
0

Addington Place At College Harbor runs 4.13 nurse hours per resident per day, roughly 7% above the national average, and its staff turnover of 34.8% sits well below the 45.8% national figure, both signs of a stable floor. Weekend staffing dips about 10% below weekday levels, so ask how weekend coverage actually looks. Ten deficiencies appear on the current record, none at the harm level and none tied to abuse, and the most recent inspection was September 2024. State survey results and quality measures both came back strong. For-profit operation under a limited liability company, 52 beds.

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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