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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 361 to 380 of 1,547, best-graded first.

A

90/100

Prairieview At The Garlands

Barrington, IL · Lake County

CMS 5/520 bedsFor-profit
Nurse hours
6.11 /day
Staff turnover
42%
Serious cites
0

Prairieview At The Garlands runs a small house, just 20 certified beds, and staffs it heavily: 6.11 nurse hours per resident day, roughly 58% above the national average of 3.86. Turnover sits at 41.7%, a bit better than the 45.8% national figure, and weekend coverage dips only about 6% below weekdays, which is mild as these things go. The tradeoff shows up in its record: five deficiencies, two of them serious enough to involve harm or jeopardy, and a 3 out of 5 on quality measures despite a 5 out of 5 inspection rating and a recent May 2026 survey. It's for-profit, LLC-owned, and the numbers say well-staffed but not spotless.

A

90/100

Terraces At The Clare

Chicago, IL · Cook County

CMS 5/550 bedsFor-profit
Nurse hours
4.96 /day
Staff turnover
37%
Serious cites
0

Terraces At The Clare runs about 4.96 nursing hours per resident each day, roughly 28% above the national average, and that's the main reason it holds up well. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 36.7%, better than the 45.8% national figure, which matters for whether you see the same faces. Ten deficiencies on record, none at the harm level, but two are abuse-related and worth asking about directly. The last inspection was recent, in May 2025, and the home is individually owned for profit.

A

90/100

Park Place Christian Community

Elmhurst, IL · Du Page County

CMS 5/537 bedsNon-profit
Nurse hours
4.67 /day
Staff turnover
20%
Serious cites
0

Park Place Christian Community runs on a small scale, 37 certified beds, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on Sundays. Staff turnover is 20% against a national average near 46%, which matters for continuity of care. The inspection history isn't spotless: eight deficiencies on record, one at the harm level, though none abuse-related, and the most recent inspection was in April 2025. As a nonprofit, it answers to a board rather than shareholders.

A

90/100

Christian Care Retirement Community

Bluffton, IN · Wells County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
38%
Serious cites
0

Christian Care in Bluffton runs 4.73 nurse hours per resident per day, which is about 22% above the national average of 3.86, that's a real staffing cushion, not a rounding difference. Weekends dip roughly 14% below the home's own weekday coverage, so a Saturday shift won't look like a Tuesday, and staff turnover sits at 38.3%, better than the 45.8% national figure. Five deficiencies on the current record, none tied to harm or abuse, and the last inspection was August 2025. It's a for-profit corporation, so margins matter here, but the numbers above are the ones that decide what your family member's day actually looks like.

A

90/100

Holy Cross Village At Notre Dame Inc

Notre Dame, IN · St. Joseph County

CMS 3/552 bedsNon-profitMedicaid
Nurse hours
4.89 /day
Staff turnover
36%
Serious cites
0

Holy Cross Village runs nurse staffing at 4.89 hours per resident day, roughly 27% above the national average, and its staff turnover of 35.5% sits well below the 45.8% national figure, a sign people tend to stay. The tradeoff is the inspection record: 14 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a 3-out-of-5 health inspection rating, though the most recent inspection was May 2026. Weekend staffing dips about 8% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The quality measure rating comes in at 4 out of 5. Strong everyday staffing and steady retention, but the harm-level and abuse-related citations deserve a direct question before you decide.

A

90/100

Barrington Of Carmel, The

Carmel, IN · Hamilton County

CMS 5/58 bedsNon-profit
Nurse hours
9.69 /day
Staff turnover
n/a
Serious cites
0

The Barrington of Carmel is an eight-bed nonprofit home, which is small even by the standards of Indiana's residential care. Its nurse staffing works out to 9.69 hours per resident day, roughly two and a half times the national average, though weekend coverage drops about 23% below what the home provides on weekdays. State inspectors visited in September 2025 and logged four deficiencies, none involving harm or jeopardy and none related to abuse. The home's last inspection was recent enough that its record reflects current conditions rather than old problems. With that staffing cushion and a clean harm history, the main thing to watch is whether weekend care holds up.

A

90/100

Oaknoll Retirement Residence

Iowa City, IA · Johnson County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Oaknoll runs a leaner, steadier operation than most. Nurse staffing sits at 5.28 hours per resident day, roughly 37% above the national average, and weekends barely dip from that pace, only about 3% below weekday levels, which is where a lot of homes quietly cut corners. Staff turnover is 27.9%, well under the 45.8% national figure, so the people caring for residents tend to stick around. Inspections back that up: a 5/5 health inspection rating, seven deficiencies on record with none at the harm or jeopardy level and none abuse-related, and the most recent visit in September 2025. One caveat worth naming: the quality measure score is 2/5, so the clinical-outcome data isn't as strong as everything else here.

A

90/100

Mill-Pond

Ankeny, IA · Polk County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
37%
Serious cites
0

Mill-Pond runs on 4.58 nurse hours per resident day, roughly 19% above the national average, and that staffing shows up in the five-star rating CMS gives it for workforce. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 37.1%, better than the 45.8% national figure. The current record lists 10 deficiencies, none at the harm or jeopardy level, though 3 are abuse-related, worth asking about directly. The last inspection was March 2026, and the health inspection and quality measure ratings both came in at 4 out of 5.

A

90/100

Sunrise Retirement Community

Sioux City, IA · Woodbury County

CMS 5/574 bedsNon-profitMedicaid
Nurse hours
5.09 /day
Staff turnover
38%
Serious cites
0

Sunrise Retirement Community runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and that shows up in its staffing rating. Weekend coverage dips about 10% below weekday levels, which is common but worth knowing if your visits land on Saturdays. Staff turnover sits at 37.8%, better than the 45.8% national figure, so the people caring for residents tend to stick around longer than elsewhere. The current inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the last survey in September 2025. As a nonprofit with 74 beds, it's smaller than many, and its health inspection rating holds at 4 out of 5.

A

90/100

Community Care Center

Stuart, IA · Adair County

CMS 5/565 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
20%
Serious cites
0

Community Care Center in Stuart runs a tight ship on staff retention, 20.4% turnover is less than half the national average of 45.8%, which means the people caring for residents tend to stick around. That stability shows up in the quality and staffing star ratings, both 5 out of 5. The tradeoff is that daily nurse staffing sits at 3.48 hours per resident, about 10% under the national figure, and weekends dip roughly 10% below what the home itself provides on weekdays. Twelve deficiencies appear on the current record, none at the harm level, though three are abuse-related. The last inspection was December 2025, so the picture is recent.

A

90/100

The Gardens Of Cedar Rapids

Cedar Rapids, IA · Linn County

CMS 4/540 bedsFor-profit
Nurse hours
4.16 /day
Staff turnover
41%
Serious cites
0

The Gardens of Cedar Rapids runs 40 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. That staffing edge is the strongest thing the home has going for it, though weekend coverage dips about 12% below its own weekday level, so care can thin out when families visit. Turnover lands at 40.9%, a bit better than the 45.8% national figure. The harder reading comes from inspections: 17 deficiencies on record, 3 at harm or jeopardy level and 5 tied to abuse, with one fine totaling $19,383. The last inspection was January 22, 2026. Strong staffing, but the inspection history is what a family should ask about directly.

A

90/100

Ascension Living Via Christi Village Mclean

Wichita, KS · Sedgwick County

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

Ascension Living Via Christi Village McLean runs 36 beds in Wichita under nonprofit corporate ownership, and its nurse staffing sits at 4.39 hours per resident day, roughly 14% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday level, and annual turnover lands at 40.5%, a bit better than the 45.8% national figure. Inspections in August 2025 turned up 14 deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related citation, so the four-star inspection rating comes with real findings attached. Staffing and quality measures both rate four or five stars.

A

90/100

The Willows At Citation

Lexington, KY · Fayette County

CMS 5/554 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

The Willows At Citation runs on 4.04 nurse hours per resident day, roughly 5% above the national average, with weekend coverage dropping only about 4% below its own weekday level, a fairly small dip. Staff turnover sits at 38.5%, below the 45.8% national figure, which matters for consistency of care. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 2025. CMS gives it 5 stars for quality measures and 4 for staffing, against 3 for health inspections, so the weaker mark is in the inspection history rather than in day-to-day staffing or clinical measures.

A

90/100

Gorham House

Gorham, ME · Cumberland County

CMS 5/569 bedsFor-profitMedicaid
Nurse hours
4.84 /day
Staff turnover
53%
Serious cites
0

Gorham House runs 69 beds under for-profit LLC ownership, and the staffing numbers are the real story here, 4.84 nurse hours per resident day puts it roughly a quarter above the national average of 3.86. That's a genuine cushion, though weekend coverage dips about 9% below weekdays, and turnover sits at 52.6% against a national 45.8%, meaning a lot of those hours come from people still learning the building. The inspection record is mixed: 24 deficiencies on file, none at harm level but two tied to abuse, with the most recent survey dated February 2026. Quality and staffing measures both rate well; the health inspection side is where the caution lives.

A

90/100

Hebrew Home Of Greater Washington

Rockville, MD · Montgomery County

CMS 5/5558 bedsNon-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
19%
Serious cites
0

Hebrew Home of Greater Washington runs 558 certified beds in Rockville under nonprofit ownership, and its nurse staffing sits at 3.95 hours per resident day, a bit above the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so ask how that plays out on Saturdays. The standout number is turnover: 19.3% against a national average of 45.8%, meaning far fewer familiar faces leave each year than at the typical home. Inspections in February 2025 produced a 4-out-of-5 rating, with 30 deficiencies on record, none at harm or jeopardy level but four tied to abuse. That mix, steady staff, recent inspection, some abuse citations, is worth asking about directly.

A

90/100

Chestnut Grn Hlth Ctr Blakehur

Towson, MD · Baltimore County

CMS 5/549 bedsFor-profit
Nurse hours
4.66 /day
Staff turnover
37%
Serious cites
0

Chestnut Grn Hlth Ctr in Towson runs about 4.66 nursing hours per resident each day, roughly a fifth more than the national average, which is the main reason its staffing rating sits at the top of the scale. Turnover is 36.7 percent against a national 45.8, so fewer caregivers are walking out the door than at the typical home. The 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection came in December 2025. Weekend hours dip about 8 percent below weekday levels, worth asking about if your family visits Saturdays or Sundays. It's a for-profit partnership, and the quality measure rating lands in the middle at 3 out of 5.

A

90/100

Loomis Lakeside At Reeds Landing

Springfield, MA · Hampden County

CMS 5/542 bedsNon-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
27%
Serious cites
0

Loomis Lakeside At Reeds Landing runs 42 certified beds as a nonprofit, and the numbers behind its record look steady. Nurse staffing sits at 3.90 hours per resident day, just a hair above the national average, though weekends drop about 11% below what the home staffs on weekdays, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover is the real standout: 26.8%, well under the national 45.8%, which suggests people stay. The home carries 8 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, with its last inspection in January 2026.

A

90/100

Ihm Senior Living Community

Monroe, MI · Monroe County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
41%
Serious cites
0

Ihm Senior Living Community runs lean on risk and heavy on staff. The Monroe nonprofit logs 4.63 nurse hours per resident day, roughly a fifth more than the national average, and turnover sits below the norm at 40.8%, both signs of a stable floor crew. Inspections back that up: three deficiencies on record, none causing harm, none tied to abuse, and the most recent survey dates to March 2026. The one soft spot is weekends, when coverage drops about 12% from weekday levels, so ask how that gap gets filled. Ownership is nonprofit, which usually means decisions stay local rather than tied to a chain's quarterly targets.

A

90/100

The Lighthouse At Lakeside Village

Omaha, NE · Douglas County

CMS 4/554 bedsNon-profitMedicaid
Nurse hours
5.31 /day
Staff turnover
47%
Serious cites
0

The Lighthouse at Lakeside Village runs 5.31 nurse hours per resident day, roughly 38% above the national average, and weekends dip about 13% below its own weekday levels, still well above average, but not the same coverage you'd see Monday through Friday. Staff turnover sits at 47.4%, a touch above the national 45.8%, so continuity of caregivers is a fair question to ask. The record shows 13 deficiencies with none at harm or jeopardy level, though two are abuse-related, which is worth asking about directly. State inspectors were last in on March 12, 2025, so the picture is current.

A

90/100

Christian Health Care Center

Wyckoff, NJ · Bergen County

CMS 3/5304 bedsNon-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
23%
Serious cites
0

Christian Health Care Center runs 304 beds as a church-affiliated nonprofit, and its staffing sits just above the national average at 3.92 nurse hours per resident day. What stands out more is retention: 22.6% annual turnover against a national 45.8% means aides and nurses here tend to stay, though weekend coverage dips about 7% below weekday levels. The current record shows 35 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in February 2026. CMS rates quality measures 5 out of 5 and staffing 4 out of 5, but health inspections only 2 out of 5, worth asking about during a visit.

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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