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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 21 to 40 of 1,547, best-graded first.

A

99/100

Applewood Village, Inc

Freehold, NJ · Monmouth County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.73 /day
Staff turnover
23%
Serious cites
0

Applewood Village is small, 60 beds, and it runs on a nonprofit model, which often shows up in the numbers. Nurse staffing sits at 5.73 hours per resident day, roughly 48% above the national average, and weekend coverage dips only about 6% below weekday levels, so the care doesn't thin out much on Saturdays and Sundays. Annual turnover is 22.8%, about half the national rate of 45.8%, meaning the people caring for residents tend to stay. On the inspection side, two deficiencies on record, neither at the harm level and none abuse-related, with the most recent inspection dated March 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Carolina Village Inc

Hendersonville, NC · Henderson County

CMS 5/558 bedsNon-profit
Nurse hours
6.25 /day
Staff turnover
22%
Serious cites
0

Carolina Village in Hendersonville runs on 6.25 nurse staffing hours per resident day, roughly 62 percent above the national average, and weekend coverage holds within about 12 percent of its weekday level. Staff turnover sits at 22.2 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The nonprofit's record shows three deficiencies total, none at the harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. All three CMS star ratings land at 5 out of 5. For a 58-bed home, the numbers describe steady hands and low churn rather than anything flashy.

A

99/100

River Landing At Sandy Ridge

Colfax, NC · Guilford County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.52 /day
Staff turnover
30%
Serious cites
0

River Landing at Sandy Ridge runs about 5.52 nurse hours per resident each day, roughly 43% above what nursing homes nationally average. Weekends dip about 11% below its own weekday staffing, so coverage isn't perfectly flat, but the baseline is high enough that the drop doesn't erase the advantage. Staff turnover sits at 29.5% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record is clean where it counts: three deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in January 2026. Under nonprofit ownership, that combination, strong hours, stable staff, no harm-level findings, is doing the work here.

A

99/100

Mcv Health Care Facilities, Inc

Mason, OH · Warren County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.60 /day
Staff turnover
29%
Serious cites
0

Mcv Health Care Facilities runs on church-affiliated nonprofit ownership, and the numbers reflect that stability. Nurse staffing sits at 5.60 hours per resident day, roughly 45% above the national average of 3.86, and weekend coverage dips only about 12% below weekday levels, a gap that's smaller than what many homes show. Staff turnover is 29.3%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in November 2023. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

99/100

Deupree Cottages

Cincinnati, OH · Hamilton County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
16%
Serious cites
0

Deupree Cottages runs on a small scale, 24 certified beds under nonprofit ownership, and the staffing numbers reflect that attention. At 5.39 nurse hours per resident day, it sits roughly 40% above the national average of 3.86, and weekend coverage stays within about 10% of its weekday level, so care doesn't thin out when families tend to visit. Staff turnover tells its own story: 15.8% against a national 45.8% means aides and nurses are staying put, which matters for residents who depend on familiar faces. Thirteen deficiencies on record with none at the harm level and none abuse-related, plus a July 2025 inspection, round out a picture of a home that's both well-staffed and recently reviewed.

A

99/100

Lebanon Valley Brethren Home

Palmyra, PA · Lebanon County

CMS 5/588 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
26%
Serious cites
0

Staffing here runs about 5.1 nurse hours per resident per day, roughly a third above the national average, and that holds up on weekends too, weekend coverage dips only about 10% from weekday levels, which is smaller than what many homes show. Annual turnover sits at 26.1% against a national average near 46%, so the people caring for residents tend to stay. The inspection record is thin in the best way: one deficiency total, none involving harm or abuse, from a visit dated February 2026. Put the staffing, retention, and inspection history together and you get a home that looks steady rather than lucky.

A

99/100

Waverly Heights

Gladwyne, PA · Montgomery County

CMS 5/531 bedsNon-profit
Nurse hours
7.52 /day
Staff turnover
17%
Serious cites
0

Waverly Heights runs on a nonprofit model with 31 certified beds, and the numbers behind its record are worth a closer look. Nurse staffing sits at 7.52 hours per resident day, roughly double the national average of 3.86, and weekend coverage holds within about 5% of weekday levels, so families visiting on Saturdays and Sundays aren't walking into a thinner floor. Staff turnover is 16.7%, well under the national 45.8%, which matters because consistent caregivers know the residents. Six deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated February 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Willowbrooke Court Skilled Care Center At Brittany

Lansdale, PA · Montgomery County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
29%
Serious cites
0

Willowbrooke Court runs on 4.21 nurse hours per resident day, roughly 9% above the national average, and weekend coverage dips only modestly below its own weekday level, a gap far smaller than what many homes show. Staff turnover sits at 29.4% against a national 45.8%, which matters because consistent caregivers know residents' routines and catch changes early. The current record holds three deficiencies, none at the harm level and none abuse-related, with an inspection completed in July 2025. As a nonprofit, it answers to a board rather than shareholders. Every one of those signals points the same direction, which is rare, homes often look strong in one area and thin in another.

A

99/100

Hcc At White Horse Village

Newtown Square, PA · Delaware County

CMS 5/555 bedsNon-profit
Nurse hours
5.04 /day
Staff turnover
23%
Serious cites
0

Hcc At White Horse Village sits in Newtown Square with 55 certified beds under nonprofit ownership, and the staffing numbers are the story here. At 5.04 nurse hours per resident day, it runs about 31 percent above the national average of 3.86, that's real coverage, not a rounding error. Weekend staffing dips roughly 7 percent below its own weekday level, which is worth knowing if your visits skew toward Saturdays and Sundays. Annual turnover of 23.3 percent sits well under the national 45.8 percent, so the same faces tend to stay. Three deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026.

A

99/100

Health Center At The Hill At Whitemarsh, The

Lafayette Hill, PA · Montgomery County

CMS 5/560 bedsNon-profit
Nurse hours
5.37 /day
Staff turnover
31%
Serious cites
0

Nurse staffing at the Hill at Whitemarsh runs 5.37 hours per resident day, roughly 39 percent above the national average, and weekends dip only about 9 percent below its own weekday level, a modest slide, not the sharp drop many homes show. Staff turnover sits at 31.1 percent against a national 45.8 percent, meaning fewer caregivers are cycling out the door. The current inspection record holds a single deficiency, none at the harm level and none abuse-related, with the most recent survey completed in December 2025. For a 60-bed nonprofit in Lafayette Hill, those three numbers, staffing depth, retention, and a nearly clean inspection history, tell you where the consistency comes from.

A

99/100

Menno Haven Rehabilitation Center

Chambersburg, PA · Franklin County

CMS 5/544 bedsNon-profit
Nurse hours
5.76 /day
Staff turnover
28%
Serious cites
0

Menno Haven runs about 5.76 nursing hours per resident each day, roughly half again the national average of 3.86, and its weekend coverage dips only about 10% below weekday levels. Staff turnover sits at 28.3% against a national 45.8%, which matters over time, familiar aides tend to notice small changes sooner. The inspection record shows 13 deficiencies, none of them at the harm or jeopardy level and none abuse-related, with the most recent visit in August 2025. As a nonprofit, it answers to a board rather than shareholders. Nothing here reads like a place cutting corners on direct care.

A

99/100

Rappahannock Westminster Canterbury

Irvington, VA · Lancaster County

CMS 5/542 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
26%
Serious cites
0

Rappahannock Westminster Canterbury runs about 4.92 nurse hours per resident day, which is roughly 28% above the national average, and its staff turnover sits at 25.6% against a national 45.8%, that combination is why the numbers look strong here. Weekend staffing does dip about 13% below its weekday level, so ask how that plays out on Saturdays and Sundays. The current record shows 14 deficiencies, one of them at the harm or jeopardy level, with no abuse citations; the last inspection was August 2023, so the picture may be older than you'd like. A 42-bed nonprofit home with that staffing edge and relatively stable workforce is worth a visit, but bring questions about that harm-level finding and what's changed since.

A

99/100

Briarwood At Timber Ridge

Issaquah, WA · King County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
4.64 /day
Staff turnover
29%
Serious cites
0

Briarwood At Timber Ridge runs 4.64 nurse hours per resident per day, roughly a fifth more than the national average, and its staff turnover sits at 28.6 percent against a national 45.8, meaning the people caring for your relative are more likely to still be there next year than at a typical home. Weekend coverage dips about 12 percent below weekdays, so ask how that plays out on a Sunday. The inspection record shows 19 deficiencies, none at the harm level and none abuse-related, with the most recent visit in December 2025. For a 45-bed for-profit, that combination of low turnover and steady survey history is what stands out.

A

99/100

Heron's Key

Gig Harbor, WA · Pierce County

CMS 5/530 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
30%
Serious cites
0

Heron's Key sits in Gig Harbor with just 30 certified beds, and the staffing numbers are the first thing worth noting: 5.75 nurse hours per resident day, roughly half again the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is common but still worth asking about. Annual turnover of 29.6% runs well under the 45.8% national figure, so the people caring for residents tend to stay. Inspections tell a mixed story, 19 deficiencies on record, one serious enough to involve harm or jeopardy, and a single $15,015 fine. The last inspection was February 2026, so the picture is current.

A

99/100

Spring Lake Village

Santa Rosa, CA · Sonoma County

CMS 5/570 bedsNon-profit
Nurse hours
5.54 /day
Staff turnover
22%
Serious cites
0

Spring Lake Village runs a genuine nonprofit operation in Santa Rosa with 70 certified beds, and the staffing numbers show it: 5.54 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 12% from weekday levels. Annual turnover sits at 22.1%, roughly half the national rate of 45.8%, which suggests caregivers are staying long enough to know the residents. The health inspection record holds 26 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. Inspectors were last on site January 22, 2026, and the federal ratings land at 4 out of 5 for health inspections and 5 out of 5 on both quality measures and staffing.

A

99/100

Health Care Ctr At The Forum At Rancho San Antonio

Cupertino, CA · Santa Clara County

CMS 4/548 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
29%
Serious cites
0

The Health Care Center at The Forum at Rancho San Antonio runs on unusually heavy staffing for a 48-bed nonprofit home, 5.75 nurse hours per resident day, roughly half again the national figure. Weekend coverage dips about 8% below weekday levels, but turnover sits at 28.8% against a national average near 46%, so the people caring for residents tend to stay. The tradeoff shows up in inspections: 36 deficiencies on the current record, one tied to abuse, though none reached harm or jeopardy. The last survey was in January 2026. Strong quality and staffing marks sit alongside middling inspection results, worth asking about that abuse citation directly.

A

99/100

Vi At La Jolla Village

San Diego, CA · San Diego County

CMS 5/560 bedsFor-profit
Nurse hours
5.24 /day
Staff turnover
26%
Serious cites
0

Vi At La Jolla Village runs a 60-bed for-profit operation in San Diego, and its staffing is the standout: 5.24 nurse hours per resident day, roughly 36% above the national average, with weekends dipping only about 8% below its own weekday level. Turnover sits at 25.6% against a national 45.8%, and the home holds 5-star marks on health inspections, quality measures, and staffing alike. The record isn't spotless, 15 deficiencies, two tied to abuse, but none rose to harm or jeopardy, and the most recent inspection closed in August 2025. For families weighing a smaller home with unusually steady nursing coverage, the numbers here are worth a closer look.

A

99/100

Glenbrook

Carlsbad, CA · San Diego County

CMS 5/594 bedsFor-profit
Nurse hours
5.23 /day
Staff turnover
31%
Serious cites
0

Glenbrook runs 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff turnover sits at 30.9% against a national 45.8%, a meaningful difference when you consider how much continuity affects daily care. Weekend staffing dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record isn't clean: 24 deficiencies, one at the harm or jeopardy level, one abuse-related, and a $9,311 fine. Inspectors were last in during September 2025, so the picture is current. For-profit, LLC-owned, 94 beds.

A

99/100

Vi At Palo Alto

Palo Alto, CA · Santa Clara County

CMS 5/544 bedsFor-profit
Nurse hours
6.10 /day
Staff turnover
20%
Serious cites
0

Vi At Palo Alto runs on unusually heavy staffing for a nursing home, 6.10 nurse hours per resident day, about 58% above the national average, and its staff tend to stay, with turnover at 20.3% against a national 45.8%. Weekend coverage dips roughly 11% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The tradeoff shows up in its inspection record: 19 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related, and the most recent inspection was January 2026. Ownership is for-profit through a limited liability company. The staffing and quality numbers are strong; the deficiency count is the piece to press them on.

A

99/100

Creekview Skilled Nursing

Pleasanton, CA · Alameda County

CMS 5/573 bedsFor-profit
Nurse hours
5.05 /day
Staff turnover
31%
Serious cites
0

Creekview runs about 5.05 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its staff turnover of 31.3% is well below the 45.8% national figure, a combination that usually shows up as consistent care rather than revolving faces. State inspectors visited in February 2025 and logged 12 deficiencies, none at the level of actual harm and none related to abuse, so what's on the record reads as paperwork and process issues rather than resident safety. Weekend coverage dips about 9% below weekdays, worth asking about if your family tends to visit Saturday or Sunday.

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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