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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 381 to 400 of 1,547, best-graded first.

A

90/100

United Methodist Communities At Collingswood

Collingswood, NJ · Camden County

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

United Methodist Communities At Collingswood runs on 4.51 total nurse hours per resident day, roughly 17 percent above the national average, and its staff turnover of 36.8 percent sits well below the 45.8 percent national figure, both signs of a stable, well-manned floor. Weekend staffing dips about 12 percent from weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean where it counts: six deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent survey in late 2025. For 60 beds under nonprofit ownership, the numbers point to consistent care rather than occasional good days.

A

90/100

Jefferson's Ferry

South Setauket, NY · Suffolk County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.30 /day
Staff turnover
50%
Serious cites
0

Jefferson's Ferry runs on unusually heavy staffing for a nursing home, 5.30 nurse hours per resident day, roughly a third more than the national average, and it shows in the inspection record, where only a handful of deficiencies appear and none involved actual harm to a resident. Weekend coverage dips about 10% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Two abuse-related citations on the current record deserve a direct question about what happened and what changed. Turnover sits near 50%, slightly worse than the national figure, so continuity of caregivers isn't a given despite the strong hours.

A

90/100

Trinity Oaks

Salisbury, NC · Rowan County

CMS 5/5115 bedsNon-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
30%
Serious cites
0

Trinity Oaks runs a lean but well-staffed operation: 4.30 nurse hours per resident day, roughly 11% above the national average, which helps explain its top CMS staffing rating. Turnover sits at 30.1% against a national average near 46%, so the people caring for residents tend to stick around longer than is typical, though weekend coverage dips about 14% below weekday levels, worth asking about if you're planning visits. The record shows 15 deficiencies, none at the harm or jeopardy level, but three flagged as abuse-related, which deserves a direct question. Inspections are recent, and the nonprofit structure matters less than the numbers themselves.

A

90/100

Scotia Village - Snf

Laurinburg, NC · Scotland County

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

Scotia Village runs a rare staffing profile: 5.44 nurse hours per resident day, roughly 41% above the national average, which helps explain the top marks on both staffing and health inspections. The record isn't flawless, four deficiencies, one tied to abuse, though none at the harm or jeopardy level. Weekend coverage drops about 13% below weekday levels, a gap worth asking about. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. As a nonprofit with a December 2025 inspection behind it, the numbers suggest a home that's well-resourced where it counts most.

A

90/100

Brookdale Carriage Club Providence

Charlotte, NC · Mecklenburg County

CMS 5/514 bedsFor-profit
Nurse hours
8.55 /day
Staff turnover
n/a
Serious cites
0

Brookdale Carriage Club Providence runs 14 certified beds, and its nurse staffing sits at 8.55 hours per resident day, roughly 121% above the national average of 3.86. That's an unusually high number, though weekend coverage drops about 17% below what the home staffs on weekdays, so the weekday figure isn't the whole story. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality and inspection measures both come in at the top of CMS's five-star scale, and the corporate, for-profit owner operates a small home where the staffing-to-resident ratio is the clearest signal in the data.

A

90/100

Springfield Masonic Community

Springfield, OH · Clark County

CMS 4/584 bedsNon-profitMedicaid
Nurse hours
4.75 /day
Staff turnover
40%
Serious cites
0

Springfield Masonic Community runs on a nonprofit model with 84 certified beds, and its nurse staffing sits at 4.75 hours per resident day, roughly 23 percent above the national average of 3.86. Weekend coverage dips only about 5 percent below its own weekday level, which matters because that's where many homes quietly thin out. Staff turnover lands at 39.5 percent, better than the national 45.8 percent, and the current record shows 17 deficiencies with none at the harm or jeopardy level and none abuse-related. The last inspection was March 5, 2026. More staff and steadier retention than most, paired with a clean harm record, is the real story here.

A

90/100

Twin Lakes

Cincinnati, OH · Hamilton County

CMS 5/543 bedsNon-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
41%
Serious cites
0

Twin Lakes runs on 5.74 nurse hours per resident day, roughly half again the national average of 3.86, and it carries a five-star staffing rating and a five-star inspection record to match. Three deficiencies sit on the current record, none of them at the harm or jeopardy level and none abuse-related, with the last inspection dated June 2024. Weekend staffing dips about 13% below its own weekday level, so ask how weekends actually look on the floor, and turnover of 40.7% is lower than the national 45.8% but still means a good share of the staff you meet will be new within a year. Nonprofit ownership, 43 beds, and a quality measure rating of 3 out of 5 round out the picture.

A

90/100

Otterbein Cortland

Cortland, OH · Trumbull County

CMS 5/539 bedsNon-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
49%
Serious cites
0

Ohio Living Lake Vista runs a tight ship. The Cortland nonprofit has 39 certified beds and enough nurses on hand to deliver 4.42 hours of care per resident each day, roughly 15% more than the national average, and its most recent inspection, in January 2026, left six deficiencies on the books, none of them involving harm, jeopardy, or abuse. Weekend coverage dips about 9% below weekday levels, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 49%, a touch above the national figure of 45.8%, so continuity of caregivers isn't guaranteed. The numbers say consistent, well-staffed care with room to improve retention.

A

90/100

Rogue Valley Manor

Medford, OR · Jackson County

CMS 5/568 bedsNon-profit
Nurse hours
6.56 /day
Staff turnover
42%
Serious cites
0

Rogue Valley Manor runs 6.56 nurse hours per resident day, about 70% above the national average of 3.86, and that staffing shows up in a 5-out-of-5 staffing star rating from CMS. It's a nonprofit with a 4-star health inspection rating, last inspected April 24, 2025, so the record is recent. Staff turnover sits at 42.1%, slightly better than the national 45.8%. The catch is 17 deficiencies on the current record, including 2 abuse-related citations, though none rose to the level of actual harm or jeopardy. Weekend staffing also drops about 11% below its own weekday level, so coverage isn't perfectly even across the week. Strong hours, a fresh inspection, and a clean harm record are doing a lot of work here.

A

90/100

Community At Rockhill, The

Sellersville, PA · Bucks County

CMS 5/590 bedsNon-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
36%
Serious cites
0

The Community at Rockhill in Sellersville runs on about 4.77 nurse hours per resident day, roughly a quarter more staffing than the national average, and that shows up in its five-star staffing and health inspection ratings. Weekend coverage dips about 13 percent below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 35.5 percent, better than the national 45.8 percent, and the home carries just one deficiency on its current record, none involving harm, jeopardy, or abuse, with its last inspection in August 2025.

A

90/100

Elm Terrace Gardens

Lansdale, PA · Montgomery County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
37%
Serious cites
0

Elm Terrace Gardens runs on more nursing hours than most homes in the country, 4.82 per resident day against a national average of 3.86. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.2%, better than the 45.8% national figure, and the home carries four deficiencies on its current record with none at the harm level and none tied to abuse. The last inspection was April 2026, and the five-star inspection and staffing ratings reflect that record.

A

90/100

St Barnabas Nursing Home

Gibsonia, PA · Allegheny County

CMS 4/5119 bedsNon-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
42%
Serious cites
0

St Barnabas runs 119 certified beds as a nonprofit, and its staffing sits at 3.88 nurse hours per resident day, essentially even with the national average of 3.86. Weekend coverage dips about 4% below its own weekday levels, so weekends run a little thinner than weekdays. Turnover is 42.2%, better than the 45.8% national figure but still meaning roughly two in five staff leaving in a year. The 26 deficiencies on record include five tied to abuse, though none reached harm or jeopardy level. Its last inspection was February 2026, and quality measures scored strongly while health inspections came in middle of the pack.

A

90/100

Souderton Mennonite Homes

Souderton, PA · Montgomery County

CMS 5/571 bedsNon-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
36%
Serious cites
0

Souderton Mennonite Homes runs a 71-bed nonprofit operation in Montgomery County, and the staffing numbers are the story here: 4.46 nurse hours per resident day, roughly 16% above the national average. That matters more than any single inspection finding, since hands-on time is what families actually feel. Weekend coverage dips about 10% below its own weekday level, which is worth asking about directly. Staff turnover sits at 35.9%, well under the 45.8% national figure, a sign people stay. The current record shows nine deficiencies, none at the harm level, though one is abuse-related and deserves a specific question. The last inspection was April 2026; ask what's happened since.

A

90/100

Frederick Living - Cedarwood

Frederick, PA · Montgomery County

CMS 5/561 bedsNon-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
40%
Serious cites
0

Frederick Living - Cedarwood runs on 4.80 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home. That extra coverage dips about 11% on weekends, which is worth knowing if your visits fall on Saturdays or Sundays. The record is otherwise hard to argue with: one deficiency total, none involving harm or abuse, and a September 2024 inspection. Staff turnover sits at 39.5%, better than the 45.8% national figure, though still meaning a good share of caregivers leave each year. As a nonprofit, it isn't answering to shareholders. Five stars for both inspections and staffing, four for quality measures, the weak spot, relatively speaking, is clinical outcomes, not the care environment itself.

A

90/100

Homestead Village, Inc

Lancaster, PA · Lancaster County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.11 /day
Staff turnover
36%
Serious cites
0

Homestead Village sits in Lancaster with 60 certified beds and a nonprofit owner, and the numbers behind its grade are mostly about consistency. Nurse staffing runs 5.11 hours per resident day, roughly a third above the national average of 3.86, and weekend coverage dips only about 4% below weekdays, so care doesn't thin out when families tend to visit. Staff turnover is 36.2%, meaningfully lower than the 45.8% national figure, which matters for residents who need familiar faces. The tradeoff is a record of 9 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Its last inspection was March 2026, so the picture is current.

A

90/100

Fellowship Manor

Whitehall, PA · Lehigh County

CMS 5/5121 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Fellowship Manor runs on 4.65 nurse hours per resident per day, roughly a fifth more staffing than the typical American nursing home, and that shows up in the government's staffing rating. Weekend coverage does dip about 10% below weekday levels, so ask how that plays out on Saturdays and Sundays. The nonprofit's staff turnover sits at 31.1% against a national average near 46%, which matters because consistent caregivers know the residents. Inspections in June 2025 turned up just three deficiencies, none causing harm, though one was abuse-related, worth asking about directly. A 3/5 on quality measures is the soft spot here; the staffing and inspection numbers are the stronger part of the picture.

A

90/100

Cumberland Crossings Retirement Community

Carlisle, PA · Cumberland County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
4.67 /day
Staff turnover
32%
Serious cites
0

Cumberland Crossings is a church-affiliated nonprofit in Carlisle with 58 certified beds, and its staffing is the standout: 4.67 nurse hours per resident day against a national average of 3.86. Weekend coverage dips roughly 12% below its own weekday level, but the bigger picture holds up, annual turnover sits at 31.5% while the national average runs 45.8%, which matters for whether your parent sees the same faces month to month. Inspections are clean where it counts: a 5/5 health inspection rating, eight deficiencies on record, none at the harm level and none abuse-related, with the most recent visit in May 2026. Quality measures rate 3/5, the one lukewarm spot in an otherwise strong record.

A

90/100

Artman Lutheran Home

Ambler, PA · Montgomery County

CMS 5/561 bedsNon-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
37%
Serious cites
0

Artman Lutheran Home sits in Ambler with 61 certified beds and a church-affiliated nonprofit owner. The staffing numbers are the real story here: 5.39 nurse hours per resident day, roughly 40% above the national average, with turnover at 36.8% compared to 45.8% nationally, a workforce that stays longer than most. Weekend coverage dips about 11% below weekday levels, worth asking about if your family visits mainly on Saturdays. Inspections show a 4/5 health rating and 17 total deficiencies, none at harm or jeopardy level, though three are abuse-related and should be asked about directly. The last inspection was May 2026, so the record is recent.

A

90/100

Stoneridge Poplar Run

Myerstown, PA · Lebanon County

CMS 4/560 bedsNon-profitMedicaid
Nurse hours
6.69 /day
Staff turnover
54%
Serious cites
0

Stoneridge Poplar Run runs 60 certified beds as a nonprofit, and the staffing number is the one that stands out: 6.69 nurse hours per resident day, roughly 73% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the schedule thins out some but stays well above what most homes provide. The trade-off sits in retention, 53.7% annual turnover against a national 45.8%, meaning a good share of that generous staffing is delivered by people still learning the building. Eleven deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated November 2025.

A

90/100

Inn At Freedom Village,The

West Brandywine, PA · Chester County

CMS 5/560 bedsFor-profit
Nurse hours
4.65 /day
Staff turnover
39%
Serious cites
0

The Inn at Freedom Village runs 60 certified beds in West Brandywine, and its nurse staffing sits around 4.65 hours per resident day, roughly a fifth above the national average of 3.86. Weekend coverage does dip about 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Staff turnover is 38.6%, better than the 45.8% national figure but still meaning more than a third of the workforce leaving in a year. The current record shows five deficiencies, none at the harm or jeopardy level, though one is abuse-related. Ownership is a for-profit corporation.

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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