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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 401–420 of 1,547, best-graded first.

A

90/100

Concordia At Spiritrust Utz Terrace

Hanover, PA · Adams County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
49%
Serious cites
0

Concordia At Spiritrust Utz Terrace runs 4.19 nurse hours per resident day, roughly 8% above the national average of 3.86, and that staffing shows up in the weekend numbers too, which dip about 8% below the home's own weekday level rather than falling off a cliff. The current record carries 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated May 2026, so the picture is recent and clean where it counts. Turnover sits at 48.9%, a bit above the 45.8% national average, which is worth asking about directly. Forty beds under nonprofit ownership, strong marks across inspection, quality, and staffing stars.

A

90/100

Christ's Home Retirement Community

Warminster, PA · Bucks County

CMS 5/5 48 beds Non-profit
Nurse hours
5.06 /day
Staff turnover
40%
Serious cites
0

Christ's Home in Warminster runs a 48-bed nonprofit operation where the direct-care numbers stand out. At 5.06 nurse hours per resident day, staffing sits roughly 31 percent above the national average of 3.86, and the weekend dip of about 6 percent from its own weekday level is modest compared with what many homes show. Annual turnover of 40.3 percent also comes in under the national 45.8 percent, which matters for consistency of care. The inspection record is short: four deficiencies total, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. With a February 2026 inspection on file and five stars for health inspections, this is a small home whose recent record looks steady.

A

90/100

Still Hopes Episcopal Retirement Community

West Columbia, SC · Lexington County

CMS 5/5 22 beds Non-profit
Nurse hours
7.61 /day
Staff turnover
—
Serious cites
0

Still Hopes Episcopal Retirement Community runs 22 certified beds in West Columbia, and the nurse staffing number stands out: 7.61 hours per resident day against a national average of 3.86. Weekends dip about 21% below the home's own weekday coverage, so the floor is thinner on Saturdays and Sundays even though the overall level stays high. The inspection record is clean where it counts, four deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent visit in June 2025. A nonprofit corporation operates it, and both the health inspection and quality measure ratings sit at five stars.

A

90/100

Johnson Cntr/Falcons Landing

Potomac Falls, VA · Loudoun County

CMS 5/5 60 beds Non-profit
Nurse hours
4.55 /day
Staff turnover
39%
Serious cites
0

Falcons Landing sits in Potomac Falls with 60 certified beds and a nonprofit owner, and the numbers behind its record are steady rather than flashy. Nurse staffing runs 4.55 hours per resident day, about 18% above the national average, and weekend coverage barely dips below weekday levels, a gap that trips up plenty of homes. Staff turnover is 39%, better than the 45.8% national figure, which matters for residents who value seeing the same faces. The health inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in May 2023. Four and five stars across inspections, quality measures, and staffing tell a consistent story.

A

90/100

Riverside Lifelong Health & Rehabilitation Sanders

Gloucester, VA · Gloucester County

CMS 5/5 55 beds Non-profit
Nurse hours
4.59 /day
Staff turnover
35%
Serious cites
0

Riverside Lifelong Health & Rehabilitation Sanders runs on unusually deep nurse staffing, 4.59 hours per resident day, roughly 19% above the national average, which is the main reason it holds a 5-star staffing rating. Weekends dip about 12% below its own weekday coverage, so ask how that plays out on a Saturday. The 34.6% turnover is better than the 45.8% national figure but still means about a third of staff left in a year. Inspections in July 2023 turned up 23 deficiencies, including one at the harm level and one abuse-related, which sits oddly beside the 4-star inspection rating. Nonprofit ownership, 55 beds, quality measures middling at 3 stars.

A

90/100

King's Grant Lacy Health Center

Martinsville, VA · Martinsville City County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
5.00 /day
Staff turnover
31%
Serious cites
0

King's Grant Lacy Health Center runs on a nonprofit model with 32 certified beds, and the staffing numbers stand out: 5.00 total nurse hours per resident day, roughly 30% above the national average of 3.86. That level of coverage matters most on weekends, and while weekend staffing does dip about 12% below its own weekday level, it stays well above what most homes provide. Staff turnover is 30.6%, noticeably lower than the 45.8% national average, experienced caregivers tend to know residents better. The inspection record is clean: two total deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in September 2023. Quality measures rate a middle 3 out of 5, the one area with room to improve.

A

90/100

Wesley Homes Des Moines Health Center

Des Moines, WA · King County

CMS 5/5 148 beds Non-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
31%
Serious cites
0

Wesley Homes Des Moines Health Center runs on noticeably more nursing hours than most homes, 4.79 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 30.8% compared to 45.8% nationally. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. The inspection record shows 52 deficiencies, none at the harm or jeopardy level, though three are abuse-related and worth asking about directly. A February 2026 inspection means the record is recent, and as a church-affiliated nonprofit, there's no ownership chain pulling profits out. The quality measures come in strong.

A

90/100

Covenant Shores Health Center

Mercer Island, WA · King County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
51%
Serious cites
0

Covenant Shores runs high on most measures. Nurse staffing sits at 4.41 hours per resident day, roughly 14 percent above the national average, and the quality and staffing stars come in at the top of the scale. Weekend coverage dips about 11 percent below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 51 percent, higher than the national 45.8 percent. The current record shows 35 deficiencies, none at harm or jeopardy level, though 4 are abuse-related. The last inspection was February 11, 2026.

A

90/100

Cedar Lake Health And Rehab Center

West Bend, WI · Washington County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
5.14 /day
Staff turnover
37%
Serious cites
0

Cedar Lake runs on 5.14 nurse hours per resident per day, roughly a third more than the national average, and it holds a five-star CMS staffing rating because of it. Weekend coverage dips about 13% below the home's own weekday levels, which is common but worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37%, better than the 45.8% national figure. The inspection record is recent, April 2026, with 12 deficiencies and none at the harm or jeopardy level, though three are abuse-related and deserve a direct question.

A

90/100

Saint Johns On The Lake

Milwaukee, WI · Milwaukee County

CMS 4/5 27 beds Non-profit Medicaid
Nurse hours
5.25 /day
Staff turnover
39%
Serious cites
0

Saint Johns On The Lake runs on a church-affiliated nonprofit model with just 27 certified beds, and the staffing numbers stand out: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 7% below its own weekday level, and turnover sits at 38.7%, better than the 45.8% national figure, though still meaning more than a third of staff leaving annually. The tradeoff shows up in its record: 14 deficiencies, including one at the harm level and two tied to abuse, with a June 2025 inspection. Strong staffing and a clean recent survey don't cancel out that history; they sit alongside it.

A

90/100

Shady Lane Nursing Care Center

Manitowoc, WI · Manitowoc County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
38%
Serious cites
0

Shady Lane runs on a nonprofit model with about 5.11 nurse hours per resident each day, roughly a third more staffing than the typical American nursing home. That shows up clearly in the government's staffing rating, which sits at the top of the scale, and weekend coverage holds up reasonably well, dipping only about 7% below weekday levels. Staff turnover of 37.7% is better than the national average of 45.8%, though more than a third of the workforce still leaves each year. The tradeoff is a mixed record: four deficiencies on file, one serious enough to involve harm, alongside middle-of-the-road quality measures. The most recent inspection was April 2025, so the picture is current.

A

90/100

Glenhaven

Glenwood City, WI · St. Croix County

CMS 3/5 44 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
54%
Serious cites
0

Glenhaven runs a genuinely strong staffing operation, 4.65 nurse hours per resident day against a national average of 3.86, and CMS gives that a top rating. Weekend coverage dips about 9% below weekday levels, though, so the schedule isn't perfectly even. The trade-off shows up in the inspection record: 33 deficiencies on file, including one at the harm level and five tied to abuse, with the most recent state visit in March 2026. Staff turnover sits at 53.8%, higher than the 45.8% national figure. Quality measures score well, but a 2/5 inspection rating is the number a family should ask about directly, specifically what those abuse deficiencies involved and what's changed since.

A

90/100

St Paul Elder Services, Inc

Kaukauna, WI · Outagamie County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
37%
Serious cites
0

St Paul Elder Services in Kaukauna runs on 4.80 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home. That cushion matters less on paper than it does on a Tuesday afternoon, though weekend coverage does dip about 7% below the home's own weekday level, so the weekend shift is where you'd want to ask questions. Staff turnover sits at 36.6%, well under the national 45.8%, people tend to stay. The current inspection record shows 8 deficiencies, none at the harm level, but 2 tied to abuse, which is worth asking about directly. A recent 5-star health inspection and nonprofit ownership round out the picture.

A

90/100

Evergreen Health Center

Oshkosh, WI · Winnebago County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
49%
Serious cites
0

Evergreen Health Center runs 5.08 nurse hours per resident day, roughly 31% above the national average of 3.86, that's a real staffing cushion, though weekends dip about 10% below its own weekday levels, so coverage isn't perfectly even across the week. The 8 deficiencies on record include one abuse-related finding, but none at the harm or jeopardy level, and the most recent inspection was in March 2025, so the picture is current. Staff turnover sits at 49%, a bit above the 45.8% national figure, which means this nonprofit is replacing workers at a slightly faster clip than average despite the generous hours.

A

90/100

Cedar Crest Health Center

Janesville, WI · Rock County

CMS 5/5 71 beds Non-profit Medicaid
Nurse hours
5.45 /day
Staff turnover
41%
Serious cites
0

Cedar Crest runs on church-affiliated nonprofit ownership in Janesville, and the staffing numbers stand out: 5.45 nurse hours per resident day, roughly 41% above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so care isn't perfectly level across the week, and turnover sits at 41.2%, better than the 45.8% national figure but still worth asking about. Inspections are recent, and the record shows five deficiencies, none at the harm or jeopardy level, though two are abuse-related. That's the tension here: strong staffing and a clean harm record alongside a small cluster of abuse citations a family should ask about directly.

A

90/100

Congregational Home, Inc.

Brookfield, WI · Waukesha County

CMS 4/5 66 beds Non-profit
Nurse hours
6.36 /day
Staff turnover
46%
Serious cites
0

Congregational Home in Brookfield runs on a church-affiliated nonprofit model with 66 beds, and its nurse staffing sits at 6.36 hours per resident day, roughly 65% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, so the strong overall number isn't perfectly even across the week. Turnover is 46.4%, essentially level with the national 45.8%. The tradeoff shows up in its record: 21 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent inspection on July 31, 2025. Quality and staffing measures rate well; the inspection history is where a family should ask questions.

A

90/100

Redwood Terrace Health Center

Escondido, CA · San Diego County

CMS 5/5 59 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
35%
Serious cites
0

Redwood Terrace runs on a nonprofit model in Escondido, and the staffing numbers show it: 4.45 nurse hours per resident per day, roughly 15% above the national average, with a 5/5 CMS staffing rating to match. Weekend coverage dips about 11% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 34.9%, noticeably better than the 45.8% national figure, so caregivers tend to stick around here. The current record carries 17 deficiencies, none at harm or jeopardy level, though two are abuse-related, a category you should ask administrators to explain directly. The last inspection was August 2025.

A

90/100

Villa Marin

San Rafael, CA · Marin County

CMS 5/5 31 beds Non-profit
Nurse hours
7.15 /day
Staff turnover
—
Serious cites
0

Villa Marin sits in San Rafael with just 31 certified beds and nonprofit ownership, and the staffing number is the first thing that stands out: 7.15 nurse hours per resident day, roughly 85% above the national average. That's an unusual amount of hands-on care, though weekend coverage drops about 21% below its own weekday level, so the daily experience may depend on when you visit. The record isn't spotless, 21 deficiencies, including one at the harm level and one tied to abuse, plus a single $7,443 fine. The last inspection was November 2025, so the picture is current. Strong quality measures and recent oversight offset a fair amount of that history.

A

89.5/100

Willowbrooke Ct Skilled Care Ctr Westminster Vlg

Spanish Fort, AL · Baldwin County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
—
Serious cites
0

Willowbrooke runs on 4.49 nurse hours per resident day, roughly 16 percent more than the national average, and that staffing shows up clearly in its five-star CMS staffing rating. Weekend coverage dips only about 4 percent below weekdays, so care doesn't thin out much when families visit. The trade-offs sit elsewhere: ten deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy. Its last inspection was April 2021, so that record is getting old and may not reflect today's conditions. Quality measures score well at four stars. Nonprofit ownership under a corporation. The strongest argument here is hands-on time; the open question is what a fresh inspection would find.

A

89.5/100

Springs At 3030 Park, The

Bridgeport, CT · Greater Bridgeport County

CMS 5/5 23 beds For-profit
Nurse hours
5.91 /day
Staff turnover
—
Serious cites
0

Springs At 3030 Park runs a small operation, 23 certified beds, and staffs it heavily: 5.91 nurse hours per resident day, roughly half again the national average, though weekends drop about 15% below its own weekday coverage. Inspectors visited in January 2026 and scored the home at the top of CMS's health inspection and quality measure scales, but its record isn't clean: 18 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a single fine of $8,018. For-profit, limited liability ownership. The staffing and recent inspection results are the strength here; the deficiency history is what a family should ask about directly.

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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