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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 421–440 of 1,547, best-graded first.

A

89.5/100

Lutheran Retirement Home

Northwood, IA · Worth County

CMS 3/5 42 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
42%
Serious cites
0

Lutheran Retirement Home is a small church-affiliated nonprofit in Northwood, and its staffing is genuinely strong, 4.57 nurse hours per resident day, about 18 percent above the national average, with turnover at 41.9 percent, better than the 45.8 percent norm. Weekends run roughly 17 percent leaner than weekdays, so coverage isn't perfectly even. The trouble sits on the inspection side: 13 deficiencies on the current record, four of them at the harm or jeopardy level and three abuse-related, plus one fine of $24,922. That split, high staffing and quality marks alongside serious inspection findings, is worth asking the administrator about directly, particularly what changed after the February 2026 survey.

A

89.5/100

The Plaza Health Services At Santa Marta

Olathe, KS · Johnson County

CMS 5/5 50 beds Non-profit
Nurse hours
5.31 /day
Staff turnover
—
Serious cites
0

The Plaza Health Services at Santa Marta runs a nonprofit home in Olathe with 50 certified beds and nurse staffing at 5.31 hours per resident day, roughly 37 percent above the national average of 3.86. Weekend coverage dips about 7 percent below its own weekday level, so the strong overall number isn't perfectly even across the week. The inspection history carries 20 deficiencies, one of them serious enough to reach harm or jeopardy, though none involve abuse, and the most recent inspection was May 2026. The quality measure rating comes in at the top of the scale, while staffing lands mid-range and health inspections sit just above it.

A

89.5/100

Manor At Elfindale, The

Springfield, MO · Greene County

CMS 4/5 100 beds Non-profit
Nurse hours
4.43 /day
Staff turnover
35%
Serious cites
0

Manor At Elfindale runs on more nursing hours than most places, 4.43 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 34.9% versus 45.8% nationally. Weekends get thinner, though, dropping about 16% below weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The home carries 10 deficiencies on its current record, none at the harm level, one tied to abuse; that last one deserves a direct question about what happened and what changed. A November 2025 inspection means the picture is recent.

A

89.5/100

The Arbor At Laurel Circle

Bridgewater, NJ · Somerset County

CMS 5/5 64 beds For-profit
Nurse hours
4.55 /day
Staff turnover
31%
Serious cites
0

The Arbor At Laurel Circle runs on a for-profit LLC model with 64 certified beds in Bridgewater, and the numbers behind its grade are mostly working in its favor. Nurse staffing sits at 4.55 hours per resident day, roughly 18% above the national average, and staff turnover of 31.1% is well below the 45.8% national figure, which matters for whether you see the same faces on repeat visits. Weekend coverage, though, drops about 16% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record is recent (January 2026) with 21 deficiencies, including one at harm level and two abuse-related, plus a single $25,857 fine.

A

89.5/100

Sherwood Oaks

Cranberry Township, PA · Butler County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
5.81 /day
Staff turnover
44%
Serious cites
0

Sherwood Oaks sits in Cranberry Township with 43 certified beds and a nonprofit owner. Staffing is where it shines: 5.81 nurse hours per resident day, roughly half again the national average, with weekends running about 16% lighter than weekdays. Turnover lands at 43.6%, a touch better than the 45.8% national figure, steady by industry standards. The trouble is the inspection record. Sixteen deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a single fine of $8,281, and a health inspection rating of 2 out of 5 from the most recent survey in February 2026. Strong bedside hours don't cancel out a troubling survey history, and that tension is what pulls the overall picture down.

A

89.5/100

Sunnyside Presbyterian Retirement Community

Harrisonburg, VA · Harrisonburg City County

CMS 5/5 84 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
42%
Serious cites
0

Sunnyside Presbyterian runs on 4.65 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home. That's the number that drives most of what's good here. Weekend coverage dips about 17% below weekday levels, so ask how that plays out on a Saturday night. Staff turnover sits at 41.8%, a few points better than the national 45.8%, which suggests people stay longer than average. Five deficiencies on record, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The last inspection was March 2026, and a 5/5 health inspection rating with 5/5 quality measures is hard to get and usually means the basics are handled.

A

89.5/100

Panorama City Conv & Rehab Ctr

Lacey, WA · Thurston County

CMS 5/5 155 beds Non-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
29%
Serious cites
0

Panorama City Conv & Rehab Ctr runs on 5.07 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, 28.9% turnover against a national 45.8%. Weekend coverage dips about 17% below weekday levels, which is common but still worth asking about. The tradeoff shows up on inspections: 25 deficiencies on record, including three at the harm level and three tied to abuse, plus two fines totaling $42,904. Thurston County's Lacey location is nonprofit-owned and was inspected in January 2026. Strong staffing and quality scores, but the inspection history is the part to press them on directly.

A

89.5/100

The Terraces At Skyline

Seattle, WA · King County

CMS 2/5 34 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
—
Serious cites
0

The Terraces At Skyline runs 4.60 nurse hours per resident day, roughly 19 percent above the national average, and weekends dip only about 5 percent below its own weekday staffing, a modest gap by industry standards. What holds it back is the inspection record: 55 deficiencies, five of them abuse-related, though none rose to harm or jeopardy level. The last survey was recent, in August 2025, and the two-out-of-five inspection rating reflects those findings rather than any immediate danger. Quality measures and staffing both score four out of five. Nonprofit ownership at 34 beds suggests a small, closely run home; ask specifically about the abuse-related citations and what changed afterward.

A

89/100

Pilgrim Place Health Services Center

Claremont, CA · Los Angeles County

CMS 3/5 62 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Pilgrim Place runs a non-profit home with 62 beds in Claremont, and the staffing numbers are its strongest story: 4.41 nurse hours per resident day, about 14 percent above the national average, with turnover at 39.7 percent versus the 45.8 percent norm. The catch is consistency, weekend coverage drops roughly 12 percent below what the home staffs on weekdays. Inspections are the weak spot: a 2-out-of-5 health inspection rating, 52 deficiencies on the current record, including three tied to abuse, though none rose to the harm or jeopardy level. The last survey was December 5, 2025. Ask about those abuse-related findings and how weekend shifts get covered before you decide.

A

89/100

The Sequoias

Portola Valley, CA · San Mateo County

CMS 5/5 43 beds Non-profit
Nurse hours
4.28 /day
Staff turnover
6%
Serious cites
0

The Sequoias runs a tight ship on staffing, averaging 4.28 nurse hours per resident day, about 11% above the national average, and its turnover sits at 6.3% against a national rate of 45.8%, which tells you caregivers tend to stay put. Weekend coverage drops roughly 30% below weekday levels, so if you're visiting on a Saturday, that's worth asking about directly. The home carries 20 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related; one fine totaling $12,703 appears on file. Its last inspection was August 2025, and both its health inspection and quality measure ratings come in at five stars.

A

89/100

Plymouth Village

Redlands, CA · San Bernardino County

CMS 4/5 48 beds Non-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
27%
Serious cites
0

Plymouth Village runs 4.53 nursing hours per resident per day, about 17% above the national average, and its staff turnover of 26.5% is well under the national 45.8%. Weekend coverage dips roughly 11% from weekday levels, which is common but worth asking about if your family visits on Saturdays or Sundays. The 23 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in June 2025, so the picture is fairly current. This is a nonprofit operation with 48 beds, and smaller nonprofits often hold onto staff longer than the for-profit chains do.

A

89/100

Village On The Green

Longwood, FL · Seminole County

CMS 5/5 60 beds Non-profit
Nurse hours
4.05 /day
Staff turnover
42%
Serious cites
0

Nurse staffing at Village On The Green runs 4.05 hours per resident day, about 5% above the national average, and turnover of 42.4% is slightly better than the typical 45.8%. But look closer: weekend coverage drops roughly 11% below the home's own weekday level, and the current record carries 10 deficiencies, one serious enough to reach harm or jeopardy. Inspectors were last on site in March 2025. The quality measure rating sits at 5 out of 5, and health inspection and staffing each land at 4, yet a nonprofit with 60 beds scoring well on paper still shows that one harm-level finding and thinner weekend staffing. That gap between ratings and the record is what a C reflects.

A

89/100

Covenant Village Care Center

Plantation, FL · Broward County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
15%
Serious cites
0

Covenant Village runs a leaner floor than average, 3.77 nurse hours per resident day against a national 3.86, and weekends dip about 9% below its own weekday coverage, so ask how that plays out on a Sunday. What stands out more is retention: 15.3% annual turnover against a national 45.8% means the people caring for your family member tend to stay, which matters for knowing who's in the building. Its 13 deficiencies include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was May 2025. The nonprofit ownership and steady workforce are the real story here, not the letter grade.

A

89/100

Regency Oaks Health Center

Clearwater, FL · Pinellas County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
40%
Serious cites
0

Regency Oaks Health Center sits in Clearwater with 60 certified beds and for-profit LLC ownership. Nurse staffing runs 4.28 hours per resident day, about 11% above the national average, and weekend coverage dips roughly 7% below its own weekday level. Staff turnover is 39.7%, better than the 45.8% national figure. Those numbers support the staffing picture, and the quality measure rating comes in at 5 out of 5. The inspection record tells a different story. Sixteen deficiencies are on file, five at harm or jeopardy level and three abuse-related, with the most recent inspection in December 2024. The health inspection rating sits at 1 out of 5, so the daily care metrics look strong while the survey history carries real weight.

A

89/100

Freedom Pointe Health Center

The Villages, FL · Lake County

CMS 4/5 72 beds For-profit
Nurse hours
4.61 /day
Staff turnover
33%
Serious cites
0

Freedom Pointe Health Center runs on 4.61 nurse hours per resident day, roughly 19% above the national average, and its staff turnover of 32.9% sits well below the 45.8% national figure, a combination that usually means caregivers stay long enough to know the residents. Weekend staffing drops about 13% from weekday levels, so ask how that plays out on Saturdays and Sundays. The 17 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was in January 2026. Three of four CMS star categories land at 4 out of 5.

A

89/100

Oaks Health Ctr At The Marshes Of Skidaway Island

Savannah, GA · Chatham County

CMS 4/5 23 beds Non-profit
Nurse hours
6.26 /day
Staff turnover
32%
Serious cites
0

The Oaks Health Center at the Marshes of Skidaway Island runs on unusually deep staffing for a 23-bed nonprofit home, 6.26 nurse hours per resident day, roughly 62% above the national figure. Turnover sits at 31.8%, well under the 45.8% national average, and weekend coverage dips only about 6% below weekdays, so care doesn't thin out when families tend to visit. What holds it back from the top tier is its inspection record: five deficiencies, two of them serious enough to reach harm or jeopardy level, plus two fines totaling $8,788. Nothing abuse-related appears. The most recent inspection was March 2026.

A

89/100

Marsh's Edge

Saint Simons Island, GA · Glynn County

CMS 5/5 20 beds For-profit
Nurse hours
10.54 /day
Staff turnover
55%
Serious cites
0

Marsh's Edge runs a small 20-bed operation, and its nurse staffing sits at 10.54 hours per resident day, roughly triple the national average of 3.86. Weekend coverage drops about 12% below its own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover is 55.2%, nearly ten points above the national 45.8%, which means the people caring for residents change often. On the regulatory side, the record is clean where it counts: two total deficiencies, none involving harm or abuse, and the last inspection was May 2025. The for-profit LLC ownership and strong inspection history round out a picture of a well-staffed home with a retention problem.

A

89/100

Evenglow Lodge

Pontiac, IL · Livingston County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
60%
Serious cites
0

Evenglow Lodge runs a tight ship on the clinical side. The last inspection was in December 2025, and the record shows 21 deficiencies with none at the harm or jeopardy level and nothing abuse-related, that's a clean pattern for a 48-bed nonprofit home. Nurse staffing sits at 5.08 hours per resident day, roughly a third above the national average, which is why the staffing stars hold at 4/5 even with weekends running about 11% lighter than weekdays. The real soft spot is turnover: 60% annually against a national 45.8%, meaning nearly two-thirds of the care team cycles through each year. Families should ask how that affects consistency on evenings and weekends.

A

89/100

Greencroft Healthcare

Goshen, IN · Elkhart County

CMS 2/5 214 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
43%
Serious cites
0

Greencroft Healthcare runs 214 certified beds in Goshen as a nonprofit, and the staffing picture is genuinely solid: 4.35 nursing hours per resident day, roughly 13% above the national average, with weekend coverage only about 7% lighter than weekdays. Turnover sits at 42.8%, a bit better than the 45.8% national figure. The trouble is inspections. A 1-out-of-5 health inspection rating, 38 deficiencies on the current record, including three at harm or jeopardy level and three tied to abuse, with the last survey dated May 2025. Strong staffing and a 5-out-of-5 quality measure score don't erase that citation history, ask pointed questions about the harm-level findings and what changed since.

A

89/100

Good Neighbor Home

Manchester, IA · Delaware County

CMS 4/5 112 beds Non-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
27%
Serious cites
0

Good Neighbor Home runs a genuinely strong staffing operation for a 112-bed nonprofit in Manchester. Nurses provide 4.33 hours per resident day, about 12% above the national average, and turnover sits at 27.2% against a national 45.8%, that kind of retention matters more than any single number, because consistent caregivers know the residents. The catch is inspections: eight deficiencies on the current record, three of them serious enough to involve harm or jeopardy, with a $6,279 fine attached. State surveyors last visited in June 2025. Weekend coverage also dips roughly 14% below weekday levels, so care can thin out when families visit. Strong hands on staff, but quality measures and inspection history both sit at two stars.

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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