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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 441–460 of 1,547, best-graded first.

A

89/100

Gracewell, An Eventide Community

Denison, IA · Crawford County

CMS 5/5 84 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
19%
Serious cites
0

Gracewell runs leaner on nurse hours than the typical American nursing home, 3.64 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. What stands out more is who stays: turnover sits at 18.5% when the national figure is 45.8%, so the people caring for residents here tend to still be there next year. The inspection record backs that up, with 10 deficiencies on file, none involving harm or jeopardy and none abuse-related, and a survey as recent as August 2025. For a nonprofit home, that combination of steady staff and a clean harm record counts for more than the raw hours suggest.

A

89/100

Keystone Nursing Care Center Inc

Keystone, IA · Benton County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
39%
Serious cites
0

Keystone Nursing Care Center runs 55 beds under corporate for-profit ownership, and its inspection record is genuinely strong, a 5-star health inspection rating with just three deficiencies on file, only one at the harm level and none tied to abuse. Quality measures also score 5 stars. Where it gives ground is staffing: 3.75 nurse hours per resident day sits about 3% under the national average, weekend coverage drops roughly 12% below its own weekday level, and the staffing rating lands at 3 stars. Turnover is the brighter spot at 38.6%, well under the 45.8% national figure. Its last inspection was September 2025.

A

89/100

The Suites At Western Home Communities

Cedar Falls, IA · Black Hawk County

CMS 5/5 72 beds Non-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
44%
Serious cites
0

The Suites At Western Home Communities runs about 4.56 nurse hours per resident day, roughly 18% above the national average, and weekend staffing only dips about 5% below weekday levels, a small gap, which matters because weekends are where a lot of homes quietly thin out. Turnover sits at 43.6%, slightly better than the 45.8% national figure but still meaning nearly half the nursing staff turning over in a year. The inspection record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. With a nonprofit owner, a recent March 2026 inspection, and 4s across health inspection and quality measures alongside that 5 on staffing, the numbers point to a home that's well-staffed and currently in good standing.

A

89/100

Brewster Health Center

Topeka, KS · Shawnee County

CMS 5/5 97 beds Non-profit Medicaid
Nurse hours
5.70 /day
Staff turnover
53%
Serious cites
0

Brewster Health Center runs on church-affiliated nonprofit ownership and staffs well above average, 5.70 nurse hours per resident day against a national 3.86, roughly half again the typical home. That staffing depth shows up in the four-out-of-five staffing rating and a perfect quality measure score, and the inspection record is recent, from June 2025, with nineteen deficiencies but none rising to harm or jeopardy. Two abuse-related citations are worth asking about directly. The real soft spots are turnover at 53.1 percent, higher than the 45.8 percent national figure, and weekend coverage that drops about 11 percent below weekday levels. Ask how they hold staffing steady on Saturdays and Sundays.

A

89/100

Paramount Community Living And Rehab Inc

Newton, KS · Harvey County

CMS 3/5 101 beds Non-profit Medicaid
Nurse hours
5.60 /day
Staff turnover
40%
Serious cites
0

Paramount Community Living and Rehab runs about 5.60 nurse hours per resident day, roughly 45% above the national average, and weekend staffing holds within about 8% of weekday levels, better continuity than many homes manage. Turnover sits at 40.3%, a bit below the national 45.8%, which matters for residents who value seeing the same faces. The tradeoff shows up in the inspection record: 33 deficiencies on file, one tied to abuse, though none reached harm or jeopardy, and the last inspection was recent enough to trust. For a nonprofit with 101 beds in Newton, the staffing investment is real; the survey history is the part worth asking about directly.

A

89/100

Schowalter Villa

Hesston, KS · Harvey County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
5.12 /day
Staff turnover
31%
Serious cites
0

Schowalter Villa runs on a nurse staffing level that's roughly a third higher than what's typical nationally, and its staff tends to stick around far longer than the average home, turnover sits near 31% against a national figure closer to 46%. The nonprofit's inspection record backs that up: a clean five-star health inspection rating, with six deficiencies on file and none involving harm, jeopardy, or abuse, last surveyed in November 2024. Weekend coverage dips slightly, about 7% below weekday levels, which is common but worth knowing if you're visiting then. The weaker spot is the quality measure rating, just two stars, suggesting the clinical outcome data isn't keeping pace with the strong staffing and inspection marks.

A

89/100

Brookdale Rosehill

Shawnee, KS · Johnson County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
40%
Serious cites
0

Brookdale Rosehill runs 92 certified beds in Shawnee, and the numbers hold up better than most. Nurse staffing sits at 3.94 hours per resident day, just above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family visits Saturdays. Staff turnover is 40%, below the national 45.8%, which suggests people stay. The 36 deficiencies on record sound like a lot until you see none reached harm or jeopardy level and none involved abuse; that's paperwork and process issues, not resident safety. The last inspection was December 2025, so the picture is current. Corporate for-profit ownership, but the direct-care numbers are what families actually feel.

A

89/100

Cedar Ridge Health Campus

Cynthiana, KY · Harrison County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
44%
Serious cites
0

Cedar Ridge runs about 53 certified beds in Cynthiana under corporate for-profit ownership, and the staffing numbers are quietly decent: 3.99 nurse hours per resident day, a bit above the national average, with weekend coverage dropping roughly 8% from weekday levels. Turnover sits at 43.9%, slightly better than the national 45.8%. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection came in January 2026. Quality measure and staffing ratings both land at 4 or better out of 5. What you're looking at is a home that isn't perfect on paper but has no serious problems in the numbers that matter most.

A

89/100

Sam Swope Care Center

Masonic Home, KY · Jefferson County

CMS 2/5 136 beds Non-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
42%
Serious cites
0

Sam Swope Care Center has real staffing strength: 5.11 nurse hours per resident day, roughly a third more than the national average, with a 4-star staffing rating to match. Turnover sits at 42.4%, slightly better than the national 45.8%. But the inspection record is where this home gets shakier, 12 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings and two fines totaling $14,859. Weekend staffing also dips about 11% below weekday levels, which matters when families visit. The most recent inspection was February 2026. Good coverage day to day, yes, but the enforcement history is the number I'd ask about directly.

A

89/100

Wilson Health Care Center

Gaithersburg, MD · Montgomery County

CMS 5/5 285 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
14%
Serious cites
0

Wilson Health Care Center sits in Gaithersburg with 285 certified beds and a nonprofit owner, and the staffing numbers are the real story here: 4.12 nurse hours per resident day, about 7 percent above the national average. Weekend coverage dips roughly 11 percent below its own weekday level, so ask how that plays out on a Saturday. Turnover is 13.5 percent against a national average near 46 percent, which matters for whether you see the same faces month to month. The current record shows 32 deficiencies, none at harm or jeopardy level, but 4 are abuse-related, worth asking about directly. Inspectors were last in on April 10, 2025.

A

89/100

Asbury Solomons

Solomons, MD · Calvert County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
35%
Serious cites
0

Asbury Solomons runs on thin nurse staffing, 3.83 hours per resident day, just under the national figure of 3.86, and weekends are leaner still, about 13% below its own weekday coverage. What stands out more is retention: turnover of 35.3% sits well under the 45.8% national average, which matters because familiar aides tend to notice changes in a resident sooner. Inspections in June 2025 produced 23 deficiencies, none at the harm or jeopardy level, though three were abuse-related, worth asking about directly. The five-star marks on health inspections and quality measures reflect real performance, but the abuse citations and weekend dips are the details a tour won't show you.

A

89/100

Valley Health Center

Grand Rapids, MI · Kent County

CMS 5/5 20 beds Non-profit Medicaid
Nurse hours
5.18 /day
Staff turnover
23%
Serious cites
0

Valley Health Center runs on unusually thick nurse coverage: 5.18 hours per resident day, roughly a third more than the national average, and it holds onto staff far better than most, 22.9% turnover against a national 45.8%. Weekend hours dip about 8% below weekday levels, so ask how that plays out on a Sunday. The inspection record is recent (July 2025) and mostly clean, though ten deficiencies include one at the harm level and none related to abuse. Quality measure scores sit at 2 out of 5, which is the number worth asking about directly, staffing strength and quality ratings don't always tell the same story.

A

89/100

Deerfield Episcopal Retirement

Asheville, NC · Buncombe County

CMS 5/5 62 beds Non-profit
Nurse hours
5.44 /day
Staff turnover
29%
Serious cites
0

Deerfield Episcopal runs a lean, well-staffed operation: 5.44 nurse hours per resident day against a national average of 3.86, and turnover at 28.7% is far below the 45.8% norm, which matters because consistent caregivers know the residents. Inspections back that up, a five-star health inspection rating, three total deficiencies, none causing harm, none abuse-related. The soft spot is quality measures, where the home scores just two stars, and weekend staffing dips about 14% below weekday levels, so ask specifically who's on the floor on Saturdays and Sundays. It's a nonprofit with 62 beds and a recent inspection, and the numbers suggest solid care with one area worth a direct question.

A

89/100

Ohio Living Dorothy Love

Sidney, OH · Shelby County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
36%
Serious cites
0

Nurse staffing at Ohio Living Dorothy Love runs about 4.39 hours per resident day, roughly 14 percent above the national average, and that margin matters most on weekends, coverage there drops about 12 percent below the home's own weekday level. Staff turnover sits at 36.4 percent, well under the national 45.8 percent, which suggests people tend to stay. The 17 deficiencies on file include none at the harm or jeopardy level and none related to abuse, and the most recent inspection came in March 2025, so the record is current. Shelby County's nonprofit home doesn't have a clean sheet, but nothing in it points to danger.

A

89/100

Brookdale Westlake Village

Westlake, OH · Cuyahoga County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
45%
Serious cites
0

Brookdale Westlake Village runs 60 certified beds in Cuyahoga County under corporate ownership, and the nurse staffing comes in around 4.27 hours per resident day, roughly 11% above the national average. That number slips on weekends, though, landing about 15% below what the same building provides Monday through Friday, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Staff turnover sits at 44.6%, basically level with the national figure, and the home's nine deficiencies include one tied to abuse, though none rose to the level of actual harm or jeopardy. Its last inspection was October 2024.

A

89/100

Zarrow Pointe

Tulsa, OK · Tulsa County

CMS 5/5 62 beds Non-profit Medicaid
Nurse hours
5.57 /day
Staff turnover
41%
Serious cites
0

Zarrow Pointe runs a sizeable nursing staff, 5.57 hours per resident per day against a national average of 3.86, with weekends dipping about 11% below weekdays, so coverage stays solid across the week. Staff turnover sits at 41%, slightly better than the typical 45.8% nationally. Against that, the current record shows 19 deficiencies, including two at the harm level and one abuse-related, plus a single fine of $8,278. The last inspection was August 2025. The staffing numbers are the strength here; the deficiency history is what a family should ask about directly, particularly the abuse finding.

A

89/100

Masonic Village At Lafayette Hill

Lafayette Hill, PA · Montgomery County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
21%
Serious cites
0

Masonic Village at Lafayette Hill runs on a non-profit corporate model with just 50 certified beds, and its nurse staffing sits at 4.79 hours per resident day, roughly 24% above the national average. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover lands at 21%, less than half the national figure of 45.8%, so the people caring for residents tend to stay. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated July 17, 2025. CMS rates staffing 5 out of 5, though quality measures come in at 2 out of 5 and health inspections at 3.

A

89/100

The Lodge At Wellmore- Tega Cay

Fort Mill, SC · York County

CMS 5/5 60 beds For-profit
Nurse hours
4.74 /day
Staff turnover
30%
Serious cites
0

The Lodge at Wellmore in Tega Cay runs 4.74 nursing hours per resident per day, about 23% above the national average of 3.86, and its staffing and quality measure ratings both come in at 5 out of 5. Staff turnover sits at 29.5%, well below the national 45.8%, which matters for whether your family sees the same faces month to month. The catch is the inspection record: seven deficiencies, three of them serious enough to reach harm or jeopardy level, plus three fines totaling $35,403, with the most recent inspection in April 2025. Strong daily care numbers and a thin margin for error on compliance can both be true.

A

89/100

Lake Forest Village By Purehealth

Denton, TX · Denton County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
44%
Serious cites
0

Lake Forest Village By Purehealth runs 60 certified beds in Denton under for-profit LLC ownership. Nurse staffing sits at 3.97 hours per resident day, modestly above the national average of 3.86, though weekends dip roughly 14% below the home's own weekday coverage, so the aide or nurse you reach on a Saturday may be stretched thinner than on a Tuesday. The 44.2% annual turnover roughly tracks the national 45.8% rate. Twelve deficiencies appear on the current record with none at harm or jeopardy level and none abuse-related; the most recent inspection was September 2025, so the picture is current. CMS gives 5 of 5 stars on quality measures, 4 of 5 on staffing, and 3 of 5 on health inspections.

A

89/100

Rosewood Health Facility

Bakersfield, CA · Kern County

CMS 4/5 79 beds Non-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
24%
Serious cites
0

Rosewood Health Facility runs on unusually strong staffing for a 79-bed nonprofit home in Bakersfield, 4.82 nurse hours per resident day, roughly a quarter above the national average, and weekend coverage only dips about 9% below weekdays. Turnover sits at 24.1%, well under the national 45.8%, which matters because consistent caregivers know the residents. The catch is the inspection record: 47 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine. That mix, excellent staffing and quality scores against a long, sometimes serious deficiency history, is why this lands at a solid B rather than higher.

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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