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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 501–520 of 1,547, best-graded first.

A

88/100

Overlook Masonic Health Center

Charlton, MA · Worcester County

CMS 4/5 181 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
40%
Serious cites
0

Overlook Masonic Health Center runs on 4.40 nurse hours per resident day, roughly 14% above the national average, which is the kind of margin that shows up in everyday care. Weekend staffing dips about 7% below its own weekday level, though, so coverage isn't perfectly even across the week. Staff turnover sits at 40.1%, better than the 45.8% national figure but still meaning two in five caregivers left last year. The inspection record shows 14 deficiencies, none at harm or jeopardy level, with one abuse-related finding, worth asking about directly. State inspectors last visited in May 2025.

A

88/100

Bethesda

Willmar, MN · Kandiyohi County

CMS 4/5 248 beds Non-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
36%
Serious cites
0

Bethesda in Willmar runs a 248-bed nonprofit home tied to a church, and the staffing numbers are the strongest part of its record: 4.75 nurse hours per resident day, roughly 23% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Saturday. Annual turnover sits at 36.3%, better than the 45.8% national figure, which matters for whether your parent sees the same faces. Inspections give some pause, 19 deficiencies on the current record, one serious enough to involve harm or jeopardy, though none abuse-related. The last inspection was December 2025, so the picture is recent.

A

88/100

Immanuel Skilled Care Center

Kalispell, MT · Flathead County

CMS 5/5 155 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
40%
Serious cites
0

Immanuel Skilled Care Center runs on 4.37 nurse hours per resident day, roughly 13% above the national average, and CMS gives it top marks for staffing. Weekend coverage dips about 5% below its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 40.2%, better than the 45.8% national figure but still meaning two in five caregivers left last year. The home carries 21 deficiencies, none at the harm level, though three are abuse-related, worth asking about directly. Inspections are current as of December 2025, and the nonprofit corporation behind it has no profit motive pushing census.

A

88/100

Oaks At Denville, The

Denville, NJ · Morris County

CMS 4/5 84 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
44%
Serious cites
0

The Oaks at Denville runs a nonprofit home in Morris County with 84 beds, and its staffing is the standout fact here: 5.13 nurse hours per resident day, roughly a third more than the national average, with a perfect staffing star rating to match. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and weekend coverage dips only about 6% below weekdays, which is a fairly modest drop. What pulls the record down is inspections, a 3-out-of-5 rating and 24 deficiencies on the current record, including one at the harm or jeopardy level, from a survey completed January 31, 2025. No abuse-related citations appear. Strong hands-on care, a longer paper trail of problems.

A

88/100

Wesley Pines Retirement Community

Lumberton, NC · Robeson County

CMS 4/5 62 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
27%
Serious cites
0

Wesley Pines runs a leaner operation than most: 4.17 nurse hours per resident day against a national average near 3.86, and weekend staffing that dips only about 9% below weekdays. Staff turnover sits at 26.6%, well under the national 45.8%, a real advantage in a county where finding and keeping nurses is hard. The trade-offs show up elsewhere. Nine deficiencies are on file, two tied to abuse, though none rose to the level of documented harm or jeopardy, and the last inspection was recent, in January 2026. Quality measures score at the top of CMS's scale, which is worth noticing for a corporation-owned home of this size.

A

88/100

The Rosewood Health Center

Raleigh, NC · Wake County

CMS 5/5 57 beds Non-profit
Nurse hours
5.98 /day
Staff turnover
21%
Serious cites
0

The Rosewood Health Center runs on unusually deep staffing for a 57-bed nonprofit in Raleigh, 5.98 nurse hours per resident day against a national average of 3.86, and a 21.3% turnover rate that's less than half the national figure. That kind of retention matters, because it means the people caring for your family member have usually been there a while. Its four deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in June 2025, so the picture is current rather than stale. The weaker spot is the quality measure rating, which sits at 2 out of 5, worth asking about directly when you visit.

A

88/100

Lutheran Home

Westlake, OH · Cuyahoga County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
52%
Serious cites
0

Lutheran Home runs about 5.37 nurse hours per resident each day, roughly 39% above the national average, that's a real cushion, and it's the number driving the grade here. The catch is turnover: 51.6% of staff left over the year, higher than the 45.8% national rate, and weekend coverage dips about 5% below weekdays. Inspections show 15 deficiencies on record, none rising to harm or jeopardy, though three are abuse-related. The last full inspection was August 2023, so the picture is more than a year old. This is a well-staffed nonprofit with steady quality marks and enough staff to absorb some churn, worth a visit, with questions ready about weekend coverage and that abuse history.

A

88/100

First Community Village Healthcare Ctr

Columbus, OH · Franklin County

CMS 4/5 47 beds Non-profit Medicaid
Nurse hours
5.06 /day
Staff turnover
51%
Serious cites
0

First Community Village in Columbus runs a nonprofit home with 47 beds, and its nurse staffing sits well above what most homes manage, about 5.06 hours per resident day against a national average near 3.86. That's a real edge, though weekends dip roughly 8% below its own weekday coverage, and turnover runs 51%, a bit above the 45.8% national figure. The tradeoff shows up in its record: 26 deficiencies, two of them at harm or jeopardy level and two tied to abuse, plus one fine of $17,610. Its last inspection was June 2025. Quality measures score high; the inspection history is where the caution lives.

A

88/100

Brookhaven Nursing & Rehabilitation Center

Brookville, OH · Montgomery County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
30%
Serious cites
0

Brookhaven runs a tight operation. Nurse staffing sits at 3.92 hours per resident day, just above the national mark, and the 29.9% turnover rate is far better than the 45.8% typical nationwide, that stability matters more than a single good week of coverage, though weekend hours do run about 11% under weekday levels. The inspection record backs it up: 14 deficiencies on file, none at the harm level, none abuse-related, with the most recent survey completed in April 2026. For-profit individual ownership doesn't guarantee anything either way, but the numbers here suggest a home that mostly does what it says.

A

88/100

Willows At Willard The

Willard, OH · Huron County

CMS 5/5 69 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
32%
Serious cites
0

Staffing at Willows At Willard runs a little under four hours of nurse time per resident each day, roughly 4% below the national average, with weekends dipping another 2% below its own weekday pattern. The bigger number is turnover: 32.4% against a national average of 45.8%, which suggests people stay here longer than they do at most homes. State inspectors have cited 13 deficiencies, none reaching harm or jeopardy and none tied to abuse, and the most recent inspection was in April 2026. A for-profit corporation owns the 69-bed building, and quality measures score well above average.

A

88/100

Parkvue Health Care Center

Sandusky, OH · Erie County

CMS 5/5 84 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
54%
Serious cites
0

Parkvue Health Care Center runs about 4.27 nursing hours per resident day, roughly 11% above the national average, which is the number that matters most for day-to-day care. Weekend staffing dips about 9% below its own weekday level, though, and annual turnover sits at 54.4% against a national 45.8%, so the care is there on paper, with more churn behind it than average. Inspections back that up: a 4/5 health inspection rating, 16 deficiencies on record but none at the harm level and none abuse-related, and a recent March 2026 survey. For-profit corporate ownership, 84 beds. Solid, not spotless.

A

88/100

Brethren Care Village Health Care Center

Ashland, OH · Ashland County

CMS 5/5 79 beds For-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
36%
Serious cites
0

Brethren Care Village runs 79 certified beds as a nonprofit, and the numbers suggest a home that's been stable for a while. Nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average, though weekends dip about 8% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 36.2% against a national average near 46%, which matters because consistent caregivers learn residents' routines. Its twelve deficiencies include none at the harm level and none abuse-related, and the last inspection was in September 2022, so that record is getting older and could shift at the next survey.

A

88/100

Walnut Hills Nursing Home

Walnut Creek, OH · Holmes County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
52%
Serious cites
0

Walnut Hills runs on more nursing hours than most homes, 4.71 per resident day against a national average of 3.86, and weekends dip only about 9% below its own weekday pace, which is a smaller drop than many places manage. The trade-off shows up in turnover: 52.1% of staff left over the year, higher than the 45.8% national figure, so the people delivering that care keep changing. Its inspection record carries 36 deficiencies, none at the harm level but two tied to abuse, with the last survey in November 2024. Church-affiliated nonprofit ownership and a 5/5 quality measure rating round out the picture.

A

88/100

Cypress Pointe Health Campus

Englewood, OH · Montgomery County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
31%
Serious cites
0

Cypress Pointe runs about 4.43 nurse hours per resident per day, roughly 15% above the national average, and its staff turnover sits at 31.3% against a national 45.8%, that retention matters more than any single inspection score, since it means the people caring for your relative tend to stick around. Weekends run about 10% leaner than weekdays, so if you visit on a Saturday, expect a slightly thinner crew. The home carries 10 deficiencies, one serious enough to involve harm or jeopardy, but nothing abuse-related, and its last inspection was recent. Corporate for-profit ownership, 70 beds.

A

88/100

Marquis Hope Village

Canby, OR · Clackamas County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
48%
Serious cites
0

Marquis Hope Village runs about 4.85 nurse hours per resident day, roughly a quarter more than the national average, and that staffing cushion shows up in its four-star staffing rating. Turnover sits at 48.4%, a bit above the national 45.8%, so the hands on deck are there but the faces change somewhat more often than average. The 14 deficiencies on record include none involving harm or jeopardy and none tied to abuse, and the last inspection was in May 2025. Weekend staffing dips about 8% below the facility's own weekday level. For a 50-bed for-profit, the record is steady rather than spotless.

A

88/100

Wesbury United Methodist Commu

Meadville, PA · Crawford County

CMS 4/5 210 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
35%
Serious cites
0

Wesbury United Methodist runs 210 certified beds in Meadville under church-related nonprofit ownership, and its inspection record is clean where it counts: 14 deficiencies on file, none at the harm or jeopardy level, none abuse-related, with a survey completed in July 2025. Staffing is the tradeoff. At 3.63 nurse hours per resident day it sits about 6% under the national average of 3.86, and weekends dip roughly 8% below the home's own weekday numbers, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover tells a better story: 35% against a national 45.8% means aides and nurses tend to stay, which matters more for daily care than a single staffing snapshot.

A

88/100

Moravian Manor

Lititz, PA · Lancaster County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
4.90 /day
Staff turnover
52%
Serious cites
0

Moravian Manor is a 119-bed nonprofit in Lititz, and the first thing that stands out is nurse staffing: 4.90 hours per resident day, roughly 27% above the national average of 3.86. That matters, though weekends run about 7% thinner than weekdays, so coverage isn't perfectly even. Turnover sits at 51.5%, higher than the 45.8% national figure, which means familiar faces aren't guaranteed. The inspection record is strong, five stars and only 10 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. Last inspection was August 2025, so the picture is current.

A

88/100

Homeland Center

Harrisburg, PA · Dauphin County

CMS 4/5 95 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
44%
Serious cites
0

Homeland Center runs on 4.44 nurse staffing hours per resident day, roughly 15 percent above the national average, though weekends dip about 8 percent below its own weekday coverage. Turnover sits at 43.5 percent, a touch better than the national 45.8 percent. The inspection record is the caution flag: 11 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection on August 21, 2025. This is a nonprofit corporation with 95 certified beds. The staffing and quality measure ratings both land at 4 out of 5, and that staffing cushion is real, but the harm-level and abuse-related findings on the current record are the items worth asking about directly.

A

88/100

Peter Becker Community

Harleysville, PA · Montgomery County

CMS 4/5 72 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
42%
Serious cites
0

Peter Becker Community in Harleysville runs a 72-bed nonprofit home where nurse staffing comes in at 4.45 hours per resident day, roughly 15 percent above the national average of 3.86. Weekend coverage dips about 8 percent below weekday levels, which is worth asking about if your family visits or calls on Saturdays. Staff turnover sits at 42.2 percent, slightly better than the 45.8 percent national figure, so the crew here is a bit more stable than most. The current record shows four deficiencies, none at the harm or jeopardy level, though one is abuse-related. The last inspection was May 13, 2026, and the health, quality, and staffing ratings each came in at 4 out of 5 stars.

A

88/100

Broad Creek Care Center

Hilton Head Island, SC · Beaufort County

CMS 5/5 25 beds For-profit
Nurse hours
5.51 /day
Staff turnover
47%
Serious cites
0

Broad Creek Care Center is small, 25 beds, and it's putting 5.51 nursing hours behind each resident per day, roughly 43% more than the national average. That's a real difference if your family member needs hands-on help, though weekends run about 12% thinner than weekdays, so ask what Sunday afternoon actually looks like. Turnover sits at 47.4%, a touch above the national figure, which means the faces around your parent may keep changing even with the hours on paper. On the record: seven deficiencies, one serious enough to risk harm, two tied to abuse, and the last inspection was January 2026. Corporate-owned, for profit.

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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