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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 521–540 of 1,547, best-graded first.

A

88/100

Wildewood Downs

Columbia, SC · Richland County

CMS 5/5 32 beds For-profit
Nurse hours
5.27 /day
Staff turnover
41%
Serious cites
0

Wildewood Downs runs on nursing hours, 5.27 per resident day, roughly a third more than the national average, and that shows up in its staffing rating, which sits at the top of CMS's scale. Weekend coverage dips about 10% below weekday levels, worth knowing if your visits fall on Saturdays or Sundays, and turnover at 41.2% is a bit better than the national 45.8%, though still means a good share of the faces change year to year. Nine deficiencies on record with none at harm or jeopardy level and none abuse-related, plus an inspection as recent as January 2026, suggests a home that's been looked at closely and come through cleanly. A for-profit LLC operates it.

A

88/100

Woodcrest At Blakeford

Nashville, TN · Davidson County

CMS 4/5 83 beds Non-profit
Nurse hours
4.66 /day
Staff turnover
51%
Serious cites
0

Woodcrest at Blakeford sits in Nashville with 83 certified beds and a nonprofit owner. Nurse staffing runs 4.66 hours per resident day, about 21% above the national average of 3.86, and that shows in a four-star staffing rating. The catch is weekends, when coverage drops roughly 11% below the home's own weekday level. Annual turnover is 51.2%, higher than the 45.8% national figure, so even with good raw hours, some of the faces change often. The current record shows 13 deficiencies, none at harm or jeopardy level, but one abuse-related citation. A five-star quality measure rating and an inspection dated March 2026 round out a home that's strong on care measures with a few real caveats.

A

88/100

Lakewood Manor

Richmond, VA · Goochland County

CMS 3/5 96 beds Non-profit
Nurse hours
5.03 /day
Staff turnover
46%
Serious cites
0

Lakewood Manor runs 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and that shows up in the staffing and quality measure ratings. The trade-off is on the health inspection side: 22 deficiencies on record, one of them at the harm or jeopardy level and three tied to abuse, with the last inspection back in June 2023. Staff turnover sits at 46.4%, right about at the national norm, and weekend coverage dips about 9% below the weekday level, so evenings and Sundays are where the extra hours are least likely to reach the floor.

A

88/100

Ashby Ponds Inc

Ashburn, VA · Loudoun County

CMS 4/5 44 beds Non-profit
Nurse hours
4.82 /day
Staff turnover
39%
Serious cites
0

Ashby Ponds runs a nonprofit shop in Loudoun County with 44 certified beds and enough nurses to make most homes look thin, 4.82 hours per resident day against a national average of 3.86. Staff turnover sits at 39%, better than the 45.8% typical elsewhere, though weekends run about 11% lighter than weekdays. The inspection record shows 17 deficiencies, none involving harm or abuse, with four fines totaling $9,438 and a February 2024 survey. The 3/5 inspection rating is the weak spot; the 5/5 staffing and 4/5 quality measures carry the rest.

A

88/100

Park View Home

Woodville, WI · St. Croix County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
40%
Serious cites
0

Park View Home runs on a nonprofit model with 50 certified beds, and the staffing numbers are the story here: 4.38 nurse hours per resident day, roughly 13% above the national average, which is why it earned a five-star staffing rating. Weekend coverage dips about 15% below weekday levels, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 40%, a bit better than the 45.8% national figure. The health inspection rating is 4 out of 5, with eight deficiencies on record, none at the harm level, though one is abuse-related, worth asking about directly. The most recent inspection was September 24, 2025, so the record is current.

A

88/100

Newcastle Place

Mequon, WI · Ozaukee County

CMS 3/5 47 beds Non-profit
Nurse hours
5.22 /day
Staff turnover
43%
Serious cites
0

Newcastle Place sits in Mequon with 47 certified beds under nonprofit ownership, and its staffing numbers stand out: 5.22 nurse hours per resident day, roughly 35% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, but turnover at 43.2% is slightly better than the 45.8% national figure. The trouble is the inspection record, 43 deficiencies, including 2 at harm or jeopardy level and 10 tied to abuse, with a $12,740 fine and a May 2026 inspection date. Strong bedside hours and a clean quality measure score don't cancel out that many serious findings.

A

88/100

Ararat Post Acute

Glendale, CA · Los Angeles County

CMS 5/5 28 beds For-profit Medicaid
Nurse hours
5.36 /day
Staff turnover
20%
Serious cites
0

Ararat Post Acute runs a tight ship on staffing for a 28-bed for-profit home in Glendale. At 5.36 nurse hours per resident day, it beats the national average by roughly 39%, and a 20% turnover rate is less than half the national figure, that kind of stability matters more than any star rating. The catch is in the inspection record: 30 deficiencies, one serious enough to trigger a harm or jeopardy finding, and two fines totaling $49,089. Weekend coverage also dips about 14% below weekday levels, so care can thin out when families visit. The most recent inspection was January 2026, so the record is current. Strong staffing, but the deficiency history is real.

A

88/100

Continuing Care At Highland Springs

Dallas, TX · Dallas County

CMS 3/5 44 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
31%
Serious cites
0

Continuing Care At Highland Springs runs 44 certified beds as a nonprofit, and its staffing is a genuine bright spot: 4.29 nurse hours per resident day, roughly 11% above the national average, with weekend coverage dipping about 10% below its own weekday levels. Turnover sits at 31.4%, well under the 45.8% national figure, so the people caring for residents tend to stay. The friction is on the inspection side, 17 deficiencies on record, two of them serious enough to reach harm or jeopardy, plus one $46,105 fine, with the most recent inspection in September 2025. That combination of strong daily staffing and a troublesome survey history is what pulls the overall picture down.

A

87.5/100

Crandall Nursing Home

Sebring, OH · Mahoning County

CMS 4/5 150 beds Non-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
34%
Serious cites
0

Crandall Nursing Home runs on more nursing hours than most places, 4.61 per resident per day against a national average of 3.86, roughly 19% higher. That staffing edge holds up in the turnover figure too: 34.1% annual turnover versus 45.8% nationally, meaning fewer unfamiliar faces from one month to the next. The tradeoff sits in the inspection record. Twelve deficiencies are on file, including one at the harm or jeopardy level and one tied to abuse, even though the last inspection was recent, in March 2026. Weekend coverage also drops about 21% below the home's own weekday level, which matters if your family visits on Saturdays and Sundays. Nonprofit ownership; four stars each for health inspections, quality measures, and staffing.

A

87.5/100

Shepherd Of The Valley Howland

Howland, OH · Trumbull County

CMS 4/5 65 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
32%
Serious cites
0

Shepherd Of The Valley Howland runs on 4.29 nurse hours per resident day, roughly 11% more than the national average, and its 4/5 staffing rating backs that up. Weekend coverage dips about 15% below weekday levels, so ask how that plays out on a Saturday. Turnover sits at 32.1% against a national 45.8%, which matters for whether you see the same faces. Eleven deficiencies are on record, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was June 2025, and with 4/5 ratings on health inspections and quality measures, this nonprofit's numbers hold up better than most.

A

87.5/100

Country Meadows Nursing Center Of Bethlehem

Bethlehem, PA · Northampton County

CMS 5/5 70 beds For-profit
Nurse hours
4.12 /day
Staff turnover
35%
Serious cites
0

Country Meadows Nursing Center Of Bethlehem runs about 4.12 nurse hours per resident day, roughly 7 percent above the national average, and its staff turnover of 35.2 percent sits well under the 45.8 percent national figure, a meaningful edge in a field where constant retraining hurts care. Weekend staffing dips about 17 percent below weekday levels, so ask how weekends are covered. The inspection record is clean where it counts: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in July 2025. For-profit corporate ownership and 70 beds round out the picture; the numbers here lean favorable.

A

87.5/100

Army Residence Community

San Antonio, TX · Bexar County

CMS 5/5 91 beds Non-profit
Nurse hours
4.19 /day
Staff turnover
40%
Serious cites
0

Nurse staffing here runs about 4.19 hours per resident per day, roughly 8% above the national average, and the health inspection and quality measure ratings both come in at 5 out of 5. Weekend coverage drops about 16% below the home's own weekday level, though, so care can look thinner on Saturdays and Sundays than the weekday numbers suggest. Staff turnover sits at 40%, a bit better than the 45.8% national figure. The current record shows 18 deficiencies, none at the harm or jeopardy level, but two tied to abuse, which is worth asking about directly.

A

87/100

Christian Care Nursing Center

Phoenix, AZ · Maricopa County

CMS 4/5 20 beds Non-profit Medicaid
Nurse hours
8.40 /day
Staff turnover
—
Serious cites
0

Christian Care Nursing Center is a small nonprofit home in Phoenix, just 20 certified beds, with nurse staffing at 8.40 hours per resident day, roughly double the national average of 3.86. That's an unusual number, and it shows up in the weekend figures too: coverage drops about 16% below its own weekday level, so the cushion narrows even if it stays comfortable. The home's record carries 9 deficiencies, none at the harm or jeopardy level and none abuse-related, and its last inspection was in August 2025. All three CMS star categories, health inspections, quality measures, and staffing, sit at 4 out of 5. For a family weighing a place this size, the staffing margin and the clean harm record are the parts worth asking about directly.

A

87/100

Encore At Foulk

Wilmington, DE · New Castle County

CMS 5/5 46 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
13%
Serious cites
0

Encore At Foulk runs a tight ship on staffing. At 3.91 nurse hours per resident day, it sits just above the national average of 3.86, and its staff turnover of 13.3% is remarkably low next to the 45.8% national figure, that kind of retention usually means people stay because the place is run well. Weekend coverage dips about 10% below weekday levels, worth asking about if your family visits on Saturdays or Sundays. The inspection record is strong too: a five-star health inspection rating, last survey dated April 2026, and no abuse-related deficiencies. Twelve total deficiencies with one at the harm level and a single $13,544 fine are not nothing, but they're modest for a nursing home this size.

A

87/100

Harbours Edge

Delray Beach, FL · Palm Beach County

CMS 4/5 54 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
26%
Serious cites
0

Harbours Edge runs a tight ship on staffing for a 54-bed nonprofit in Delray Beach. Nurses give about 4.17 hours of care per resident per day, roughly 8% more than the national average, and weekend coverage only dips about 12% below weekday levels, which matters because that's when a lot of homes quietly thin out. Turnover sits at 25.9%, well under the national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in inspections: 15 deficiencies on the current record, including one abuse-related, though none rose to harm or jeopardy. That record earned a 3 out of 5 on health inspections, offset by 5s in quality measures and staffing.

A

87/100

Inn At Freedom Village, The

Bradenton, FL · Manatee County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.79 /day
Staff turnover
41%
Serious cites
0

The Inn at Freedom Village runs 4.79 nurse hours per resident day, roughly a quarter more than the national average, and that staffing shows up as a 5-out-of-5 federal rating, the strongest part of this home's record. Weekend coverage dips about 14% below weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. Inspections are the weaker side: 17 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy level. The last inspection was July 2024, and the health inspection rating is 2 out of 5.

A

87/100

Oak Trace

Downers Grove, IL · Du Page County

CMS 5/5 104 beds Non-profit
Nurse hours
4.30 /day
Staff turnover
39%
Serious cites
0

Oak Trace runs on 4.30 nurse hours per resident day, about 11% above the national average, though weekends dip roughly 11% below its own weekday coverage, worth asking about if your family visits Saturdays and Sundays. Staff turnover sits at 39.3%, better than the 45.8% national figure, and the health inspection record shows 16 deficiencies, two of them at the harm level, with no abuse citations and one fine of $13,780. The last inspection was March 2026, so the record is current. As a nonprofit with 104 beds in Downers Grove, it posts strong quality and staffing marks; the harm-level deficiencies and that weekend gap are the two things pulling an otherwise solid record down a notch.

A

87/100

Amber Manor Care Center

Petersburg, IN · Pike County

CMS 5/5 64 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
30%
Serious cites
0

Amber Manor runs a tight ship on inspections: seven deficiencies on record, none of them serious enough to cause harm or involve abuse, and a recent survey from August 2025 backs that up. The tradeoff shows up in daily staffing. At 3.46 nurse hours per resident day, it sits roughly 11% under the national average, and weekends dip about 13% below its own weekday coverage, worth asking how that plays out on a Sunday. Staff turnover is the bright spot at 30%, well under the 45.8% national figure, which suggests people stick around. It's a for-profit LLC with 64 beds, and quality measures score well, but the staffing gap is the number I'd press on.

A

87/100

Silver Oaks Health Campus

Columbus, IN · Bartholomew County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
36%
Serious cites
0

Silver Oaks runs 4.80 nurse staffing hours per resident per day, roughly a quarter above the national average, and its staff turnover of 35.5% sits well below the typical 45.8%, both signs of a stable, well-covered floor. The tradeoffs show up elsewhere: 19 deficiencies on the current record, including two at the harm or jeopardy level, and a single $8,824 fine. Weekend staffing dips about 5% below its own weekday level, so coverage isn't perfectly even. The most recent inspection was May 12, 2026, meaning the record reflects current conditions rather than old ones. Corporate ownership and a 3-out-of-5 inspection rating are worth asking about directly.

A

87/100

Lutheran Community Home

Seymour, IN · Jackson County

CMS 5/5 95 beds Non-profit Medicaid
Nurse hours
4.96 /day
Staff turnover
47%
Serious cites
0

Lutheran Community Home runs on a nonprofit model with 95 certified beds in Seymour, and its staffing is the clearest strength here, 4.96 nurse hours per resident day, roughly 28% above the national average of 3.86. That shows up in its five-star staffing rating. Weekend coverage dips about 11% below weekday levels, though, so care may look different on a Saturday. Turnover sits at 47.4%, just above the national 45.8%, meaning aides and nurses still cycle through. Its inspection record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent survey in December 2025. Quality measures land at three stars, softer than the staffing story.

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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