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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 41 to 60 of 1,547, best-graded first.

A

99/100

The Legacy At Willow Bend

Plano, TX · Collin County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
27%
Serious cites
0

The Legacy At Willow Bend runs on about 5.58 nurse hours per resident day, roughly 45% more staffing than the typical American nursing home. That's the kind of margin that shows up in daily care, and it's backed by a 26.7% annual staff turnover rate, well below the 45.8% national figure, meaning fewer unfamiliar faces. The trade-off: 16 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level. The most recent inspection was in December 2025, so the picture is current. Weekend staffing dips about 8% below its own weekday level, a small but real gap. Nonprofit ownership, strong inspection and quality ratings, and no harm-level findings round out the record.

A

97.5/100

Vi At Silverstone, A Vi And Plaza Companies Commun

Scottsdale, AZ · Maricopa County

CMS 2/524 bedsFor-profit
Nurse hours
5.95 /day
Staff turnover
25%
Serious cites
0

Vi at Silverstone runs a small 24-bed operation in Scottsdale, and the numbers behind its record are mostly strong. Nurse staffing sits at 5.95 hours per resident day, roughly half again the national average, and weekend coverage only dips about 15% below weekdays, worth knowing, since weekend gaps are where a lot of homes slip. Staff turnover of 25% is well under the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoffs: five deficiencies on record, including one abuse-related citation, though none reached harm or jeopardy, and the last inspection came in March 2025. It's corporate-owned and for-profit, and the quality and staffing scores reflect a home that's performing well on paper.

A

97.5/100

Lasell House

Newton, MA · Middlesex County

CMS 5/544 bedsNon-profit
Nurse hours
4.94 /day
Staff turnover
35%
Serious cites
0

Lasell House runs on about 4.94 nursing hours per resident each day, roughly a quarter more than the typical American nursing home, and its staff turnover sits near 34.5%, well under the national 45.8%. Inspectors have cited just two deficiencies, neither involving harm or abuse, and the most recent visit was in September 2025, so the record is both clean and current. The trade-off worth knowing is weekends, when staffing drops about a fifth from its own weekday level. That's common in nursing homes, but it matters most for a small 44-bed nonprofit where there's less slack to absorb an absence.

A

97.5/100

Medford Leas

Medford, NJ · Burlington County

CMS 5/524 bedsNon-profit
Nurse hours
10.92 /day
Staff turnover
26%
Serious cites
0

Medford Leas runs a small 24-bed unit as a nonprofit, and the staffing numbers stand out right away: 10.92 nurse hours per resident day is roughly triple the national average of 3.86. Weekends dip about 22% below weekdays, so coverage isn't perfectly even, but turnover sits at 25.9% against a national 45.8%, staff tend to stay. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in February 2025. The quality and staffing ratings are both 5 out of 5, while health inspection sits at 3, which is where most of the imperfection lives.

A

97.5/100

The Haven At Brandermill Woods

Midlothian, VA · Chesterfield County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
33%
Serious cites
0

The Haven At Brandermill Woods runs about 4.85 nurse hours per resident per day, roughly a quarter more than the national average, and its staff turnover sits well below the typical American nursing home. Weekend coverage dips about 18 percent from weekday levels, which is common but still worth asking about if your family visits primarily on Saturdays or Sundays. Seven deficiencies appear on the current record, none involving harm or abuse, and the last full inspection was in March 2023. As a nonprofit with a low deficiency count and steady staffing, this is a home where the numbers hold up under scrutiny rather than just looking good on a summary page.

A

97/100

Valle Verde Health Facility

Santa Barbara, CA · Santa Barbara County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
26%
Serious cites
0

Valle Verde runs on a nonprofit model with 80 certified beds in Santa Barbara, and the staffing numbers are the first thing that stands out: 4.79 nurse hours per resident day, roughly a quarter above the national average. Weekend coverage dips about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays and Sundays. Staff turnover sits at 25.7%, well under the national 45.8%. The home carries 22 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related, and its last inspection was January 2026. All three CMS star ratings, inspections, quality measures, staffing, come in at 5/5.

A

97/100

Suites At Holly Creek Care Center, The

Centennial, CO · Arapahoe County

CMS 5/525 bedsNon-profit
Nurse hours
5.75 /day
Staff turnover
26%
Serious cites
0

The Suites At Holly Creek Care Center runs on unusually heavy staffing for a 25-bed nonprofit home, 5.75 nurse hours per resident day, roughly half again the national figure, and its weekend coverage only dips about 12% below weekdays, which matters when families visit and problems tend to surface. Turnover sits at 25.8% against a national average near 46%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: seven deficiencies, two of them serious enough to indicate harm, and $42,056 in fines across two penalties. Its last inspection was November 2024. Strong staffing and retention, but a paper trail worth asking about directly.

A

97/100

Riderwood Village

Silver Spring, MD · Prince Georges County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
19%
Serious cites
0

Riderwood Village sits in Silver Spring with 44 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing. Nurse staffing runs 5.37 hours per resident day, roughly 39% above the national average of 3.86, and annual turnover is 19.3% against a national 45.8%, meaning aides and nurses here tend to stay. Weekends dip about 14% below weekday coverage, worth asking about if your relative needs more help on Saturdays and Sundays. Eighteen deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection in September 2025. All three CMS star ratings, health inspections, quality measures, staffing, come in at 5 out of 5.

A

97/100

Residences At Vantage Point

Columbia, MD · Howard County

CMS 5/544 bedsNon-profit
Nurse hours
5.18 /day
Staff turnover
17%
Serious cites
0

Residences At Vantage Point runs 5.18 nurse hours per resident day, roughly a third more than the national average, and its weekend coverage dips only about 8% below weekdays, a smaller drop than many homes show. Staff turnover sits at 16.7%, well under the 45.8% national figure, which matters because consistent caregivers know the residents. The tradeoff is a longer deficiency record: 26 citations on file, four tied to abuse, though none reached the harm or jeopardy level. The last inspection was March 2026, so the picture is current. Quality and staffing measures both score at the top of CMS's scale, and the nonprofit corporation structure means no owner is extracting a profit margin.

A

97/100

Crosslands

Kennett Square, PA · Chester County

CMS 5/560 bedsNon-profit
Nurse hours
5.58 /day
Staff turnover
20%
Serious cites
0

Crosslands runs 60 certified beds as a nonprofit corporation, and the staffing numbers stand out: 5.58 total nurse hours per resident day against a national average of 3.86, roughly 44% higher. Weekend staffing dips about 11% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. Annual turnover sits at 20%, less than half the national figure of 45.8%, so the people caring for residents tend to stay. The record isn't spotless: eight deficiencies, one at the harm or jeopardy level and three flagged as abuse-related, plus a single fine of $12,735. A February 2026 inspection is recent.

A

97/100

Valley View Haven, Inc

Belleville, PA · Mifflin County

CMS 5/5155 bedsNon-profitMedicaid
Nurse hours
4.83 /day
Staff turnover
21%
Serious cites
0

Valley View Haven runs on unusually steady staffing for a nursing home: about 4.83 nurse hours per resident day, roughly a quarter more than the national average, and its 20.8% turnover is less than half the typical 45.8%. Weekend coverage dips about 12% below weekday levels, worth asking about if your family visits then. The 20 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy, and the most recent inspection was March 2026. As a nonprofit with 155 beds, it doesn't answer to shareholders, which tends to show up in numbers like these.

A

97/100

Glen At Willow Valley

Lancaster, PA · Lancaster County

CMS 5/5262 bedsNon-profit
Nurse hours
4.45 /day
Staff turnover
29%
Serious cites
0

Glen At Willow Valley runs 262 certified beds as a nonprofit, and the staffing numbers are the story here: 4.45 nurse hours per resident day, roughly 15% above the national average. Just as telling, annual turnover sits at 28.9% against a national average of 45.8%, that stability matters more than any single inspection result, because consistent staff know the residents. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Sunday afternoon. The current record shows one deficiency, none at harm level and none abuse-related, with an inspection dated December 2025. Medicare's own ratings land at five stars across health inspections, quality measures, and staffing.

A

97/100

Continuing Care At Maris Grove

Glen Mills, PA · Delaware County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
33%
Serious cites
0

Continuing Care at Maris Grove runs about five nurse hours per resident per day, roughly 29% above the national average, and weekend staffing dips only slightly below its weekday level. Staff turnover sits at 33.3%, well under the 45.8% national figure. Those are real strengths. What pulls the record down is the inspection history: 15 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus two fines totaling $22,737. The most recent inspection was in February 2026, so the picture is current. A nonprofit with strong staffing and low turnover can still carry a flawed survey record, and here that tension is the whole story.

A

97/100

The Preston Health Center

Hilton Head Island, SC · Beaufort County

CMS 5/562 bedsNon-profit
Nurse hours
6.41 /day
Staff turnover
21%
Serious cites
0

The Preston Health Center runs on 6.41 nurse hours per resident per day, roughly two and a half hours more than the typical American nursing home. Weekend coverage dips about 10% from its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 20.5%, less than half the national figure, so the people caring for residents tend to stay. The inspection record shows five deficiencies, one serious enough to involve harm or jeopardy, and one fine of $8,018. Its last inspection was in December 2025, so the picture is current.

A

97/100

Willow Brooke Court At Park Pointe Village

Rock Hill, SC · York County

CMS 5/520 bedsNon-profit
Nurse hours
3.81 /day
Staff turnover
28%
Serious cites
0

Willow Brooke Court is small, 20 certified beds, and it's run by a nonprofit corporation, which tends to show up in staffing. Nurse hours per resident day land at 3.81, right about at the national average of 3.86, with weekend coverage only about 2% thinner than weekdays. That steadiness matters more than the headline number. Staff turnover is 28.1%, well under the national 45.8%, so the people caring for residents tend to stick around. Four deficiencies sit on the current record, none at the harm level and none abuse-related, and the most recent inspection was March 27, 2025. The low deficiency count and steady staffing are what's actually behind the numbers here.

A

97/100

Westminster At Lake Ridge

Lake Ridge, VA · Prince William County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
29%
Serious cites
0

Westminster At Lake Ridge runs 5.14 nurse hours per resident per day against a national average of 3.86, and its weekend staffing only dips about 9% below weekdays, a smaller drop than many homes show. Staff turnover of 28.8% sits well under the 45.8% national figure, which matters for consistency of care. But the inspection record isn't clean: 28 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,281. The last full inspection was June 2022, so that picture is now more than two years old. Strong staffing and quality numbers, a thinner margin on the inspection side.

A

97/100

Oakview Skilled Nursing

Thousand Oaks, CA · Ventura County

CMS 5/548 bedsFor-profit
Nurse hours
5.73 /day
Staff turnover
21%
Serious cites
0

Oakview Skilled Nursing runs 48 beds in Thousand Oaks under for-profit partnership ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 5.73 hours per resident day, roughly half again the national average of 3.86, and weekend coverage dips only about 12% below its own weekday level, a modest drop rather than the sharp falloff many homes show. Staff turnover is 21.1% against a national 45.8%, so the people caring for residents tend to stay. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection completed January 31, 2025.

A

97/100

Bayou Manor

Houston, TX · Harris County

CMS 5/537 bedsNon-profit
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Bayou Manor runs about 5.28 nurse hours per resident day, roughly 37% above the national average, and its staff turnover sits at 27.9% against a national rate near 46%. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The home has seven deficiencies on its current record, none at the harm level and none abuse-related, with three fines totaling $22,725. It's nonprofit-owned, holds five stars across all three CMS categories, and was last inspected in December 2025.

A

96/100

The Terraces Of Phoenix

Phoenix, AZ · Maricopa County

CMS 5/564 bedsNon-profitMedicaid
Nurse hours
4.75 /day
Staff turnover
21%
Serious cites
0

The Terraces of Phoenix runs on unusually steady staffing for a nursing home, 4.75 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 11% below weekdays. That consistency matters more than any single number here. Annual turnover sits at 20.6%, less than half the national rate of 45.8%, meaning the people caring for residents tend to still be there next year. The current inspection record shows 13 deficiencies, two tied to abuse, but none rose to harm or jeopardy level, and the most recent survey was in June 2025. As a nonprofit with 64 beds, it's small enough that the numbers reflect a specific place, not a chain average.

A

96/100

Vi At Grayhawk, A Vi And Plaza Companies Community

Scottsdale, AZ · Maricopa County

CMS 5/536 bedsFor-profit
Nurse hours
5.29 /day
Staff turnover
28%
Serious cites
0

Vi at Grayhawk runs 36 certified beds in Scottsdale under for-profit partnership ownership, and the nurse staffing number is the first thing that stands out: 5.29 hours per resident day against a national average of 3.86. Weekend coverage dips about 13% below its own weekday level, which is common but worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 28%, well under the 45.8% national figure, and the inspection record shows just two deficiencies, neither at the harm level and none abuse-related, with the most recent survey in September 2025. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five.

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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