ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 581–600 of 1,547, best-graded first.

A

86.5/100

Dow Rummel Village

Sioux Falls, SD · Minnehaha County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
5.10 /day
Staff turnover
32%
Serious cites
0

Dow Rummel Village runs a nonprofit home with 50 certified beds, and its staffing is the standout: 5.10 nurse hours per resident day, about a third more than the national average, with turnover at 31.5% against 45.8% nationally. Weekends dip roughly 17% below weekday coverage, which is common but worth asking about. The inspection record is where it gets harder, a 2-out-of-5 health inspection rating, nine deficiencies with three at harm or jeopardy level, and four fines totaling $90,053, most recently inspected January 8, 2026. Good staffing and strong quality measures don't erase a rough survey history, so ask what changed since that inspection.

A

86.5/100

Maple Springs Senior Living

North Logan, UT · Cache County

CMS 3/5 98 beds For-profit
Nurse hours
5.88 /day
Staff turnover
—
Serious cites
0

Maple Springs runs nurse staffing at 5.88 hours per resident day, well above the national average of 3.86, and weekends dip only about 7% below weekdays, a modest drop, not the steep fall-off many homes show. The tradeoff sits in its inspection record: 22 deficiencies, including one at the harm level and one tied to abuse, plus a single $8,278 fine. Its last inspection was February 2026. Staffing and quality measure ratings both land at 4 out of 5, which helps explain the B, but that abuse-related citation is the number worth asking the administrator about directly before you decide anything.

A

86.5/100

Summitview Rehab And Health Center

Yakima, WA · Yakima County

CMS 5/5 78 beds Non-profit Medicaid
Nurse hours
5.22 /day
Staff turnover
25%
Serious cites
0

Summitview runs lean in a way that mostly works in residents' favor: 5.22 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping about 15% below its own weekday levels. Staff turnover sits at 25.3%, well under the 45.8% national figure, and the home is a nonprofit corporation. The inspection record is where it gets complicated, 33 deficiencies currently on file, including 3 at the harm level and 4 tied to abuse, plus three fines totaling $194,266. The most recent inspection was April 2025. Strong staffing and quality scores, but that deficiency history is worth asking about directly.

A

86/100

Aspire Transitional Care

Flagstaff, AZ · Coconino County

CMS 5/5 50 beds Non-profit
Nurse hours
4.16 /day
Staff turnover
48%
Serious cites
0

Aspire Transitional Care runs a tight ship on the clinical side, with quality measures landing at the top of CMS's scale. Staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average, though weekend coverage dips about 10% below the home's own weekday levels. Turnover is a mild concern at 47.8%, slightly above the national 45.8%. The inspection record shows 19 deficiencies but none at the harm level, two tied to abuse, and the most recent survey was in August 2025. For a 50-bed nonprofit in Flagstaff, the numbers lean favorable, with staffing consistency worth watching.

A

86/100

Mirabella At Asu

Tempe, AZ · Maricopa County

CMS 3/5 21 beds Non-profit Medicaid
Nurse hours
7.02 /day
Staff turnover
62%
Serious cites
0

Mirabella at ASU runs a small 21-bed operation in Tempe, and it's staffed well above what's typical, about 7 hours of nursing care per resident each day, roughly double the national figure. The tradeoff shows up in consistency: weekends run about 15% leaner than weekdays, and 61.5% of staff turned over in the past year against a national rate near 46%, which means familiar faces are harder to count on. The current record lists 11 deficiencies, two of them abuse-related, though none rose to actual harm or jeopardy. Inspectors were last out in August 2025.

A

86/100

Sequoias San Francisco Convalescent Hospital

San Francisco, CA · San Francisco County

CMS 4/5 50 beds Non-profit
Nurse hours
4.60 /day
Staff turnover
33%
Serious cites
0

Sequoias San Francisco runs about 4.60 nurse hours per resident day, roughly 19% above the national average, and its staff turnover of 32.7% sits well below the 45.8% national figure. Both matter, because consistent caregivers tend to know residents and catch changes early. Weekend staffing drops about 30% from weekday levels, so coverage isn't even across the week. The current record shows 15 deficiencies, none at the harm level and none abuse-related, with a 3/5 inspection rating and 2/5 on quality measures against 5/5 for staffing. As a nonprofit, it isn't answering to shareholders, which often shows up in exactly this pattern: strong staff numbers, middling clinical quality scores.

A

86/100

Elim Park Baptist Home, Inc

Cheshire, CT · Capitol County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
40%
Serious cites
0

Elim Park Baptist Home runs on a nonprofit model with 90 certified beds, and the staffing picture is the strongest part of the story: 4.37 nurse hours per resident day, roughly 13% above the national average, with a five-out-of-five CMS staffing rating to match. Weekend coverage dips about 6% below weekday levels, which is worth asking about. Turnover sits at 39.8%, better than the 45.8% national figure but still meaning nearly four in ten staff left within a year. The inspection record is where things get more complicated: 19 deficiencies on file, including one at the harm level and one abuse-related citation, plus an $8,018 fine. The last inspection was September 2024.

A

86/100

Evergreen Woods

North Branford, CT · South Central Ct County

CMS 5/5 50 beds For-profit
Nurse hours
5.40 /day
Staff turnover
56%
Serious cites
0

Evergreen Woods runs a lean 50 beds under corporate ownership, and the staffing numbers are the real story here, 5.40 nurse hours per resident day, roughly 40% above the national average, which is unusual enough to notice. That strength comes with a catch: weekend coverage drops about 8% below weekday levels, and annual turnover sits at 56.3% against a national 45.8%, so the people delivering that care keep changing. The inspection record shows 15 deficiencies, none at harm or jeopardy level, though 3 are abuse-related, worth asking about directly. North Branford families should weigh the strong daily staffing against the churn and those abuse citations before deciding.

A

86/100

The Moorings At Lewes

Lewes, DE · Sussex County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
42%
Serious cites
0

The Moorings At Lewes runs 4.38 nurse hours per resident day, roughly 13% above the national average, with a five-star staffing rating to match. Weekend coverage dips about 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Annual turnover sits at 42.2%, better than the 45.8% national figure but still meaning nearly half the staff changes in a year. On inspections, two deficiencies on record, neither at the harm level nor abuse-related, and the last survey was in January 2026. This is a small nonprofit home with 40 beds whose numbers hold up well against the national baseline.

A

86/100

Chatsworth At Pga National

Palm Beach Gardens, FL · Palm Beach County

CMS 5/5 62 beds For-profit
Nurse hours
4.01 /day
Staff turnover
20%
Serious cites
0

Chatsworth At Pga National runs 4.01 total nurse staffing hours per resident day, a bit above the 3.86 national average, and weekend coverage dips about 9% below its own weekday level, worth asking about if you're planning visits or admissions around weekends. Staff turnover sits at 20%, well under the 45.8% national rate, so the people caring for your relative are more likely to still be there next year. The current record shows 4 deficiencies, none at the harm level and none abuse-related, with the last inspection in April 2025 and a 5-star health inspection rating. Its quality measure score is only 3 stars, so clinical outcomes don't match the strong inspection and staffing marks.

A

86/100

Wynscape Health & Rehab

Wheaton, IL · Du Page County

CMS 5/5 209 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
50%
Serious cites
0

Wynscape runs a 209-bed nonprofit home in Wheaton with nurse staffing at 4.24 hours per resident day, roughly 10% above the national average, though weekends dip about 12% below its own weekday levels, so ask how coverage holds up on Saturdays and Sundays. Staff turnover sits at 50%, a bit above the 45.8% national figure. Inspections are recent and strong, but the current record still carries 12 deficiencies, including one at the harm or jeopardy level and one tied to abuse. The high inspection and quality ratings reflect real strengths; the deficiency record is where the risk lives.

A

86/100

Heritage Square

Dixon, IL · Lee County

CMS 4/5 27 beds Non-profit Medicaid
Nurse hours
6.85 /day
Staff turnover
33%
Serious cites
0

Heritage Square runs about 6.85 nurse hours per resident each day, roughly 78 percent more than the national average, and its staff turnover of 32.6 percent sits well under the 45.8 percent typical elsewhere. Weekend coverage dips about 14 percent below its own weekday level, so ask how that plays out on Saturdays. The 11 deficiencies on record include nothing involving harm or abuse, and a September 2025 inspection found no health problems worth flagging. What stands out is the split: staffing and inspection results look strong, while the quality measure side tells a different story. A small nonprofit home with 27 beds, it leans hard on having enough hands on deck.

A

86/100

Fieldstone Of Dewitt

De Witt, IA · Clinton County

CMS 4/5 70 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
35%
Serious cites
0

Fieldstone Of Dewitt runs on 4.06 nurse hours per resident day, a bit above the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Annual turnover sits at 34.9%, well below the 45.8% national figure, so the people caring for residents tend to stick around, which matters more than any single inspection score. The home carries four deficiencies on its current record, none at the harm level and none abuse-related, with a health inspection from July 2025. Quality measures land mid-range while staffing and inspections score higher.

A

86/100

Mount Carmel Bluffs

Dubuque, IA · Dubuque County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
29%
Serious cites
0

Mount Carmel Bluffs runs on 4.32 nurse hours per resident day, about 12 percent above the national average, and its staff tends to stay, 29 percent turnover against a national 45.8. That steadiness shows up in the inspection record: seven deficiencies, none at the harm level, none tied to abuse, with a survey completed in late February 2026. The trade-off is quality measures, where the home scores low despite the strong staffing. Weekend coverage slips roughly 10 percent below its own weekday level, so ask how that gap gets filled. It's a for-profit limited liability company with 60 beds.

A

86/100

Wichita Presbyterian Manor

Wichita, KS · Sedgwick County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
60%
Serious cites
0

Wichita Presbyterian Manor runs 50 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.69 hours per resident day, roughly 21% above the national average. Weekends dip about 14% below the home's own weekday coverage, so the care a resident gets Saturday and Sunday isn't quite the weekdays' pace. Staff turnover is the sticking point: 59.6% annually against a 45.8% national average, meaning well over half the nursing staff leaves each year. Inspections were last done in May 2025 and the record shows 18 deficiencies, one at harm or jeopardy level and one abuse-related. Strong quality scores don't erase that kind of churn.

A

86/100

Village Shalom Inc

Overland Park, KS · Johnson County

CMS 4/5 66 beds Non-profit Medicaid
Nurse hours
5.86 /day
Staff turnover
59%
Serious cites
0

Village Shalom runs unusually heavy nurse staffing for a 66-bed nonprofit home, 5.86 hours per resident day, roughly half again the national figure, and weekends barely dip below weekdays. That consistency matters, and it's reflected in the top marks for staffing and quality measures. The friction sits elsewhere: 32 deficiencies on the current record, two of them at harm or jeopardy level and two tied to abuse, with a single $16,153 fine and a June 2025 inspection. Staff turnover of 59.2% is well above the 45.8% national average, which means the hands at the bedside keep changing even though the hours are there on paper.

A

86/100

Aberdeen Village

Olathe, KS · Johnson County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
5.17 /day
Staff turnover
36%
Serious cites
0

Aberdeen Village runs one of the stronger staffing operations you'll see in Johnson County, 5.17 nurse hours per resident per day, roughly a third more than the national average, and weekend coverage holds within about 7% of weekday levels. Staff turnover sits at 35.7%, well below the 45.8% national figure, which matters for whether your parent sees the same faces week to week. That's the upside. The inspection record is where it gets mixed: 15 deficiencies on file, including one at the harm level and one abuse-related, plus a single $8,021 fine, with the most recent inspection in February 2026. Strong staffing grades and a 4/5 inspection rating don't erase those specific findings, ask about them directly before deciding.

A

86/100

Lakepoint Wichita, Llc

Wichita, KS · Sedgwick County

CMS 2/5 110 beds For-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
55%
Serious cites
0

Lakepoint Wichita runs a 110-bed for-profit operation, and the staffing numbers are its strongest card, 4.89 nurse hours per resident day, roughly 27% above the national average. The catch is turnover: 54.5% annually, nearly nine points above the national figure, and weekends run about 11% thinner than weekdays, so the coverage you see on paper isn't always the coverage your family member gets. The inspection record is the real concern: 46 deficiencies, two of them serious enough to reach harm or jeopardy level. Quality and staffing measures both scored well, but a 2/5 on health inspections, last surveyed in December 2024, means the clinical and physical plant side has repeatedly fallen short.

A

86/100

Colonial Village

Overland Park, KS · Johnson County

CMS 2/5 40 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
63%
Serious cites
0

Colonial Village runs a 40-bed for-profit home in Overland Park, and the staffing numbers are genuinely above average, 4.43 nurse hours per resident day against a national 3.86. Weekends drop about 9% below its own weekday level, though, so coverage thins when families tend to visit. The bigger concern is turnover at 63% against a national 45.8%, meaning most of the people caring for your relative are relatively new. Inspections show 28 deficiencies on record, including one at the harm level and one abuse-related, with a 2/5 inspection rating. The most recent inspection was October 2024, so the record is current.

A

86/100

Breckinridge Place

Morganfield, KY · Union County

CMS 5/5 24 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
35%
Serious cites
0

Breckinridge Place runs on 5.08 nurse hours per resident day, roughly a third more staffing than the national average, and the inspection record backs it up with a top federal rating and a recent August 2025 survey. Turnover sits at 35.3%, well under the national 45.8%, which matters in a 24-bed nonprofit where residents see the same faces. Two things temper that: weekend hours dip about 14% below the home's own weekday pace, and four deficiencies remain on record, two of them serious enough to trigger harm or jeopardy citations, though none involve abuse. Quality measures land mid-pack, suggesting clinical outcomes don't fully track the strong staffing.

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.

Before you shortlist