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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 601–620 of 1,547, best-graded first.

A

86/100

The Willows At Hamburg

Lexington, KY · Fayette County

CMS 2/5 64 beds For-profit Medicaid
Nurse hours
5.24 /day
Staff turnover
43%
Serious cites
0

The Willows At Hamburg runs 5.24 nurse hours per resident per day, roughly a third more than the national average, and weekend staffing doesn't drop off like it does at many homes. Turnover sits slightly under the national figure. That's the good news, and it's real. The inspection record tells a different story: 7 deficiencies, two of them serious enough to put residents at harm or jeopardy, and two tied to abuse. One fine of $61,627 is on file, and the last inspection was August 2025. A for-profit individual owner, 64 beds. Strong staffing doesn't cancel out what inspectors found, the care hours are there, but the state has documented real problems, including abuse-related ones. Ask about those directly.

A

86/100

Trinity Healthcare Center

Columbus, MS · Lowndes County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.82 /day
Staff turnover
42%
Serious cites
0

Trinity Healthcare Center runs on a nonprofit model with 60 beds in Columbus, and its nurse staffing sits at 4.82 hours per resident day, roughly a quarter above the national average of 3.86. That cushion matters, though weekends dip about 13% below the home's own weekday coverage, so care isn't perfectly even across the week. Turnover lands at 42.2%, a touch better than the 45.8% national figure. The tradeoff shows up in inspections: 10 deficiencies on record, including two at harm or jeopardy level and one tied to abuse, with a single $10,033 fine. The most recent inspection was April 2026, so the picture is current.

A

86/100

Village Point

Monroe Township, NJ · Middlesex County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
34%
Serious cites
0

Village Point runs a nonprofit home with 120 beds in Monroe Township, and its staffing is the strongest part of the picture, 4.29 nurse hours per resident day, roughly 11% above the national average, with turnover at 34% against a national 45.8%. Weekends dip about 8% below its own weekday coverage. Where it gets harder is inspections: 15 deficiencies on the current record, two at harm or jeopardy level and one abuse-related, with two fines totaling $237,451 and a July 2025 inspection date, which is recent enough to be current. The quality measure score is strong, but the inspection history is what pulls the overall picture down.

A

86/100

Ohio Living Westminster-Thurber

Columbus, OH · Franklin County

CMS 3/5 35 beds Non-profit Medicaid
Nurse hours
5.18 /day
Staff turnover
59%
Serious cites
0

Ohio Living Westminster-Thurber runs lean on paper in a way that mostly holds up, 5.18 nurse hours per resident day, roughly a third more than the national average, and that's the main reason it lands where it does. The trouble sits elsewhere. Staff turnover is 58.7%, well above the 45.8% national figure, and weekend coverage drops about 13% from weekday levels, so the hours aren't spread evenly. On inspections, 27 deficiencies include one at harm level and six tied to abuse, with a $14,680 fine on record. Quality measures score high; the inspection history is what pulls it down.

A

86/100

Mt Healthy Christian Home

Cincinnati, OH · Hamilton County

CMS 5/5 75 beds Non-profit Medicaid
Nurse hours
4.99 /day
Staff turnover
51%
Serious cites
0

Mt Healthy Christian Home runs on unusually heavy staffing for a 75-bed nonprofit, just under 5 nurse hours per resident per day, roughly 29% above the national average, and weekend coverage barely dips below weekdays. That's the kind of consistency that matters when a resident needs help on a Sunday night. Inspections back it up: a perfect health inspection record and no abuse deficiencies, with the most recent visit in October 2024. Two things keep this from being a clean sweep. Staff turnover sits at 51.4%, above the 45.8% national average, which can wear on continuity of care. And of seven deficiencies on record, one rose to the harm level. Worth asking the administrator how they're addressing both.

A

86/100

Western Reserve Masonic Comm

Medina, OH · Medina County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
51%
Serious cites
0

Western Reserve Masonic Comm runs 4.48 nurse hours per resident day, about 16% above the national average, and weekends dip roughly 10% below its own weekday staffing. Turnover sits at 50.7%, higher than the 45.8% national figure. The current record shows six deficiencies, none at the harm or jeopardy level, though three are abuse-related, and two fines totaling $8,090. The last inspection was May 30, 2025, and CMS gives it five stars on health inspections and quality measures, four on staffing. Staffing depth and inspection results are strong here; the turnover rate and those three abuse-related tags are the things worth asking about directly.

A

86/100

Lutheran Home At Topton, The

Topton, PA · Berks County

CMS 5/5 194 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
48%
Serious cites
0

Lutheran Home at Topton is a 194-bed church-affiliated nonprofit in Berks County, and the numbers mostly hold up. Nurse staffing sits at 3.84 hours per resident day, a hair under the national average of 3.86, and weekends run about 7% thinner than weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 47.6%, slightly above the national 45.8%, so expect some churn among aides. The stronger signals: a 4/5 health inspection rating, a 5/5 on quality measures, and just 12 deficiencies on record with none at the harm level and none related to abuse. The most recent inspection was September 2025, so the picture is current.

A

86/100

Pine Run Health Center

Doylestown, PA · Bucks County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
35%
Serious cites
0

Pine Run Health Center runs on a nonprofit model with 90 certified beds in Doylestown, and the staffing numbers are its clearest strength, 4.10 nurse hours per resident day sits about 6% above the national average, with weekend coverage dipping roughly 9% below its own weekday levels. Turnover of 34.8% is well below the national 45.8%, which matters for continuity of care. On the inspection side, the record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in March 2026. A 3/5 inspection rating and 3/5 quality measures land mid-pack, so this is a home carried by consistent staffing rather than a spotless survey history.

A

86/100

Lecom At Elmwood Gardens, Llc

Erie, PA · Erie County

CMS 5/5 51 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
54%
Serious cites
0

Lecom At Elmwood Gardens runs a tight ship on the clinical side. Seven deficiencies on the current record, none of them causing harm or tied to abuse, and a five-star inspection rating from a visit just this February, that's a clean recent history, not a faded one. Nonprofit ownership tends to mean steadier decisions about care. The staffing picture is where you see the tradeoff. Nurses give about 3.93 hours per resident day, slightly above the national average, but it dips roughly 8% on weekends, and turnover sits at 54% against 45.8% nationally. That churn is worth asking about directly. People are leaving faster than at the typical home, and weekends are when coverage thins.

A

86/100

Rehab At Shannondell

Audubon, PA · Montgomery County

CMS 4/5 120 beds For-profit
Nurse hours
4.12 /day
Staff turnover
40%
Serious cites
0

Rehab At Shannondell runs 120 certified beds in Audubon under corporate for-profit ownership, and the numbers behind its grade are mostly steady rather than spectacular. Nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average, though weekends run about 9% thinner than weekdays, a dip worth asking about if your family visits mainly on Saturdays or Sundays. Turnover is 40.3%, better than the 45.8% national figure but still meaning two in five caregivers left within the year. The current record shows 11 deficiencies, none at harm or jeopardy level, but 2 are abuse-related, which is the detail to press the administrator on directly. Its last inspection was April 28, 2026.

A

86/100

Rosecrest Rehabilitation And Healthcare Center

Inman, SC · Spartanburg County

CMS 5/5 75 beds Non-profit
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Rosecrest runs about 4.41 nurse hours per resident per day, roughly 14% above the national average, though weekend coverage dips about 14% below its own weekday level, worth asking about if your family visits or calls mainly on Saturdays and Sundays. Staff turnover sits at 40%, better than the 45.8% national figure, which suggests people tend to stay. Its current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, alongside a five-star health inspection rating, and the most recent inspection was in April 2026. Church-affiliated nonprofit ownership rounds out a picture of a home that looks steady rather than flashy.

A

86/100

The Health Center At Richland Place

Nashville, TN · Davidson County

CMS 3/5 107 beds Non-profit
Nurse hours
4.34 /day
Staff turnover
42%
Serious cites
0

The Health Center At Richland Place is a 107-bed nonprofit home in Nashville with staffing that beats the national average, 4.34 nurse hours per resident day against 3.86, though weekends run about 12% thinner than weekdays. Annual turnover sits at 42.1%, a bit better than the 45.8% national figure. The trouble shows up in inspections: 19 deficiencies on the current record, five at harm or jeopardy level and one abuse-related, with a $56,378 fine and a two-star health inspection rating. Quality measures score five stars, but that reflects resident care metrics, not how well the building has been kept in compliance.

A

86/100

Lake Prince Woods, Inc

Suffolk, VA · Suffolk City County

CMS 5/5 40 beds For-profit
Nurse hours
4.83 /day
Staff turnover
38%
Serious cites
0

Lake Prince Woods runs a tight ship on the things that matter most. Nurse staffing sits at 4.83 hours per resident day, roughly a quarter above the national average, and the weekend dip is small enough that care doesn't fall off a cliff on Saturdays and Sundays. The inspection record is clean where it counts: six deficiencies, none causing harm or jeopardy, no abuse findings, and the most recent survey was just this past November. Staff turnover of 38.1% beats the national rate, though it still means more than a third of the workforce leaves each year. With only 40 beds under for-profit ownership, it's small enough that management's choices show up quickly in the numbers.

A

86/100

Buena Vista Healthcare

Colville, WA · Stevens County

CMS 5/5 40 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
44%
Serious cites
0

Buena Vista Healthcare in Colville runs 4.28 nursing hours per resident day, which is about 11% more than the national average, that's the strongest part of its case. Weekend coverage drops roughly 12% below weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The 43.5% annual turnover is slightly better than the national 45.8%, and its last inspection was in February 2025, so the record is current. Against that, 17 deficiencies sit on file, three of them serious enough to involve harm or jeopardy, though none are abuse-related. The single fine of $13,104 is modest by industry standards.

A

86/100

Hebron Oaks

Madison, WI · Dane County

CMS 4/5 70 beds Non-profit Medicaid
Nurse hours
5.91 /day
Staff turnover
46%
Serious cites
0

Hebron Oaks runs a nonprofit shop with 70 beds in Madison, and its strongest suit is clearly people: 5.91 nurse staffing hours per resident day, about 53% above the national average, though weekends dip roughly 8% below its own weekday levels. Turnover sits at 46.2%, essentially the national norm, so you're not looking at a staffing crisis. The trouble is on the record. Ten deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $22,925 fine and a mid-2025 inspection that's now some months back. A 3-out-of-5 inspection rating against 5s for staffing and 4s for quality measures is the whole story here: enough hands on deck, but a paper trail worth asking hard questions about before you sign anything.

A

86/100

Buckner Westminster Place

Longview, TX · Gregg County

CMS 4/5 20 beds Non-profit
Nurse hours
5.28 /day
Staff turnover
31%
Serious cites
0

Buckner Westminster Place runs a small 20-bed home in Longview, and its staffing is the standout: 5.28 nurse hours per resident day, well above the national average, with weekends dipping only slightly. Turnover sits at 30.8%, better than the typical nursing home. What pulls the record down is the inspection side, 15 deficiencies on file, four of them at harm or jeopardy level and one abuse-related, plus two fines totaling $29,716. The most recent inspection was June 2025. So you have a home that's well staffed and stable on paper, but with a history of serious survey findings. Worth asking about those directly.

A

85.5/100

Willowbrooke Court At Country House

Wilmington, DE · New Castle County

CMS 5/5 14 beds Non-profit
Nurse hours
3.92 /day
Staff turnover
—
Serious cites
0

Willowbrooke Court At Country House is a small nonprofit home, just 14 certified beds, in Wilmington, and its federal record comes back clean where it matters most. The six deficiencies on file include none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.92 hours per resident day, only slightly above the national average of 3.86, and weekends run about 5% thinner than weekdays, so coverage isn't uniform across the week. The last inspection was recent, in February 2025. With 14 beds, you're looking at a place where staff likely know every resident by name. Ask how that abuse citation was resolved.

A

85.5/100

Stonehill Care Center

Dubuque, IA · Dubuque County

CMS 4/5 185 beds Non-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
—
Serious cites
0

Stonehill Care Center runs 4.31 nursing hours per resident per day, roughly 12% above the national average of 3.86, and that staffing shows up in its four-star rating. Weekend coverage dips about 10% below its own weekday level, which is common but worth knowing if you're visiting on a Saturday. The inspection record is clean where it counts: four total deficiencies, none at the harm or jeopardy level and none abuse-related, with a visit as recent as August 2025. As a nonprofit with 185 beds in Dubuque, it's working from a stable base. Families weighing options here are looking at a home that's solidly staffed and hasn't had serious trouble.

A

85.5/100

Pleasant Valley Manor

Sedan, KS · Chautauqua County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
56%
Serious cites
0

Pleasant Valley Manor runs on thin margins in a small county, but the staffing numbers are the real story here. At 4.59 nurse hours per resident day, it's giving residents roughly a fifth more nursing time than the typical American home, and the weekend gap, about 18% below its own weekday level, is smaller than what many facilities show. The catch is turnover: 55.8% of staff leave each year, well above the national 45.8%, so that generous staffing is constantly being rebuilt with new faces. Fifteen deficiencies on record sounds like a lot until you see none reached harm or jeopardy, and no abuse citations appear. The most recent inspection was February 2025, so the picture is current.

A

85.5/100

Willowbrooke Court Sc Ctr At Tryon Estates

Columbus, NC · Polk County

CMS 5/5 16 beds Non-profit
Nurse hours
4.63 /day
Staff turnover
—
Serious cites
0

Willowbrooke Court is a small place, 16 certified beds, run by a nonprofit corporation in Columbus. The staffing is the headline: 4.63 nurse hours per resident day, roughly a fifth more than the national average of 3.86, and the weekend drop is mild at about 8 percent below its own weekday level. Its inspection record is thin in the good sense: one deficiency on the current record, none at the harm level, none abuse-related, and the last inspection came in December 2025, so it's recent. Quality measures score 4 out of 5, staffing and inspections both 5. With that few beds and that much nurse time per resident, the numbers suggest steady attention rather than a big operation spread thin.

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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