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 661–680 of 1,547, best-graded first.

A

85/100

Covenant Living At Inverness

Tulsa, OK · Creek County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
43%
Serious cites
0

Covenant Living At Inverness runs a tight ship on paper. The Tulsa nonprofit, 44 beds, holds top CMS marks for health inspections and quality measures, and its six deficiencies carry no harm or jeopardy findings and nothing abuse-related. Last inspection was September 2024. Nurse staffing sits at 3.83 hours per resident day, just under the 3.86 national average, and weekends dip about 8% below weekdays, worth asking about if your family visits Saturdays. Annual turnover of 42.6% edges out the national 45.8%, which is modestly good news for a workforce that usually churns. The weak spot is consistency, not care quality.

A

85/100

Spanish Cove Housing Authority

Yukon, OK · Canadian County

CMS 5/5 57 beds For-profit
Nurse hours
5.18 /day
Staff turnover
29%
Serious cites
0

Spanish Cove runs about 5.18 nurse hours per resident per day, roughly a third more than the national average, and weekend coverage dips only about 13 percent below its own weekdays, a smaller drop than many homes show. Staff turnover sits at 28.6 percent against a national 45.8 percent, so the people caring for residents tend to stick around. The tradeoffs show up elsewhere: two deficiencies on the current record, one serious enough to involve harm or jeopardy, and one fine of $8,018. The last inspection was October 2024. A for-profit individually owned home where the numbers are mostly good, with one inspection finding worth asking about directly.

A

85/100

Dr Arthur Clifton Mckinley Ctr

Brookville, PA · Jefferson County

CMS 4/5 90 beds Non-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
20%
Serious cites
0

Dr Arthur Clifton Mckinley Ctr runs 90 certified beds as a nonprofit corporation, and its strongest asset is retention: 19.7% annual turnover against a national average of 45.8%. Staff tend to stay. The trade-off is raw coverage, 3.68 nurse hours per resident day sits about 5% under the national 3.86, and weekends dip roughly 5% below the home's own weekday levels, so the thinnest shifts are the ones families visit. Thirteen deficiencies appear on the current record, none at harm or jeopardy level, one abuse-related. Inspectors were last in on December 4, 2025, which is recent enough to trust the findings.

A

85/100

Paul's Run

Philadelphia, PA · Philadelphia County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
29%
Serious cites
0

Paul's Run runs a tight ship on staffing, with 3.88 nurse hours per resident day, just a hair above the national average of 3.86. That margin is thin, and weekends dip about 6% below the home's own weekday coverage, so care can feel lighter on Saturdays and Sundays. The standout number is turnover: 29% against a national 45.8%, meaning aides and nurses tend to stick around, which matters for residents who value familiar faces. Inspections are current (August 2025), the health inspection rating sits at 4 out of 5, and none of the 15 deficiencies on record rose to harm or jeopardy, though two are abuse-related, worth asking about directly. Nonprofit ownership, 119 beds.

A

85/100

Rice Estate Rehabilitation And Healthcare

Columbia, SC · Richland County

CMS 3/5 80 beds Non-profit
Nurse hours
4.96 /day
Staff turnover
41%
Serious cites
0

Rice Estate Rehabilitation And Healthcare runs on 4.96 total nurse hours per resident day, roughly 29% above the national figure of 3.86, and that shows up in its staffing rating of 4 out of 5. Weekend coverage dips about 12% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 40.9%, better than the 45.8% national average, which matters for whether your parent sees the same faces. Five deficiencies are on record, none at the harm level and none abuse-related, with the last inspection in April 2026. As a nonprofit with 80 beds, it's small enough to know residents by name.

A

85/100

Woodhaven Hall At Williamsburg Landing

Williamsburg, VA · James City County

CMS 3/5 73 beds Non-profit Medicaid
Nurse hours
5.40 /day
Staff turnover
40%
Serious cites
0

Woodhaven Hall runs a genuinely strong staffing operation, 5.40 nurse hours per resident day against a national average near 3.86, and its 39.7% turnover beats the 45.8% national figure. That's the good news, and it's real. The problems sit on the inspection side: 32 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, with a single $36,374 fine. Inspectors were last in on February 27, 2026. A nonprofit with this much direct care on the floor is doing something right, but the survey history is what a family should be asking about directly.

A

85/100

Mirabella

Seattle, WA · King County

CMS 5/5 46 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
37%
Serious cites
0

Mirabella runs 4.38 nurse hours per resident day, roughly 13% above the national average, and weekend coverage only dips about 12% below its weekday level, a smaller drop than many homes show. Staff turnover sits at 36.6%, well under the 45.8% national figure, which matters for residents who need consistent faces. The tradeoff shows up in its inspection history: 48 deficiencies on record, including two at the harm level and five tied to abuse, with $23,463 in fines across two events. The most recent inspection was June 27, 2025. Strong staffing and a nonprofit owner don't erase that record; they just mean care is likely well-covered day to day even as the compliance side carries real problems.

A

85/100

Eastcastle Pl Bradford Ter Conv Ctr

Milwaukee, WI · Milwaukee County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
53%
Serious cites
0

Eastcastle Pl Bradford Ter runs 5.13 nurse hours per resident day, roughly a third more staffing than the national average, and that shows up in its five-star staffing and quality ratings. The tradeoff is consistency: weekend coverage drops about 13% below its own weekday level, and annual turnover of 53.2% sits above the national 45.8%. The inspection record is the weaker side, 16 deficiencies, including one at harm level and two tied to abuse, with $99,452 in fines. The most recent inspection was February 2026, so the record is current. Strong day-to-day care numbers, but staffing stability and a serious citation history are the things to ask about directly.

A

85/100

Brookdale Trinity Towers

Corpus Christi, TX · Nueces County

CMS 5/5 75 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
47%
Serious cites
0

Brookdale Trinity Towers sits in Corpus Christi with 75 certified beds and a for-profit LLC owner. The staffing numbers are the bright spot: 4.42 nurse hours per resident day, about 15% above the national average, and weekends run roughly 9% lighter than weekdays, a dip, but not a collapse. Turnover lands at 46.8%, right around the national figure of 45.8%, so retention isn't the problem here. What pulls the record down is the inspection history: 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a $16,449 fine. The most recent inspection was April 30, 2026, so the picture is current. Strong daily care, a rougher paper trail.

A

85/100

The Village At Incarnate Word

San Antonio, TX · Bexar County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
27%
Serious cites
0

The Village at Incarnate Word runs a tight ship on staffing, with nurse hours per resident day essentially matching the national average and a staff turnover rate of 27%, well below the 45.8% typical elsewhere. That retention matters, because it means the same caregivers are likely still there next year. Weekend coverage dips about 10% below weekday levels, which is worth asking about directly. On the inspection side, 17 deficiencies show up on the current record, but none reached harm or jeopardy and none involved abuse, and the most recent survey is from December 2025. As a nonprofit, it answers to a board rather than shareholders.

B

84.5/100

Fairview At Redstone Village

Huntsville, AL · Madison County

CMS 4/5 56 beds For-profit
Nurse hours
4.43 /day
Staff turnover
36%
Serious cites
0

Fairview At Redstone Village runs about 4.43 nurse hours per resident per day, roughly 15% above the national average of 3.86, and its staff turnover of 35.5% sits well under the national 45.8%. That combination, more hands on deck and fewer people leaving, is the main reason this home holds up. Weekend staffing drops about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record shows three deficiencies, none involving harm, jeopardy, or abuse, though the last inspection was February 2022, which is a long gap. For-profit, individually owned, 56 beds.

B

84.5/100

Willowbrooke Court At Cokesbury Village

Hockessin, DE · New Castle County

CMS 5/5 10 beds Non-profit
Nurse hours
3.96 /day
Staff turnover
—
Serious cites
0

Willowbrooke Court at Cokesbury Village is a small nonprofit home, just 10 certified beds in Hockessin. Staffing sits at 3.96 nurse hours per resident day, roughly 3% above the national average, though weekends run about 10% leaner than weekdays, so ask how that gap gets covered. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, but one is abuse-related, which is worth asking about directly. Its last inspection was in July 2025, so the picture is current. With 4s and 5s across inspection, quality, and staffing stars, the numbers are solid. The size cuts both ways: close attention, but few peers on site.

B

84.5/100

Willowbrooke Court At Azalea Trace

Pensacola, FL · Escambia County

CMS 5/5 24 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
25%
Serious cites
0

Willowbrooke Court At Azalea Trace is a small nonprofit home, 24 certified beds, and its inspection record is about as clean as it gets: zero deficiencies on the current record, none at the harm level, none abuse-related, with a survey completed in August 2025. Nurse staffing sits at 4.06 hours per resident day, a bit above the national average, and turnover of 25% is well below the 45.8% typical nationwide, which suggests people tend to stay. The trade-off shows up in the quality measures, where the home scores 2 out of 5, and weekend staffing dips roughly 15% below its own weekday levels.

B

84.5/100

Strawberry Point Lutheran Home

Strawberry Point, IA · Clayton County

CMS 4/5 16 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
56%
Serious cites
0

Strawberry Point Lutheran Home is a 16-bed nonprofit in Clayton County, and the numbers suggest a place that runs lean but attentive. Nurse staffing sits at 5.13 hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level, worth asking how that gap gets covered. Staff turnover is 56%, higher than the 45.8% national figure, which is common in small rural homes but still means familiar faces cycle through. Nine deficiencies on record, none at the harm level and none abuse-related, with a fresh inspection in April 2025. Its four-star marks across inspections, quality measures, and staffing line up with what you'd expect from a well-staffed, small nonprofit.

B

84.5/100

Colonial Manor Of Amana

Amana, IA · Iowa County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
35%
Serious cites
0

Colonial Manor Of Amana runs a tight ship on inspections, a five-star health inspection record with just three deficiencies on file, none causing harm and none tied to abuse. That matters more than most families realize. The tradeoff shows up in daily staffing: 3.43 nurse hours per resident, about 11% under the national average, and weekends run roughly 17% thinner than weekdays. Turnover sits at 34.8%, which is actually better than the national 45.8%, a sign this for-profit corporation retains its caregivers reasonably well. Fifty beds, inspected recently in June 2025, quality measures middling at three stars. The care appears safe and well-supervised; just know weekends may feel stretched.

B

84.5/100

Parkview Home

Wayland, IA · Henry County

CMS 5/5 34 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
39%
Serious cites
0

Parkview Home runs on a church-affiliated nonprofit model with 34 beds, and the numbers behind its grade hold up well. Nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average, though weekends drop about 18% below what the home staffs on weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover is 39.3%, better than the 45.8% national figure, and the home carries 10 deficiencies with none at the harm level and none abuse-related. Its last inspection was June 2025, and it scored 5 out of 5 on health inspections.

B

84.5/100

Kimball Farms Nursing Care Center

Lenox, MA · Berkshire County

CMS 4/5 74 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
41%
Serious cites
0

Kimball Farms runs a nonprofit shop in Lenox with 74 certified beds, and the staffing numbers are genuinely better than most: 4.42 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 18% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 41%, a bit under the 45.8% national figure, which matters because familiar aides tend to notice changes sooner. The inspection record is current as of December 2025, with nine deficiencies and none at the harm or jeopardy level. Four out of five stars across health inspections, quality measures, and staffing is a consistent profile, not a lopsided one.

B

84.5/100

Kingdom Care Senior Living

Fulton, MO · Callaway County

CMS 4/5 36 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
—
Serious cites
0

Kingdom Care Senior Living runs 36 certified beds in Fulton under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend coverage drops about 11% below the home's own weekday levels, so the hours aren't spread evenly across the week. The current record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors last visited in September 2024, and the home's quality measure rating comes in at the top of the scale while its inspection and staffing ratings each land at 4 out of 5.

B

84.5/100

Saint Joseph Of The Pines Health Center

Pinehurst, NC · Moore County

CMS 5/5 176 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
—
Serious cites
0

Saint Joseph Of The Pines runs 3.92 nurse hours per resident day, a hair above the national average and enough to earn three stars for staffing, decent, not generous. Weekend coverage drops roughly 9% below its own weekday level, so ask how that gap gets filled. The inspection history is the stronger signal: a 4-star health inspection rating, seven deficiencies on record with none at the harm level, and a recent survey from July 2025. One abuse-related deficiency is worth a direct question about what happened and what changed. As a nonprofit, there's no ownership chain pulling money out, which tends to show up in how a building is staffed and maintained over time.

B

84.5/100

Twin Lakes Community

Burlington, NC · Alamance County

CMS 5/5 104 beds Non-profit Medicaid
Nurse hours
5.32 /day
Staff turnover
41%
Serious cites
0

Twin Lakes Community runs a nonprofit home with 104 beds in Burlington, and its nurse staffing sits at 5.32 hours per resident day, roughly 38% above the national average of 3.86. Weekends dip about 16% below its own weekday coverage, so your visit timing matters. Staff turnover is 41.3%, a bit better than the 45.8% national figure. The inspection history shows seven deficiencies, four of them abuse-related, though none reached harm or jeopardy level, and one fine totaling $6,152. The last inspection was March 2026, so the record is recent. Strong staffing numbers and a clean harm record coexist here with those four abuse citations, worth asking about directly before deciding.

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