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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 681–700 of 1,547, best-graded first.

B

84.5/100

Presbyterian Home Of South Carolina-Columbia

Lexington, SC · Lexington County

CMS 3/5 22 beds Non-profit Medicaid
Nurse hours
5.68 /day
Staff turnover
65%
Serious cites
0

Presbyterian Home Of South Carolina-Columbia runs small, just 22 certified beds in Lexington, and it's corporate-owned for profit. The staffing numbers are the headline: 5.68 nurse hours per resident day, roughly half again the national average of 3.86, though weekends dip about 15% below its own weekday pace. Turnover sits at 65% against a national 45.8%, which means the people delivering that strong coverage keep changing. Seven deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with an inspection as recent as June 2025. Quality and staffing each earned 4 of 5 stars from CMS, inspections 3.

B

84.5/100

Presbyterian Home Of Sc - Foothills

Easley, SC · Pickens County

CMS 2/5 22 beds Non-profit
Nurse hours
6.07 /day
Staff turnover
64%
Serious cites
0

Presbyterian Home of Sc - Foothills in Easley runs a small 22-bed nonprofit operation with nurse staffing at 6.07 hours per resident day, well above the national average of 3.86. That's real coverage, though weekends dip about 21% below the home's own weekday level, and annual turnover sits at 63.6% against a national 45.8%, meaning the people providing that care are cycling through. Nine deficiencies appear on the current record, none at harm or jeopardy level, but one is abuse-related, and the health inspection rating is 2 out of 5. The most recent inspection was March 5, 2026. Quality and staffing measures score higher than the inspection history does.

B

84.5/100

Presbyterian Communities Of South Carolina-Florenc

Florence, SC · Florence County

CMS 5/5 25 beds Non-profit
Nurse hours
5.30 /day
Staff turnover
49%
Serious cites
0

Presbyterian Communities of South Carolina-Florence runs small, 25 certified beds, and it's a nonprofit, which often shows up in staffing. Here it does: 5.30 total nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 16% below its own weekday level, so ask how that gap gets managed. Staff turnover sits at 48.8%, a bit above the national 45.8%, meaning nearly half the workforce changes over in a year. The inspection record shows 10 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent state visit in August 2025. Quality measures score well; inspections are middling.

B

84.5/100

Kirby Pines Manor

Memphis, TN · Shelby County

CMS 5/5 120 beds Non-profit
Nurse hours
3.67 /day
Staff turnover
55%
Serious cites
0

Kirby Pines Manor runs on a nonprofit model with 120 certified beds, and its inspection record is genuinely clean, two deficiencies on file, none involving harm or abuse, and a survey completed in June 2025. The quality measure scores back that up. Where it gets less comfortable is staffing: 3.67 nurse hours per resident day sits about 5% under the national average, weekends drop roughly 22% below weekdays, and turnover runs 54.5% against a national 45.8%. So the care standards look strong on paper, but the people delivering that care are stretched thinner than average and cycling through faster than average. Worth asking the administrator directly how they cover weekends and what they're doing about retention.

B

84.5/100

Adamsplace, Llc

Murfreesboro, TN · Rutherford County

CMS 3/5 40 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
53%
Serious cites
0

Adamsplace runs 4.71 nurse hours per resident day, about 22% above the national average, and that staffing shows up in its four-out-of-five staffing rating. But weekends drop roughly 20% below its own weekday level, and annual turnover sits at 52.5% against a national 45.8%, meaning the people covering those shifts keep changing. The health inspection side is weaker: a two-out-of-five rating, nine deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy. Its last inspection was in December 2025. A five-out-of-five quality measure rating reflects resident care outcomes, but the inspection record and churn are the parts worth asking about directly.

B

84.5/100

The Springs At Wyandot Trail

Lancaster, OH · Fairfield County

CMS 5/5 52 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
—
Serious cites
0

The Springs at Wyandot Trail runs 4.51 nurse hours per resident day, roughly 17% above the national average, so there's more direct care time here than at a typical home. Weekend staffing dips about 7% below its own weekday level, which matters if your family visits or needs answers on Saturdays and Sundays. Inspectors have cited 9 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, and the last inspection was in April 2026, recent enough that the record reflects how the building operates now. The 4/5 health inspection and 5/5 quality measure ratings point to solid care outcomes, though the corporate for-profit ownership is worth asking about when you tour.

B

84/100

Sylacauga Health And Rehab Services

Sylacauga, AL · Talladega County

CMS 4/5 149 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
41%
Serious cites
0

Sylacauga Health And Rehab Services runs 149 certified beds as a nonprofit corporation, and its staffing sits right at the national line, 3.82 nurse hours per resident day against an average of 3.86. That's essentially even, though weekends drop about 10% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Turnover of 41.2% is better than the 45.8% national figure, which suggests less churn than many places. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in January 2022, a stretch worth noting if you want a fresher picture.

B

84/100

Brookdale University Park Snf (Al)

Birmingham, AL · Jefferson County

CMS 1/5 66 beds For-profit
Nurse hours
3.90 /day
Staff turnover
45%
Serious cites
0

Brookdale University Park sits at 66 certified beds in Birmingham, run by a for-profit corporation. Staffing works out to 3.90 nurse hours per resident day, essentially matching the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Annual turnover of 44.6% lands slightly better than the national figure, which means less churn than many peers but still a workforce that changes over regularly. The real concern is the inspection record: a 1-out-of-5 health inspection rating, 17 deficiencies on file, one tied to abuse. Nothing currently rises to harm or jeopardy level, and the most recent inspection was June 2024. Ask directly what that abuse citation involved.

B

84/100

The Tamalpais

Greenbrae, CA · Marin County

CMS 5/5 52 beds Non-profit
Nurse hours
4.51 /day
Staff turnover
40%
Serious cites
0

The Tamalpais runs on a nonprofit model with 52 certified beds in Greenbrae, and its nurse staffing sits at 4.51 hours per resident day, roughly 17% above the national average. That's the number that drives its staffing star rating to the top of the scale. Turnover lands at 40%, a bit better than the national 45.8%, so caregivers are staying longer than is typical. The record isn't spotless: 14 deficiencies, though none at harm or jeopardy level and none abuse-related. The most recent inspection was September 2025. One thing worth asking about directly, weekend staffing drops about a third below weekday levels, so coverage on Saturdays and Sundays looks meaningfully thinner than during the week.

B

84/100

Good Samaritan Society -- Fort Collins Village

Fort Collins, CO · Larimer County

CMS 4/5 64 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
38%
Serious cites
0

Good Samaritan Society's Fort Collins Village runs 64 certified beds as a nonprofit, and its three CMS star ratings, health inspections, quality measures, and staffing, all sit at 4 out of 5. On paper, the staff hours tell a more mixed story: 3.49 hours per resident per day is about 9% under the national average of 3.86, and weekends run roughly 13% lighter than weekdays. Turnover, though, is a genuine bright spot at 38.2% against a national 45.8%. The inspection record is clean where it counts, 9 deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent inspection was December 2025.

B

84/100

Waterford, The

Juno Beach, FL · Palm Beach County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
23%
Serious cites
0

The Waterford in Juno Beach runs 60 certified beds as a nonprofit, and its last health inspection came in February 2025, recent enough that the record reflects how the place operates now. Staffing sits at 3.49 nurse hours per resident day, roughly 10% under the national average, and weekends dip about 5% below its own weekday level, so coverage thins out right when families tend to visit. What offsets that is stability: turnover is 23.3%, about half the national rate of 45.8%. Fifteen deficiencies are on record, none at the harm level and none abuse-related. Consistent caregivers and a clean harm record matter more here than the raw staffing number.

B

84/100

Village At Victory Lakes, The

Lindenhurst, IL · Lake County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
35%
Serious cites
0

The Village at Victory Lakes runs a nonprofit home in Lindenhurst with 120 certified beds, and its staffing is the strongest thing going for it, 4.13 nurse hours per resident day, about 7% above the national average, with weekend coverage dipping roughly 10% below its own weekday level. Turnover sits at 34.8%, meaningfully better than the 45.8% national figure, so the people caring for residents tend to stick around. The trouble is the inspection record: 27 deficiencies, six of them serious enough to reach harm or jeopardy, and five fines totaling $389,691. Quality and staffing measures both rate well, but the last inspection in March 2026 and the weight of those health citations pull the overall picture down.

B

84/100

Prairieview Lutheran Home

Danforth, IL · Iroquois County

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

Prairieview Lutheran Home runs on a non-profit model with 90 certified beds in Danforth, and its staffing is the strongest part of the picture: 4.82 nurse hours per resident day, roughly a quarter above the national average, with a 5/5 staffing star and turnover at 34.5% against a national 45.8%. Weekends dip about 9% below weekday coverage, which is worth asking about. The trouble sits in inspections. A 2/5 health inspection star, 28 total deficiencies, five at harm or jeopardy level, two abuse-related, and four fines totaling $89,042, with the most recent inspection in November 2024. Good staffing doesn't erase a record like that, and it's the inspection history that drags this home down.

B

84/100

Rehabilitation Center At Hartsfield Village

Munster, IN · Lake County

CMS 3/5 112 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
34%
Serious cites
0

Nurse staffing at Hartsfield Village runs 4.45 hours per resident day, roughly 15 percent above the national average, which helps explain the four-star staffing rating. Weekend coverage dips about 14 percent below the home's own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 33.9 percent against a national 45.8, lower churn than most places, which matters for residents who value seeing the same faces. The 34 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the most recent inspection was August 2025. Quality and health inspection ratings both land at three stars, so care is solid without being exceptional.

B

84/100

Heritage Pointe Of Warren

Warren, IN · Huntington County

CMS 4/5 119 beds Government Medicaid
Nurse hours
4.43 /day
Staff turnover
42%
Serious cites
0

Heritage Pointe of Warren is county-owned, and the numbers suggest that public ownership is working in residents' favor here. Nurse staffing sits at 4.43 hours per resident day, about 15% above the national average, though weekends run roughly 7% leaner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 41.5%, better than the 45.8% national figure but still a reminder that consistent caregivers matter. Eleven deficiencies on record, none at the harm level and none abuse-related, with the most recent inspection in April 2026. The three CMS star ratings, inspection, quality measures, and staffing, all land at four out of five.

B

84/100

Hampton Oaks Health Campus

Scottsburg, IN · Scott County

CMS 5/5 71 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
39%
Serious cites
0

Hampton Oaks sits in Scottsburg with 71 certified beds under corporate ownership. The numbers here lean mostly positive: nurse staffing runs about 4.03 hours per resident day, slightly above the national average, and weekend coverage drops roughly 10% from weekday levels. Staff turnover is 39%, lower than the 45.8% national figure, which matters for consistency of care. Inspections look clean, four deficiencies on record, none at harm or jeopardy level, though one is abuse-related. Both the health inspection and quality measure ratings are 5/5, while staffing comes in at 4/5, suggesting room to improve on the floor. The most recent inspection was March 2026, so the record is current. That abuse-related deficiency is the one flag worth asking about directly.

B

84/100

Aspen Place Health Campus

Greensburg, IN · Decatur County

CMS 4/5 64 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
37%
Serious cites
0

Aspen Place runs on more nursing hours than most homes, about 4.2 per resident per day, roughly 9% above the national figure, and its staff tends to stay, with turnover at 37% against a national average near 46%. The trade-off shows up in the inspection record: 28 deficiencies, including one at the harm level and one tied to abuse, which is why a home with strong staffing and a top quality-measure score lands at a solid-but-not-clean grade. Weekend coverage also dips about 11% below its own weekday level, worth asking about if your family visits Saturdays or Sundays.

B

84/100

Good Samaritan - Ottumwa

Ottumwa, IA · Wapello County

CMS 2/5 126 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
31%
Serious cites
0

Good Samaritan in Ottumwa runs 126 certified beds as a nonprofit, and its staffing sits a bit under the national average, 3.63 nurse hours per resident day against 3.86, with weekends about 8% lighter than weekdays. That modest shortfall is worth knowing if your family member needs help on Saturdays and Sundays. What stands out more is retention: turnover of 31.2% against a national 45.8% means aides and nurses tend to stay, which usually translates into more consistent care. But the inspection record carries real weight: 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $91,569 in fines across two penalties. The most recent inspection was December 2025. Quality and staffing both rate 4 out of 5; health inspections come in at 3.

B

84/100

Maple Heights

Mapleton, IA · Monona County

CMS 5/5 58 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
28%
Serious cites
0

Maple Heights runs on strong staffing for a 58-bed for-profit corporate home in Monona County. Nurses provide 4.36 hours per resident per day, roughly 13% above the national average, and the 28.4% turnover rate is well below the 45.8% national figure, people tend to stay. Inspections back that up: 11 deficiencies on record, none at the harm level and none abuse-related, with the most recent survey in December 2025. Two things temper the picture. Weekend staffing dips about 8% below the home's own weekday coverage, and the 2/5 quality measure rating suggests the clinical outcomes data isn't keeping pace with the staffing numbers.

B

84/100

Scenic Manor

Iowa Falls, IA · Hardin County

CMS 5/5 77 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
27%
Serious cites
0

Scenic Manor runs 77 certified beds in Iowa Falls under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. Weekend coverage drops roughly 11% below what the home staffs on weekdays, so if you're visiting or calling on a Saturday, expect a thinner floor. The stronger number is turnover: 26.9% against a national average of 45.8%, which suggests workers here tend to stay. Its current record shows 11 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in May 2025.

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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