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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 761–780 of 1,547, best-graded first.

B

83/100

Brio Of Johnston, Llc

Johnston, IA · Polk County

CMS 3/5 36 beds For-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
55%
Serious cites
0

Brio Of Johnston runs a for-profit limited liability operation with 36 certified beds in Polk County, and its nurse staffing sits at 4.57 hours per resident day, roughly 18% above the national average. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday pace. Staff turnover lands at 55.1%, nearly ten points above the national figure, which means the people delivering that care are cycling through faster than average. Twelve deficiencies sit on the current record, one serious enough to involve harm or jeopardy, with a single fine of $6,923 and an inspection dated April 2026. The staffing and quality measure ratings hold at 4 stars each; inspection results sit lower at 3.

B

83/100

Hallmar Village

Cedar Rapids, IA · Linn County

CMS 2/5 55 beds Non-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
51%
Serious cites
0

Hallmar Village runs a church-affiliated nonprofit with 55 beds, and its staffing is the clear strength: 4.46 nurse hours per resident day, roughly 15% above the national average, with weekend coverage only about 8% below weekday levels. The tradeoffs show up elsewhere. Staff turnover sits at 51.4%, higher than the 45.8% national figure, and the current inspection record carries 21 deficiencies, three of them serious enough to involve harm or jeopardy. No abuse citations, and one fine totaling $11,960. The last inspection was in October 2025, so the picture is fairly current. Strong bedside hours can offset a lot, but a turnover rate above average plus three harm-level findings is what holds this home back.

B

83/100

Brookside Retirement Community

Overbrook, KS · Osage County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
45%
Serious cites
0

Brookside Retirement Community runs 60 certified beds in Overbrook under corporate for-profit ownership. Nurse staffing sits at 3.82 hours per resident day against a national average of 3.86, and weekends dip about 9% below weekdays, that thinner weekend coverage matters when a resident needs help on a Saturday. Annual turnover of 44.9% is roughly in line with the 45.8% national figure, so continuity isn't unusually bad here. The inspection record shows 7 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations, and one fine totaling $21,645. That harm-level finding, paired with below-average staffing, is what pulls the overall picture down despite strong quality measure scores.

B

83/100

Locust Grove Village

La Crosse, KS · Rush County

CMS 2/5 38 beds Non-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
53%
Serious cites
0

Locust Grove Village runs a 38-bed nonprofit home in La Crosse, and its staffing is genuinely better than most, 4.27 nurse hours per resident day against a national average of 3.86. That edge narrows on weekends, though, when coverage drops about 14% below the home's own weekday level, and turnover sits at 52.5% versus 45.8% nationally, so the faces change often. The inspection record is where the concerns concentrate: 11 deficiencies, including one at the harm level and one tied to abuse, plus a $12,779 fine, with the last inspection in September 2024. Quality measures land mid-range, inspection performance below average, staffing above it.

B

83/100

Ginger Cove

Annapolis, MD · Anne Arundel County

CMS 4/5 55 beds Non-profit
Nurse hours
4.68 /day
Staff turnover
43%
Serious cites
0

Ginger Cove runs lean on problems and heavy on staff. At 4.68 nurse hours per resident day, it sits about 21% above the national average, and its inspection record backs that up: 12 deficiencies on file, none of them causing harm or jeopardy, though one is abuse-related. Weekend coverage dips roughly 7% below its own weekday levels, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover of 43.1% is slightly better than the national 45.8%. The odd note is quality measures, which land at the bottom of the scale even as inspections and staffing sit at the top, that gap is the thing to press the administrator on.

B

83/100

Vista Grande Villa

Jackson, MI · Jackson County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
—
Serious cites
0

Vista Grande Villa runs 60 beds as a nonprofit, and its record is a mixed bag worth reading carefully. The clinical numbers look strong, with top marks on quality measures, but nurse staffing sits at 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 16% thinner than weekdays, which is when families tend to visit and notice. Inspections since February 2026 turned up 27 deficiencies, five of them abuse-related, though none rose to the level of actual harm or jeopardy. A recent inspection plus that many findings means the survey history is doing more work here than the quality scores suggest.

B

83/100

The Village Of East Harbor

Chesterfield Township, MI · Macomb County

CMS 3/5 102 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
43%
Serious cites
0

The Village of East Harbor runs a church-affiliated nonprofit home with 102 beds in Chesterfield Township, and its staffing sits at 4.17 nurse hours per resident day, roughly 8% above the national average. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday level, something worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover lands at 43.4%, slightly better than the 45.8% national figure. The current record shows 17 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $15,593. The most recent inspection was April 2, 2025, so the picture is reasonably current.

B

83/100

Maplewood Rehabilitation Center

Maplewood, MN · Ramsey County

CMS 1/5 115 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
36%
Serious cites
0

Maplewood Rehabilitation Center runs 115 certified beds under for-profit LLC ownership, and its numbers pull in different directions. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86, and weekends drop about 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 35.8%, well under the 45.8% national figure, which suggests the staff who are there tend to stay. What drags the record down is the inspection history: 43 deficiencies on file, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection dated December 2025.

B

83/100

Maranatha Care Center

Brooklyn Center, MN · Hennepin County

CMS 4/5 97 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
25%
Serious cites
0

Maranatha Care Center runs on strong staffing: 4.24 nurse hours per resident day, roughly 10% more than the national average, with weekend coverage dipping about 8% below its own weekdays. Turnover sits at 25%, well under the 45.8% national figure, a real advantage in a field where constant retraining costs residents familiar faces. The inspection record backs that up, with no deficiencies at the harm or jeopardy level and a recent survey from May 2026. Two abuse-related deficiencies and a quality measure rating of 1 out of 5 are the counterweight; whatever the staffing strength buys, it hasn't translated into strong clinical outcomes on paper. The church-affiliated nonprofit ownership is a steadying factor.

B

83/100

Aberdeen Heights

Kirkwood, MO · St. Louis County

CMS 5/5 38 beds Non-profit Medicaid
Nurse hours
4.86 /day
Staff turnover
65%
Serious cites
0

Aberdeen Heights runs a genuinely strong staffing operation: 4.86 nurse hours per resident day, roughly a quarter above the national average, and a perfect federal staffing star to match. The catch is turnover, which sits at 65.4% against a national average of 45.8%, that much churn undercuts consistency even when the daily hours look good on paper, and weekend coverage drops about 14% below weekday levels. Inspections are current and clean where it counts: nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related.

B

83/100

Mccrite Plaza At Briarcliff Skilled Facility

Kansas City, MO · Clay County

CMS 2/5 56 beds For-profit
Nurse hours
5.92 /day
Staff turnover
55%
Serious cites
0

Nurse staffing at Mccrite Plaza runs about 5.92 hours per resident day, well above the national average of 3.86, which is the main reason its staffing rating holds at 4 out of 5. That coverage thins on weekends, dropping roughly 9% below weekday levels, and 54.5% of staff turned over in the past year, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record is the weaker side: 37 deficiencies, including two at the harm level and one tied to abuse, plus a $31,280 fine. With a 2/5 health inspection rating and a December 2024 inspection, the compliance history is worth asking about directly.

B

83/100

Bradley Creek Health Center

Wilmington, NC · New Hanover County

CMS 5/5 30 beds For-profit
Nurse hours
4.39 /day
Staff turnover
44%
Serious cites
0

Bradley Creek Health Center runs small, 30 certified beds in Wilmington, and the staffing numbers are the first thing worth noticing. At 4.39 nurse hours per resident day, it sits about 14% above the national average, though weekends dip roughly 10% below its own weekday coverage, so ask how that gap gets filled. Staff turnover of 43.8% is a touch better than the 45.8% national figure, and the inspection record is clean where it counts: six deficiencies, none at the harm level, none tied to abuse, with the most recent visit in May 2025. A for-profit corporate owner and a middling quality-measure score are the caveats.

B

83/100

Mother Angeline Mccrory Manor

Columbus, OH · Franklin County

CMS 1/5 126 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
48%
Serious cites
0

Mother Angeline McCrory Manor runs on better-than-average nurse staffing, 4.09 hours per resident day, about 6% above the national figure, and its quality and staffing ratings both come in at 4 out of 5. But weekend coverage drops roughly 8% below weekday levels, and annual turnover sits at 48.2%, slightly worse than the 45.8% national average. The bigger concern is the inspection record: 51 deficiencies, three tied to abuse, and a 1-out-of-5 health inspection rating, with the most recent survey completed in July 2025. Nonprofit church ownership doesn't erase that pattern. Strong daily care hours and weak oversight can coexist, and here they do.

B

83/100

Autumn Aegis Nursing Home

Lorain, OH · Lorain County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
33%
Serious cites
0

Autumn Aegis runs a 99-bed for-profit home in Lorain, and the staffing picture is mixed. Nurses give residents 3.65 hours of care per day, about 5% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. That said, staff turnover sits at 32.9%, well below the 45.8% national average, which suggests people stay. The 21 deficiencies on record include nothing at the harm or jeopardy level and no abuse findings, and the most recent inspection was in May 2024. Quality measures score 5/5 while health inspections score 3/5. Steady hands, slightly light coverage, worth asking about weekend shifts specifically.

B

83/100

Vancrest Of Payne

Payne, OH · Paulding County

CMS 5/5 40 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
32%
Serious cites
0

Vancrest Of Payne runs a tight ship on the clinical side. The 40-bed home in Paulding County earned 5 out of 5 stars on both its health inspection and its quality measures, and its last inspection was recent, December 2025, with eight deficiencies on record and none rising to harm or jeopardy. One abuse-related citation is worth asking about directly. Staffing is where it slips: 3.81 nurse hours per resident day lands just under the national average, weekends run about 8% leaner than weekdays, and the staffing star sits at 3. Turnover, though, tells a better story, 32.1% against a national 45.8% means this building keeps its people longer than most.

B

83/100

Baptist Village Of Enid

Enid, OK · Garfield County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
52%
Serious cites
0

Baptist Village of Enid runs a nonprofit home with 90 certified beds, and the staffing numbers are the strongest part of the picture: 4.83 nurse hours per resident day, roughly a quarter above the national average. That cushion matters less on weekends, when hours drop about 13% from the weekday pace, and turnover sits at 52% against a national 45.8%, so the people providing that care keep changing. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent survey came in December 2024. With consistent staffing and no serious harm findings, the main thing to weigh is how often the staff themselves turn over.

B

83/100

Village At Hillside

Mcminnville, OR · Yamhill County

CMS 5/5 22 beds For-profit Medicaid
Nurse hours
6.29 /day
Staff turnover
69%
Serious cites
0

The Village at Hillside runs on unusually heavy staffing for its size, 6.29 nurse hours per resident day, well above the national average, and its inspection record is strong, with 21 deficiencies on file and only one at the harm level, none tied to abuse. The catch is turnover: 68.8% annually, roughly 50% higher than the national figure, which means the people delivering that good care keep changing. Weekend coverage also dips about 9% below weekday levels. Inspections were last conducted in late 2025, so the record is current. For a 20-bed for-profit home, the numbers point to a place that's well-run on paper but may feel less consistent in practice.

B

83/100

Alpine Valley Post Acute And Healthcare Center

Lebanon, PA · Lebanon County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
32%
Serious cites
0

Alpine Valley runs on church-affiliated nonprofit ownership out in Lebanon County, and the numbers show a stable operation. Nurse staffing sits at 3.94 hours per resident day, a bit above the national average, though weekends dip about 8% below weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover of 32.1% is well under the national 45.8%, which suggests people stay, and eight deficiencies on record with none at the harm level and none abuse-related is a clean sheet. The last inspection was September 2024, so the picture is current. The main soft spot is staffing depth relative to what the top-rated homes carry.

B

83/100

Phoebe Berks

Wernersville, PA · Berks County

CMS 5/5 119 beds Non-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
43%
Serious cites
0

Phoebe Berks runs about 4.13 nurse hours per resident per day, roughly 7% above the national average, and staff turnover sits at 43.2%, slightly better than the 45.8% national figure, though it still means close to half the nursing staff turns over in a year. Weekend coverage dips about 8% below weekday levels, a gap families should know about. The inspection record is clean where it counts: five deficiencies total, none causing harm or jeopardy and none abuse-related, with the most recent inspection dated March 2026. Quality measure scores land mid-range, so day-to-day care outcomes look average even as the staffing and inspection numbers hold up.

B

83/100

Life Care Center Of Charleston

N Charleston, SC · Charleston County

CMS 3/5 148 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
43%
Serious cites
0

Life Care Center Of Charleston runs 148 certified beds in North Charleston, and the staffing numbers are the first thing to notice: 3.54 nurse hours per resident day, roughly 8 percent under the national average, with weekends dipping about 12 percent below its own weekdays. Turnover sits at 42.7 percent, a touch better than the 45.8 percent national figure, so the concern isn't retention so much as how thin the floor gets on Saturdays and Sundays. The current inspection record shows 13 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus $24,247 in fines across two penalties. Clinical quality measures score well, but the January 2026 inspection history and below-average daily staffing carry more weight than that.

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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