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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 61 to 80 of 1,547, best-graded first.

A

96/100

Vi At Highlands Ranch Skilled Nursing

Highlands Ranch, CO · Douglas County

CMS 5/524 bedsFor-profit
Nurse hours
5.89 /day
Staff turnover
43%
Serious cites
0

Vi at Highlands Ranch runs 5.89 nurse hours per resident per day, roughly half again the national average of 3.86, and the weekend dip is mild at about 8 percent. The current record shows three deficiencies, none of them involving harm or abuse, and the last inspection was September 2024. Turnover sits at 43.2 percent, slightly better than the 45.8 percent national figure, against a 24-bed for-profit corporate operation. All three CMS star ratings, health inspections, quality measures, and staffing, come in at five out of five, which lines up with what the numbers show: strong daily coverage, a clean inspection history, and staffing that holds up through the weekend.

A

96/100

Essex Meadows Health Center

Essex, CT · Lower Ct River Vly County

CMS 5/545 bedsFor-profit
Nurse hours
5.00 /day
Staff turnover
35%
Serious cites
0

Essex Meadows runs on 5.00 nurse hours per resident day, roughly 29% above the national average, and its staff turnover of 34.5% sits well below the 45.8% national figure, that combination is why its staffing picture holds up. Weekend coverage dips about 14% below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 17 deficiencies, none at the harm or jeopardy level, but four tied to abuse, which is worth asking about directly. A state inspection in January 2025 was recent enough to reflect current conditions. It's a for-profit LLC with 45 beds, meaning smaller scale and less margin for error when a shift runs thin.

A

96/100

Ridge Crest At Meadow Ridge

West Redding, CT · Greater Bridgeport County

CMS 5/559 bedsFor-profit
Nurse hours
4.93 /day
Staff turnover
28%
Serious cites
0

Ridge Crest At Meadow Ridge runs on 4.93 nurse hours per resident day, roughly 28% above the national average, and its staff turnover of 27.9% sits well under the 45.8% norm, two numbers that tend to matter more than anything else in day-to-day care. The 59-bed home is owned by a for-profit limited liability company and was last inspected in March 2025, carrying 18 deficiencies on its current record, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. Weekend staffing dips about 7% below its own weekday level, a small but real gap if you're planning visits.

A

96/100

Willowbrooke Court Skilled Center At Manor House

Seaford, DE · Sussex County

CMS 5/515 bedsNon-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
23%
Serious cites
0

Willowbrooke Court runs just 15 certified beds, which tends to mean staff know residents individually, and the numbers back that up. Nurse staffing sits at 4.05 hours per resident day, about 5% above the national average, though weekend coverage dips roughly 12% below what the home staffs during the week, a gap worth asking about. Turnover is the standout: 23.1% against a national average near 46%, so the people caring for your family member are more likely to still be there next year. Seven deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with a May 2025 inspection.

A

96/100

John Knox Village Of Pompano Beach

Pompano Beach, FL · Broward County

CMS 4/5194 bedsNon-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
26%
Serious cites
0

John Knox Village of Pompano Beach runs on unusually deep staffing for a 194-bed nonprofit: 5.39 nurse hours per resident day, roughly 40% above the national average, with weekend coverage dipping only about 6% below weekdays. Turnover sits at 25.8% against a national 45.8%, so the people providing that care tend to stay. The tradeoff shows up in the inspection record, 3 out of 5 stars, 14 deficiencies on file, including one abuse-related citation, though none reached harm or jeopardy, and the most recent survey was in July 2025. Quality measures score 4 out of 5. Strong staffing and steady retention are doing a lot of work here; the survey history is the part worth asking about directly.

A

96/100

Chateau At Moorings Park, The

Naples, FL · Collier County

CMS 5/5106 bedsNon-profit
Nurse hours
5.45 /day
Staff turnover
11%
Serious cites
0

Chateau At Moorings Park runs on a nonprofit model with staffing that's hard to argue with: 5.45 nurse hours per resident day, roughly 41% above the national average, and turnover of just 10.9% against a national 45.8%. That kind of retention usually shows up in how consistently residents see the same faces. The trade-off is a small weekend dip, about 12% below its own weekday coverage. Five deficiencies sit on the current record with none at the harm level, though two are abuse-related, which is worth asking about directly. Inspections are recent, from January 2025, and both the health and quality measure ratings came back at 4 out of 5.

A

96/100

Mayflower Healthcare Center

Winter Park, FL · Orange County

CMS 5/560 bedsNon-profit
Nurse hours
5.50 /day
Staff turnover
41%
Serious cites
0

Mayflower Healthcare Center runs on about 5.5 nursing hours per resident per day, roughly 43% above the national average, and its staff turnover sits below the national rate at 40.6%. The trade-off is weekends, when staffing drops about 8% from its own weekday level, so coverage looks thinner on Saturdays and Sundays. On inspections, the home carries four deficiencies, none at the harm or jeopardy level and none abuse-related, with its last survey dated May 2026. As a nonprofit with 60 certified beds, it's small enough that a single weak shift matters more than it would at a larger building.

A

96/100

Fleet Landing

Atlantic Beach, FL · Duval County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
5.44 /day
Staff turnover
38%
Serious cites
0

Fleet Landing runs on a lot of nursing hours, 5.44 per resident day, roughly 41% above the national average, and that cushion holds up on weekends, which dip only about 8% below weekday levels. Staff turnover sits at 37.5%, better than the 45.8% national figure, so the people caring for residents tend to stick around. The inspection record backs that up: four deficiencies total, none at the harm level and none abuse-related, with the most recent survey in July 2025. As a nonprofit with 100 certified beds, it's small enough to know its residents, and the staffing and turnover numbers suggest that stability is real rather than a snapshot.

A

96/100

Vi At Aventura

Aventura, FL · Miami-Dade County

CMS 5/540 bedsFor-profit
Nurse hours
5.03 /day
Staff turnover
16%
Serious cites
0

Vi at Aventura runs 5.03 nursing hours per resident per day, roughly a third more than the typical American nursing home, and its staff turnover sits at 15.6% against a national average near 46%. That combination, more hands and far fewer people leaving, is uncommon. Weekend staffing dips about 7% below weekday levels, a normal pattern, and seven deficiencies on record with none at harm level and none tied to abuse. The most recent inspection was September 2025. It's a small, for-profit corporate home: 40 certified beds, five stars on health inspections, quality measures, and staffing alike.

A

96/100

Renaissance At The Terraces

Bonita Springs, FL · Lee County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.94 /day
Staff turnover
16%
Serious cites
0

Renaissance At The Terraces runs on unusually deep staffing for a 40-bed nonprofit in Bonita Springs, 5.94 nurse hours per resident day, roughly 54% above the national average, and weekend coverage dips only about 9% below its own weekday level. Turnover sits at 16.3% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The trade-off shows up in inspections: a 3-out-of-5 health inspection rating, with nine deficiencies on record, though none at the harm level and none abuse-related. The most recent inspection was July 2024, so the picture is current. Quality measures score 4 out of 5.

A

96/100

Westminster Baldwin Park

Orlando, FL · Orange County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.45 /day
Staff turnover
20%
Serious cites
0

Westminster Baldwin Park runs about 5.45 nurse hours per resident day, roughly 41% above the national average, and weekend staffing dips only about 14% below its own weekday level, which matters because weekend coverage is where a lot of homes quietly fall apart. Annual turnover sits at 20% against a national average near 46%, so the people caring for residents tend to stay. The inspection record shows eight deficiencies with none at the harm or jeopardy level and none abuse-related, and the last inspection was in January 2026. This is a 40-bed nonprofit, and the numbers suggest steady, well-staffed care rather than anything flashy.

A

96/100

15 Craigside

Honolulu, HI · Honolulu County

CMS 5/545 bedsNon-profit
Nurse hours
4.53 /day
Staff turnover
13%
Serious cites
0

15 Craigside runs on a level of nurse staffing most homes can't match, 4.53 hours per resident day, about 17% above the national average. The bigger story is turnover: 13% compared to roughly 46% nationally, which means the people caring for residents tend to stay. Weekend coverage dips about 12% below its own weekday levels, so if you're planning visits, that's worth knowing. On the inspection side, five deficiencies on record, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was June 2025. As a nonprofit with 45 beds, it operates at a scale where oversight tends to stay tight. The numbers here reflect consistency rather than any single standout metric.

A

96/100

Westminster Place

Evanston, IL · Cook County

CMS 5/5105 bedsNon-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
23%
Serious cites
0

Westminster Place runs on 5.23 nurse hours per resident day, about a third more than the national average, and its staff tends to stay, turnover of 23.1% is roughly half the national rate. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows seven deficiencies, none at the harm level and none abuse-related, with the most recent visit in October 2024 and top marks from CMS for both inspections and staffing. As a nonprofit, it isn't answering to shareholders, and the numbers reflect that stability.

A

96/100

Moorings Of Arlington Heights

Arlington Hts, IL · Cook County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
12%
Serious cites
0

Moorings of Arlington Heights runs on a nonprofit model with 92 certified beds, and its staffing tells a real story: 5.12 nurse hours per resident day against a national average of 3.86. That's roughly a third more hands-on care than most homes provide, and the people delivering it tend to stay, turnover sits at 12.1% while the national figure is closer to 46%. Weekend coverage does dip about 11% below its own weekday level, worth knowing if you'll be visiting Saturdays and Sundays. The health inspection record shows 10 deficiencies, including one at the harm level and two tied to abuse, so ask directly how those were resolved when you tour.

A

96/100

Selfhelp Home Of Chicago

Chicago, IL · Cook County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
24%
Serious cites
0

Nurse staffing at Selfhelp Home of Chicago runs 4.85 hours per resident day, roughly a quarter above the national average, and weekends dip only about 9% below weekdays, a modest drop compared with what many homes see. Annual turnover sits at 24.4%, well under the national 45.8%. The tradeoff is on the inspection side: 21 deficiencies on the current record, including one at the harm level and one abuse-related, with the last inspection in August 2024. The nonprofit's quality and staffing measure ratings are both top-tier, so the care numbers look strong; the open question is how that one serious deficiency fits with everything else.

A

96/100

Mather Evanston, The

Evanston, IL · Cook County

CMS 5/537 bedsNon-profit
Nurse hours
5.86 /day
Staff turnover
28%
Serious cites
0

Mather Evanston runs on 5.86 nurse staffing hours per resident day, roughly half again the national average, and its staff turnover of 27.8% sits well under the 45.8% typical elsewhere, people tend to stay. The trade-off is modest: weekends run about 8% leaner than weekdays, so ask how that plays out on a Sunday. Seven deficiencies on record, none at the harm level and none abuse-related, with a clean inspection in March 2025. As a nonprofit with 37 beds, it's small enough that you can reasonably expect to know the people caring for your relative.

A

96/100

Springs At Monarch Landing, The

Naperville, IL · Du Page County

CMS 5/596 bedsFor-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
37%
Serious cites
0

The Springs at Monarch Landing is a for-profit LLC home in Naperville with 96 certified beds, and its numbers hold up under scrutiny. Nurse staffing runs 5.15 hours per resident day, roughly a third above the national average, and weekend coverage dips only about 10% below its own weekday level, so care doesn't fall off a cliff on Saturdays and Sundays. Staff turnover sits at 36.8%, meaningfully better than the 45.8% national figure. On the inspection side, 11 deficiencies appear on the current record, but none at the harm or jeopardy level and none abuse-related, with the most recent inspection completed in July 2024. All three CMS star ratings land at 5 out of 5.

A

96/100

Marquette

Indianapolis, IN · Marion County

CMS 5/557 bedsNon-profit
Nurse hours
4.43 /day
Staff turnover
24%
Serious cites
0

Marquette runs on a non-profit model with 57 beds in Indianapolis, and the staffing numbers stand out first: 4.43 nurse hours per resident day, roughly 15% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 23.7% against a national average near 46%, meaning the people caring for residents tend to stay. The tradeoff is a longer deficiency record, 15 citations on file, two serious enough to reach harm or jeopardy level, though none involve abuse. The most recent inspection was February 2026. Steady staffing and strong quality marks don't erase those two serious findings; they just tell you where to focus your questions.

A

96/100

Four Seasons Retirement Center

Columbus, IN · Bartholomew County

CMS 5/530 bedsNon-profit
Nurse hours
5.00 /day
Staff turnover
20%
Serious cites
0

Four Seasons runs about 5 hours of nursing care per resident per day, roughly 30% above the national average, and weekend coverage dips only about 13% from its own weekday level, a modest drop, not a staffing cliff. Staff turnover sits at 20%, well under the national 45.8%, which matters for residents who need consistent faces. The home carries 8 deficiencies on its current record, none at the harm level and none tied to abuse, with its most recent inspection dated June 2025. It's a small nonprofit, 30 beds, so read those numbers as a snapshot of a stable, well-staffed operation rather than a guarantee about what any single week feels like.

A

96/100

Towne House Retirement Community

Fort Wayne, IN · Allen County

CMS 5/532 bedsNon-profit
Nurse hours
5.23 /day
Staff turnover
28%
Serious cites
0

Towne House in Fort Wayne runs on a nonprofit model with 32 certified beds, and the staffing numbers stand out right away: 5.23 nurse hours per resident per day, roughly a third more than the national average of 3.86. Weekend coverage dips about 14% below its own weekday level, worth asking about if your family visits mainly on Saturdays or Sundays. Staff turnover sits at 27.8% against a national average near 46%, which suggests people tend to stay. The inspection record is clean where it matters, five deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in May 2026. Quality measures score well too, and the health inspection side is as strong as it gets.

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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