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 821–840 of 1,547, best-graded first.

B

82/100

Friends Extended Care Center

Yellow Springs, OH · Greene County

CMS 4/5 59 beds Non-profit Medicaid
Nurse hours
4.57 /day
Staff turnover
33%
Serious cites
0

Friends Extended Care Center runs about 4.57 nurse hours per resident each day, roughly 18% above the national average of 3.86, and its staff turnover of 32.8% sits well below the national 45.8%. Weekends thin out some, about 13% below its own weekday coverage, so ask how that plays out 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 February 2026. As a nonprofit with 59 beds, it's small enough to know its residents, and the staffing and inspection numbers back that up.

B

82/100

Ohio Living Breckenridge Village

Willoughby, OH · Lake County

CMS 4/5 72 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
35%
Serious cites
0

Ohio Living Breckenridge Village runs a 72-bed nonprofit home in Willoughby, and the staffing numbers are the strongest part of the picture: 4.12 nurse hours per resident day, roughly 7% above the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 34.6% against a national 45.8%, which matters because familiar aides tend to notice changes sooner. The current record shows five deficiencies, one serious enough to reach harm or jeopardy level, none tied to abuse. That single high-level citation is the thing worth asking about directly before you tour.

B

82/100

Genoa Retirement Village

Genoa, OH · Ottawa County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
23%
Serious cites
0

Genoa Retirement Village runs on 3.43 nurse hours per resident day, about 11% under the national average of 3.86, and weekends dip roughly 14% below its own weekday coverage. That thinner weekend presence is worth asking about directly, since it's when families often visit and when problems can surface. The tradeoff is stability: turnover sits at 23.1% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. Its inspection record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. For-profit, limited liability ownership under a 68-bed roof.

B

82/100

Judson Park

Cleveland, OH · Cuyahoga County

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

Judson Park runs a small 36-bed operation in Cleveland, and the nurse staffing number stands out, 8.10 hours per resident day, more than double the national average. That cushion matters, though weekends dip about 21% below the home's own weekday coverage, so care may feel thinner on Saturdays and Sundays. The inspection record shows 10 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $25,847; the last full inspection was in January 2023, so that picture is getting stale. Nonprofit ownership and solid marks on health, quality, and staffing all point to a home that's generally doing right by residents, with the weekend gap and those two harm-level findings the things worth asking about directly.

B

82/100

Gateway Springs Health Campus

Hamilton, OH · Butler County

CMS 4/5 53 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
45%
Serious cites
0

Gateway Springs Health Campus runs a tight ship on the clinical side. The 53-bed for-profit home logged a 5/5 on its last federal health inspection in January 2024, with five total deficiencies and none rising to harm or jeopardy, a clean record compared to what a lot of Ohio homes carry. Nurse staffing sits at 4.20 hours per resident day against a national average of 3.86, so there's more direct care here than typical, though weekend coverage dips about 12% below the weekday pace. Turnover at 44.6% tracks close to the 45.8% national figure. If you're weighing this one, the inspection history is the strongest signal.

B

82/100

The Health Center At Concordia

Oklahoma City, OK · Oklahoma County

CMS 5/5 30 beds Non-profit
Nurse hours
5.14 /day
Staff turnover
50%
Serious cites
0

The Health Center at Concordia runs on unusually heavy staffing for a 30-bed nonprofit home, 5.14 nurse hours per resident day, roughly a third more than the national average, and weekends hold steady rather than dropping off like they do at many places. That staffing shows up in the inspection record: a 5-star health inspection rating, seven deficiencies on file with none reaching harm or jeopardy level and nothing abuse-related. The tradeoffs are real but modest. Staff turnover sits at 50%, a bit above the 45.8% national figure, and two fines totaling $25,407 are on record. The last inspection was June 2026. The high marks and the money owed don't cancel each other out, they just describe a well-staffed home with some churn and paperwork problems to ask about.

B

82/100

Cascade Manor

Eugene, OR · Lane County

CMS 4/5 32 beds Non-profit
Nurse hours
8.31 /day
Staff turnover
—
Serious cites
0

Cascade Manor runs on 8.31 nurse hours per resident day, roughly double the national average of 3.86, a striking number for a 32-bed nonprofit home, and one that likely explains why its staffing rating holds at 4 out of 5. The trade-off shows up in its record: 16 deficiencies, two of them serious enough to cite harm or jeopardy, plus one $10,033 fine. Nothing on file involves abuse. Weekend staffing dips about 9% below weekdays, so care thins out slightly when families tend to visit. The last inspection was April 2026; state surveyors have seen this building recently.

B

82/100

Rosewood Gardens Rehabilitation And Nursing Center

Broomall, PA · Delaware County

CMS 5/5 146 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
25%
Serious cites
0

Rosewood Gardens runs a tight ship on the things that matter most. Four deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with a February 2026 inspection that's still fresh, that's a clean paper trail for a 146-bed for-profit. Staff retention is unusually steady at 24.8% turnover against a national average near 46%, so you're less likely to see a rotating cast of unfamiliar aides. The tradeoff is daily coverage: 3.70 nurse hours per resident sits about 4% under the national figure, and weekends dip roughly 6% below the home's own weekday staffing. Ask specifically who's on the floor on Saturday and Sunday afternoons.

B

82/100

Zerbe Sisters Nursing Center,

Narvon, PA · Lancaster County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
53%
Serious cites
0

Zerbe Sisters runs nurse staffing at 4.24 hours per resident day, roughly 10% above the national average, but the margin thins on weekends, when coverage drops about 9% below its own weekday level. Turnover sits at 52.8%, higher than the 45.8% national figure, so the faces around a resident change more often than average. The inspection record shows three deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $10,033; the most recent inspection was in April 2026. Strong staffing and quality scores sit alongside real gaps in consistency and past safety findings.

B

82/100

Concordia At Spiritrust Sprenkle Drive

York, PA · Adams County

CMS 4/5 104 beds Non-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
48%
Serious cites
0

Concordia At Spiritrust Sprenkle Drive runs about 3.56 nurse hours per resident day, roughly 8% under the national figure of 3.86, and weekends drop another 7% below its own weekday coverage. That thinner weekend floor matters because the home's current record carries 19 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $24,670. Staff turnover sits at 47.9%, a bit above the 45.8% national average. The quality measure score is strong, but staffing and inspection results are middling, and the last full inspection came in November 2025.

B

82/100

Wesley Enhanced Living At Stapeley

Philadelphia, PA · Philadelphia County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
42%
Serious cites
0

Wesley Enhanced Living at Stapeley runs 120 certified beds as a nonprofit, with total nurse staffing at 3.84 hours per resident day, just under the national average, and weekends about 9% thinner than weekdays. Staff turnover sits at 42.2%, a bit better than the 45.8% national figure. The current record shows 28 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $8,824; the most recent inspection was May 2026. CMS rates the home 3 out of 5 on health inspections but 4 out of 5 on both quality measures and staffing. The inspection history and those abuse-related findings are what pull against the otherwise solid marks.

B

82/100

St. Catherine Center

Waco, TX · Mc Lennan County

CMS 5/5 165 beds Non-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
28%
Serious cites
0

St. Catherine Center runs on a nonprofit model with 165 certified beds, and the staffing picture is genuinely strong: 3.94 nurse hours per resident day, just above the national average, with weekend coverage dipping about 8% below weekdays. Staff turnover sits at 28.2%, well under the 45.8% national figure, which matters more than any single inspection score for day-to-day consistency. The tradeoff shows up in quality measures, rated 2 out of 5, and in 12 deficiencies on the current record, one serious enough to reach harm or jeopardy level. A single $13,065 fine and a recent April 2026 inspection round out the picture. Good people, uneven clinical results.

B

82/100

Fairfield Village Rehabilitation

Layton, UT · Davis County

CMS 3/5 40 beds For-profit
Nurse hours
5.06 /day
Staff turnover
63%
Serious cites
0

Fairfield Village Rehabilitation runs 40 certified beds in Layton under for-profit LLC ownership, and its nurse staffing sits at 5.06 hours per resident day, roughly 31% above the national average of 3.86. That's a real margin, though weekend coverage dips about 8% below its own weekday level, so the weekday-to-weekend gap is worth asking about directly. The bigger flag is turnover: 63.2% annually against a national average of 45.8%, meaning a large share of the people caring for residents are new or on their way out. Inspections from January 2025 produced 11 deficiencies, none at harm or jeopardy level but one abuse-related.

B

82/100

Belvoir Woods Health Care Center At The Fairfax

Fort Belvoir, VA · Fairfax County

CMS 3/5 56 beds For-profit
Nurse hours
4.96 /day
Staff turnover
56%
Serious cites
0

Belvoir Woods runs on a for-profit corporate model with 56 certified beds, and the staffing numbers there are genuinely above average, 4.96 nurse hours per resident day, roughly 28% higher than the national figure. That's more direct care time than most homes provide, though weekends dip about 6% below its own weekday levels, so coverage isn't perfectly even. Turnover sits at 56.2%, well above the 45.8% national rate, meaning the faces around your family member may change often. The 23 deficiencies on record are worth noting, but none reached harm or jeopardy level and none were abuse-related, and the most recent inspection was in March 2026.

B

82/100

Riverside Lifelong Health & Rehabilitation Patri

Williamsburg, VA · James City County

CMS 4/5 60 beds Non-profit
Nurse hours
3.75 /day
Staff turnover
56%
Serious cites
0

Riverside Lifelong Health & Rehabilitation Patri runs 60 certified beds in Williamsburg under nonprofit ownership, and its inspection record is genuinely strong, a 4/5 health inspection rating with 13 deficiencies on file, none of them at the harm or jeopardy level. The quality measure score is a perfect 5/5. The staffing numbers tell a different story: 3.75 nurse hours per resident day sits just under the national average of 3.86, weekends drop roughly 14% below weekday coverage, and annual turnover is 56.3% against a national 45.8%. Three abuse-related deficiencies also appear on the record. The care outcomes look good on paper, but that thin, churning workforce is the thing to ask about directly.

B

82/100

Eliseo

Tacoma, WA · Pierce County

CMS 3/5 187 beds Non-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
43%
Serious cites
0

Eliseo runs 187 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.33 hours per resident day, about 12% above the national average. But weekends drop roughly 10% below its own weekday levels, so coverage isn't evenly spread across the week. The record shows 53 deficiencies, including one at the harm level and five tied to abuse; the last inspection was May 2025. Staff turnover of 43.2% is slightly better than the 45.8% national figure, though that's a low bar. CMS rates the home 2 out of 5 on health inspections but 5 out of 5 on quality measures, which means the clinical numbers look strong even as the inspection history doesn't.

B

82/100

Park Shore

Seattle, WA · King County

CMS 4/5 28 beds Non-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
96%
Serious cites
0

Park Shore runs a non-profit shop with 28 beds in Seattle, and the staffing numbers look solid on paper, 4.26 nurse hours per resident day, about 10% above the national average, with weekends holding steady rather than dropping off. What undercuts that picture is a 96.2% annual turnover rate, more than double the national figure, which means the people delivering those hours are largely new and constantly changing. The inspection record shows 50 deficiencies, including one at the harm level and three tied to abuse. Quality measures score well; the staffing and inspection side tells a different story.

B

82/100

Oak Park Place Of Nakoma

Madison, WI · Dane County

CMS 3/5 33 beds For-profit Medicaid
Nurse hours
5.49 /day
Staff turnover
59%
Serious cites
0

Oak Park Place Of Nakoma runs a lean 33-bed operation on Madison's west side, and the nurse staffing here is genuinely heavy, 5.49 hours per resident day, roughly 42 percent above the national figure, with weekends dipping only slightly below weekdays. That's the kind of coverage families notice when they visit at odd hours. The tension sits elsewhere: 30 deficiencies on the current record, including one tied to abuse, even though none rose to the level of actual harm. Staff turnover of 58.5 percent is well above the national 45.8 percent, meaning the people providing that generous staffing are often new. The most recent inspection came in January 2026.

B

81.5/100

Pavilion At Brandon Wilde

Evans, GA · Columbia County

CMS 2/5 65 beds For-profit
Nurse hours
4.45 /day
Staff turnover
44%
Serious cites
0

Pavilion at Brandon Wilde runs about 4.45 nursing hours per resident per day, roughly 15% above the national average, and that shows up in a 4-out-of-5 staffing rating. The catch is weekends, when hours drop about 18% below the home's own weekday level. Staff turnover sits at 43.6%, a touch better than the 45.8% national figure but still a lot of churn. Inspections are the weak spot: 21 deficiencies on record, including one abuse-related citation, with no harm-level findings. Ownership is for-profit through an LLC, and the last inspection was in April 2026. The people are there; the oversight record is uneven.

B

81.5/100

Live Oak

Shreveport, LA · Caddo County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
45%
Serious cites
0

Live Oak runs on strong nurse staffing, 4.71 hours per resident day against a national average of 3.86, and its inspection and quality ratings both sit at 4 out of 5, with a recent June 2025 survey. But 17 deficiencies on record, including three tied to abuse, are worth asking about directly, even though none rose to harm or jeopardy level. Weekend coverage drops roughly 17% below weekdays, so staffing isn't evenly spread across the week. Turnover at 45.4% is essentially the national average, meaning nurse retention here is neither a strength nor a red flag. The non-profit ownership is a steadying factor. What's behind the B is solid care numbers undercut by that deficiency count and a thinner weekend floor.

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