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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 841–860 of 1,547, best-graded first.

B

81.5/100

The Sharon At Southpark

Charlotte, NC · Mecklenburg County

CMS 4/5 19 beds Non-profit
Nurse hours
12.56 /day
Staff turnover
63%
Serious cites
0

The Sharon At Southpark runs 19 certified beds as a nonprofit, and its nurse staffing sits at 12.56 hours per resident day, roughly triple the national average of 3.86. That's an unusual number, and it shows up in the weekend data too, though weekend coverage still runs about 23% below the home's own weekday level. Turnover is the softer spot: 63.3% annually against a national 45.8%, meaning the people providing that care are changing over fairly often. On inspections, the record shows 10 deficiencies with none at the harm or jeopardy level and nothing abuse-related, and the most recent visit was November 25, 2025.

B

81.5/100

Kingston Health Center Of Perrysburg

Perrysburg, OH · Wood County

CMS 3/5 62 beds For-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
45%
Serious cites
0

Kingston Health Center Of Perrysburg runs on more nursing time than most homes, 4.72 hours per resident day against a national average of 3.86, roughly a fifth more hands-on care. The catch is weekends, when coverage drops about 16% below the home's own weekday level, so the staffing picture depends on which day you visit. Turnover sits at 45.1%, about even with the national rate, and the home carries ten deficiencies with none tied to harm, jeopardy, or abuse. Its last inspection was September 2024, and it scores 4 out of 5 on CMS's health inspection, quality measure, and staffing ratings alike. Owned by a for-profit limited liability company, it's a steady home rather than an exceptional one.

B

81.5/100

Presbyterian Communities Of South Carolina-Summerv

Summerville, SC · Dorchester County

CMS 4/5 48 beds Non-profit
Nurse hours
5.62 /day
Staff turnover
52%
Serious cites
0

Presbyterian Communities of South Carolina in Summerville runs a 48-bed nonprofit home where the nursing hours are the story: 5.62 per resident day, roughly 46 percent above the national average, and all three CMS star ratings, health inspections, quality measures, staffing, sit at 4 out of 5. The record is clean where it counts, just two deficiencies and none involving harm, jeopardy, or abuse, with an inspection as recent as August 2025. The two soft spots are worth knowing. Weekend staffing drops about 16 percent below weekday levels, so ask what weekends actually look like. And turnover is 52.4 percent, above the 45.8 percent national figure, meaning plenty of aides are still learning the building.

B

81.5/100

The Village Healthcare Center

Hemet, CA · Riverside County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
5.40 /day
Staff turnover
40%
Serious cites
0

The Village Healthcare Center runs 5.40 nurse hours per resident day, roughly 40% above the national average of 3.86, and that shows up in its five-star staffing rating. Turnover sits at 40.3%, a bit better than the 45.8% national figure. But staffing is only part of the picture. Its current record carries 39 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus a $20,046 fine. Inspections and quality measures both land at three stars, and the last state visit was June 13, 2025. Strong hands on deck, but the compliance history is where the concern lies.

B

81.5/100

The Plaza At Edgemere

Dallas, TX · Dallas County

CMS 4/5 72 beds For-profit
Nurse hours
4.29 /day
Staff turnover
—
Serious cites
0

The Plaza At Edgemere runs 4.29 nursing hours per resident per day, roughly 11% above the national average of 3.86, though weekend coverage dips about 6% below its own weekday levels. Inspectors cited 13 deficiencies on the current record, one serious enough to reach harm or jeopardy level, with no abuse findings and a single fine of $12,735. This for-profit limited liability company holds 72 certified beds and was last inspected on January 22, 2026. Its four-out-of-five marks for health inspections and quality measures sit above its three-out-of-five staffing score, so the care numbers look steadier than the direct-care hours alone would suggest.

B

81.5/100

The Village At Gleannloch Farms

Spring, TX · Harris County

CMS 5/5 35 beds For-profit
Nurse hours
4.28 /day
Staff turnover
49%
Serious cites
0

The Village At Gleannloch Farms runs a tight ship on inspections, its most recent being September 2025, with eight deficiencies on record and none rising to harm or jeopardy, and none tied to abuse. That's a clean paper trail for a 35-bed for-profit home in Spring. Nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national figure, though weekends drop about 19% below its own weekday pace, so coverage thins when families tend to visit. Staff turnover lands at 48.9%, a few points above the national average, worth asking about, since consistent caregivers matter more in a small building.

B

81/100

Galleria Woods Skilled Nursing Facility

Birmingham, AL · Jefferson County

CMS 2/5 30 beds For-profit
Nurse hours
4.36 /day
Staff turnover
70%
Serious cites
0

Staffing at Galleria Woods runs about 4.36 nurse hours per resident each day, roughly 13 percent above the national figure, and that shows up in its staffing rating. The catch is turnover: close to 70 percent of staff left over the past year, well above the 45.8 percent national average, so the people providing that care are often new. On inspections, the record shows 10 deficiencies with none at the harm level and no abuse findings, but the last full look was December 2021, a long gap. A for-profit corporation operates this 30-bed home, and weekend coverage dips slightly below its own weekday level.

B

81/100

Brookdale Greenwood Village

Greenwood Village, CO · Arapahoe County

CMS 3/5 90 beds For-profit
Nurse hours
4.31 /day
Staff turnover
49%
Serious cites
0

Brookdale Greenwood Village has a staffing story that looks good on paper, 4.31 nurse hours per resident day, roughly 12% above the national average, but the weekend gap matters. Care drops about 12% below its own weekday level, so a Saturday fall gets less coverage than a Tuesday one. Turnover sits at 48.7%, above the national norm, which means many of the aides working weekends are still learning the building and its residents. The inspection record is the harder read: 32 deficiencies, two serious enough to involve harm or jeopardy, and a 2-out-of-5 health inspection rating. The quality measures score 5 out of 5, and the last inspection was in April 2026. Those two numbers pull in opposite directions, and the deficiency count is the one that reflects actual cited problems.

B

81/100

Encore At Wilmington

Wilmington, DE · New Castle County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
51%
Serious cites
0

Encore At Wilmington runs 82 certified beds under corporate ownership, and its nurse staffing sits at 3.95 hours per resident day, just slightly above the national average of 3.86. That edge narrows on weekends, when coverage drops about 13% below the home's own weekday level, and staff turnover is 51.3% against a national average of 45.8%. The inspection record is where the real weight sits: 59 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, plus two fines totaling $32,394. The most recent inspection was June 2025. Strong quality-measure scores don't erase that paper trail.

B

81/100

Larsen Health Center

Fort Myers, FL · Lee County

CMS 4/5 180 beds Non-profit Medicaid
Nurse hours
5.60 /day
Staff turnover
44%
Serious cites
0

Larsen Health Center runs 5.60 nurse hours per resident day, roughly 45% above the national average, and weekends dip only about 7% below its own weekday levels, so the coverage is real, not just a weekday story. Turnover sits at 44.2%, essentially at the national rate. The caution is on the inspection side: 16 deficiencies on the current record, including two at the harm level and two abuse-related, with one fine of $32,139 and a survey completed in May 2025. The staffing is the strength; the quality measure score of 2 out of 5 and those harm-level findings are what a family should ask about directly.

B

81/100

Miller's Merry Manor

Warsaw, IN · Kosciusko County

CMS 4/5 137 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Miller's Merry Manor in Warsaw runs about 3.98 nurse hours per resident day, a bit above the national average, though weekends drop roughly 12% from weekday coverage, worth asking about if your family visits then. Staff turnover sits at 39.1%, better than the 45.8% national figure, which matters for consistency of care. The 19 deficiencies on record include two tied to abuse, and while none rise to harm or jeopardy level, that combination deserves direct questions about how incidents are handled. Inspections are recent, from April 2025, and the for-profit corporate owner is working from a four-star inspection and quality record against a three-star staffing score.

B

81/100

Paddock Springs

Warsaw, IN · Kosciusko County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
37%
Serious cites
0

Paddock Springs runs 60 beds in Warsaw under corporate for-profit ownership, and its last health inspection came in January 2026. The record shows seven deficiencies, one serious enough to cause harm or jeopardy, but nothing abuse-related. Staffing sits at 3.91 nurse hours per resident day, barely above the national figure of 3.86, and weekend coverage dips about 2% below weekdays, enough to notice if your family visits Saturdays. What stands out is retention: turnover is 37.3%, well under the 45.8% national average, which suggests a steadier crew than most. Quality measures score strongly, while the staffing star rating lags at 2 out of 5, so the people there are consistent even if the raw hours aren't generous.

B

81/100

Milner Community Health Care

Rossville, IN · Clinton County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
60%
Serious cites
0

Milner Community Health Care runs about 3.99 nurse hours per resident per day, a bit above the national average, and its most recent inspection came back in July 2025 with a four-star health inspection rating. The catch is staff retention: turnover sits near 60%, well above the national figure, and weekend coverage dips below weekday levels, so the people at the bedside change more than families might expect. Twelve deficiencies are on record, one serious enough to involve harm, though none tied to abuse. For a nonprofit home of this size, the care numbers look solid on paper; the question worth asking on a visit is who's actually staying.

B

81/100

Cottage Grove Place

Cedar Rapids, IA · Linn County

CMS 1/5 64 beds Non-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
39%
Serious cites
0

Cottage Grove Place runs a respectable nursing floor on paper: 4.23 nurse hours per resident day sits about 9% above the national average, and staff turnover at 38.6% is meaningfully better than the 45.8% typical elsewhere. The quality measure rating reflects that, and so does staffing. The trouble is the inspection record, 23 deficiencies on file, two of them serious enough to involve harm or jeopardy to a resident, and the most recent survey dates to May 2025. Weekend coverage also dips about 8% below weekday levels, so the care you'd see on a Sunday isn't quite what the staffing average implies. Good people, uneven execution on the regulatory side.

B

81/100

Perry Lutheran Home

Perry, IA · Dallas County

CMS 1/5 70 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
49%
Serious cites
0

Perry Lutheran Home runs 70 certified beds as a nonprofit corporation, and its staffing sits right at the national average of 3.86 nurse hours per resident day, with weekend coverage dropping roughly 7% below its own weekday levels. Turnover is 49.3%, a bit worse than the 45.8% national figure, so the faces change more often than average. The bigger issue is the inspection record: 22 deficiencies, 8 at harm or jeopardy level, and 4 abuse-related, with one fine of $16,351. A recent inspection date doesn't erase that history. If you're considering this home, ask specifically how those abuse-related findings were resolved and who supervises residents on weekends.

B

81/100

Parsons Presbyterian Manor

Parsons, KS · Labette County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
56%
Serious cites
0

Parsons Presbyterian Manor runs a nonprofit home with 43 certified beds, and its nurse staffing sits at 4.60 hours per resident day, about 19 percent above the national average of 3.86. That's the strongest part of the picture, and it shows in a five-star staffing rating. Other numbers pull the other way. Staff turnover hits 56 percent against a national average near 46, and weekend coverage drops roughly 11 percent below its own weekday level. Inspections look strong on the star rating, yet the record holds 19 deficiencies, two at harm or jeopardy level and two tied to abuse, plus one fine of $14,433. High marks on paper, real gaps in the details.

B

81/100

Trinity Manor

Dodge City, KS · Ford County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
41%
Serious cites
0

Trinity Manor runs about 46 beds in Dodge City under for-profit LLC ownership, and its most recent inspection wrapped up in January 2025, so the record you're looking at is current, not stale. The health inspection side holds up reasonably well, but 15 deficiencies on file include two at the harm or jeopardy level and one tied to abuse, which is the kind of thing worth asking about directly rather than glossing over. Staffing sits slightly under the national average at 3.69 nurse hours per resident day, and weekends run thinner than weekdays by roughly 12%, so coverage can dip when it matters. Turnover at 40.5% is better than average, though two fines totaling $29,773 suggest the problems weren't just paperwork.

B

81/100

The Cedars

Mcpherson, KS · Mcpherson County

CMS 3/5 54 beds Non-profit Medicaid
Nurse hours
4.98 /day
Staff turnover
64%
Serious cites
0

The Cedars in McPherson is a 54-bed nonprofit home where nurses spend more time per resident than most places in the country, about 4.98 hours a day versus a national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, and annual turnover sits at 64.4%, well above the 45.8% national figure, so consistent caregiving is the weak spot. Its last inspection came in January 2026, and the record holds 29 deficiencies, none at harm or jeopardy level but four tied to abuse. Subtract the inspection strength and the staffing picture gets wobblier than the raw hours suggest.

B

81/100

Laurel Heights Home For The Elderly

London, KY · Laurel County

CMS 5/5 160 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
32%
Serious cites
0

Laurel Heights runs on more nursing hours than most homes, 4.10 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 32.1% versus 45.8% nationally. That stability matters, though weekend coverage dips about 9% below weekday levels, so ask how weekends are actually staffed. The inspection record is clean where it counts: five total deficiencies, none at the harm level, none abuse-related, and the most recent inspection was in April 2025. As a nonprofit, it answers to a board rather than shareholders. The weaker spot is quality measures, which sit mid-range, so ask what those scores reflect.

B

81/100

Resorts Of Augsburg

Baltimore, MD · Baltimore County

CMS 1/5 131 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
52%
Serious cites
0

Resorts Of Augsburg runs on a corporate for-profit model with 131 certified beds, and the staffing numbers are genuinely better than most, 4.59 nurse hours per resident day against a national average of 3.86. That's a real cushion, though weekends drop about 9% below the home's own weekday staffing, and turnover sits at 51.5% versus 45.8% nationally, so the faces change often. The record shows 63 deficiencies, including 6 tied to abuse, with four fines totaling $23,896 and a health inspection star rating of 2 out of 5. The last inspection was December 2025, so the picture is current. Strong daily coverage, a thin margin on weekends, and persistent compliance problems, that's the trade-off here.

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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