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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 861–880 of 1,547, best-graded first.

B

81/100

John Knox Village Care Center

Lees Summit, MO · Jackson County

CMS 4/5 324 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
43%
Serious cites
0

John Knox Village Care Center runs 324 certified beds as a nonprofit, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average. That cushion matters, though weekends drop about 13% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover lands at 42.9%, a bit better than the 45.8% national figure, which suggests the workforce is somewhat more stable than most. Inspectors visited in January 2025 and logged 20 deficiencies, none at the harm or jeopardy level and none abuse-related. Four stars on health inspections and staffing, three on quality measures, tells you the basics are solid even if quality reporting lags.

B

81/100

Friends Homes At Guilford

Greensboro, NC · Guilford County

CMS 5/5 69 beds Non-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
45%
Serious cites
0

Friends Homes At Guilford runs on a nonprofit model with 69 certified beds, and the staffing numbers stand out: 5.07 nurse hours per resident day, roughly 31% above the national average of 3.86. Weekend coverage dips about 11% below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 45.3%, essentially matching the national rate of 45.8%. Inspections tell a clean story, a 5/5 health inspection rating, just two deficiencies on record, none at the harm level and none abuse-related, with the last visit in January 2026. The quality measure score of 2/5 is the outlier here, so ask what specific clinical measures are pulling that down.

B

81/100

Croasdaile Village

Durham, NC · Durham County

CMS 4/5 102 beds Non-profit Medicaid
Nurse hours
5.32 /day
Staff turnover
43%
Serious cites
0

Croasdaile Village is a nonprofit continuing care community in Durham with 102 certified beds, and its staffing is the strongest card it holds: 5.32 nurse hours per resident day against a national average of 3.86, roughly a third more hands-on time than most homes. Weekend coverage dips about 8% below its own weekday level, but that's a modest drop, and turnover at 42.7% actually runs slightly under the national rate. The caution is in the inspection record, six deficiencies, one serious enough to involve harm or jeopardy, plus two fines totaling $25,275. The most recent inspection was August 2025, so the picture is current. Solid staffing, a recent serious finding worth asking about directly.

B

81/100

Anna Maria Of Aurora

Aurora, OH · Portage County

CMS 4/5 98 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
26%
Serious cites
0

Anna Maria Of Aurora runs on 4.32 nurse hours per resident day, roughly 12% above the national average, and its staff turnover of 25.9% sits well under the 45.8% national figure, that stability matters more than a snapshot of raw hours. Weekend coverage dips about 12% below its own weekday levels, so families should ask how that gap gets managed. The current record carries 14 deficiencies, including one at the harm or jeopardy level and one abuse-related, which is the number to press administrators on. The last inspection was December 22, 2025, and its quality measures score well while inspections land mid-range.

B

81/100

Health Center At The Renaissance

Olmsted Twp, OH · Cuyahoga County

CMS 4/5 85 beds Non-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
51%
Serious cites
0

The Health Center at the Renaissance is run by a nonprofit corporation and holds 85 certified beds in Olmsted Township. Its nurse staffing sits at 4.30 hours per resident day, about 11% above the national average, and it earns 4 out of 5 stars on all three CMS measures: health inspections, quality, and staffing. Weekend coverage dips roughly 9% below weekday levels, though. The record shows 9 deficiencies, one at the harm or jeopardy level and three tied to abuse, with the most recent inspection dated October 6, 2025. Annual turnover runs 51.4%, higher than the 45.8% national figure, which means aides and nurses cycle through faster than average even with the strong staffing numbers.

B

81/100

Ohio Living Swan Creek

Toledo, OH · Lucas County

CMS 4/5 34 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
46%
Serious cites
0

Ohio Living Swan Creek runs 34 certified beds in Toledo, and the nursing hours look solid on paper: 4.02 per resident day, roughly 4% above the national average. But that average hides a dip, weekends run about 13% thinner than weekdays, which is when families tend to visit and notice. Staff turnover sits at 45.7%, essentially matching the national rate, so retention isn't the problem here. The inspection record is: 25 deficiencies, two serious enough to reach harm or jeopardy level, one tied to abuse, and a $34,873 fine. A 5/5 on quality measures and 4/5 on staffing sit alongside a 2/5 inspection rating and a recent April 2026 survey. The care metrics look strong; the compliance history is what pulls this down.

B

81/100

Westover Retirement Community

Hamilton, OH · Butler County

CMS 5/5 53 beds Non-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
51%
Serious cites
0

Westover Retirement Community runs a nonprofit home in Hamilton with 53 certified beds, and its nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average of 3.86. That extra coverage shows up on the federal staffing star rating, which sits at 4 out of 5, though weekend hours drop about 9% below what the home staffs on weekdays. The inspection record is the strongest part: a 5-star health inspection rating, last survey dated February 2026, and 9 deficiencies on file with none at the harm or jeopardy level and none abuse-related. The caution is turnover, 50.8% against a national 45.8%.

B

81/100

Harrison Trail Health Campus

Harrison, OH · Hamilton County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
47%
Serious cites
0

Harrison Trail Health Campus sits in Hamilton County with 54 certified beds, run by a for-profit LLC. The staffing picture is decent but not uniform: 4.12 nurse hours per resident day runs about 7% above the national average, though weekends drop roughly 12% below what the home staffs on weekdays. Turnover lands at 46.9%, essentially tracking the national rate of 45.8%. Where it stands out is inspections, a perfect 5/5 health inspection rating with only 3 deficiencies on record, none at harm or jeopardy level and none abuse-related, and the most recent inspection was February 26, 2026. Quality measures also score 5/5, while staffing earns 3/5, which tells you the clinical outcomes look strong even if the workforce numbers are only steady.

B

81/100

Norwich Springs Health Campus

Hilliard, OH · Franklin County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
47%
Serious cites
0

Norwich Springs runs a 54-bed for-profit home in Hilliard with nurse staffing at 4.16 hours per resident day, about 8% above the national average, though weekends run roughly 14% leaner than weekdays. Staff turnover sits at 46.9%, essentially level with the national figure. The current inspection record shows 12 deficiencies with none at the harm or jeopardy level and none abuse-related, and the last survey was in May 2024. Federal ratings put quality measures at 5 out of 5 and staffing at 4 out of 5, with health inspections at 3. The picture is a decently staffed home with a clean harm record, held back mainly by that middling inspection history.

B

81/100

St Joseph's Manor

Meadowbrook, PA · Montgomery County

CMS 4/5 296 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
36%
Serious cites
0

St. Joseph's Manor runs about 296 certified beds in Meadowbrook, and the nurse staffing number that matters here is 4.03 hours per resident day, roughly 4% above the national average of 3.86. That's not a small edge when you consider how much of a resident's day is shaped by how many hands are actually available. Weekend coverage does drop about 12% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 36.3%, better than the national 45.8%, so the people caring for residents tend to stay. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in January 2026.

B

81/100

Saint Mary's Villa Nursing Hom

Moscow, PA · Lackawanna County

CMS 4/5 112 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
38%
Serious cites
0

Saint Mary's Villa runs on more direct nursing time than most homes, 4.08 hours per resident day against a national average near 3.86, and it holds onto its nurses better than the typical facility, with turnover at 37.6% versus 45.8% nationally. That stability matters, though weekends thin out about 14% below weekday coverage, so a Saturday concern may take longer to answer. The inspection record shows 18 deficiencies, none serious enough to trigger a harm or jeopardy citation, plus one abuse-related finding worth asking about directly. Last inspected in September 2025, so the record is recent. As a nonprofit, it answers to a board rather than shareholders.

B

81/100

Quincy Retirement Community

Waynesboro, PA · Franklin County

CMS 4/5 94 beds Non-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
39%
Serious cites
0

Quincy Retirement Community runs 94 beds as a nonprofit in Waynesboro, and its staffing sits a bit under the national average, 3.74 nurse hours per resident day against 3.86, with weekends about 7% thinner than weekdays, so coverage dips when families tend to visit. Turnover is the brighter spot: 38.8% versus 45.8% nationally, meaning fewer aides cycling out the door than at the typical home. The current record shows 15 deficiencies, including one at the harm level and one abuse-related, and the last inspection was recent, in February 2026. Read the inspection report yourself before deciding.

B

81/100

Asbury Health Center

Pittsburgh, PA · Allegheny County

CMS 1/5 139 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
43%
Serious cites
0

Asbury Health Center runs a bit above the national average for nurse staffing, 3.92 hours per resident day against 3.86, and its 42.8% turnover is slightly better than the 45.8% typical elsewhere. Weekends are thinner, though, with roughly 10% less coverage than weekdays, which is worth asking about if your family visits mainly on Saturdays or Sundays. The 23 deficiencies on record include one abuse-related citation, though none rose to the level of actual harm or jeopardy, and the most recent inspection was in June 2025. This is a nonprofit with a solid staffing score and a middle-of-the-road inspection history, steady, not spotless.

B

81/100

Julia Pound Care Center

Indiana, PA · Indiana County

CMS 3/5 96 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
38%
Serious cites
0

Julia Pound Care Center runs on thinner nurse coverage than most homes, 3.64 hours per resident day against a national average of 3.86, and weekends dip about 7% below what the building staffs on weekdays. That gap matters, because weekends are when families often can't visit and problems go unnoticed. Turnover sits at 37.5%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The record isn't clean, though: 37 deficiencies, including one at the harm level and one tied to abuse, with the most recent inspection in June 2025. As a nonprofit, this home answers to a board rather than shareholders, which can mean steadier priorities, but the inspection history is the part I'd ask about directly.

B

81/100

Friendship Village Of South Hi

Pittsburgh, PA · Allegheny County

CMS 3/5 89 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
50%
Serious cites
0

Friendship Village of South Hills runs 89 certified beds under corporate for-profit ownership, and its staffing sits at 3.76 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends drop about 9% below its own weekday coverage, and annual turnover hits 50% against a national figure of 45.8%, so the same faces aren't always there. The current record shows 16 deficiencies, none at harm or jeopardy level, but four tied to abuse, which is worth asking about directly. The last inspection was December 2, 2025, so the picture is recent. Quality and staffing measures both rate 4 out of 5, while inspections come in at 3.

B

81/100

Seneca Place

Verona, PA · Allegheny County

CMS 2/5 174 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
44%
Serious cites
0

Seneca Place runs 174 certified beds in Verona under nonprofit corporate ownership, and the numbers pull in different directions. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends drop roughly 11% below the home's own weekday coverage, a gap families often feel on Saturday and Sunday. Turnover lands at 43.8%, slightly better than the 45.8% national figure. What stands out most is the inspection record: 63 deficiencies, including 8 tied to abuse, with the most recent survey dated June 2025. None of those were cited at harm or jeopardy level, which matters, but the volume against a one-star health inspection rating is the fact worth weighing.

B

81/100

Sprenger Health Care Of Port Royal

Port Royal, SC · Beaufort County

CMS 1/5 65 beds For-profit
Nurse hours
3.44 /day
Staff turnover
45%
Serious cites
0

Sprenger Health Care of Port Royal runs 65 certified beds under corporate for-profit ownership, and its staffing sits at 3.44 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends running about 12% thinner than its own weekdays. Turnover is 45.3%, essentially matching the national figure, so the instability here isn't unusual for the industry. What stands out is the inspection record: six deficiencies, one serious enough to involve harm or jeopardy, and a single $14,069 fine, with the most recent inspection dated March 12, 2026. Quality and staffing measures score well on paper, but that inspection history is the part worth asking about directly.

B

81/100

Bethany Home

Waupaca, WI · Waupaca County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
74%
Serious cites
0

Bethany Home runs on a corporate for-profit model with 100 certified beds, and the raw staffing number looks good on paper, 4.52 nurse hours per resident day, roughly 17 percent above the national average. But that average hides churn: 73.7 percent of staff turned over in a year, versus about 46 percent nationally, and weekend coverage drops about 11 percent below the home's own weekday level. Inspections tell a mixed story too. Ten deficiencies sit on the current record, including one at the harm level and one tied to abuse, though the most recent inspection was in May 2025 and the quality measure score came back strong.

B

81/100

Casa De Las Campanas

San Diego, CA · San Diego County

CMS 3/5 99 beds Non-profit
Nurse hours
4.91 /day
Staff turnover
55%
Serious cites
0

Casa De Las Campanas runs on 4.91 nurse hours per resident day, about 27% above the national average, which is the kind of staffing cushion families often can't find. Weekend coverage dips roughly 8% below its own weekday levels, and turnover sits at 55.3% against a national 45.8%, so the people providing that care change more often than average. The record shows 39 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the last inspection was August 2025, so the picture is reasonably current. Its nonprofit ownership and above-average staffing are real strengths; the turnover and that one abuse citation are the things worth asking about directly.

B

81/100

Bayshire San Dimas Post-Acute

San Dimas, CA · Los Angeles County

CMS 4/5 45 beds For-profit
Nurse hours
4.42 /day
Staff turnover
33%
Serious cites
0

Bayshire San Dimas runs a 45-bed for-profit home in LA County, and the staffing numbers are the strongest thing it has going. At 4.42 nurse hours per resident day, it beats the national average of 3.86 by roughly 15%, and its 32.7% turnover sits well under the 45.8% national figure, both meaningful, since consistent caregivers matter more than almost anything else. The catch is the inspection record: 50 deficiencies, two of them serious enough to put residents in harm's way, and eight fines totaling $85,083. Quality measures score well and the last inspection is recent, but that many citations points to a building where care planning and safety practices slip, even with enough staff on hand.

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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