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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 921–940 of 1,547, best-graded first.

B

80/100

Arthur B Hodges Center, The

Charleston, WV · Kanawha County

CMS 4/5 20 beds Non-profit
Nurse hours
5.62 /day
Staff turnover
51%
Serious cites
0

Arthur B Hodges Center runs just 20 certified beds in Charleston, and the nurse staffing here is the headline: 5.62 hours per resident day, roughly 46 percent above the national average of 3.86. Weekend coverage dips about 13 percent below its own weekday levels, and turnover sits at 51.4 percent against a national 45.8, so the people caring for residents keep changing even though the hours are there. Inspections look strong, a 5-star health inspection rating, last visit in June 2025, and 16 deficiencies on record with none at the harm or jeopardy level and none abuse-related. The 1-star quality measure rating is the outlier worth asking about directly.

B

80/100

Clement Manor Health Care Center

Greenfield, WI · Milwaukee County

CMS 1/5 50 beds Non-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
53%
Serious cites
0

Clement Manor is a 50-bed nonprofit in Greenfield run by a church group, and its inspection record is genuinely strong, five stars, seven deficiencies on file with nothing at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. Daily nurse staffing comes in around 4.14 hours per resident, roughly 7% above the national average, though weekends drop about 11% below the home's own weekday levels. Annual turnover sits at 52.5%, higher than the 45.8% national figure. The last full inspection was December 2024. Quality and staffing measures both land mid-range at three stars. Solid care oversight, but the weekend dip and turnover rate are the two things to press on.

B

80/100

Oakwood Village East Health And Rehab Center

Madison, WI · Dane County

CMS 3/5 40 beds Non-profit Medicaid
Nurse hours
5.51 /day
Staff turnover
44%
Serious cites
0

Oakwood Village East runs lean on problems and heavy on staff, 5.51 nurse hours per resident day, well above the national average, with turnover slightly better than typical. But the inspection record tells a different story: 18 deficiencies logged, including three tied to abuse and one at the harm level, and a single fine of $326,260. That's a serious penalty, not a paperwork slip. Weekend staffing dips about 8% below weekdays, so coverage isn't perfectly even. The most recent inspection was in July 2025, so the record is current. If you're considering this home, ask directly about those abuse-related findings and what changed since.

B

80/100

Calder Woods

Beaumont, TX · Jefferson County

CMS 3/5 46 beds Non-profit
Nurse hours
5.90 /day
Staff turnover
69%
Serious cites
0

Calder Woods runs on unusually heavy staffing for a nursing home, 5.90 nurse hours per resident day, roughly half again the national figure. That's a real advantage for daily care, and weekend coverage barely dips below weekday levels. The trouble sits elsewhere. Staff turnover is 69.1% against a national 45.8%, so the people delivering that care keep leaving. Inspections turned up 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a $14,069 fine. The last inspection was January 2026, so the record is current. It's a nonprofit home that's well-staffed but leaks workers and carries a meaningful citation load.

B

80/100

Continuing Care At Eagles Trace

Houston, TX · Harris County

CMS 4/5 44 beds Non-profit Medicaid
Nurse hours
5.08 /day
Staff turnover
53%
Serious cites
0

Continuing Care at Eagles Trace is a small nonprofit home in west Houston with 44 beds, and its staffing is genuinely above average, 5.08 nurse hours per resident day against a national figure of 3.86. Weekends run about 14 percent thinner than weekdays, though, and turnover sits at 53.3 percent, higher than the 45.8 percent national rate, so that strong average masks real churn. Nine deficiencies are on the current record, two of them serious enough to involve harm or jeopardy, with $22,486 in fines across two penalties. Inspections are recent, from August 2024, and there's nothing abuse-related. The staffing and inspection stars look good; the harm-level findings and turnover are what pull the overall picture down.

B

79.5/100

Centre Avenue Health And Rehab Llc

Fort Collins, CO · Larimer County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
—
Serious cites
0

Centre Avenue Health And Rehab runs 90 certified beds in Fort Collins under for-profit LLC ownership, and its inspection record is genuinely strong, a 5/5 health inspection rating with the most recent survey in October 2024. The catch is staffing: 3.53 nurse hours per resident day sits about 9% under the national average of 3.86, and weekends dip roughly 9% below the home's own weekday levels. Six deficiencies appear on the current record, two of them serious enough to involve harm or jeopardy, though none are abuse-related. Quality measures score 5/5, so care outcomes look good on paper. The tension is real: excellent inspections and outcomes, thinner staffing than average. Ask about weekend coverage before deciding.

B

79.5/100

Hearthwood Snf Senior Living

Bartlett, IL · Cook County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
35%
Serious cites
0

Hearthwood runs 60 beds in Bartlett under for-profit LLC ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day. That average hides a gap, though: weekends run about 15% leaner than weekdays, so coverage depends on when you visit. Turnover is the genuine bright spot at 35.3%, well under the 45.8% national figure, which matters for whether aides and nurses actually know your family member. The inspection record is clean where it counts, 10 deficiencies, none at harm or jeopardy level, none abuse-related, and the last survey was November 2025, so the picture is current. A 5/5 inspection rating with solid quality and staffing marks explains the B without much drama.

B

79.5/100

Birkwood Village Of Fort Madison

Fort Madison, IA · Lee County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
53%
Serious cites
0

Birkwood Village of Fort Madison runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real strength. The catch is consistency: weekend staffing drops about 17% below its own weekday level, and annual turnover runs 52.5% against a national average of 45.8%. The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a single fine of $3,145. Its last inspection was in April 2026, so the record is current, not stale.

B

79/100

River Park Post Acute

Chandler, AZ · Maricopa County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
53%
Serious cites
0

River Park Post Acute runs 66 beds in Chandler under for-profit LLC ownership, and its inspection history is mostly solid, a 4 out of 5 on health inspections, last surveyed in April 2025, with 11 deficiencies on record. The concern is the one at harm or jeopardy level, plus two abuse-related citations. Staffing sits at 3.65 hours per resident day, about 6% under the national average, and weekends drop roughly 12% below the home's own weekday coverage. Annual turnover is 53.1% against a national 45.8%. Quality measures score a perfect 5, but that's family surveys and clinical metrics, it doesn't offset thin weekend coverage or the abuse findings. Ask specifically what those two citations involved.

B

79/100

The Peaks Health & Rehabilitation

Flagstaff, AZ · Coconino County

CMS 3/5 58 beds Non-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
59%
Serious cites
0

The Peaks runs a solid nursing floor on paper: 4.52 nurse hours per resident day, roughly 17% above the national average, which earns its staffing marks. The catch is consistency and oversight. Weekend coverage drops about 11% below its own weekday level, turnover sits at 58.6% against a national 45.8%, and its last inspection in November 2024 left 28 deficiencies on record, including four tied to abuse and one at the harm or jeopardy level. A nonprofit with 58 beds and a recent two-star health inspection history means families should ask directly how weekends are covered and what changed after that harm finding.

B

79/100

Corona Health Care Center

Corona, CA · Riverside County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
39%
Serious cites
0

Corona Health Care Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, so care is thinner on Saturdays and Sundays. Staff turnover is 39.1%, better than the 45.8% national figure, which suggests some stability in the workforce. The inspection record is the weaker part. CMS gives it 2 of 5 stars for health inspections, with 37 deficiencies on file, one at the harm or jeopardy level and one abuse-related. The most recent inspection was July 2025. Quality measures and staffing each earn 3 of 5 stars.

B

79/100

Artesia Christian Home Inc.

Artesia, CA · Los Angeles County

CMS 1/5 66 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
36%
Serious cites
0

Artesia Christian Home runs a genuinely strong staffing operation for a 66-bed nonprofit, 5.37 nurse hours per resident day, roughly 39% above the national average, with turnover at 35.6% versus 45.8% nationally. Weekend coverage dips about 14% below its own weekday level, so the care you'd see on a Saturday isn't quite what you'd see midweek. The problem sits on the inspection side. The current record carries 47 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, plus a $98,079 fine, and the most recent inspection was January 2026. Good staffing numbers can't offset that kind of regulatory history, ask pointed questions about those abuse citations before considering this one.

B

79/100

Franciscan Village

Lemont, IL · Cook County

CMS 4/5 127 beds Non-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
48%
Serious cites
0

Franciscan Village runs on the nonprofit side of things in Lemont, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average. Weekends dip about 12% below its own weekday coverage, so the care you'd see on a Saturday may not match what you'd see on a Tuesday. The recurring problems show up in the inspection record: 29 deficiencies, three of them serious enough to cause actual harm, and two fines totaling $44,220. Staff turnover of 48.2% is slightly above the national rate, which usually means hiring and retraining costs that don't show up on a spreadsheet. Your best question for the administrator is how those three harm-level deficiencies were resolved, and what weekend coverage actually looks like.

B

79/100

Westminster Village North

Indianapolis, IN · Marion County

CMS 2/5 148 beds Government Medicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Westminster Village North runs 148 beds as a county-owned home, and its inspection record carries 41 deficiencies, one tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was November 24, 2025, so that picture is current. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average of 3.86, and weekends run roughly 8% leaner than weekdays, which is worth asking about if your family visits then. Staff turnover is 44.1%, slightly better than the 45.8% national figure. The quality measure rating of 4 out of 5 is the strongest single number here; the 2 out of 5 on health inspections is the weakest.

B

79/100

Harrison Springs Health Campus

Corydon, IN · Harrison County

CMS 5/5 58 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
39%
Serious cites
0

Harrison Springs runs on more nursing hours than most homes, 4.16 per resident day, roughly 8% above the national figure, and its 39% turnover beats the 45.8% national average, which matters when you're thinking about who actually knows your mother's routines. The tradeoff shows up on weekends, when staffing drops about 9% below the home's own weekday level. Five deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was April 2026 with a 4-star health inspection and a 5-star quality measure rating. Corporate for-profit ownership, 58 beds. The staffing star lands at 3, which tells you the hours are there but the consistency isn't perfect.

B

79/100

Madrid Home For The Aged

Madrid, IA · Boone County

CMS 3/5 64 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
47%
Serious cites
0

Madrid Home for the Aged runs 64 certified beds as a nonprofit corporation, and its last inspection came in March 2026, so the record is current. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average of 3.86, and weekends drop roughly 8% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover of 46.8% edges slightly past the national 45.8%. Fourteen deficiencies appear on the current record, none at the harm or jeopardy level but two tied to abuse, which is the kind of item you'd want explained directly rather than assumed.

B

79/100

Marian Home

Fort Dodge, IA · Webster County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
38%
Serious cites
0

Marian Home runs a tight ship on the staffing side. At 4.06 nurse hours per resident day, it sits about 5% above the national average, and its 37.8% turnover beats the 45.8% national figure, meaning the people caring for your relative are more likely to still be there next year than at the typical Iowa home. The tradeoff shows up on the clinical side. CMS gives it just 2 of 5 stars on quality measures, and its one deficiency on record is flagged at the harm level, which the agency doesn't take lightly. Weekend staffing also dips about 11% below weekday levels, worth asking about directly.

B

79/100

Trinity Center At Luther Park

Des Moines, IA · Polk County

CMS 1/5 120 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
26%
Serious cites
0

Trinity Center At Luther Park runs on a nonprofit model with 120 certified beds in Des Moines, and its staffing numbers land close to the national average, 3.83 nurse hours per resident day against 3.86 nationally, though weekends dip roughly 10% below its own weekday coverage. What stands out more is retention: 26.3% turnover versus a national average of 45.8%, meaning workers here tend to stay. The trouble sits in inspections. Thirteen deficiencies are on record, including one at the harm level and two tied to abuse, plus a single fine of $162,205. The most recent inspection was December 23, 2025. Families weighing this home should ask directly about those abuse-related findings and what changed since.

B

79/100

Salina Presbyterian Manor

Salina, KS · Saline County

CMS 1/5 60 beds Non-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
54%
Serious cites
0

Salina Presbyterian Manor runs a nonprofit home of 60 beds, and its staffing is genuinely strong, 4.75 nurse hours per resident day, about 23% above the national average, with weekends only about 10% thinner than weekdays. That helps explain the four-star staffing rating. The problem sits elsewhere: 29 deficiencies on the current record, five of them serious enough to put residents at harm or jeopardy, plus one abuse-related finding and $30,861 in fines across three cases. Staff turnover is 53.8%, well above the 45.8% national figure, and the last inspection was October 2023. Good coverage, but the compliance history is what a family should ask about directly.

B

79/100

Evergreen Community Of Johnson County

Olathe, KS · Johnson County

CMS 5/5 44 beds Non-profit Medicaid
Nurse hours
5.26 /day
Staff turnover
45%
Serious cites
0

Evergreen Community of Johnson County is a nonprofit home in Olathe with 86 certified beds, and its staffing is the standout fact: 5.26 nurse hours per resident day, roughly a third more than the national average, earning a 5-out-of-5 staffing rating. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on Saturdays. Turnover sits at 45.3%, basically the national average, meaning the strong hours aren't coming from a unusually stable team. Inspections in February 2026 produced a 4-star health rating but 24 deficiencies on record, two at the harm level, and $22,913 in fines. Quality measures scored 2 out of 5, the weak spot. Plenty of nursing time, mixed clinical results.

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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