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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 941–960 of 1,547, best-graded first.

B

79/100

Catholic Care Center, Inc

Bel Aire, KS · Sedgwick County

CMS 2/5 159 beds Non-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
57%
Serious cites
0

Catholic Care Center runs a nonprofit home with 159 certified beds in Bel Aire, and its staffing numbers are genuinely above average, 4.28 nurse hours per resident day against a national 3.86. Weekends dip roughly 10% below its own weekday coverage, so the weekday ratio overstates what a Saturday looks like. The bigger concerns sit elsewhere: staff turnover of 57.1% runs well past the 45.8% national figure, and the inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,205 fine. The last inspection was December 2024. Strong staffing and quality marks don't cancel out a two-star inspection history or the churn that keeps replacing the people providing the care.

B

79/100

Hillside Village Of De Soto Rehabilitation And Nur

De Soto, KS · Johnson County

CMS 5/5 49 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
45%
Serious cites
0

Hillside Village Of De Soto Rehabilitation And Nur runs 49 certified beds under corporate ownership, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86. That gap is small, but the weekend pattern matters more: staffing drops about 9% below its own weekday level, so care thins out exactly when families tend to visit. Turnover is 45.2%, a hair under the national 45.8%, so retention here isn't the problem it is at many homes. Eighteen deficiencies appear on the current record, though none reached harm or jeopardy and none involved abuse, and the most recent inspection was January 7, 2026. The quality measure rating is strong; the health inspection record is solid.

B

79/100

Family Health & Rehabilitation Center

Wichita, KS · Sedgwick County

CMS 4/5 72 beds For-profit Medicaid
Nurse hours
4.81 /day
Staff turnover
66%
Serious cites
0

Family Health & Rehabilitation Center runs 72 certified beds in Wichita under for-profit LLC ownership, and its nurse staffing sits at 4.81 hours per resident day, roughly 25% above the national average of 3.86. That's a genuine cushion, though weekends run about 12% thinner than weekdays, so coverage isn't perfectly even across the week. The bigger concern is turnover: 66.3% annually against a national average of 45.8%. Aides and nurses cycling through that fast can undercut even good staffing numbers, since residents see new faces constantly. The record shows 24 deficiencies, none at harm or jeopardy level, but 2 tied to abuse, worth asking about directly. Inspections are recent, from March 2026, and both the health inspection and quality measure ratings land at 4 out of 5 stars.

B

79/100

Andbe Home, Inc

Norton, KS · Norton County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
36%
Serious cites
0

Andbe Home runs on better-than-average staffing, about 4.36 nurse hours per resident day, roughly 13% above the national figure, and its 36.1% turnover beats the 45.8% national average. Weekend coverage dips slightly from weekday levels, but the bigger concern sits elsewhere: 23 deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $30,947 fine. The most recent inspection was May 2026, so the record is recent, not stale. A nonprofit home with solid staffing but a two-out-of-five inspection rating means the care hours are there, yet the survey history shows real problems that families should ask about directly.

B

79/100

Westchester Village Of Lenexa

Lenexa, KS · Johnson County

CMS 4/5 34 beds For-profit Medicaid
Nurse hours
5.11 /day
Staff turnover
58%
Serious cites
0

Westchester Village of Lenexa runs a small house, 34 certified beds, and it's putting more nursing hours into each resident than most homes in the country do, roughly a third above the national average. That's the real story here, and it shows up in the staffing rating. What tempers it is turnover: more than half the nursing staff leaves within a year, well past the national rate, so the people delivering those hours keep changing. The inspection record is recent and clean at the serious end, 22 deficiencies on file, none tied to harm or abuse. Quality measures are the weak spot, scoring well below the staffing and inspection results.

B

79/100

Christian Health Center

Bowling Green, KY · Warren County

CMS 4/5 39 beds Non-profit Medicaid
Nurse hours
4.76 /day
Staff turnover
60%
Serious cites
0

Christian Health Center runs about 4.76 nurse hours per resident per day, roughly 23% above the national average, which is the kind of margin that shows up in everyday care. The tradeoff is turnover: 59.5% of staff leave each year against a national average of 45.8%, and weekend coverage drops about 10% below weekday levels, so consistency can slip even when raw hours look strong. The inspection record is clean where it counts, three deficiencies, none at the harm level and none abuse-related, with the most recent survey in January 2026, and this nonprofit's 45 beds have earned 4 out of 5 stars across health inspections, quality measures, and staffing.

B

79/100

Friends Nursing Home

Sandy Spring, MD · Montgomery County

CMS 5/5 82 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
15%
Serious cites
0

Friends Nursing Home in Sandy Spring runs on remarkably steady staffing for a nonprofit church-affiliated home: 3.94 nurse hours per resident day, a bit above the national average, and weekend coverage that holds essentially level with weekdays. That consistency shows in the 15.3% annual turnover, roughly a third of the national rate. The trade-offs sit elsewhere. Eighteen deficiencies on record, three tied to abuse, with eight fines totaling $22,965, none at the harm level, but enough to pull the inspection picture down from perfect despite a recent May 2025 visit. Quality measure scores land at 2 of 5, the weakest number here.

B

79/100

Berkshire Place

Pittsfield, MA · Berkshire County

CMS 4/5 54 beds Non-profit
Nurse hours
5.02 /day
Staff turnover
68%
Serious cites
0

Berkshire Place, a nonprofit home in Pittsfield with 54 beds, runs nurse staffing at 5.02 hours per resident day, roughly 30% above the national average of 3.86. That's the strongest thing going for it. Weekend coverage dips about 10% below its own weekday level, and annual turnover sits at 68.4%, well above the national 45.8%, so the people providing that generous staffing are changing often. Inspections look solid: 4 out of 5 stars, with the most recent visit in February 2026. Eleven deficiencies are on record, two at the harm level, none abuse-related, and one fine totaling $8,648. Strong care hours and recent inspections, but the turnover is the number worth asking about directly.

B

79/100

Continuing Care At Brooksby Village

Peabody, MA · Essex County

CMS 4/5 104 beds Non-profit Medicaid
Nurse hours
5.02 /day
Staff turnover
50%
Serious cites
0

Brooksby Village runs a nonprofit operation in Peabody with 104 certified beds, and its biggest strength shows up in the nurse staffing numbers: 5.02 hours per resident day, roughly 30 percent above the national average of 3.86. That staffing cushion is real, though weekends dip about 9 percent below the home's own weekday level, so coverage isn't perfectly even across the week. The record has harder edges. Staff turnover sits at 50 percent, above the 45.8 percent national figure, and the current inspection history carries 17 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Add a single fine of $167,099, and the picture is a well-staffed home with some serious compliance problems worth asking about directly.

B

79/100

Harold And Grace Upjohn Community Care Center

Kalamazoo, MI · Kalamazoo County

CMS 1/5 84 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
41%
Serious cites
0

Harold and Grace Upjohn Community Care Center runs 87 certified beds as a nonprofit, and its staffing sits just under the national average at 3.76 nurse hours per resident day. Weekends run about 7% thinner than weekdays, so coverage dips when families tend to visit. Staff turnover is 40.7%, better than the 45.8% national figure, and CMS gives the home 4 stars each for staffing and quality measures. The trouble is the inspection record: 56 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $31,186 in fines across two penalties. The most recent inspection was March 2025, and CMS rates that inspection history 2 out of 5 stars. Strong quality scores don't cancel out that many serious findings.

B

79/100

Froh Community Home

Sturgis, MI · St. Joseph County

CMS 4/5 65 beds Non-profit Medicaid
Nurse hours
2.61 /day
Staff turnover
19%
Serious cites
0

Froh Community Home runs on noticeably thin nurse coverage, 2.61 hours per resident day, roughly a third below the national average, and weekends dip about 13% below what the home staffs on weekdays. The trade-off is stability: turnover sits at 18.8% against a national 45.8%, so the aides and nurses who are there tend to stay, and quality measures score well. But the inspection record carries weight: 19 deficiencies, three at harm or jeopardy level, one tied to abuse, and a single fine of $125,564. A May 2025 inspection is recent enough to trust. As a church-affiliated nonprofit, there's no ownership chain pulling profit out, but low staffing hours and harm-level findings are what families should ask about directly.

B

79/100

Friendship Village Of Bloomington

Bloomington, MN · Hennepin County

CMS 4/5 66 beds Non-profit
Nurse hours
4.16 /day
Staff turnover
35%
Serious cites
0

Friendship Village of Bloomington runs a nonprofit home with 66 certified beds, and its staffing is the standout: 4.16 nurse hours per resident day, roughly 8% above the national average, with a 5-star CMS staffing rating. Turnover sits at 35.2%, well under the 45.8% national figure, which matters for consistency of care. The concerns are on the inspection side. There are 23 deficiencies on the current record, including one at the harm or jeopardy level and two abuse-related, plus a single $99,500 fine. The most recent inspection was May 2026, so it's recent. Strong staffing and low turnover are real strengths; the deficiency record is the reason this one doesn't grade higher.

B

79/100

St Gertrudes Health & Rehabilitation Center

Shakopee, MN · Scott County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
34%
Serious cites
0

St. Gertrudes runs a leaner ship than most on the staffing side, 4.16 nurse hours per resident day, roughly 8% above the national average, and its 34.2% turnover is well below the 45.8% norm, which matters for consistency of care. Weekends dip about 7% below weekday coverage, so ask how that plays out on the floor. The trouble sits elsewhere: 32 deficiencies on record, 2 at harm or jeopardy level, 4 tied to abuse, and $29,260 in fines. A January 2026 inspection is recent, but two stars each on health inspections and quality measures tells you the clinical record hasn't kept pace with the staffing.

B

79/100

Mcknight Place Extended Care

Saint Louis, MO · St. Louis County

CMS 4/5 70 beds For-profit
Nurse hours
5.22 /day
Staff turnover
57%
Serious cites
0

Mcknight Place Extended Care sits in Saint Louis with 70 certified beds and a corporate for-profit owner. The staffing numbers are the real story here: 5.22 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekend coverage holds fairly steady, only about 6% below weekdays. Turnover is the weak spot, 56.9% of staff leave annually against a national 45.8%, which means new faces are constantly rotating through. The inspection record is current, dated April 2025, and shows 25 deficiencies with none at harm or jeopardy level and nothing abuse-related, which points to documentation and process issues rather than resident safety failures.

B

79/100

Crestwood Manor

Whiting, NJ · Ocean County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
48%
Serious cites
0

Crestwood Manor runs a tight operation on the inspection side, a perfect health inspection rating and a recent survey with nine deficiencies, none of which rose to the level of harm or jeopardy, and no abuse citations at all. That's a clean record. Where it gives ground is staffing: 3.76 nurse hours per resident day sits just under the national average, and weekends drop roughly 11% below its own weekday coverage. Turnover at 48.3% edges past the national figure. For a 64-bed nonprofit in Ocean County, the care is safely delivered, but ask how they hold the line on weekend shifts before you decide.

B

79/100

Stonebridge At Montgomery Health Care Center

Skillman, NJ · Somerset County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
47%
Serious cites
0

Stonebridge at Montgomery runs on strong staffing numbers, 4.55 nurse hours per resident day, well above the national average, and a five-star CMS staffing rating to match. Weekend coverage dips slightly below its own weekday level, but the bigger concerns sit elsewhere: a two-star health inspection rating, 15 deficiencies on the current record including three at harm or jeopardy level and four abuse-related, plus a $133,000 fine. Staff turnover at 47.3% is roughly in line with the national average of 45.8%, so retention isn't the outlier here, the inspection record is. The most recent survey was June 2025, so that picture is current.

B

79/100

Chapel Hill Community

Canal Fulton, OH · Stark County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
44%
Serious cites
0

Chapel Hill Community runs a fairly typical staffing operation for a nonprofit: 3.89 nurse hours per resident day, just a hair above the national average, though weekends drop about 12% below its own weekday coverage. Turnover sits at 44.4%, slightly better than the national rate but still meaning most of the staff you meet this year won't be there next year. The inspection record is a mixed bag. A recent April 2025 inspection earned four stars, and none of the 30 deficiencies on file rose to harm or jeopardy level, but three were abuse-related, which families should ask about directly rather than assume the clean harm record covers everything.

B

79/100

Laurie Ann Nursing Home

Newton Falls, OH · Trumbull County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
21%
Serious cites
0

Laurie Ann Nursing Home runs 60 beds in Newton Falls under for-profit LLC ownership. The staffing picture cuts both ways: 3.05 nurse hours per resident day sits about 21% under the national average of 3.86, and weekends dip roughly 14% below the home's own weekday level, but turnover is 20.5%, well below the national 45.8%, so the aides and nurses who are there tend to stay. The current record shows 15 deficiencies, one at harm or jeopardy level and one abuse-related, with a June 2025 inspection the most recent. All three CMS star ratings land at 3 out of 5. Fewer hands per resident, but a steadier crew and a recent look from inspectors.

B

79/100

Otterbein-Cridersville

Cridersville, OH · Auglaize County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
42%
Serious cites
0

Otterbein-Cridersville runs 50 certified beds as a nonprofit, and its nurse staffing sits at 3.74 hours per resident day, about 3% under the national average of 3.86. Weekends dip roughly 10% below its own weekday coverage, so if your visits fall on a Saturday or Sunday, expect a thinner floor than midweek. The record shows 22 deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Staff turnover is 42%, a bit better than the 45.8% national figure. Its last inspection was April 2025, and quality measures score well even as the health inspection side lands mid-range.

B

79/100

Park Village Health Care Center Inc

Dover, OH · Tuscarawas County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
34%
Serious cites
0

Park Village runs a for-profit, individually owned home with 90 certified beds in Dover. Nurse staffing sits at 4.19 hours per resident day, about 9% above the national average, and the staff retention is genuinely strong, 33.7% turnover against a national 45.8% means workers tend to stick around here. The tradeoff shows up in the inspection record: 16 deficiencies, including one at the harm or jeopardy level, and a single fine of $77,552. Weekend staffing dips roughly 12% below weekday levels, so coverage gets thinner when families are most likely to visit. The most recent inspection was April 22, 2026, so the record is current. Strong staffing and retention, but that harm-level finding and the fine are worth asking about directly.

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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