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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 81 to 100 of 1,547, best-graded first.

A

96/100

Swiss Village

Berne, IN · Adams County

CMS 5/5128 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
32%
Serious cites
0

Swiss Village runs 4.39 nurse hours per resident day, about 14 percent above the national average, and its staff turnover of 32.4 percent sits well under the 45.8 percent national figure, that combination is harder to find than it should be. Weekend staffing drops roughly 12 percent below weekday levels, so ask how that plays out on a Sunday. Five deficiencies are on record, none at the harm level, though one is abuse-related, and the most recent inspection was December 2025. As a nonprofit with 128 beds, it has the staffing depth and consistency that show up in the numbers.

A

96/100

Woodland Terrace

Waverly, IA · Bremer County

CMS 5/5100 bedsNon-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
41%
Serious cites
0

Woodland Terrace runs a hundred beds in Waverly as a nonprofit, and its staffing is the strongest part of the picture: 4.44 nurse hours per resident day, roughly 15 percent above the national average of 3.86. Weekend hours dip about 6 percent below its own weekday level, and staff turnover sits at 40.9 percent, a few points better than the 45.8 percent national figure. The record isn't clean, though. Fourteen deficiencies are on file, including one at the harm or jeopardy level and two tied to abuse. Inspectors last visited in May 2025. So you're weighing generous daily staffing and strong quality measures against a citation history that includes serious findings, worth asking the administrator directly how those were resolved.

A

96/100

Meth-Wick Health Center

Cedar Rapids, IA · Linn County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
41%
Serious cites
0

Nurse staffing at Meth-Wick runs 4.92 hours per resident day, about 27% above the national average, and the weekend dip is modest, roughly 11% below its own weekday level, which is smaller than what many homes show. Staff turnover sits at 40.5%, below the national 45.8%, and the inspection record is thin: two deficiencies total, none at the harm level and none abuse-related, with the most recent inspection in July 2025. This is a nonprofit home in Cedar Rapids with a stable workforce, recent clean surveys, and staffing that holds up on weekends, the things that tend to matter most when you're choosing care for someone you love.

A

96/100

Spurgeon Manor

Dallas Center, IA · Dallas County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
5.21 /day
Staff turnover
37%
Serious cites
0

Spurgeon Manor runs on 5.21 nursing hours per resident per day, which is about a third more than the national average of 3.86. That extra coverage holds up on weekends too, down roughly 8% from its own weekdays, but still well above what most homes staff any day. Staff turnover sits at 36.6%, noticeably under the 45.8% national figure, so the people caring for residents tend to stick around. The nonprofit's inspection record shows 8 deficiencies, none at the harm level and none abuse-related, with a state survey completed in September 2025. Its staffing and quality ratings both come in at 5 out of 5.

A

96/100

Terrace Glen Village

Marion, IA · Linn County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
33%
Serious cites
0

Terrace Glen Village runs 4.23 nurse hours per resident per day, roughly 10% above the national average, but weekends dip about 10% below its own weekday coverage, worth asking how that gap gets covered. Staff turnover sits at 32.6%, well under the 45.8% national figure, which suggests people stay. Inspections in November 2025 turned up 10 deficiencies, 3 serious enough to involve harm or jeopardy, though none abuse-related, and the 4/5 health inspection rating reflects that mixed record. Quality and staffing measures both came back 5/5. Corporate for-profit ownership of a 40-bed home means fewer layers between decisions and residents.

A

96/100

Meade District Hosp Ltcu Dba Lone Tree Retirement

Meade, KS · Meade County

CMS 5/545 bedsFor-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
40%
Serious cites
0

Lone Tree Retirement in Meade runs 4.73 nurse hours per resident day, about 23% above the national average, and that staffing shows: the federal staffing rating comes in at 5 out of 5, with turnover at 39.6%, lower than the 45.8% national figure. Weekend coverage dips roughly 9% below its own weekday level, so ask how that plays out on Sundays. The catch is the inspection record: 18 deficiencies, one involving actual harm, with the last survey in August 2025. Quality measures score 5 out of 5, but that one harm-level finding and a 3-out-of-5 inspection rating are what hold this for-profit home back.

A

96/100

Piper Shores

Scarborough, ME · Cumberland County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
41%
Serious cites
0

Piper Shores runs about 5.14 nurse hours per resident day, roughly a third more than the national average, and its quality and staffing marks both sit at the top of CMS's scale. Weekends dip about 9% below weekday coverage, which is worth asking about if your family visits then. Turnover lands at 40.7%, a bit better than the 45.8% national figure. The 21 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was in December 2025, so the picture is current. As a nonprofit with 40 beds, it's small enough that you can press staff on specifics.

A

96/100

Broadmead

Cockeysville, MD · Baltimore County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
5.71 /day
Staff turnover
36%
Serious cites
0

Broadmead runs on 5.71 nurse staffing hours per resident day, well above the national average of 3.86, and its weekend coverage only dips about 6% below weekday levels, a gap that's often much wider elsewhere. Turnover sits at 36.2%, lower than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The home carries 12 deficiencies on its current record, none tied to harm or abuse, and its last inspection was in late 2025, so the picture is recent. As a nonprofit with 70 certified beds, it's small enough that staffing ratios translate directly to bedside attention.

A

96/100

Carroll Lutheran Village

Westminster, MD · Carroll County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
34%
Serious cites
0

Carroll Lutheran Village runs 72 certified beds as a nonprofit, and its staffing sits at 3.89 nurse hours per resident day, just barely above the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so ask how that gap gets covered. Turnover is the stronger number: 33.7% against a national average of 45.8%, which suggests a more stable crew than most places manage. The inspection record shows 34 deficiencies, but none at the harm or jeopardy level and none tied to abuse, and the most recent survey was in June 2025, so the picture is current.

A

96/100

Homewood Living Frederick

Frederick, MD · Frederick County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
26%
Serious cites
0

Homewood Living Frederick runs on church-affiliated nonprofit ownership, and the numbers show a home that's been stable for a while. Nurses provide 4.42 hours of care per resident each day, roughly 15% above the national average of 3.86, and weekend staffing dips only about 7% below weekday levels, a modest gap, not the kind of drop that leaves families worrying about Saturday coverage. Staff turnover sits at 26.4% against a national average near 46%, which suggests people stay. The 19 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was July 2025, so the picture is current. Three five-star CMS ratings back it up.

A

96/100

Willowbrooke Ct Skilled Care Buckingham's Choice

Adamstown, MD · Frederick County

CMS 5/542 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
12%
Serious cites
0

Willowbrooke Ct runs 4.32 nurse hours per resident day, roughly 12 percent above the national figure, and its staff turnover sits at 11.5 percent against a national average near 46, that retention number is the one that tends to matter most, because familiar caregivers notice changes sooner. Weekends run about 11 percent lighter than weekdays, worth asking about if your family visits then. The 23 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was February 2026. A nonprofit corporation operates the 42-bed home. All three CMS star ratings, inspections, quality measures, staffing, come in at five.

A

96/100

Michigan Masonic Home

Alma, MI · Gratiot County

CMS 5/5204 bedsNon-profitMedicaid
Nurse hours
5.19 /day
Staff turnover
31%
Serious cites
0

The Michigan Masonic Home in Alma runs on 5.19 nurse hours per resident day, roughly a third more staffing than the national average, and its staff turnover of 31.3% sits well below the 45.8% national figure, people tend to stay here. Weekend coverage dips about 10% from weekday levels, worth asking about if your family visits Saturdays and Sundays. Inspections turned up 13 deficiencies, none involving harm or abuse, and the most recent visit was January 2026, so the record is current. Five stars across staffing and quality measures, four on health inspections, under nonprofit ownership.

A

96/100

Haven Homes Of Maple Plain

Maple Plain, MN · Hennepin County

CMS 5/564 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
29%
Serious cites
0

Haven Homes Of Maple Plain carries a rare set of marks: five stars across health inspections, quality measures, and staffing. The numbers behind that are real, not decorative. Nurse staffing runs 4.65 hours per resident day, roughly 20 percent above the national average, and staff turnover sits at 29.3 percent against a national figure near 46 percent, a workforce that mostly stays put. Weekend coverage dips about 11 percent below weekday levels, worth knowing if you visit Saturdays. The inspection record shows three deficiencies, none at the harm level and none tied to abuse, with the most recent survey dated May 2026. It's a 64-bed nonprofit, small enough that consistency is easier to hold.

A

96/100

The Birches At Trillium Woods

Plymouth, MN · Hennepin County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
5.48 /day
Staff turnover
21%
Serious cites
0

The Birches at Trillium Woods runs on 5.48 nurse hours per resident day, roughly 42 percent above the national average, and its staff turnover of 21.1 percent sits far below the 45.8 percent typical elsewhere. That combination, more hands on deck and far fewer people leaving, is the main thing separating this Plymouth home from most of its peers. Six deficiencies on record, none involving harm or abuse, with the most recent inspection in May 2026. Weekend coverage dips about 10 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays or Sundays.

A

96/100

Lutheran Senior Services At Meramec Bluffs

Ballwin, MO · St. Louis County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
27%
Serious cites
0

Lutheran Senior Services At Meramec Bluffs runs a small operation, 32 certified beds in Ballwin, and it's staffed like a place that intends to keep them. At 5.25 nurse hours per resident day, it sits roughly 36% above the national average of 3.86, and its 27.1% turnover is well under the 45.8% national figure, which suggests people stay. The tradeoff is weekends, when staffing drops about 14% below its own weekday level. The inspection record is strong: a 5-star health inspection rating, eight total deficiencies with none at the harm or jeopardy level, and a survey completed in October 2024. One abuse-related deficiency is on the record, so ask about it directly. Church-affiliated nonprofit ownership, and quality measures land at 4 stars.

A

96/100

Lions Gate

Voorhees, NJ · Camden County

CMS 5/5110 bedsNon-profitMedicaid
Nurse hours
5.61 /day
Staff turnover
35%
Serious cites
0

Lions Gate runs on a nonprofit model with 110 certified beds in Voorhees, and the staffing numbers are the first thing that stands out: 5.61 nurse hours per resident day, roughly 45% above the national average. That level holds up reasonably well on weekends too, dipping only about 6% below its own weekday pace. Staff turnover sits at 34.5%, which is meaningfully below the national rate of 45.8%, people tend to stay. The tradeoff shows up in inspections: 14 deficiencies on record, none at the harm or jeopardy level, but one abuse-related citation, with the most recent inspection in February 2025. Quality measures rate well above average; the health inspection side is more middling.

A

96/100

Winchester Gardens Health Care Center

Maplewood, NJ · Essex County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
5.47 /day
Staff turnover
38%
Serious cites
0

Winchester Gardens runs about 5.47 nurse hours per resident day, roughly 42 percent above the national average, and its weekend staffing only dips about 7 percent below weekdays, a small gap compared to many homes. Turnover sits at 37.9 percent against a national 45.8, so more of the same caregivers tend to stay. Inspectors found 11 deficiencies, none causing harm or involving abuse, and the last visit was recent, in September 2025. With 30 beds and nonprofit ownership, the numbers point to a home that is well staffed and currently in good standing rather than one coasting on reputation.

A

96/100

Kendal On Hudson

Sleepy Hollow, NY · Westchester County

CMS 5/526 bedsNon-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
16%
Serious cites
0

Kendal On Hudson runs a small operation, just 26 certified beds, but the staffing numbers stand out. At 4.49 nurse hours per resident day, it beats the national average of 3.86 by roughly 16%, and weekend coverage dips only about 12% below its own weekday level. Staff turnover sits at 16.1% against a national average of 45.8%, which matters more than almost anything else for consistency of care. Nine deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was May 2024. Nonprofit ownership, strong inspection and quality ratings, the picture is steady rather than spectacular, which is usually what you want.

A

96/100

Fox Run At Orchard Park

Orchard Park, NY · Erie County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
29%
Serious cites
0

Nurse staffing here runs about 19% above the national average, and weekend coverage dips only slightly from weekday levels, around 6%, which is a modest shift rather than a fall-off. Staff turnover sits at 29.3% against a national average of 45.8%, meaning fewer caregivers are cycling out the door. The inspection record is thin: 2 deficiencies total, none involving harm or abuse, with the most recent visit in March 2025. That's a for-profit corporate home with 60 beds, so it isn't operating at a scale that forces shortcuts. The numbers point to steady, well-attended care rather than anything flashy.

A

96/100

Edgewood Place At The Village At Brookwood

Burlington, NC · Alamance County

CMS 5/551 bedsNon-profitMedicaid
Nurse hours
5.34 /day
Staff turnover
14%
Serious cites
0

Edgewood Place runs on unusually deep staffing for a 51-bed nonprofit home in Burlington, 5.34 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only slightly below its own weekday levels. That stability shows in the turnover number, which is where a lot of homes fall apart. Eight deficiencies on the current record, none rising to harm or jeopardy and none abuse-related, and the most recent inspection was in July 2025, so the picture is current rather than stale. The staffing rating and the inspection record tell a consistent story here. For a family weighing options, the main question isn't whether this home has problems, every home does, but whether the ones it has are minor and whether the people showing up to work keep showing up.

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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