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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 1001–1020 of 1,547, best-graded first.

B

78/100

Via Christi Village Manhattan, Inc

Manhattan, KS · Riley County

CMS 3/5 93 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
49%
Serious cites
0

Via Christi Village Manhattan runs a nonprofit home in Riley County with 93 certified beds, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average of 3.86. That cushion thins on weekends, when coverage drops about 8% below the home's own weekday level, and annual turnover of 49% runs a few points above the national 45.8%, meaning many of the people providing that care are still new to the building. The bigger concern is the inspection record. Twenty-three deficiencies are on file, seven of them serious enough to involve harm or jeopardy, with four fines totaling $96,781. No abuse citations appear. A recent inspection, dated April 30, 2026, found those problems despite solid marks on quality measures and staffing.

B

78/100

Azria Health Wichita

Wichita, KS · Sedgwick County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
5.39 /day
Staff turnover
68%
Serious cites
0

Azria Health Wichita runs a for-profit limited liability operation with 70 certified beds, and the staffing numbers are the real story here: 5.39 nurse hours per resident day, roughly 40% above the national average of 3.86. That's meaningful coverage, though weekends dip about 7% below the home's own weekday levels, and staff turnover sits at 68% against a national average of 45.8%, a lot of churn for a building this size. The inspection record shows 39 deficiencies, one of them at the harm or jeopardy level and one abuse-related, with the most recent survey dated February 2026. If you're weighing this one, the bedside hours are a genuine strength; the turnover and the harm-level finding are the parts worth asking about directly.

B

78/100

Christian Health Center

Hopkinsville, KY · Christian County

CMS 5/5 114 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
54%
Serious cites
0

Christian Health Center runs on more nursing hours than most homes nationally, 4.29 per resident day against an average of 3.86, and that staffing shows up in a clean inspection record: four deficiencies total, none at harm or jeopardy level, none abuse-related, with a 5/5 health inspection rating. The tradeoffs are real, though. Weekend coverage dips about 7% below weekday levels, and staff turnover sits at 54%, noticeably above the 45.8% national figure. Quality measure scores land at 2/5, which means the clinical outcomes data doesn't match the inspection story. For a church-affiliated nonprofit with 114 beds, the care presence is there; the question is whether it holds steady across weekends and staffing changes.

B

78/100

The Willows At Fritz Farm

Lexington, KY · Fayette County

CMS 3/5 54 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
52%
Serious cites
0

The Willows At Fritz Farm runs a 54-bed for-profit operation in Lexington, and its numbers land mostly in decent territory. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average, though weekend coverage dips roughly 6% below what the home provides on weekdays, worth asking about if you're planning visits or worrying about a Saturday fall. Staff turnover is 52% against a national 45.8%, meaning more than half the nursing staff left within a year. The current inspection record shows nine deficiencies, none involving harm or abuse, and the most recent state visit was in May 2026.

B

78/100

Madonna Towers Of Rochester

Rochester, MN · Olmsted County

CMS 3/5 62 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
61%
Serious cites
0

Madonna Towers of Rochester runs a nonprofit home with 62 beds, and its nurse staffing sits a hair above the national average, 3.97 hours per resident day against 3.86. That margin shrinks on weekends, when coverage drops roughly 12% below its own weekday levels, so the hours aren't spread evenly across the week. The bigger flag is turnover: 60.5% of staff leaving annually, well past the 45.8% national figure. Inspections look solid on paper, with a 4-star health rating and a recent April 2026 survey, but the record carries 14 deficiencies, one serious enough to involve harm or jeopardy, plus a $10,196 fine. Good survey scores and steady churn can coexist; ask how they hold onto aides.

B

78/100

Little Falls Care Center

Little Falls, MN · Morrison County

CMS 1/5 64 beds Non-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
53%
Serious cites
0

Little Falls Care Center runs a nonprofit home with 64 certified beds, and its staffing numbers tell a mixed story. Nurses provide 3.61 hours per resident day, about 6% under the national average, and weekend coverage drops roughly 7% below what the home staffs on weekdays. Annual turnover sits at 52.6%, well above the 45.8% national figure, so aides and nurses are cycling through regularly. The inspection record is the harder part: 41 deficiencies, including one at the harm level and three tied to abuse, from an April 2024 visit. Quality measures land mid-range, and the staffing star rating looks better than the day-to-day consistency suggests.

B

78/100

Eventide Prairie Commons Care Center

Grand Island, NE · Hall County

CMS 1/5 36 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
67%
Serious cites
0

Eventide Prairie Commons runs a tight operation on nurse hours, 4.41 per resident day, roughly 14% above the national average, but that staffing comes at a cost in continuity, with 67.4% annual turnover against a national figure near 46%. The inspection record is the bigger concern: 15 deficiencies, one serious enough to reach harm or jeopardy level, and a $10,296 fine, all from a May 2025 survey that left the home with a single star for health inspections even as its quality measures score 4 out of 5. Weekend coverage dips about 5% below weekday levels, which matters most when something goes wrong on a Saturday.

B

78/100

Premier Cadbury Of Cherry Hill

Cherry Hill, NJ · Camden County

CMS 2/5 118 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
53%
Serious cites
0

Premier Cadbury of Cherry Hill runs 118 certified beds under for-profit LLC ownership, and its staffing tells two different stories. Total nurse hours come to 3.96 per resident day, roughly 3% above the national average, but weekends drop about 8% below the home's own weekday coverage, and annual turnover sits at 53.1% against a national 45.8%, meaning the people showing up are often new. The inspection record is the harder read: 49 deficiencies, two at harm or jeopardy level and three tied to abuse, with $21,752 in fines and a 1-out-of-5 health inspection rating. A recent March 2026 inspection doesn't erase that history.

B

78/100

Canterbury Woods

Williamsville, NY · Erie County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
54%
Serious cites
0

Canterbury Woods runs on a solid staffing base, 4.48 nurse hours per resident day against a national average of 3.86, and its most recent inspection in January 2025 backs that up with no deficiencies at the harm or jeopardy level. The catch is what's in the record: nine deficiencies total, three of them abuse-related, and a quality measure score of one out of five stars despite the four-star inspection and staffing marks. Staff turnover sits at 54.4%, well above the 45.8% national figure, and weekend coverage dips about 12% below weekday levels. Church-affiliated nonprofit ownership at 50 beds suggests a smaller, mission-driven operation, but the abuse citations and turnover are worth asking about directly.

B

78/100

Westchester Manor At Providence Place

High Point, NC · Guilford County

CMS 3/5 129 beds Non-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
40%
Serious cites
0

Westchester Manor runs about 4.84 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 39.5% sits below the national 45.8%, that combination usually means people stay long enough to know the residents. The catch is on the inspection side: seven deficiencies on the current record, including one at the harm level and one tied to abuse, plus an $8,018 fine. Weekend staffing dips only slightly, so coverage doesn't fall off a cliff on Saturdays. The most recent inspection closed in July 2025, so the record is current rather than stale. Strong staffing, a thinner quality-measure score, and a mixed survey history, worth asking about those two serious deficiencies directly.

B

78/100

Brethren Retirement Community

Greenville, OH · Darke County

CMS 2/5 80 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
52%
Serious cites
0

Brethren Retirement Community in Greenville runs 80 certified beds as a nonprofit, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average, which is why it earns 4 out of 5 stars on staffing. But that weekday strength thins out: weekends run about 14% below its own weekday level, and annual turnover of 51.5% tops the national figure of 45.8%. The inspection record is the harder part, 20 deficiencies, two of them serious enough to reach harm or jeopardy, two tied to abuse, and a 2/5 inspection rating from a visit in March 2025. Good daily coverage doesn't cancel out those findings.

B

78/100

Country Club Ret Center I I I

Ashtabula, OH · Ashtabula County

CMS 4/5 73 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
30%
Serious cites
0

Country Club Ret Center III runs lean on nursing hours, 3.21 per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday staffing. That's the gap behind its 2-out-of-5 staffing rating, and it matters more in a building where the current inspection record shows 16 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. Turnover at 30.4% is better than the 45.8% national figure, so the people who stay tend to stick around. The last inspection was February 2026, so the record is recent. Quality measures score well; staffing is where the concern sits. If your family member needs frequent hands-on help, ask directly how weekends are covered.

B

78/100

Siena Woods Care Center

Dayton, OH · Montgomery County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
62%
Serious cites
0

Siena Woods sits at 99 beds in Dayton, corporate-owned, and it was inspected in February 2026, so the record you're looking at is current. The staffing number is the catch: 3.88 nurse hours per resident day looks fine next to the national average of 3.86, but that average hides a 13% drop on weekends, and turnover runs 62.4% against a national 45.8%. That churn matters more than the headline hours. The 34 deficiencies include one at the harm level, though none are abuse-related. Quality measures score well; the inspection and staffing picture is more mixed.

B

78/100

Lutheran Home

Napoleon, OH · Henry County

CMS 5/5 27 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
77%
Serious cites
0

Lutheran Home runs 27 certified beds as a nonprofit, and its clinical quality scores are strong, a 5-out-of-5 on CMS quality measures. The staffing picture is more mixed: 3.82 nurse hours per resident day sits just under the national average of 3.86, and weekend coverage dips about 1% below its own weekday level. The number that stands out is turnover, 77.2% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new. Inspections in September 2024 turned up 41 deficiencies, none at the harm level but five tied to abuse. The quality scores are real; so is the churn behind them.

B

78/100

Canton Christian Home

Canton, OH · Stark County

CMS 4/5 57 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
55%
Serious cites
0

Canton Christian Home runs 57 certified beds as a nonprofit, and its clinical quality scores are genuinely strong, the federal quality measure rating comes in at 5 out of 5. Where it slips is staffing: 3.71 nurse hours per resident day sits about 4% under the national average, weekends drop roughly 13% below its own weekday levels, and annual turnover hits 54.7% against a national 45.8%. The inspection record shows 25 deficiencies, including two at the harm level and two tied to abuse, with one fine totaling $9,113; the last inspection was December 11, 2025. The 3-out-of-5 inspection rating and 2-out-of-5 staffing rating are what pull an otherwise strong clinical picture down to a B.

B

78/100

Wooded Glen

Springfield, OH · Clark County

CMS 5/5 54 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
52%
Serious cites
0

Wooded Glen runs a tight ship on inspections, six deficiencies on record, none of them serious enough to cause harm or involve abuse, and a five-star health inspection rating as of its March 2026 visit. Staffing is another story: 3.89 nurse hours per resident day barely edges the national average, weekends drop about 12% below weekdays, and 51.7% annual turnover tops the national rate. Corporate-owned, 54 beds. The care record looks clean; the question is whether the staff sticking around long enough to deliver it.

B

78/100

The Commons

Enid, OK · Garfield County

CMS 4/5 138 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
54%
Serious cites
0

The Commons in Enid is church-affiliated and nonprofit, which often suggests stable local oversight, and its last inspection was recent, October 2024. But the numbers underneath are mixed. Nurse staffing sits at 3.55 hours per resident day, about 8% under the national average, and it thins out further on weekends, dropping roughly 12% below the home's own weekday level. Staff turnover runs 53.7%, well above the 45.8% national figure, and the current record carries 23 deficiencies, including one at the harm level and one abuse-related. A single fine of $3,174 is modest. Ask specifically how weekends are covered and what changed after that harm citation.

B

78/100

Phoebe Richland Hcc

Richlandtown, PA · Bucks County

CMS 3/5 143 beds Non-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
36%
Serious cites
0

Phoebe Richland Hcc runs 143 certified beds in Richlandtown under nonprofit ownership, and its inspection record is the strong part: eight deficiencies on file, none at harm or jeopardy level and none abuse-related, with a recent survey dated February 2026 and four out of five stars for both health inspections and quality measures. Staffing is where it thins out. At 3.35 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, and weekends run roughly 4 percent below its own weekday level. Turnover of 35.7 percent beats the 45.8 percent national figure, which helps, but the daily hours are what families feel. Worth asking how coverage holds on Saturday and Sunday.

B

78/100

Windber Woods Senior Living & Rehabilitation Ctr

Windber, PA · Somerset County

CMS 2/5 127 beds Non-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
42%
Serious cites
0

Windber Woods is a nonprofit home with 127 beds, and its staffing is the clearest strength here: 4.21 nurse hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 7% below its own weekday levels. Turnover sits at 42.1%, a bit better than the 45.8% national figure. The trouble is the inspection record, 50 deficiencies, three of them at harm or jeopardy level and four abuse-related, plus $27,226 in fines across three penalties, with the most recent inspection dated February 2026. That combination of solid staffing and a heavy deficiency history is what pulls the overall picture down to average; the people providing care seem adequate in number, but the survey record says something keeps going wrong.

B

78/100

Nottingham Village

Northumberland, PA · Northumberlnd County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
29%
Serious cites
0

Nottingham Village runs 121 beds under corporate ownership in Northumberland, and its staffing is the strongest part of the picture, 4.04 nurse hours per resident day, about 5% above the national average, with turnover at 28.6% against a national 45.8%. That retention matters, since consistent caregivers tend to know residents' routines. Weekends are the soft spot: staffing drops roughly 10% below its own weekday level. The inspection record is where the concerns sit, 31 deficiencies, one at harm or jeopardy level and two abuse-related, with one fine of $8,018 and a survey completed in November 2025. Families should ask directly how weekend coverage is handled and what changed after those abuse findings.

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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