ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 1041–1060 of 1,547, best-graded first.

B

77.5/100

Presbyterian Communities Of South Carolina- Clinto

Clinton, SC · Laurens County

CMS 5/5 5 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Presbyterian Communities of South Carolina in Clinton runs just five certified beds, which is about as small as a Medicare-certified nursing home gets. The inspection record is clean: zero deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent inspection dated April 2026. That's a five-star inspection rating and a five-star quality measure rating, and there's no pattern of problems to point to. The tradeoff is size. Five beds means very little data behind any of those ratings, and a small nonprofit corporation has fewer resources to absorb a bad stretch than a larger operator would.

B

77.5/100

Eskaton Village Care Center

Carmichael, CA · Sacramento County

CMS 4/5 35 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The numbers here tell two different stories. Eskaton Village Care Center keeps residents safe in the ways inspections measure: 41 deficiencies on record but none rising to actual harm or jeopardy, and the most recent inspection was in March 2026. Quality measures earn top marks, meaning low rates of things like pressure ulcers and falls. Where it falls down is staffing, the lowest possible rating, well below what CMS expects for 35 beds. Three abuse-related deficiencies also appear on the record. A nonprofit corporation runs the place, so there's no profit motive pushing the margin. The gap between good outcomes and thin staffing is the thing to ask about directly.

B

77/100

Oak Grove Christian Retirement Village

Demotte, IN · Jasper County

CMS 1/5 73 beds Non-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
49%
Serious cites
0

Oak Grove Christian Retirement Village is a nonprofit home in Demotte with 73 certified beds, and the staffing numbers are genuinely better than most: 4.34 nurse hours per resident day, roughly 12% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. The bigger concern is the inspection record, 64 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a health inspection rating of 1 out of 5 despite a recent survey in September 2025. Staff turnover at 48.8% sits slightly above the national 45.8%, which matters for continuity of care.

B

77/100

Bethany Pointe Health Campus

Anderson, IN · Madison County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
43%
Serious cites
0

Bethany Pointe Health Campus runs 74 certified beds in Anderson under for-profit LLC ownership. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends dip about 11% below the home's own weekday coverage. Turnover is 43.2%, slightly better than the 45.8% national figure. The health inspection record shows 13 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations, and one fine of $12,740. Its last inspection came in May 2025. Quality measures score well, but the staffing and inspection sides pull the other way. Bottom line: adequate but not exceptional, with weekend coverage and that harm-level citation worth asking about directly.

B

77/100

Cedars The

Leo, IN · Allen County

CMS 4/5 65 beds Non-profit Medicaid
Nurse hours
5.60 /day
Staff turnover
56%
Serious cites
0

Cedars The in Leo runs a nonprofit home of 65 beds, and its nurses put in 5.60 hours per resident day, roughly 45% above the national average of 3.86. That staffing depth is the strongest thing here, and the four-star staffing rating backs it up. The softer spots: weekend coverage drops about 8% below its own weekday level, and turnover sits at 55.7% against a national 45.8%, so the people delivering those hours keep changing. Inspections are recent and the health inspection rating is 4/5, but 21 deficiencies sit on the record, including one abuse-related citation, though none rose to harm or jeopardy level. Quality measures land at 2/5.

B

77/100

Faith Lutheran Home

Osage, IA · Mitchell County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
56%
Serious cites
0

Faith Lutheran Home runs on a church-affiliated nonprofit model with 50 beds in Osage, and the numbers mostly hold up. Nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average, and the home carries just two deficiencies on its current record, none at the harm level, none tied to abuse, with a fresh inspection from July 2025. The catch is retention: annual turnover of 56.1% runs well ahead of the 45.8% national figure, and weekend coverage drops about 13% below weekday levels. That churn is worth asking about directly, since steady caregivers matter as much as raw staffing hours.

B

77/100

St Luke Lutheran Nursing Home

Spencer, IA · Clay County

CMS 2/5 79 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
44%
Serious cites
0

St. Luke Lutheran runs a lean weekend crew, about 7% thinner than its own weekday coverage, and overall nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average. Turnover lands near the middle of the pack at 44.1%, so that's not the problem here. The problem is the inspection record: 24 deficiencies, two of them serious enough to involve harm or jeopardy, five tied to abuse, and $90,076 in fines across two penalties. The most recent inspection closed in September 2025, so it's recent. A low inspection rating paired with real abuse findings is the piece families should weigh hardest, even with steady staffing and decent quality scores.

B

77/100

Rotary Senior Living

Eagle Grove, IA · Wright County

CMS 3/5 46 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
57%
Serious cites
0

Rotary Senior Living runs 46 beds in Eagle Grove under nonprofit ownership, and the staffing numbers are the first thing to look at. At 3.70 nurse hours per resident day, it sits below the national average, and weekends drop about 8% below its own weekday coverage, that's when gaps tend to show up. Annual turnover of 56.8% is well above the national figure, meaning many of the people providing care are still learning the building. The inspection record is heavier than you'd want: 22 deficiencies, including two at the harm level and two tied to abuse, with one fine of $65,036. Quality measures look strong on paper, but ask about staffing consistency and any recent repeat citations before deciding.

B

77/100

Cedar Manor Nursing Home

Tipton, IA · Cedar County

CMS 3/5 54 beds Non-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
44%
Serious cites
0

Cedar Manor sits in Tipton with 54 certified beds and a nonprofit owner, and its day-to-day staffing is genuinely better than most, 4.16 nurse hours per resident, roughly 8 percent above the national average, with turnover at 43.6 percent, a bit under the national figure. The catch is weekends, when coverage drops about 14 percent below the home's own weekday level, and that gap matters when falls and infections don't check the calendar. The inspection record is where the concerns concentrate: 15 deficiencies, four of them serious enough to put residents at risk of harm, plus one abuse-related finding and $32,289 in fines. The most recent inspection was November 2025, so the picture is current rather than stale.

B

77/100

Memorial Hospital Ltcu (Village Manor)

Abilene, KS · Dickinson County

CMS 4/5 75 beds Government Medicaid
Nurse hours
4.33 /day
Staff turnover
55%
Serious cites
0

Memorial Hospital Ltcu in Abilene runs on a government hospital-district license and 75 certified beds. The staffing numbers are the strongest part of the story: 4.33 nurse hours per resident day, roughly 12% above the national average, though weekend coverage slips about 7% below its own weekday level. Turnover sits at 55.1% against a 45.8% national average, so the people providing that care are cycling through fairly quickly. The inspection record shows 17 deficiencies, including one at the harm level and one abuse-related, with the most recent survey in September 2024. Quality measure scores came in at 2 stars while staffing earned 4.

B

77/100

Flint Hills Care And Rehabilitation Center

Emporia, KS · Lyon County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
49%
Serious cites
0

Nurse staffing at Flint Hills runs about 3.57 hours per resident per day, roughly 8% under the national average, and weekends dip about 15% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover sits at 49.1%, above the national 45.8%, which means aides and nurses are cycling through fairly steadily. The health inspection record shows 31 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $37,560 in fines across two penalties. The most recent inspection was July 1, 2025, so that record is current. Quality measures score well, but the staffing and inspection numbers are where the concerns live.

B

77/100

Cheyenne County Village Inc

St Francis, KS · Cheyenne County

CMS 2/5 30 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
39%
Serious cites
0

Cheyenne County Village runs 30 beds as a nonprofit, and its nurse staffing sits right at the national average, 3.91 hours per resident day, barely a percentage point above it. Weekends drop about 9% below its own weekday coverage, so the care you'd see on a Saturday may look thinner than a Tuesday. Turnover at 39.3% is better than the 45.8% national figure, which matters for consistency. The harder part is the inspection record: 31 deficiencies, including two at the harm level and two tied to abuse, plus a $13,287 fine. Its last inspection was September 2023, so that record has had time to age without a fresh look.

B

77/100

Pioneer Ridge Retirement Community

Lawrence, KS · Douglas County

CMS 1/5 76 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
50%
Serious cites
0

Pioneer Ridge has real staffing strength, 4.21 nurse hours per resident day, about 9% above the national average, and CMS gives it 4 out of 5 stars on that measure. But the inspection record is where things get hard to ignore: 51 deficiencies, including one at the harm level and two tied to abuse, with a $14,901 fine and a 1-star health inspection rating. Half of the staff turned over in the past year, above the 45.8% national average, and weekend coverage drops roughly 12% below weekdays. The most recent inspection was December 3, 2025. Good daily staffing is doing real work here, but it's carrying a lot of weight against a troubled survey history.

B

77/100

The Healthcare Resort Of Topeka

Topeka, KS · Shawnee County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
41%
Serious cites
0

The Healthcare Resort Of Topeka runs a stable ship on the clinical side, a perfect five stars on both health inspections and quality measures, with no deficiencies at the harm or jeopardy level during a survey completed in December 2025. Staffing is where the picture gets thinner: 3.73 nurse hours per resident day sits just under the national average, and weekends drop about 14% below what the home staffs on weekdays, so coverage tightens exactly when families tend to visit. Turnover at 40.5% is better than the national 45.8%, though not dramatically so. Worth asking about two abuse-related deficiencies on the current record, and how weekend shifts are actually covered.

B

77/100

The Village At Rockville

Rockville, MD · Montgomery County

CMS 3/5 160 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
36%
Serious cites
0

The Village At Rockville runs a solid nonprofit operation with staffing that just edges past the national average, 3.90 nurse hours per resident day against 3.86 nationally, and turnover at 35.9% is meaningfully lower than the 45.8% average, which matters for consistency of care. Weekend coverage dips about 5% below its own weekday levels, a gap worth asking about. The concern sits in the inspection history: 40 deficiencies on record, including 2 at harm or jeopardy level and 4 tied to abuse, plus one fine of $17,345. The most recent inspection was March 2026. Strong quality and staffing marks coexist with a deficiency record that deserves a closer look before you decide.

B

77/100

North Oaks Communities

Baltimore, MD · Baltimore County

CMS 4/5 37 beds For-profit
Nurse hours
3.94 /day
Staff turnover
48%
Serious cites
0

North Oaks Communities runs 37 certified beds in Baltimore under individual for-profit ownership, and its staffing sits slightly above the national average at 3.94 nurse hours per resident day. The catch is consistency: weekends drop roughly 8% below weekday coverage, and annual turnover hits 48.4%, a bit worse than the 45.8% national figure. The inspection record is genuinely strong, a 5-out-of-5 health inspection rating, a recent November 2025 survey, and 26 deficiencies with none at the harm or jeopardy level, though one abuse-related citation appears on the record. Where the home slips is quality measures, rated 1 out of 5, a gap worth asking about directly since it reflects resident outcomes rather than the survey itself.

B

77/100

Shrewsbury Rehabilitation And Nursing At Southgate

Shrewsbury, MA · Worcester County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
55%
Serious cites
0

Shrewsbury Rehabilitation And Nursing At Southgate runs 99 certified beds under for-profit LLC ownership, and its numbers pull in two different directions. The home reports 4.15 total nurse staffing hours per resident day, about 7% above the national average of 3.86, but weekend staffing drops roughly 9% below its own weekday level, and annual turnover sits at 54.5% against a national average of 45.8%. On the clinical side, the CMS quality measure rating is 5 out of 5, though the staffing rating comes in at 2 out of 5. The current inspection record shows 17 deficiencies, one of them at the harm or jeopardy level, none abuse-related, with a single fine of $7,901 and a last inspection date of March 12, 2026.

B

77/100

Regina Senior Living

Hastings, MN · Dakota County

CMS 2/5 57 beds Non-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
43%
Serious cites
0

Regina Senior Living runs 57 beds in Hastings as a nonprofit, and the numbers point in two directions at once. Nurse staffing averages 3.44 hours per resident day, about 11% under the national figure, and weekends drop roughly 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover sits at 43.4%, a touch better than the 45.8% national average, but the inspection record is where the real concern lives: 30 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $15,919 fine. The last inspection was February 26, 2026, so that record is current, not stale.

B

77/100

St Anthony Health & Rehabilitation

St Anthony, MN · Anoka County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
43%
Serious cites
0

St. Anthony Health & Rehabilitation runs on a for-profit partnership model with 110 certified beds, and its nurse staffing sits at 3.73 hours per resident day, roughly 3% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so families should ask how that gap gets filled. Turnover lands at 42.6%, a bit better than the 45.8% national figure. The current inspection record carries 28 deficiencies, none at harm or jeopardy level, though two are abuse-related, plus one fine of $10,203. The most recent inspection was April 10, 2025.

B

77/100

Atlas Healthcare At Seashore Gardens

Galloway Township, NJ · Atlantic County

CMS 3/5 151 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
53%
Serious cites
0

Atlas Healthcare At Seashore Gardens runs 151 certified beds in Galloway Township under for-profit LLC ownership, and its staffing tells a mixed story: 4.12 nurse hours per resident day sits about 7% above the national average of 3.86, yet weekend coverage drops roughly 6% below its own weekday level. Annual turnover of 52.9% outpaces the 45.8% national figure, so the people showing up are often new. The record holds 29 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the most recent inspection came in July 2025. CMS gives it 2 out of 5 on both health inspections and staffing, but 5 out of 5 on quality measures, a split 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.

Before you shortlist