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 1101–1120 of 1,547, best-graded first.

B

76/100

The Commons At Lisle Creek Estates

Lisle, IL · Du Page County

CMS 4/5 55 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
70%
Serious cites
0

Brookdale Plaza Lisle runs 55 beds under corporate ownership, and its recent inspection record is genuinely decent, a 4-out-of-5 health inspection rating and no abuse deficiencies among the 19 total, with only one rising to the level of harm and a single fine of about $10,000. Where the home gives ground is staffing. Total nurse hours sit at 3.92 per resident day, only slightly above the national average, but weekends run roughly 11 percent thinner than weekdays, and turnover hits 70 percent against a national 45.8. That churn matters more than the headline staffing number suggests. The last inspection was December 2025, so the record is current.

B

76/100

Smith Crossing

Orland Park, IL · Cook County

CMS 4/5 92 beds Non-profit Medicaid
Nurse hours
5.43 /day
Staff turnover
54%
Serious cites
0

Smith Crossing has real nursing hours behind it, 5.43 per resident day, roughly 41% above the national average, and that's the strongest thing in its file. It's a nonprofit home in Orland Park with a 5-star federal staffing rating, though weekend coverage dips about 7% below its own weekday level, and turnover sits at 54.1% against a national 45.8%, so the faces change often. The inspection record is where the picture darkens. Thirty-two deficiencies on the current record, four of them at harm or jeopardy level, one abuse-related, and two fines totaling $125,906. The last inspection was June 2025. Strong staffing, a 3-star inspection rating, and a 2-star quality measure score don't point the same direction, and families should ask which one reflects the days their relative will actually live there.

B

76/100

Westhaven Community

Boone, IA · Boone County

CMS 3/5 100 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
96%
Serious cites
0

Westhaven Community runs 4.10 nurse hours per resident day, about 6% above the national average, which helps explain its decent staffing marks, but weekends drop roughly 11% below its own weekday coverage, so care thins out exactly when families tend to visit. The bigger concern is turnover: 96.1% of staff leave each year, more than double the national rate of 45.8%, meaning the people delivering care are constantly new. Add 13 deficiencies on record, including one at the harm level, and an April 2025 inspection that's already aging, and you've got a home with real strengths sitting alongside real instability. It's nonprofit-owned, so nobody's paying dividends, but that doesn't make the churn any easier on residents.

B

76/100

Ramsey Village

Des Moines, IA · Polk County

CMS 2/5 78 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
47%
Serious cites
0

Ramsey Village runs a nonprofit home of 78 beds in Des Moines, and its staffing is the strongest part of the picture: 4.05 nurse hours per resident day, roughly 5% above the national average. The catch is consistency, weekend coverage drops about 11% below weekday levels, and turnover sits at 47.1%, just above the national figure. The inspection record is where families should slow down. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, and the last inspection was August 2025. A 2/5 health inspection rating alongside that count tells you the day-to-day care environment has drawn repeated federal scrutiny, even while direct care hours look adequate on paper.

B

76/100

The Vistas At Bettendorf

Bettendorf, IA · Scott County

CMS 3/5 79 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
54%
Serious cites
0

The Vistas At Bettendorf runs 4.36 nurse hours per resident day, roughly 13% above the national average, and that staffing shows up in its four-star rating there. Weekends dip about 6% below its own weekday levels, so coverage holds fairly steady. Turnover is the soft spot: 53.8% of staff leave each year against a 45.8% national figure, which is worth asking about directly. Its 13 deficiencies include none at the harm level and none abuse-related, and the most recent inspection was August 2025. Quality measures score two stars, the weakest area on record. Owned by a for-profit limited liability company.

B

76/100

Newton Presbyterian Manor

Newton, KS · Harvey County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
65%
Serious cites
0

Newton Presbyterian Manor runs 60 certified beds as a nonprofit corporation, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86, so there's no real cushion there. Weekends drop about 9% below the home's own weekday coverage, and annual turnover hits 65.4% against a national 45.8%, meaning you should ask how they keep consistent caregivers on weekends and evenings. The inspection record shows 21 deficiencies, three serious enough to reach harm or jeopardy level, and one fine of $26,500; the most recent inspection was February 2026. Quality and staffing measures both earn four stars, but the three-star health inspection side is where the real questions live.

B

76/100

Emporia Presbyterian Manor

Emporia, KS · Lyon County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
54%
Serious cites
0

Emporia Presbyterian Manor runs a nonprofit shop with 60 certified beds, and its nurse staffing comes in at 4.42 hours per resident day, roughly 14% above the national average of 3.86. That's the strongest thing in its file. Weekends thin out about 10% below the home's own weekday level, though, and annual turnover sits at 53.8% against a national 45.8%, so a lot of those hours belong to people still learning the building. The health inspection record shows 32 deficiencies, 2 of them at harm or jeopardy level, no abuse citations, and $30,244 in fines across two penalties. A recent March 2026 inspection is a plus. Quality measure scores are weak, and the staffing and inspection picture doesn't fully offset that.

B

76/100

Pine Village

Moundridge, KS · Mcpherson County

CMS 3/5 74 beds Non-profit Medicaid
Nurse hours
5.07 /day
Staff turnover
55%
Serious cites
0

Pine Village runs 74 certified beds as a nonprofit, and its inspection record is genuinely solid, 13 deficiencies on the current record with none at harm or jeopardy level and no abuse citations, plus a recent May 2025 survey. The trouble sits in the day-to-day numbers. Its CMS staffing and quality measure ratings both come in at 1 out of 5, and annual staff turnover hits 54.5% against a national average of 45.8%. That combination matters: good survey results reflect how a building performed on inspection day, while thin staffing and heavy turnover shape what a resident actually experiences between surveys. If you're touring, ask directly how many CNAs are on the floor at night and how long the current director of nursing has been in place.

B

76/100

Little Sisters Of The Poor

Louisville, KY · Jefferson County

CMS 2/5 35 beds Non-profit Medicaid
Nurse hours
5.89 /day
Staff turnover
59%
Serious cites
0

Little Sisters of the Poor runs a small home, 35 beds, and staffs it heavily: 5.89 nurse hours per resident day, well above the national figure. That nurse coverage is the strongest thing here, though weekends dip about 10% below weekdays and staff turnover sits at 59.3%, noticeably higher than the 45.8% national rate. Ten deficiencies show on the current record, none at the harm or jeopardy level, with the last inspection in May 2025. The 1/5 quality measure rating is the weak spot, that's resident care outcomes, separate from how many nurses are on the floor. So the picture splits: plenty of hands, mixed care results, and a workforce that keeps changing.

B

76/100

Arbor Lake Skilled Nursing & Rehabilitation

Farmerville, LA · Union County

CMS 3/5 150 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
33%
Serious cites
0

Arbor Lake runs about 3.41 nurse hours per resident day, roughly 12 percent under the national average, and weekends dip another 13 percent below its own weekday staffing. So the coverage is thinnest exactly when families tend to visit. Turnover sits at 33.3 percent, better than the national 45.8 percent, which suggests some stability in who's actually on the floor. The 21 deficiencies on record include two tied to abuse, though none rose to the harm or jeopardy level. A health inspection in October 2025 is recent. The staffing and quality stars both come in at 2 out of 5. For-profit, limited liability ownership. Ask about weekend coverage and how those abuse-related findings were resolved.

B

76/100

Wingate At Silver Lake

Kingston, MA · Plymouth County

CMS 3/5 164 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
38%
Serious cites
0

Wingate at Silver Lake runs 164 beds in Kingston under corporate for-profit ownership. Its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 4% below its own weekday levels, so coverage thins out exactly when families tend to visit and when backup is hardest to reach. Turnover is the brighter spot: 38.3% against a national 45.8%, which suggests aides and nurses are sticking around longer than at the typical home. Inspections in March 2025 turned up 23 deficiencies, none at the harm or jeopardy level and none abuse-related, while the quality measure rating sits at just 2 of 5.

B

76/100

Riverside Commons Rehab And Nursing Center, Llc

Dearborn, MI · Wayne County

CMS 3/5 196 beds Non-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
37%
Serious cites
0

Corewell Health Rehabilitation & Nursing Center runs 196 certified beds in Dearborn as a nonprofit, and its numbers pull in different directions. Nurse staffing sits at 3.07 hours per resident day, roughly 21 percent under the national average, and weekends run about 14 percent thinner than weekdays, a pattern families often feel on Saturday and Sunday. Turnover is 36.5 percent, better than the national 45.8 percent, so the people who stay tend to stay. The current inspection record carries 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a 2-out-of-5 health inspection rating. Quality measures score 5 out of 5, which makes the thin weekday-and-weekend coverage and that deficiency list the parts worth asking about directly.

B

76/100

Covenant Village Of The Great Lakes

Grand Rapids, MI · Kent County

CMS 4/5 37 beds Non-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
50%
Serious cites
0

Covenant Village of the Great Lakes runs on 4.28 nursing hours per resident day, roughly 11% above the national average, which is the main reason its staffing rating holds at 4 out of 5. That figure softens on weekends, though, when coverage drops about 11% below the home's own weekday level. Staff turnover sits at 50%, a bit above the 45.8% national mark, so the people caring for residents change fairly often. The 22 deficiencies on record include nothing tied to harm, jeopardy, or abuse, and the last inspection closed in March 2026. Quality measures are the weak spot here, scoring 2 out of 5, even as inspections earned 4.

B

76/100

Cura Of Paynesville

Paynesville, MN · Stearns County

CMS 4/5 51 beds For-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
57%
Serious cites
0

Cura Of Paynesville runs 51 certified beds under corporate for-profit ownership, and the nursing hours tell a decent story: 4.49 per resident day, roughly 16% above the national average of 3.86. Weekends thin out by about 14% against its own weekdays, though, and turnover sits at 56.9%, well above the 45.8% national figure, so the care you see depends heavily on who's still there. Six deficiencies on record, none at harm or jeopardy level and none abuse-related, with a recent April 2026 inspection. Staffing and health inspection each earn 4 of 5 stars; quality measures come in at just 2.

B

76/100

Brandon Court

Brandon, MS · Rankin County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
54%
Serious cites
0

Brandon Court runs 3.69 nurse hours per resident per day, about 4% under the national average of 3.86, and weekends dip roughly 13% below its own weekday coverage. Staff turnover sits at 53.9% against a national 45.8%, so nearly half the nursing staff is cycling out each year, that instability matters more than a single day's census. On paper the home looks stable elsewhere: a 4/5 inspection rating, its last full inspection in November 2024, and 15 deficiencies on record with none at the harm level and none abuse-related. That combination, decent inspections, thin and churning staffing, is what lands it in solid-but-not-standout territory.

B

76/100

Highland Manor Of Mesquite Rehabilitation Llc

Mesquite, NV · Clark County

CMS 4/5 112 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
37%
Serious cites
0

Highland Manor Of Mesquite Rehabilitation runs 112 certified beds under for-profit LLC ownership, and its staffing sits at 3.30 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the better news at 36.6%, well under the 45.8% national figure, which suggests less churn than many peers. Inspections look solid: a 4/5 health inspection rating, 15 deficiencies on record with none at harm or jeopardy level, though 3 are abuse-related and worth asking about directly. Last inspection was April 2026.

B

76/100

Skilled Nursing At Pine Village

Whiting, NJ · Ocean County

CMS 3/5 66 beds Non-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
68%
Serious cites
0

Pines Village runs a nonprofit operation with 66 beds in Whiting, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average. That's a real edge, though weekends dip roughly 8% below the home's own weekday coverage, so care isn't evenly spread across the week. The bigger concern is turnover: 68.1% of staff leave annually, well above the 45.8% national figure, which matters for residents who value seeing the same faces. Inspections in August 2025 turned up 14 deficiencies, none at harm or jeopardy level, but two tied to abuse. Quality measures score well; inspection history is middling.

B

76/100

National Church Residences Bristol Village

Waverly, OH · Pike County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
50%
Serious cites
0

Bristol Village runs a tight ship on inspections, a five-star health inspection rating and only six deficiencies on record, none of them serious enough to cause harm. But the staffing numbers tell a different story. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below what the home itself manages during the week. Annual turnover hits 50%, higher than the 45.8% national figure. So you're looking at a place that gets the big things right and runs leaner than average on the people doing the daily work, with a quarter of the staff leaving each year. Worth asking about weekend coverage specifically when you visit.

B

76/100

Mt Alverna Home Inc

Parma, OH · Cuyahoga County

CMS 2/5 153 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
49%
Serious cites
0

Mt Alverna runs 153 beds as a nonprofit in Parma, and its nurse staffing sits right at the national average, 3.88 hours per resident day against 3.86. That sounds fine until you notice weekends run about 10 percent thinner than weekdays, so the coverage your relative gets Saturday may not match Tuesday. The inspection record is the bigger question: 27 deficiencies on file, four tied to abuse, though none rose to actual harm or jeopardy. Staff turnover of 48.8 percent tops the national 45.8 percent, meaning aides and nurses cycle through fairly often. A December 2024 inspection is recent, at least, so the picture is current.

B

76/100

Meadows Of Leipsic

Leipsic, OH · Putnam County

CMS 5/5 52 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
55%
Serious cites
0

Meadows of Leipsic runs lean on nurse staffing, 3.35 hours per resident day against a national average of 3.86, and weekends dip roughly 15% below what the building manages on weekdays. Annual turnover sits at 54.8%, well above the 45.8% national figure, so the people around your family member change often. The good news is real: a recent inspection in January 2026, 14 deficiencies with none rising to harm or jeopardy and none abuse-related, plus top marks on quality measures. A for-profit corporation owns the 52-bed home. Ask how they cover weekend shifts, and ask what they're doing about keeping nurses.

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