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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 1141–1160 of 1,547, best-graded first.

B

75/100

Allure Of Lake Storey

Galesburg, IL · Knox County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
25%
Serious cites
0

Allure Of Lake Storey runs 180 certified beds in Galesburg under corporate for-profit ownership, and its staffing numbers are the weak spot. Nurse coverage sits at 3.76 hours per resident day, slightly under the national average, and weekends drop about 9% below what the building staffs on weekdays, so the thinnest coverage lands when families tend to visit. Turnover is the bright spot at 25%, well under the national 45.8%, which means familiar faces. Inspections are recent and the health inspection rating is strong, but the record still carries nine deficiencies, including one at the harm level and one tied to abuse.

B

75/100

Wesleyan Health Care Center

Marion, IN · Grant County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
49%
Serious cites
0

Wesleyan Health Care Center runs 139 certified beds in Marion under corporate for-profit ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 11% below the home's own weekday levels, and turnover lands at 48.6% against a national 45.8%, meaning nearly half the nursing staff leaves each year. The inspection record shows 21 deficiencies, three of them serious enough to involve harm or jeopardy, plus one fine of $8,824; the most recent inspection was January 27, 2026. CMS rates its health inspections 2 out of 5 stars, though quality measures score 5.

B

75/100

Wesley Manor Health Center

Frankfort, IN · Clinton County

CMS 3/5 96 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
33%
Serious cites
0

Wesley Manor Health Center runs 96 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86. Weekends thin out further, roughly 12% below the home's own weekday coverage. Turnover is the brighter spot: 33.3% against a national 45.8%, so the people who stay tend to stay. On inspections, the record shows 11 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse, plus one fine of $20,826. The most recent inspection was May 21, 2026, and CMS gives middle-of-the-road marks across health, quality, and staffing.

B

75/100

Meadow Lakes

Mooresville, IN · Morgan County

CMS 5/5 137 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
42%
Serious cites
0

Meadow Lakes runs 137 beds in Mooresville under corporate ownership, and the numbers point to a place that does some things well and one thing only adequately. Clinical quality measures earn top marks, and a recent inspection in May 2026 found ten deficiencies, just one serious enough to cause harm and none tied to abuse, a comparatively clean record. Staffing is the weak spot: 3.52 nurse hours per resident day sits about 9 percent under the national average, with weekends roughly 13 percent thinner than weekdays. Turnover, at 42.2 percent, is actually slightly better than the 45.8 percent national figure, so the issue isn't retention so much as sheer coverage.

B

75/100

Otterbein Franklin Seniorlife Comm Res & Com Care

Franklin, IN · Johnson County

CMS 3/5 208 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
51%
Serious cites
0

Otterbein Franklin runs 208 certified beds as a church-affiliated nonprofit, and its nurse staffing sits at 3.63 hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 5% below its own weekday coverage, and annual turnover lands at 51% against a national 45.8%, so the people covering shifts change more often than average. Its current record shows 17 deficiencies, none at harm or jeopardy level, though four are abuse-related, and one fine totaling $21,825. The last inspection was August 21, 2025, and the health inspection rating sits at 2 out of 5. If you're weighing this one, ask directly how abuse-related issues were resolved and what weekend staffing actually looks like.

B

75/100

Rehabilitation Center Of Allison

Allison, IA · Butler County

CMS 3/5 48 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
66%
Serious cites
0

The Rehabilitation Center of Allison runs on thinner nurse coverage than most homes, 3.54 hours per resident day against a national average of 3.86, with weekends dipping about 11% below its own weekday pace. That staffing picture is strained further by 65.5% annual turnover, well above the 45.8% national figure, meaning nearly two-thirds of the nurse workforce turns over each year. State inspectors cited 17 deficiencies on the current record, two at harm or jeopardy level and two abuse-related, after a visit in August 2024. The quality measure score looks strong, but it sits alongside a two-star inspection history, and the home is owned by a for-profit limited liability company.

B

75/100

Davenport Lutheran Home

Davenport, IA · Scott County

CMS 2/5 98 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
36%
Serious cites
0

Davenport Lutheran Home is a church-affiliated nonprofit with 98 beds, and its staffing is the clearest strength: 4.19 nurse hours per resident day, about 8% above the national average, with a 4-out-of-5 CMS staffing rating. Turnover sits at 36%, below the 45.8% national figure, which matters for consistency of care. The concerns show up elsewhere. Inspectors cited 21 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with two fines totaling $43,310, and the most recent inspection was December 11, 2025. Weekend staffing drops roughly 14% below its own weekday level, so coverage thins when families tend to visit. Strong hands on staff, but a recent inspection record that warrants questions.

B

75/100

The New Homestead Care Center

Guthrie Center, IA · Guthrie County

CMS 3/5 58 beds Non-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
56%
Serious cites
0

The New Homestead Care Center runs on thinner staffing than most Iowa nursing homes. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends dip roughly 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 56.3% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than residents can get used to them. The current record shows 24 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth asking about directly. A 4/5 quality measure score suggests the clinical tracking looks decent, though the 2/5 inspection rating and April 2025 survey date tell you oversight hasn't been spotless.

B

75/100

Avita Health And Rehab At Reeds Cove

Wichita, KS · Sedgwick County

CMS 3/5 76 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
67%
Serious cites
0

Avita Health and Rehab at Reeds Cove runs 76 certified beds in Wichita under for-profit LLC ownership, and its nurse staffing sits at 4.80 hours per resident day, roughly 24% above the national average of 3.86. That's a real cushion, though weekends dip about 14% below the home's own weekday numbers, so coverage isn't even across the week. Turnover is the harder fact: 67.3% annually against a national 45.8%, meaning most of the people caring for your family member are relatively new. The inspection record shows 42 deficiencies, three at harm or jeopardy level and one abuse-related, with a single fine of $8,827. The most recent inspection was May 2026.

B

75/100

White Oak Manor - Tryon

Tryon, NC · Polk County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
62%
Serious cites
0

White Oak Manor - Tryon runs 70 certified beds under corporate for-profit ownership, and its staffing numbers are genuinely better than most: 4.11 nurse hours per resident day against a national average of 3.86. The catch is who's delivering that care and how long they stay. Annual turnover sits at 62.4%, well above the 45.8% national figure, and weekend coverage dips below the home's own weekday levels. Inspections tell the harder story, 11 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $16,153 fine. The most recent inspection was July 2025, so the record is current. Good hours on paper, real instability underneath.

B

75/100

Trinity Community

Beavercreek, OH · Greene County

CMS 3/5 95 beds Non-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
44%
Serious cites
0

Trinity Community runs 95 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.92 hours per resident day, roughly 1% above the national average, though weekends drop about 9% below its own weekday levels. Staff turnover of 44.2% edges just under the national 45.8%, so retention here isn't the problem it is at many homes. What pulls the record down is the inspection history: 30 deficiencies, one of them serious enough to involve harm or jeopardy, and one fine totaling $9,932. The most recent inspection was April 2025, so that record is current, not stale. Quality measures score well; the survey side is where the gaps show.

B

75/100

Liberty Station Health Campus

Liberty Twp, OH · Butler County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
5.01 /day
Staff turnover
69%
Serious cites
0

Liberty Station Health Campus is a 54-bed for-profit home in Butler County, and the most recent inspection, from December 2023, turned up no deficiencies at all, not at the harm level, not abuse-related, nothing. Staffing sits at 5.01 nurse hours per resident day, roughly 30% above the national average, though weekends run about 13% lighter than weekdays, so ask how coverage holds up on a Sunday. The real tension is turnover: 69.4% of staff leave each year against a national average near 46%. High hours can paper over a lot of churn, but they can't fix it. Ask who's actually on the floor and how long they've been there.

B

75/100

Nightingale Nursing And Rehab Center

Erie, PA · Erie County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
60%
Serious cites
0

Nightingale Nursing and Rehab Center runs 139 beds in Erie under for-profit LLC ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating, with the most recent survey in February 2026 and no deficiencies at the harm or jeopardy level. The staffing picture is where it gets uneven. Total nurse hours come in around 3.61 per resident day against a national average of 3.86, weekend coverage drops roughly 11% below weekday levels, and annual turnover sits at 60.1% compared to 45.8% nationally. Two abuse-related deficiencies also appear on the current record. So you have a home that passes inspections cleanly but runs lean on the floor and cycles through staff quickly, worth asking about directly.

B

75/100

Greenwood Center For Rehabilitation And Nursing

Lewistown, PA · Mifflin County

CMS 3/5 134 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
50%
Serious cites
0

Greenwood Center runs 134 beds in Lewistown under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.24 nurse hours per resident day, it sits roughly 16 percent under the national average of 3.86, and weekends drop about 9 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 49.6 percent runs above the 45.8 percent national figure, which means aides and nurses cycle through steadily. The inspection record backs that up: 61 deficiencies, including one at the harm level and three tied to abuse, plus a $21,491 fine. Its last inspection was January 8, 2026. Quality measures score well, but those come largely from resident assessments, not from how the building is actually staffed day to day.

B

75/100

Brookline Nursing And Rehab

Mifflintown, PA · Juniata County

CMS 4/5 85 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
37%
Serious cites
0

Brookline Nursing and Rehab runs 85 certified beds in Mifflintown under for-profit LLC ownership, and its nurse staffing sits about 6 percent under the national average, with weekends dipping roughly another 6 percent below its own weekday levels. That shortfall matches its two-out-of-five staffing rating. Turnover is 37.3 percent, which is actually better than the 45.8 percent national figure, so the home isn't losing nurses faster than most. The record shows 30 deficiencies, none causing harm but three tied to abuse, and the most recent inspection was February 27, 2026. Quality measures score five out of five while inspection results land at three, a home that looks strong on paper measures but thinner on daily coverage.

B

75/100

Highland Manor Rehabilitation And Nursing Center

Exeter, PA · Luzerne County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
43%
Serious cites
0

Highland Manor runs about 3.59 nursing hours per resident day, roughly 7% under the national average of 3.86, and weekends dip another 7% below its own weekday coverage. That staffing pattern sits behind a three-star rating. Turnover comes in at 43.4%, slightly better than the 45.8% national figure, which matters given how much churn affects daily care. The bigger concern is the inspection record: 33 deficiencies, including one at the harm level and one tied to abuse, plus a $19,760 fine, with the most recent inspection in December 2024. The quality measure score is strong at four stars, but that reflects resident health outcomes, not whether the building is safely run day to day.

B

75/100

Oxford Rehabilitation And Healthcare Center

Langhorne, PA · Bucks County

CMS 5/5 179 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
43%
Serious cites
0

Oxford Rehabilitation and Healthcare Center runs 179 certified beds in Langhorne under for-profit LLC ownership, and the numbers split in two directions. The nursing side is thin: 3.53 nurse hours per resident day against a national average of 3.86, with weekends about 10% below the home's own weekday coverage, and that staffing picture earns only 2 of 5 stars from CMS. Quality measures and health inspections both come back strong, and turnover at 42.6% actually sits below the national 45.8%. What tempers the record is volume, 24 deficiencies on file, including one abuse-related citation, though none rose to harm or jeopardy level. The most recent inspection was November 14, 2025.

B

75/100

Ascension Living Alexian Village Tennessee

Signal Mountain, TN · Hamilton County

CMS 1/5 114 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
49%
Serious cites
0

Ascension Living Alexian Village Tennessee sits in Signal Mountain with 114 certified beds, run by a nonprofit corporation. The staffing numbers look decent on paper, 4.05 nurse hours per resident day, slightly above the national average, but that advantage shrinks on weekends, when coverage drops about 7% below the home's own weekday level. Staff turnover runs 49%, a few points above the national rate of 45.8%. The real problem shows up in inspections. CMS gave this home 1 out of 5 stars for health inspections, with 28 deficiencies on the current record, including 6 at the harm or jeopardy level and 3 tied to abuse. Two fines total $233,543. The last inspection was December 10, 2025. Strong quality and staffing scores don't offset that inspection history.

B

75/100

Abundant Christian Living Community Rehabilitation

Johnson City, TN · Washington County

CMS 5/5 103 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
42%
Serious cites
0

Abundant Christian Living in Johnson City runs a sharp split. Inspectors visited in July 2024 and found six deficiencies, none at the harm level, and its clinical quality measures score at the top of CMS's scale, that part of the record is genuinely clean. Staffing is where it thins out. At 3.16 nurse hours per resident day, this 103-bed for-profit home sits about 18 percent under the national average, and weekends drop roughly another 12 percent below its own weekday coverage. Turnover at 42.4 percent is slightly better than the 45.8 percent norm nationally, but with that many caregivers cycling through, consistent hands are hard to count on. Ask how weekends are actually covered before you decide.

B

75/100

Mount Miguel Covenant Village

Spring Valley, CA · San Diego County

CMS 3/5 90 beds Non-profit Medicaid
Nurse hours
2.69 /day
Staff turnover
20%
Serious cites
0

Mount Miguel Covenant Village runs lean on nursing hours, 2.69 per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday levels. That thin coverage is the main reason its CMS staffing rating sits at the bottom of the scale, even though the home is church-affiliated and nonprofit. Where it looks steadier: staff turnover of 19.7% is well under half the national rate, inspections are recent and produced no deficiencies at the harm level, and its health inspection and quality measure ratings both land at 4 out of 5. Twenty-eight deficiencies total and one abuse-related finding are on the record, so ask about that directly before deciding.

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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