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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 1161–1180 of 1,547, best-graded first.

B

75/100

Kruse Village Senior Living Community

Brenham, TX · Washington County

CMS 4/5 65 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
55%
Serious cites
0

Kruse Village sits in Brenham with 65 certified beds, run by a for-profit limited liability company. Nurse staffing comes in at 3.83 hours per resident day, just under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Staff turnover is the bigger number here: 55.2% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 22 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors were last on site in May 2026, and the health inspection and quality measure ratings both land at 4 out of 5, with staffing at 3.

B

74.5/100

Oaks On Parkwood Skilled Nursing Facility

Bessemer, AL · Jefferson County

CMS 1/5 130 beds Non-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
44%
Serious cites
0

Oaks On Parkwood has enough nurses. At 3.97 hours per resident day, staffing sits slightly above the national average, and CMS gives it top marks there, a rare bright spot. But that same federal data flags real problems: 20 deficiencies on the current record, including one at the harm level and three tied to abuse. The last full health inspection was in May 2021, so that record is years old now. Weekend coverage drops about 16% below weekday levels, and turnover runs near the national rate. As a nonprofit, it answers to a board rather than shareholders, but the inspection history is what a family should weigh here.

B

74.5/100

Lake Forest Senior Living At Mountain Home

Mountain Home, AR · Baxter County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
—
Serious cites
0

Lake Forest Senior Living runs 70 beds in Mountain Home under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, just barely above the national average of 3.86. That thin margin doesn't hold up on weekends, when coverage drops roughly 10% below the home's own weekday levels. The current record shows 22 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A 3-out-of-5 on health inspections and the same on quality measures puts it mid-pack, and the staffing star tells a similar story. The last inspection was August 2025, so the picture is recent. Families should ask directly how weekend coverage is handled.

B

74.5/100

Hawkeye Care Center Dubuque

Asbury, IA · Dubuque County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
—
Serious cites
0

Hawkeye Care Center Dubuque runs about 3.33 nursing hours per resident each day, roughly 14% under the national average of 3.86, and weekend coverage dips slightly below its own weekday staffing. The 80-bed home is owned by a for-profit limited liability company and carries ten deficiencies on its current record, one of them serious enough to reach harm or jeopardy level, though none are abuse-related. Its last inspection was September 18, 2025, and CMS gives it three stars each for health inspections, quality measures, and staffing. That's a home sitting squarely in the middle, decent marks across the board, but staffing hours that fall short of what most residents need.

B

74.5/100

Good Samaritan - Hutchinson Village

Hutchinson, KS · Reno County

CMS 4/5 65 beds Non-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
45%
Serious cites
0

Good Samaritan Society - Hutchinson Village runs 65 certified beds as a nonprofit, and its last inspection was recent, December 3, 2025. The health inspection side looks solid, with a four-star rating, but that record includes 16 deficiencies and one at the level that caused actual harm or jeopardy, plus one tied to abuse. Staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends drop about 15% below the home's own weekday coverage. Turnover of 45.1% tracks just under the national 45.8%, so retention isn't the outlier here, the thin weekend coverage and that harm-level deficiency are what a family should ask about directly.

B

74.5/100

Caretel Inns Of Brighton

Brighton, MI · Livingston County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
68%
Serious cites
0

Caretel Inns of Brighton runs 60 certified beds under corporate ownership, and its nurse staffing sits at 3.97 hours per resident day, a bit above the national average of 3.86. That margin is thinner than it sounds once you factor in weekends, when coverage drops roughly 16% below the home's own weekday level. The bigger concern is turnover: 68.1% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. The current inspection record shows 29 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse. Its last inspection was February 2026, so the findings are recent.

B

74.5/100

Eastmont

Lincoln, NE · Lancaster County

CMS 3/5 23 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Eastmont runs 23 certified beds as a nonprofit, and its last inspection was recent, August 2025, so the record is current. That record shows 10 deficiencies, none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The bigger issue is staffing: CMS gives it just 1 out of 5 stars, meaning nurse hours per resident fall well below what the government expects. Quality measures score better at 4 out of 5, so clinical outcomes look decent on paper despite thin coverage. With a small nonprofit home, low staffing often means fewer hands on deck, not necessarily worse care, but it's the number to press on when you visit.

B

74.5/100

Shippensburg Rehabilitation And Health Care Center

Shippensburg, PA · Cumberland County

CMS 4/5 125 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
—
Serious cites
0

Shippensburg Rehabilitation and Health Care Center runs 125 certified beds under for-profit LLC ownership, and its recent inspection history is the strongest part of the picture, a four-out-of-five health inspection rating with 13 deficiencies on record, none of them at the harm or jeopardy level. Staffing is where it gets thinner. At 3.56 total nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 6% below the home's own weekday coverage. That gap is what pulls the staffing rating down to two stars and keeps the overall grade from climbing higher despite the solid inspection showing.

B

74.5/100

Vmrc, Complete Living Care

Harrisonburg, VA · Rockingham County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The staffing numbers here are the real story: 5.84 nurse hours per resident day, about 51% above the national average of 3.86. That's an unusual amount of nursing time, though weekends run roughly 8% leaner than weekdays, so coverage isn't perfectly flat. On inspections, 11 deficiencies show up on the current record with none at the harm level, and one is abuse-related, worth asking about directly, since any abuse citation deserves a specific explanation. State inspectors last visited in March 2023, so the record is a few years old. The nonprofit corporation that runs this 120-bed home posts solid marks on health inspections and quality measures, and the above-average staffing backs that up.

B

74.5/100

Covenant Woods Nursing Home

Mechanicsville, VA · Hanover County

CMS 4/5 62 beds Non-profit
Nurse hours
4.51 /day
Staff turnover
—
Serious cites
0

Covenant Woods sits in decent shape on inspections, a 4 out of 5 there, with 13 deficiencies on record but none that rose to actual harm or jeopardy, and nothing abuse-related. Where it struggles is staffing, which lands at 1 out of 5 and drags the overall picture down, along with a quality measure score of 2. The last state visit was March 2024, so the inspection record is reasonably current. As a nonprofit corporation with 62 beds, it's a smaller home, which can cut both ways on consistency. If you're considering it, the inspection history is the reassuring part; ask pointed questions about direct-care hours per resident and turnover before you decide.

B

74.5/100

Harmonee House

Amherst, TX · Lamb County

CMS 2/5 35 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Harmonee House is a 35-bed for-profit home in Amherst with a decent inspection history and a serious staffing problem. The health inspection rating sits at 3 out of 5, and the 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, which matters, because it means the problems found were mostly paperwork and process, not residents getting hurt. But the staffing rating is 1 out of 5, and that's the number a family should sit with. Quality measures come in at 4 out of 5, which suggests the care itself is tracking well when it happens. The last inspection was in September 2024, so the record is recent. A B grade here reflects a home that inspects fine but may not have enough hands on deck.

B

74/100

Elite Nursing And Rehabilitation Care Center

Birmingham, AL · Jefferson County

CMS 1/5 143 beds For-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
52%
Serious cites
0

Elite Nursing and Rehabilitation Care Center runs 143 certified beds in Birmingham under for-profit LLC ownership. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 9% below what the home itself staffs on weekdays. Annual turnover of 52.4% tops the national rate of 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 22 deficiencies, including one abuse-related citation, though none reached harm or jeopardy level, and CMS has fined the home $6,682 across a single penalty. Its last inspection was March 29, 2024. Quality and staffing measures both land at 3 out of 5 stars, while health inspections sit at 1.

B

74/100

Whitney Center

Hamden, CT · South Central Ct County

CMS 3/5 59 beds Non-profit Medicaid
Nurse hours
2.63 /day
Staff turnover
23%
Serious cites
0

Whitney Center runs 59 certified beds as a nonprofit, and its inspection record shows 30 deficiencies, five of them abuse-related, though none at the harm or jeopardy level. The most recent inspection was in December 2024. Staffing is where the numbers get thin: 2.63 nurse hours per resident day, roughly a third below the national average, with weekends running about 10% under its own weekday level. What stands out in the other direction is turnover, 22.6%, about half the national rate, which suggests a stable core of caregivers even if there aren't enough of them on the clock.

B

74/100

Pleasant View Luther Home

Ottawa, IL · La Salle County

CMS 4/5 90 beds Non-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
42%
Serious cites
0

Pleasant View Luther Home runs 3.43 nurse hours per resident day, about 11% under the national average of 3.86, and weekends dip roughly 6% below its own weekday staffing. The record shows 42 deficiencies, including 6 at harm or jeopardy level and 4 tied to abuse, with $87,819 in fines across three penalties. Turnover sits at 41.7%, a bit better than the 45.8% national figure, and the last inspection was February 2025. Quality measures score well, but the inspection and staffing picture is where the concern lives.

B

74/100

Saint Anne Home

Fort Wayne, IN · Allen County

CMS 4/5 166 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
58%
Serious cites
0

Saint Anne Home in Fort Wayne runs on a church-affiliated nonprofit model with 166 beds, and its nurse staffing sits about 10% above the national average at 4.24 hours per resident day. That's a real cushion, though weekends run roughly 15% leaner than weekdays, so coverage isn't uniform across the week. Staff turnover is the number worth pausing on: 58.1%, well above the 45.8% national figure, which matters for whether residents see the same faces. Six deficiencies appear on the current record with none at harm or jeopardy level, but two are abuse-related, and the last inspection was January 2026. Inspection history and quality measures both read solidly mid-range.

B

74/100

Grace Village Health Care Facility

Winona Lake, IN · Kosciusko County

CMS 5/5 71 beds Government Medicaid
Nurse hours
4.79 /day
Staff turnover
61%
Serious cites
0

Grace Village is county-owned, and that shows in the staffing: 4.79 nurse hours per resident day, roughly a quarter above the national average. Weekend coverage dips about 14% below its own weekday level, which is worth asking about if your family tends to visit Saturdays or Sundays. The health inspection record is the strongest part of the picture, eight deficiencies, none at the harm level, none abuse-related, and a survey as recent as March 2025. The softer spots are staff turnover at 61% against a national 45.8%, and a quality measure rating of 2 out of 5, which reflects how residents are actually faring day to day rather than how the building looks on paper.

B

74/100

Park View Rehabilitation Center

Sac City, IA · Sac County

CMS 1/5 77 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
53%
Serious cites
0

Park View Rehabilitation Center runs 77 certified beds in Sac City under corporate ownership, and the staffing numbers are the place to start. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 12% below its own weekday coverage. Staff turnover lands at 53.2% against a national 45.8%, so nearly half the workforce is cycling through each year. The inspection record shows 19 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse; the most recent inspection was March 2026, so that record is current. Quality and health inspection measures both rate 2 out of 5.

B

74/100

Rehabilitation Center Of Hampton

Hampton, IA · Franklin County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
46%
Serious cites
0

Nurse staffing at Rehabilitation Center Of Hampton runs about 15% under the national average, roughly 3.27 hours per resident day against 3.86, and weekend coverage drops another 14% below its own weekday levels, so the thinnest shifts are when families tend to visit. The current record shows eight deficiencies, including one at the harm or jeopardy level and one abuse-related citation, though the last inspection was recent, in May 2025. Turnover sits at 46.4%, essentially the national average. The for-profit limited liability company that owns the 52-bed home posts strong marks on inspections and quality measures; the staffing number is what pulls it down.

B

74/100

Luther Manor At Hillcrest

Dubuque, IA · Dubuque County

CMS 1/5 103 beds For-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
54%
Serious cites
0

Luther Manor At Hillcrest runs a for-profit shop with 103 certified beds, and the numbers split in two directions. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average of 3.86, but weekends drop roughly 11 percent below the home's own weekday coverage, and annual turnover is 54.3 percent against a national 45.8. That combination means bodies are scheduled, though not always the same ones. The inspection record is where the trouble concentrates: a one-out-of-five health inspection rating, 24 deficiencies including three at harm or jeopardy level, and $42,406 in fines across two events. No abuse citations appear. The most recent inspection was February 12, 2026. Quality measures score two out of five. Ask about weekend coverage and the plan for the three harm-level findings before you decide.

B

74/100

Heritage Grove Estates

Topeka, KS · Shawnee County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
54%
Serious cites
0

Heritage Grove Estates runs 80 beds in Topeka under corporate ownership, and the staffing numbers cut both ways. Nurses give residents 4.03 hours a day, a bit above the national average, but weekends drop roughly 12% below what the home itself staffs on weekdays, so the coverage your family member gets depends on which day you visit. Annual turnover sits at 53.5%, well past the national 45.8%, which means a lot of new faces coming through. Inspections from August 2024 produced 18 deficiencies, three serious enough to threaten resident harm, though none involved abuse. The $9,113 in fines is modest. Clinical quality scores hold up; consistency of care is the open question.

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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