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 101 to 120 of 1,547, best-graded first.

A

96/100

Carol Woods

Chapel Hill, NC · Orange County

CMS 5/530 bedsNon-profit
Nurse hours
4.92 /day
Staff turnover
35%
Serious cites
0

Carol Woods runs 30 certified beds as a nonprofit, and the staffing number stands out: 4.92 nurse hours per resident day, roughly 27% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 35.1%, better than the 45.8% national figure. On the inspection side, there are 7 deficiencies on record but none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 26, 2025. A small nonprofit with strong nurse hours and clean harm-level findings, that combination is uncommon.

A

96/100

Piedmont Crossing

Thomasville, NC · Davidson County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
5.11 /day
Staff turnover
33%
Serious cites
0

Piedmont Crossing runs on about 5.11 nurse hours per resident per day, roughly a third more than the national average, and its weekend hours dip only slightly below weekdays, a gap that's usually wider elsewhere. Staff turnover sits at 32.6%, well under the 45.8% national figure, which matters because consistent caregivers know residents' routines. The current record shows three deficiencies, none involving harm or abuse, and the most recent inspection was in April 2026. As a nonprofit with 104 beds, it isn't chasing quarterly returns; the numbers suggest steady, well-staffed care with no serious compliance problems on the books.

A

96/100

Glenaire

Cary, NC · Wake County

CMS 5/571 bedsNon-profitMedicaid
Nurse hours
7.42 /day
Staff turnover
37%
Serious cites
0

Glenaire runs 7.42 nurse hours per resident day, roughly double the national average, and that staffing shows up in the ratings: five stars each for staffing and quality measures, four for health inspections. Turnover sits at 36.8 percent against a national 45.8, so the people caring for residents tend to stick around. The current record carries four deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Weekend staffing dips about 9 percent below weekdays, which is common but still a real difference if your family visits on Saturdays. The last inspection was December 31, 2025, so the picture is recent, and as a nonprofit, this home answers to a board rather than shareholders.

A

96/100

Smp Health - St Aloisius

Harvey, ND · Wells County

CMS 5/565 bedsNon-profitMedicaid
Nurse hours
4.61 /day
Staff turnover
32%
Serious cites
0

St. Aloisius runs on 4.61 nurse hours per resident day, roughly 19 percent more than the national average, and its staff tends to stay: turnover is 31.7 percent against a national figure near 46 percent. Weekend coverage dips about 13 percent below weekday levels, which is common but worth knowing if your visits fall on Saturdays and Sundays. The inspection record shows six deficiencies, one serious enough to reach harm or jeopardy, and none tied to abuse; the most recent look came in April 2026. Church-affiliated nonprofit ownership rounds out the picture. Five stars each on staffing and health inspections, four on quality measures, the numbers back the reputation.

A

96/100

Wesley Glen Health Services Corp

Columbus, OH · Franklin County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
6.28 /day
Staff turnover
42%
Serious cites
0

Wesley Glen runs on 6.28 nurse hours per resident day, about 63% above the national average of 3.86, and its weekend staffing only dips about 12% below weekday levels. Turnover sits at 42.3%, a bit better than the 45.8% national figure, and the nonprofit has a clean inspection record on harm: 12 deficiencies total, none at the harm or jeopardy level, though 2 are abuse-related. CMS gives it 5 stars across health inspections, quality measures, and staffing, and its last inspection was in April 2026. The numbers say a well-staffed home with recent oversight and no serious harm findings, with those two abuse citations the main thing worth asking about directly.

A

96/100

Willow Ridge Of Mennonite Home Communities Of Ohio

Bluffton, OH · Allen County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
5.30 /day
Staff turnover
32%
Serious cites
0

Willow Ridge is a 20-bed nonprofit home in Bluffton, and its staffing is the headline: 5.30 nurse hours per resident day, roughly 37% above the national average. Weekend coverage dips only about 5% below weekdays, which matters because short-staffed weekends are where a lot of problems show up. Staff turnover sits at 32.3%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The current record isn't spotless, 23 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was July 2024 and inspection and quality ratings both land at 4 out of 5. Small homes live and die by their staff, and this one has kept more of theirs than most.

A

96/100

Robert A Barnes Center

Reynoldsburg, OH · Franklin County

CMS 5/525 bedsNon-profitMedicaid
Nurse hours
7.04 /day
Staff turnover
39%
Serious cites
0

The Robert A. Barnes Center runs 25 beds under church-related nonprofit ownership, and the staffing numbers stand out: 7.04 nurse hours per resident day, roughly 82% above the national average. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 38.5%, better than the 45.8% national figure, though still meaning more than a third of staff leaving each year. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, which families should ask about directly. A June 2025 inspection keeps the record current, and the four- and five-star ratings across health inspections, quality measures, and staffing back up what the numbers suggest.

A

96/100

Willowbrooke Court-Southampton

Southampton, PA · Bucks County

CMS 5/529 bedsNon-profit
Nurse hours
4.00 /day
Staff turnover
15%
Serious cites
0

Willowbrooke Court-Southampton runs a small house, 29 certified beds, under nonprofit ownership, and the numbers back up what that setup often produces. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average of 3.86, and the people providing that care tend to stay: turnover is 15.4% against a national average of 45.8%, which matters more than almost anything else for whether your parent sees the same faces week to week. The current record shows zero deficiencies, none at the harm level, none tied to abuse, and the last inspection was December 2025. One honest caveat: weekend staffing drops roughly 8% below weekday levels, so ask who's actually on the floor on Saturdays.

A

96/100

Willowbrooke Ctskdcarectr At Fortwashingtonestates

Fort Washington, PA · Montgomery County

CMS 5/59 bedsNon-profit
Nurse hours
5.50 /day
Staff turnover
20%
Serious cites
0

Willowbrooke is a nine-bed nonprofit home in Fort Washington, and its numbers read like a place that runs calm. Nurse staffing sits at 5.50 hours per resident day, roughly 42 percent above the national average, and weekends dip only about 7 percent below its own weekday level, a small gap by industry standards. Staff turnover is 20 percent against a national 45.8 percent, meaning aides and nurses tend to stay. One deficiency on the current record, none at harm level, no abuse findings, and an inspection dated February 2026. With nine beds, the administrator likely knows every resident by name.

A

96/100

Sarah A Todd Memorial Home

Carlisle, PA · Cumberland County

CMS 5/5117 bedsNon-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
28%
Serious cites
0

Sarah A Todd Memorial Home runs on 4.51 nurse hours per resident day, about 17 percent more than the national average, and its weekend staffing only dips roughly 8 percent below weekday levels. That matters, because weekend coverage is where a lot of homes quietly thin out. Staff turnover sits at 27.5 percent against a national average near 46 percent, so the people caring for residents tend to stick around. The record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026. This is a nonprofit corporation with 117 certified beds, and the numbers point to steady, well-staffed care rather than anything flashy.

A

96/100

Meadowood

Lansdale, PA · Montgomery County

CMS 5/559 bedsNon-profit
Nurse hours
4.55 /day
Staff turnover
17%
Serious cites
0

Meadowood runs about 4.55 nurse hours per resident day, roughly 18% above the national average, and weekend staffing holds only about 8% under its own weekday level, a gap that trips up plenty of homes. Annual turnover sits at 16.7% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. Its record shows two deficiencies, none at the harm level and none abuse-related, with the most recent inspection in February 2025. This is a nonprofit corporation in Montgomery County, and the numbers behind its grade point to steady, well-staffed care rather than anything flashy.

A

96/100

Lakeside At Willow Valley

Willow Street, PA · Lancaster County

CMS 5/580 bedsNon-profit
Nurse hours
4.87 /day
Staff turnover
37%
Serious cites
0

Lakeside At Willow Valley runs on about 4.87 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home, and it holds a 5-star rating in all three CMS categories. Just one deficiency sits on its current record, none involving harm or abuse, and its most recent inspection was in January 2026. Weekend staffing dips about 10% below weekday levels, which is common but worth asking about, since that's when families often visit. Annual turnover of 36.5% is meaningfully lower than the 45.8% national figure, suggesting a steadier workforce than most. As a nonprofit with 80 beds, it's small enough that you can reasonably ask who specifically will be on duty.

A

96/100

Highlands At Wyomissing

Wyomissing, PA · Berks County

CMS 5/580 bedsNon-profit
Nurse hours
6.67 /day
Staff turnover
28%
Serious cites
0

Highlands at Wyomissing runs on an unusually deep staffing bench: 6.67 nurse hours per resident per day against a national average of 3.86, and a 27.7% turnover rate that sits well below the typical 45.8%. That stability matters, because the home is a nonprofit with a May 2025 inspection on record and six deficiencies total, none of them at the harm or jeopardy level and none tied to abuse. Weekend coverage dips about 7% from weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The five-star inspection and staffing marks line up with what the numbers show.

A

96/100

Juniper Village At Bucks County Rehab And Skd Care

Bensalem, PA · Bucks County

CMS 5/517 bedsFor-profit
Nurse hours
5.83 /day
Staff turnover
31%
Serious cites
0

Juniper Village At Bucks County runs 5.83 nurse hours per resident per day, roughly half again the national figure of 3.86, and its 5 out of 5 staffing rating reflects that. Weekend coverage dips only about 6% below weekdays, so care doesn't evaporate on Saturdays. Staff turnover sits at 31%, well under the 45.8% national average, a sign people tend to stay. The tradeoff is a longer deficiency record: 19 citations, including one abuse-related, though none rose to harm or jeopardy level, and the most recent inspection was June 2025. With 17 beds and corporate ownership, it's small enough that a single bad hire or thin shift matters more than it would at a larger building.

A

96/100

Chapel Pointe At Carlisle

Carlisle, PA · Cumberland County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
5.33 /day
Staff turnover
15%
Serious cites
0

Chapel Pointe At Carlisle runs on a church-affiliated nonprofit model with 59 certified beds, and the staffing numbers tell the real story here. At 5.33 nurse hours per resident day, it sits roughly 38% above the national average, and weekend coverage barely dips from weekday levels. Annual turnover of 14.5% is far below the national 45.8%, which matters because consistent caregivers know residents and catch problems early. The inspection record backs that up: two deficiencies total, none involving harm or abuse, with the most recent survey in February 2026. For families weighing options in Cumberland County, that combination of low turnover and a clean recent inspection is worth more than any single rating.

A

96/100

Preston Residence

West Grove, PA · Chester County

CMS 5/528 bedsNon-profit
Nurse hours
4.90 /day
Staff turnover
31%
Serious cites
0

Preston Residence runs 38 beds in West Grove under nonprofit ownership, and the staffing is the first thing that stands out: 4.90 nurse hours per resident day against a national average of 3.86. Weekends dip about 8% below its own weekday level, which is common but worth knowing if you're visiting Saturday or Sunday. The 31% annual turnover is meaningfully better than the 45.8% national figure, so the people caring for residents tend to stick around. Six deficiencies on record, none involving harm or abuse, and a June 2025 inspection means the picture is current. A nonprofit with solid staffing and low turnover is a decent combination to ask questions about.

A

96/100

Ann's Choice

Warminster, PA · Bucks County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
4.62 /day
Staff turnover
27%
Serious cites
0

Ann's Choice in Warminster runs on nonprofit ownership and about 4.62 nurse staffing hours per resident day, roughly 20% above the national average of 3.86. Weekend staffing dips about 7% below its own weekday level, and annual turnover sits at 26.7% against a national 45.8%, so the people caring for residents tend to stay. The home's current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with its last inspection in August 2025. Staffing and quality measures both rate 5 out of 5 from CMS, and the health inspection rating is 4. That combination, low turnover, no serious deficiencies, and staffing well above average, is the substance behind the high marks.

A

96/100

Fraser Health Center

Hilton Head Island, SC · Beaufort County

CMS 4/533 bedsNon-profit
Nurse hours
5.38 /day
Staff turnover
29%
Serious cites
0

Fraser Health Center runs on 5.38 nursing hours per resident per day, roughly 39% above the national average, and it's 5-for-5 on CMS's staffing measure. Weekend coverage dips about 11% below weekday levels, and annual turnover sits at 28.6%, well under the national 45.8%, which matters for consistency of care at a 33-bed nonprofit. The inspection record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in April 2025; quality measures rate 4 out of 5. The weaker spot is the 3-out-of-5 health inspection rating, though the low severity of those findings suggests they were mostly paperwork and process issues rather than anything that hurt a resident.

A

96/100

Brightwater Skilled Nursing Center

Myrtle Beach, SC · Horry County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
34%
Serious cites
0

Brightwater runs leaner on turnover than most homes, 33.7% against a national 45.8%, and its nurse staffing sits well above average at 5.58 hours per resident day. That combination matters more than any single rating, since it suggests the people here tend to stay and there are enough of them. Weekend coverage dips about 9% below weekdays, worth asking about if a family member needs more help on Saturdays and Sundays. The tradeoff shows up in inspections: 17 deficiencies on the current record, including two at the harm level and three tied to abuse, with a $7,342 fine and a survey completed April 30, 2025. For-profit LLC ownership. Ask directly how those abuse-related findings were resolved.

A

96/100

Bishop Gadsden Episcopal Health Care Center

Charleston, SC · Charleston County

CMS 5/541 bedsNon-profit
Nurse hours
5.37 /day
Staff turnover
34%
Serious cites
0

Bishop Gadsden runs 5.37 nurse hours per resident day, roughly 39% above the national average of 3.86. That's a real gap, not a rounding difference, it means more hands on deck per resident than most homes in the country. Staff turnover sits at 33.9% against a national average of 45.8%, so workers tend to stick around longer here than elsewhere. Weekends run about 10% lighter than weekdays, which is worth knowing if you'll be visiting then. The inspection record shows 10 deficiencies, one at the harm level and none tied to abuse, with the most recent visit in April 2025. As a nonprofit, there's no owner extracting profit from the operation.

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