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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 1181–1200 of 1,547, best-graded first.

B

74/100

Cambridge Place

Marysville, KS · Marshall County

CMS 2/5 91 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
49%
Serious cites
0

Cambridge Place runs about 3.44 nursing hours per resident per day, roughly 11% under the national average, and weekends are thinner still, around 15% below its own weekday staffing. That gap matters most when a resident needs help on a Saturday. Staff turnover sits at 48.8%, a few points above the national figure, and the home carries 43 deficiencies on its current record, including two tied to abuse, though none rose to the level of actual harm or jeopardy. Inspectors were last on site in August 2025. The quality measure score looks strong; the inspection history and thin weekend coverage are the parts worth asking about directly.

B

74/100

Rochester Rehabilitation And Living Center

Rochester, MN · Olmsted County

CMS 1/5 56 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
74%
Serious cites
0

Rochester Rehabilitation And Living Center has real staffing depth, 5.09 nurse hours per resident day, roughly a third more than the national average. That's the strongest thing in its file. But 73.5% of staff left over the past year, well above the 45.8% national rate, and weekend coverage drops about 10% below its own weekday levels. The inspection record is where it gets serious: 35 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse. CMS placed the home in its Special Focus Facility program, which it reserves for the country's most persistently troubled nursing homes. Its last inspection was in April 2025. Good ratios don't fix a record like that on their own.

B

74/100

Farmington Presbyterian Manor

Farmington, MO · St. Francois County

CMS 5/5 90 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
64%
Serious cites
0

Farmington Presbyterian Manor runs a nonprofit home with 90 certified beds, and its staffing sits at 4.04 nurse hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 11 percent below the home's own weekday level, and annual turnover hits 64.4 percent against a national 45.8 percent, so the familiar faces aren't staying long. The inspection record is the strong part: a 5/5 health inspection star, last surveyed January 30, 2025, with 8 deficiencies on file and none at the harm or jeopardy level. Quality measures land at 3/5. Read together, the care environment looks safe and well-monitored, but the workforce churns enough to matter over a longer stay.

B

74/100

Living Community Of St Joseph

Saint Joseph, MO · Buchanan County

CMS 4/5 96 beds Non-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
60%
Serious cites
0

Living Community of St Joseph runs 96 beds as a nonprofit, and its recent inspection history is the main thing to know. The home carries 36 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse. Federal inspectors last visited in January 2025. Nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends drop about 9% below the home's own weekday coverage. Staff turnover is 60% a year against a national average of 45.8%, that's a lot of churn for residents who need consistent faces. CMS gives the home middling marks on health inspections and quality measures, with staffing scoring comparatively better.

B

74/100

Milcrest Nursing Center

Marysville, OH · Union County

CMS 3/5 50 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
71%
Serious cites
0

Milcrest runs 3.86 nurse hours per resident day, which lands it right on the national average, but that average is spread unevenly, with weekends about 11% thinner than weekdays, so care can feel different depending on the day you visit. The bigger concern sits on the record: 34 deficiencies, including two at the harm level and two tied to abuse, plus a $68,006 fine. Staff turnover of 71.2% is well above the 45.8% national figure, meaning the people caring for your family member are changing often. The most recent inspection was in April 2025, so the record is fairly current. For a 50-bed for-profit home, quality measures score well, but the inspection history and turnover are what drag the picture down.

B

74/100

Cottingham Retirement Community

Cincinnati, OH · Hamilton County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
48%
Serious cites
0

Cottingham Retirement Community runs 60 certified beds in Cincinnati under for-profit LLC ownership, and its staffing is the first thing that stands out: 2.99 nurse hours per resident day against a national average of 3.86, roughly a quarter below. Weekends dip about 9% under its own weekday numbers, and turnover sits at 47.7%, a bit above the national 45.8%. The inspection record is where the trouble concentrates, 19 deficiencies on file, including one at harm or jeopardy level and one abuse-related, with the most recent inspection dated February 2026. Quality measures score well, but the health inspection and staffing ratings both sit at two out of five, which is what pulls the overall picture down.

B

74/100

Main Street Care Center

Avon Lake, OH · Lorain County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
48%
Serious cites
0

Main Street Care Center runs 3.52 nurse hours per resident day, about 9% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage, which matters, since that's when families tend to visit and problems tend to surface. The inspection record is the bigger concern: 31 deficiencies, four of them at harm or jeopardy level and one abuse-related, with a single $16,801 fine and a most recent inspection dated April 2026. Staff turnover sits at 47.7%, slightly worse than the 45.8% national figure. Corporate-owned and certified for 120 beds, the home's quality measure scores look strong on paper, but those numbers depend on the staffing and oversight underneath them.

B

74/100

Springmeade Healthcenter

Tipp City, OH · Miami County

CMS 2/5 99 beds Non-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
47%
Serious cites
0

Springmeade runs about 3.36 nursing hours per resident each day, roughly 13 percent under the national average, and weekends dip another 13 percent below its own weekday coverage. Staff turnover sits at 47.4 percent, a touch above the national figure. The record shows 33 deficiencies, including one at the harm or jeopardy level and one tied to abuse; the last inspection was in April 2025 and health inspection scored 2 out of 5. Quality measures scored 4 out of 5, which lifts the overall picture, but the staffing and inspection numbers are the ones a family should weigh when deciding whether this nonprofit's care is steady enough day to day.

B

74/100

National Church Residences Chillicothe

Chillicothe, OH · Ross County

CMS 4/5 48 beds Non-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
63%
Serious cites
0

National Church Residences Chillicothe runs a tight ship on care quality, with recent inspection scores landing at 4 out of 5 stars and a clean deficiency record, 13 total citations but none involving harm or abuse, which is what you'd hope to see. Where it stumbles is staffing. The 4.42 daily nurse hours per resident beats the national average, but weekend coverage drops about 14% below weekdays, and turnover sits at 63% against a national 45.8%. That churn matters more than the headline number suggests. For a 48-bed nonprofit in Ross County, the care fundamentals look solid; the question is whether you can count on consistent faces on weekends.

B

74/100

Taylor Springs Health Campus

Gahanna, OH · Franklin County

CMS 3/5 58 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
47%
Serious cites
0

Taylor Springs Health Campus runs below the national average on nurse staffing, 3.58 hours per resident day against 3.86, and weekends drop roughly 15% below its own weekday coverage, which matters most when families visit and fewer eyes are watching. The inspection record shows 36 deficiencies, including two at the harm level and one tied to abuse, plus a $17,225 fine; that history sits behind a 2-star health inspection rating even though the quality measure score is perfect at 5 stars. Staff turnover of 46.8% is slightly above the national average, so the people providing care change often, and the most recent inspection was in April 2025.

B

74/100

Richboro Rehabilitation & Nursing Center

Richboro, PA · Bucks County

CMS 4/5 82 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
44%
Serious cites
0

Richboro Rehabilitation & Nursing Center runs 82 certified beds under for-profit LLC ownership, and its staffing sits about 7% under the national average at 3.60 nurse hours per resident day. Weekends dip roughly another 6% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 43.9% is slightly better than the 45.8% national figure, which matters for consistency of care. The current record shows 7 deficiencies, none at harm or jeopardy level and none abuse-related, with a May 2025 inspection. Its health inspection and quality measure ratings both sit at 4 of 5 stars, while staffing comes in at 3. Solid on safety and outcomes, lighter on hands per resident.

B

74/100

Swaim Health Center

Newville, PA · Cumberland County

CMS 3/5 67 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
49%
Serious cites
0

Swaim Health Center runs on thinner nurse coverage than most homes: 3.63 hours per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday levels. Turnover sits at 49.3%, above the national figure of 45.8%, so families should ask how often they'll see the same faces. The inspection record shows 12 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single $8,278 fine; the most recent inspection was July 2, 2025. Quality measures score well, but staffing and the harm-level findings are the parts worth pressing on during a visit.

B

74/100

Deer Meadows Rehabilitation Center

Philadelphia, PA · Philadelphia County

CMS 2/5 206 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
42%
Serious cites
0

Deer Meadows runs about 206 beds in Philadelphia under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends drop another 9 percent below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. The inspection record shows 43 deficiencies, including one at the harm level and one abuse-related, which is a lot to carry for a home inspected as recently as October 2025. Turnover at 42.1 percent is slightly better than the national 45.8 percent, and quality measures rate 3 out of 5, modest strengths against a staffing and inspection picture that needs watching.

B

74/100

Brookmont Healthcare And Rehabilitation Center

Effort, PA · Monroe County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
55%
Serious cites
0

Brookmont runs on thinner staffing than most homes its size, 3.26 nurse hours per resident day against a national average of 3.86, and weekends dip about 14% below what the home itself staffs on weekdays. That gap matters because aides and nurses are the people who catch a fall or a change in condition. Turnover sits at 55%, well above the 45.8% national figure, so the crew caring for your relative is likely to keep changing. The good news: 29 deficiencies on record, none at harm or jeopardy level and none abuse-related, with a December 2025 inspection behind them. State surveyors rated health inspections 3 out of 5 and quality measures 5 out of 5, even as staffing drew a 2.

B

74/100

Saint Anne Home

Greensburg, PA · Westmoreland County

CMS 1/5 155 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
42%
Serious cites
0

Saint Anne Home runs a nonprofit shop with 155 certified beds, and the staffing picture is genuinely decent: 3.90 nurse hours per resident day, just a hair above the national average, with a 4-star staffing rating behind it. Turnover sits at 41.9%, better than the typical home. The trouble is everything else. The health inspection rating is 1 out of 5, and the current record carries 63 deficiencies, including two at harm or jeopardy level and six tied to abuse. Two fines totaling $39,719 are on file. State inspectors were last in on June 26, 2025. Good staffing can't offset a record like that.

B

74/100

Bethlen Hm Of The Hungarian Rf Of America

Ligonier, PA · Westmoreland County

CMS 2/5 76 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
43%
Serious cites
0

Bethlen Hm Of The Hungarian Rf Of America runs 76 certified beds in Ligonier as a nonprofit corporation. The staffing picture is the weak spot, CMS gives it one star out of five for staffing, and while its 43.3% annual turnover is a bit better than the 45.8% national average, low turnover doesn't offset thin coverage. Its record shows 65 deficiencies, including 3 abuse-related citations, though none at the harm or jeopardy level. That mix, a 4/5 quality measure score against a 1/5 staffing score, is the tension here: residents may be getting decent clinical outcomes, but 65 deficiencies and 3 abuse-related citations point to real operational gaps even without harm-level findings.

B

74/100

Mayo Healthcare Inc.

Northfield, VT · Washington County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
—
Serious cites
0

Mayo Healthcare in Northfield runs a tight ship on the basics: its last health inspection came back with zero deficiencies at the harm or jeopardy level, and none related to abuse, which is the floor every family should care about first. Nurse staffing sits at 4.38 hours per resident per day, roughly 13% above the national average, though weekends drop about 15% below the home's own weekday coverage, worth asking about if your relative needs more hands-on help on Saturdays and Sundays. The gap to watch is quality measures, which score near the bottom. Ten total deficiencies on record, none serious, but the clinical outcomes data is where this home looks weakest.

B

73.5/100

Carlyle Place

Macon, GA · Bibb County

CMS 1/5 40 beds Non-profit
Nurse hours
4.91 /day
Staff turnover
—
Serious cites
0

Carlyle Place runs a healthy 4.91 nurse hours per resident day, about 27% above the national average, though weekends dip roughly 14% below its own weekday coverage. The inspection record is the problem: 14 deficiencies on file, five of them at harm or jeopardy level, three tied to abuse, and a single $105,498 fine. A September 2025 inspection is recent, but the health inspection rating sits at 1 out of 5 while quality measures and staffing each land at 3. That combination, strong hours, weak oversight history, is what pulls the overall picture down. Ask specifically how the abuse-related findings were resolved and whether weekend coverage has changed.

B

73.5/100

Wellington Place

Decorah, IA · Winneshiek County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
48%
Serious cites
0

Wellington Place runs on thinner staffing than most homes nationally, 3.47 nurse hours per resident day against a 3.86 average, and weekends dip about 16% below what it manages during the week, which matters when a resident needs help on a Saturday. The inspection record shows three deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $29,689; the most recent inspection was in August 2025, so that picture is current. Turnover sits at 48.1%, slightly above the national 45.8%, and the quality measure rating comes in at 1 out of 5 even as inspections and staffing each rate 4. The nonprofit ownership and recent survey work are the steadier parts here.

B

73.5/100

Inn At Quail Haven Village

Pinehurst, NC · Moore County

CMS 4/5 35 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
37%
Serious cites
0

The Inn at Quail Haven Village runs 35 certified beds in Pinehurst under for-profit LLC ownership, and its staffing sits essentially at the national mark, 3.91 nurse hours per resident day against 3.86 nationally, barely a percentage point apart. What's more telling is the shape of that coverage: weekends run about 17% leaner than weekdays, which is when families tend to visit and notice. Turnover at 36.8% is meaningfully better than the 45.8% national figure, suggesting workers stick around longer here than at the typical home. The inspection record carries 20 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent survey came in June 2025 and the health inspection rating landed at 4 out of 5. Quality measures scored lower, at 2 out of 5.

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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