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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 1201–1220 of 1,547, best-graded first.

B

73.5/100

Austinwoods Rehab Health Care

Austintown, OH · Mahoning County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
—
Serious cites
0

Austinwoods runs 4.51 total nurse hours per resident day, about 17% above the national average of 3.86, and weekends drop roughly 15% below its own weekday staffing. That gap matters because CMS gives the home only 1 out of 5 stars for staffing even as it scores 5 out of 5 on quality measures and 4 out of 5 on health inspections. The inspection record shows 16 deficiencies, two of them at harm or jeopardy level, plus one fine totaling $13,340, with the most recent inspection dated March 27, 2025. Ownership is for-profit and individual. Strong clinical numbers and low staffing stars sitting side by side is the tension here.

B

73.5/100

Glenhaven Retirement Village

Chickasha, OK · Grady County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
—
Serious cites
0

Glenhaven Retirement Village runs 120 certified beds in Chickasha under corporate, for-profit ownership. The raw staffing number looks strong, 4.64 nurse hours per resident day, roughly 20% above the national average of 3.86, but weekend staffing drops about 11% below its own weekday level, so coverage isn't as steady as the headline figure suggests. The inspection record is the bigger concern: 29 deficiencies, 2 of them serious enough to involve harm or jeopardy, and one fine of $14,433. The last inspection was December 19, 2024, so the record is fairly current. Zero abuse-related deficiencies is worth noting. The quality measure rating sits at 2/5 and staffing at 1/5, which tells you the daily reality doesn't match that hours-per-resident-day number.

B

73.5/100

Nhc Healthcare, Scott

Lawrenceburg, TN · Lawrence County

CMS 5/5 49 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
60%
Serious cites
0

Nhc Healthcare, Scott runs a tight ship on inspections, a five-star health inspection rating and a recent April 2026 survey with just four deficiencies on record, none of them causing harm. That matters. Where the picture gets less comfortable is staff retention: turnover sits near 60%, well above the national figure of roughly 46%, and weekend nurse hours drop about 17% below the home's own weekday coverage. Overall nurse staffing, at 3.98 hours per resident day, is only slightly ahead of the national average. So you have a place that passes its inspections cleanly but cycles through caregivers quickly, which is worth asking about directly when you visit, who actually knows the residents on a Sunday.

B

73/100

Conway Healthcare And Rehabilitation Center

Conway, AR · Faulkner County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
61%
Serious cites
0

Conway Healthcare and Rehabilitation Center sits just above the national average for nurse staffing, at 3.91 hours per resident day, but that margin is thin and weekend coverage drops about 13% below its own weekday level. Staff turnover is the bigger issue: 60.7% annually, well above the 45.8% national average, meaning the people caring for residents are cycling through fast. The 23 deficiencies on record include one at the harm or jeopardy level and one abuse-related, with a $25,483 fine attached. A 5/5 quality measure rating and a recent August 2025 inspection are real positives, but the inspection history and turnover numbers are what families should weigh most heavily here.

B

73/100

Mountain Vista Health Center

Wheat Ridge, CO · Jefferson County

CMS 2/5 168 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
66%
Serious cites
0

Mountain Vista runs 168 certified beds in Wheat Ridge under nonprofit corporate ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. But weekends dip about 6% below the home's own weekday levels, and annual turnover hits 65.9% against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The inspection record is where the real concern lives: 35 deficiencies, including 3 at harm or jeopardy level and 5 abuse-related, with three fines totaling $39,227. The most recent inspection was April 30, 2026. Quality measures score well, but the compliance history and churn tell a different story than the staffing hours alone suggest.

B

73/100

Devonshire Care Center

Sterling, CO · Logan County

CMS 2/5 84 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
45%
Serious cites
0

Devonshire Care Center runs 84 certified beds in Sterling under for-profit LLC ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average of 3.86. That gap widens on weekends, when coverage drops about 15 percent below the home's own weekday level, so a Saturday shift is thinner than a Tuesday one. The inspection record shows 29 deficiencies, four of them at the harm or jeopardy level and one abuse-related, with a single fine of $2,350 and a most recent inspection date of March 26, 2026. Staff turnover of 44.8 percent is marginally better than the 45.8 percent national figure, but it still means nearly half the nursing staff leaves each year.

B

73/100

Homewood Health Campus

Lebanon, IN · Boone County

CMS 2/5 68 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
52%
Serious cites
0

Homewood Health Campus runs about 68 beds under corporate ownership, and the numbers show a home that's stretched thinner than average on the floor. Nurse staffing sits at 3.61 hours per resident day against a national figure of 3.86, and weekends drop roughly 11% below what the home manages Monday through Friday. Staff turnover of 51.7% outpaces the 45.8% national rate, which matters because residents see a rotating cast of caregivers. The inspection record carries 34 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent look came in May 2025. Quality measures score well; staffing and inspections don't.

B

73/100

The Summit Of Bettendorf

Bettendorf, IA · Scott County

CMS 3/5 39 beds For-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
57%
Serious cites
0

The Summit of Bettendorf runs a 39-bed for-profit home where nurses give about 4.58 hours of care per resident per day, roughly 18 percent more than the national average, a real strength. Two things temper that. Weekend staffing drops about 8 percent below the home's own weekday level, so families visiting Saturday or Sunday may see fewer hands. And turnover sits at 56.9 percent against a national 45.8 percent, meaning the people providing that extra care keep changing. The current inspection record carries nine deficiencies, one at the harm or jeopardy level and one abuse-related, along with a single $26,358 fine. The last inspection was in December 2025, so the record is recent rather than stale.

B

73/100

Park Lane Nursing Home

Scott City, KS · Scott County

CMS 3/5 54 beds Non-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
43%
Serious cites
0

Park Lane runs on more nursing hours than most homes nationally, 4.45 per resident day against a 3.86 average, and that staffing shows up in a four-star staffing rating. Weekend coverage dips only slightly below weekdays, and turnover at 42.9% is a bit better than the typical 45.8%. Where the picture darkens is quality measures, which land at one star, and a record of 19 deficiencies, including one at the harm level and one abuse-related, plus a $22,925 fine. The most recent inspection was in March 2025, so the record is current rather than stale. Nonprofit ownership with strong staffing is a real positive, but the quality and deficiency numbers are the parts a family needs to ask about directly.

B

73/100

Good Samaritan Society - Waconia And Westview Acre

Waconia, MN · Carver County

CMS 2/5 75 beds Non-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
52%
Serious cites
0

Good Samaritan Society's Waconia home runs on a paradox: nurses give more hours per resident than the national average, 4.02 versus 3.86, yet the same staff is spread thinner on weekends, dipping 11% below weekday coverage. The bigger worry is who's giving the care. Annual turnover hits 51.9%, well past the 45.8% norm, meaning most of the faces in this building change within a year. On paper, the health inspection and quality ratings both sit at 2 out of 5, with 46 deficiencies on record, including 3 at harm or jeopardy level and 7 tied to abuse. The last inspection was March 26, 2026, so the picture is current, not stale. Nonprofit ownership doesn't offset any of that.

B

73/100

Gateway Vista

Lincoln, NE · Lancaster County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
64%
Serious cites
0

Gateway Vista runs 80 certified beds in Lincoln under corporate for-profit ownership, and the staffing numbers here are genuinely above average, about 4.69 nurse hours per resident day, roughly 22% more than the national figure. That matters, but it comes with a catch: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 64.3% against a national average of 45.8%. On the inspection side, the record shows nine deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $8,659. The last inspection was September 3, 2025. Good daily staffing, but a thin weekend margin and heavy churn mean care can depend on who's actually on the floor.

B

73/100

Meadows Of Kalida

Kalida, OH · Putnam County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
51%
Serious cites
0

Meadows of Kalida runs a lean crew: 3.20 nurse hours per resident per day, roughly 17% under the national average, and weekends dip about 8% below its own weekday coverage. For a 62-bed for-profit home, that thin margin matters more than it would somewhere bigger. Annual turnover sits at 51%, above the 45.8% national figure, so the people providing that care are often new. What keeps this place afloat is its inspection record: a 5/5 health inspection rating, 11 deficiencies on file with none at the harm level and none abuse-related, and a recent May 2025 survey. The quality measures come in at 4/5. The weak spot is staffing, and it's a real one.

B

73/100

Pickering Manor Home

Newtown, PA · Bucks County

CMS 3/5 47 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
47%
Serious cites
0

Pickering Manor is a small nonprofit home in Newtown, just 47 beds, and its inspection record is genuinely clean: four deficiencies on file, none at the harm or jeopardy level, no abuse citations, and a survey completed in September 2025. Where it struggles is staffing. CMS gives it one star there, the lowest tier, and annual turnover runs 47.3 percent against a national average of 45.8 percent. That combination matters: a home can pass inspections and still leave residents waiting for help. Quality measures land mid-range at three stars. The low staffing score is the thing to ask about directly, how many aides are on the floor overnight, and how often shifts go uncovered.

B

73/100

Meadow View Nursing Center

Berlin, PA · Somerset County

CMS 3/5 150 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
57%
Serious cites
0

Meadow View in Berlin runs 150 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends are thinner still, about 7% below what the home staffs on weekdays, and annual turnover is 56.9% against a national 45.8%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 46 deficiencies on file, including three at the harm or jeopardy level and three tied to abuse, with three fines totaling $54,570. A recent inspection in February 2026 gives you current information, though, and the quality measure rating suggests residents' clinical outcomes are being tracked well even while the staffing picture lags.

B

73/100

The Villages Of Dallas

Dallas, TX · Dallas County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
59%
Serious cites
0

The Villages of Dallas runs 160 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average of 3.86, though weekends drop about 13% below its own weekday level. The bigger concern is turnover: 58.8% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year. That churn shows up in the inspection record, 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $31,303 in fines across two penalties. CMS rated quality measures 5 stars and health inspections 3, but staffing only 2. The last inspection was April 16, 2026.

B

73/100

Focused Care At Westwood

Houston, TX · Harris County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
3.08 /day
Staff turnover
39%
Serious cites
0

Focused Care At Westwood runs on thin nursing coverage: 3.08 hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home staffs on weekdays. That gap shows up in the federal staffing rating, which sits at the lowest tier, even as the quality measure score lands at the top. Turnover is 38.9%, actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each resident gets. Inspections in March 2025 turned up 26 deficiencies, one serious enough to cause harm, though none tied to abuse. The for-profit partnership has real strengths here, consistent staff and strong clinical measures, alongside a staffing level worth asking about directly.

B

72.5/100

Friendship Manor

Rock Island, IL · Rock Island County

CMS 3/5 94 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
37%
Serious cites
0

Friendship Manor runs a nonprofit home with 94 beds in Rock Island, and its staffing sits right at the national average, 3.91 nurse hours per resident day against 3.86 nationally. Weekends thin out about 16% below its own weekday coverage, which is worth asking about if your family visits then. Staff turnover is 37.4%, better than the 45.8% national figure, and inspections from July 2024 produced a four-star health inspection rating. What pulls the record down is the quality measure side, which scores 1 out of 5, plus 14 deficiencies on file, three at harm or jeopardy level and one abuse-related, and a single $10,519 fine.

B

72.5/100

Wellbrooke Of Kokomo

Kokomo, IN · Howard County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
49%
Serious cites
0

Wellbrooke of Kokomo is a for-profit, limited-liability operation with 70 certified beds, and its strongest showing is in care quality measures, where it scores at the top of CMS's five-star scale. Inspections are a bright spot too: a 4/5 rating and a recent survey date of February 2026, with 18 deficiencies on record, one of them serious enough to involve actual harm, though none tied to abuse. Where it slips is staffing. At 3.54 nurse hours per resident day, it runs roughly 8% under the national average of 3.86, and weekends drop about 15% below its own weekday coverage. Turnover sits at 49.3%, a few points above the national 45.8%. One fine totaling $8,824 is on the books.

B

72.5/100

Parkside Homes

Hillsboro, KS · Marion County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
5.01 /day
Staff turnover
44%
Serious cites
0

Parkside Homes runs on an unusual split: the nursing hours are genuinely generous, 5.01 per resident day against a national average of 3.86, and staff turnover sits right around the national mark at 44.2%. But that staffing cushion takes a hit on weekends, when coverage drops about 17% below the home's own weekday level, and the inspection record is heavy, 34 deficiencies, two of them serious enough to put residents at risk of harm, plus two fines totaling $56,941. The last full inspection was in October 2024. This is a 50-bed nonprofit where the day-to-day care hours look better than most, but the compliance history and a 1-out-of-5 quality measure rating suggest the care being delivered isn't consistently matching the time being paid for.

B

72.5/100

O'neill Healthcare North Olmsted

North Olmsted, OH · Cuyahoga County

CMS 4/5 67 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
54%
Serious cites
0

O'neill Healthcare North Olmsted runs 3.65 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 19% below its own weekday staffing. That thin weekend margin matters more when you consider 53.7% of staff turned over last year, well above the 45.8% national figure. The 20 deficiencies on file include one at the harm level, though none are abuse-related, and the most recent inspection was in April 2025. The quality measures look strong, and that's real, but it's worth asking how much of it rests on a workforce that keeps changing.

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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