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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 1301–1320 of 1,547, best-graded first.

C

69/100

Hawthorne Inn Of Danville

Danville, IL · Vermilion County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
43%
Serious cites
0

Hawthorne Inn Of Danville runs 80 certified beds under corporate ownership, and its staffing sits at 3.98 nurse hours per resident day, just above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 14% below its own weekday level. Annual turnover is 43%, a touch better than the 45.8% national figure, which matters because consistent caregivers know residents. The current record carries 24 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection was May 2025. CMS gave it 4 stars for health inspections but only 2 for quality measures, so the regulatory picture looks steadier than the clinical one.

C

69/100

Majestic Care Of Carmel

Carmel, IN · Hamilton County

CMS 2/5 94 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
50%
Serious cites
0

Majestic Care of Carmel runs on thinner staffing than most homes its size, 3.36 nurse hours per resident per day against a national average of 3.86, and weekends dip about 13% below what the home itself staffs on weekdays. That pattern matters, because the gaps in coverage tend to land exactly when families are visiting and aides are stretched. Turnover sits at 50%, a few points above the national figure, which means the people caring for your relative are changing often. The record shows 24 deficiencies, none at the harm level and none abuse-related, and the most recent inspection was in July 2025, so the picture is reasonably current. Quality measures score well; staffing does not.

C

69/100

Southfield Wellness Community

Webster City, IA · Hamilton County

CMS 1/5 65 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
54%
Serious cites
0

Southfield Wellness Community runs 65 certified beds as a for-profit limited liability company, and its state inspection record is the thing you'd want to look at first: 58 deficiencies on file, including four at the harm or jeopardy level and six tied to abuse. Two fines total $71,897, and the most recent inspection was in February 2026. Nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86, with weekends about 12% thinner than weekdays. Annual turnover is 53.6% against a national 45.8%, so the people caring for residents keep changing. Ask about that inspection history and how they cover weekends before deciding anything.

C

69/100

Lutheran Living Senior Campus

Muscatine, IA · Muscatine County

CMS 1/5 155 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
43%
Serious cites
0

Lutheran Living Senior Campus runs 155 certified beds as a church-affiliated nonprofit, and its nurse staffing comes in at 3.85 hours per resident day, basically dead even with the national average of 3.86. That sounds fine until you look at the inspection record: 43 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, with $253,886 in fines across three penalties. Staff turnover sits at 42.9%, slightly better than the 45.8% national figure, but weekend coverage drops about 11% below weekday levels. The most recent inspection was February 13, 2026. The quality measure rating is mid-range at 3 out of 5, but a 1-out-of-5 inspection star tells you where the real trouble lives.

C

69/100

Westy Community Care Home

Westmoreland, KS · Pottawatomie County

CMS 2/5 40 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
65%
Serious cites
0

Westy Community Care Home runs a 40-bed nonprofit operation in Westmoreland, and the staffing numbers are genuinely its strongest point, 4.25 nurse hours per resident day sits about 10% above the national average, and weekend coverage only dips about 6% below its own weekday level. That's real direct-care presence. But the staff giving that care turn over at 65.3% a year, well above the 45.8% national rate, and that churn shows up elsewhere: 24 deficiencies on the current record, three serious enough to involve harm or jeopardy, two tied to abuse. Two fines total $19,406. The last inspection was September 2024. Good hours on paper, but heavy turnover and a troubled inspection history.

C

69/100

Glenwood Village Care Center

Glenwood, MN · Pope County

CMS 2/5 64 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
93%
Serious cites
0

Glenwood Village Care Center runs a nonprofit home with 64 certified beds, and its nurses put in 4.17 hours per resident day, about 8 percent more than the national average. That sounds reassuring until you look at the weekend, where coverage drops roughly 10 percent below the home's own weekday level, and at turnover that hits 93.1 percent against a national figure near 46 percent. Nearly every aide and nurse you'd meet is relatively new. The current inspection record carries 32 deficiencies, including three serious enough to put residents in harm's way and two tied to abuse, with a $15,592 fine attached. The last full inspection was in May 2025. Stable, experienced hands are what make daily care reliable, and that's the piece missing here.

C

69/100

Ozarks Methodist Manor, The

Marionville, MO · Lawrence County

CMS 1/5 78 beds Non-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
46%
Serious cites
0

Ozarks Methodist Manor runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 14 percent below its own weekday staffing. Turnover sits at 45.8 percent, right at the national figure, so the shortfall isn't explained by churn alone. The inspection record shows 37 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the most recent inspection in January 2025. Federal ratings land at 2 out of 5 for health inspections and 1 out of 5 for quality measures, against 3 for staffing. The nonprofit corporation that owns it has a lot to answer for.

C

69/100

Asbury Health And Rehabilitation Center

Charlotte, NC · Mecklenburg County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
100%
Serious cites
0

Asbury Health And Rehabilitation Center runs on more nursing hours than most homes, 4.66 per resident day against a national average of 3.86, and its quality measure score is strong. But the same staff is almost entirely turning over every year, roughly double the national rate, which means the person caring for your relative this month is likely gone the next. Inspections back that up: 19 deficiencies on record, three serious enough to put residents in harm's way and one tied to abuse, with $47,996 in fines. Weekend coverage also dips below weekday levels. The staffing numbers look good on paper; the consistency behind them doesn't.

C

69/100

St Rose Care Center

Lamoure, ND · La Moure County

CMS 3/5 36 beds Non-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
82%
Serious cites
0

St Rose Care Center runs 36 beds in Lamoure under nonprofit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average, and it thins out further on weekends. The bigger concern is turnover: 82.1 percent of staff leave each year, against a national average near 46 percent. That kind of churn means residents see a rotating cast of caregivers, which matters more in a small home where everyone knows everyone. The 13 deficiencies on record include none at the harm level and none related to abuse, and the last inspection was in April 2026.

C

69/100

Hermitage Nursing And Rehabilitation

Hermitage, PA · Mercer County

CMS 3/5 105 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
49%
Serious cites
0

Hermitage Nursing and Rehabilitation runs 2.96 nursing hours per resident per day, about 23% under the national average of 3.86, and weekend staffing dips another 6% below its own weekday level. That thin coverage is the main thing driving the staff rating down, and it shows in the turnover number: 49.4% of staff left over the year, compared with 45.8% nationally. The inspection record is a different story. Seventeen deficiencies on file, but none at the harm or jeopardy level and none abuse-related, with the most recent inspection in December 2025. So you're looking at a for-profit home that passes its inspections cleanly while running lean on the floor.

C

69/100

Cathedral Village

Philadelphia, PA · Philadelphia County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
54%
Serious cites
0

Cathedral Village runs about 4.00 nurse hours per resident day, a bit above the national average, and weekends dip roughly 6% below its own weekday coverage. That's a real gap if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 54.1% against a national 45.8%, so the people caring for your relative are likelier than average to be new or on their way out. The record also shows 17 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with two fines totaling $208,039. Inspections were recent and the care measures look decent, but the enforcement history is the part worth asking about directly.

C

69/100

Logan Square Rehabilitation And Healthcare Center

Philadelphia, PA · Philadelphia County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
43%
Serious cites
0

Logan Square Rehabilitation and Healthcare Center runs on 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 43.2%, a hair better than the 45.8% national figure, which is the one staffing-related number here that isn't working against it. Twenty-eight deficiencies appear on the current record, one serious enough to involve harm or jeopardy, with a single $43,154 fine and a January 2026 inspection. The quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.

C

69/100

William Penn Care Center

Jeannette, PA · Westmoreland County

CMS 2/5 145 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
53%
Serious cites
0

William Penn Care Center runs 145 beds in Jeannette under for-profit limited liability ownership, and its staffing sits just under the national average at 3.80 nurse hours per resident day, about 2% below, with weekends dipping roughly 7% below its own weekday levels. The bigger concern is turnover: 53.3% annually against a 45.8% national mark, which matters because caregivers who stay know the residents. Its inspection record shows 42 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with a $14,074 fine on file and a May 2026 inspection. Families weighing this home should ask directly how weekend coverage is handled and what's changed since that abuse-related finding.

C

69/100

North Houston Transitional Care

Houston, TX · Harris County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
71%
Serious cites
0

North Houston Transitional Care runs 70 certified beds under for-profit LLC ownership, and its staffing picture is more strained than the raw number suggests. Total nurse staffing sits at 3.92 hours per resident day, technically above the national average of 3.86, but a 71.3% annual turnover rate means the people providing that care are constantly changing, and CMS's own staffing rating lands at just 1 out of 5 stars. Weekend coverage drops about 5% below weekday levels, so the hours tend to thin out when families are most likely to visit. The inspection record shows 8 deficiencies, 2 of them serious enough to involve harm or jeopardy, plus one fine of $11,508 from a last survey in April 2025. The 5-star quality measure rating stands out against all of this, but scores like that largely reflect reported clinical data rather than day-to-day staffing stability.

C

68/100

Village At Cook Springs Skilled Nursing Facility

Pell City, AL · St. Clair County

CMS 1/5 168 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
58%
Serious cites
0

The Village At Cook Springs runs 168 certified beds as a nonprofit corporation, and its last health inspection was in May 2022, more than three years ago. That inspection left 12 deficiencies on the record, including three at the harm or jeopardy level and two tied to abuse. Staffing sits at 3.71 nurse hours per resident day, slightly under the national average, and weekends run about 14% thinner than weekdays. Annual turnover is 57.7% against a national 45.8%, so nearly three in five caregivers left within the year. A 1-out-of-5 inspection rating and 2-out-of-5 quality measures tell you where the trouble concentrates.

C

68/100

Pr Snf Operations Llc

Sarasota, FL · Sarasota County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
67%
Serious cites
0

Brookdale Palmer Ranch sits in Sarasota with 60 certified beds, run by a for-profit limited liability company. The staffing number looks fine on paper, 3.95 nurse hours per resident day, slightly above the national average, but that average hides a lot. Weekend coverage drops about 11% below what the home staffs on weekdays, and annual turnover runs 67.2% against a national norm of 45.8%, so the people caring for your family member are likely to keep changing. The inspection record is the bigger concern. Nineteen deficiencies are on file, including two at the harm or jeopardy level and two tied to abuse, with a $59,696 fine and a two-star health inspection rating. That last inspection was August 2024.

C

68/100

Fairhaven Christian Ret Center

Rockford, IL · Winnebago County

CMS 3/5 96 beds Non-profit Medicaid
Nurse hours
5.13 /day
Staff turnover
95%
Serious cites
0

Fairhaven Christian Ret Center runs 5.13 nurse hours per resident day, about a third more than the national average of 3.86, and weekend staffing dips roughly 12% below its own weekday level. That kind of ratio usually reads as a green flag. What undercuts it is turnover: 94.7% of staff leave each year, more than double the national rate, which means the hours are there on paper but often delivered by people still learning the building. On inspections, 21 deficiencies, six serious enough to cause harm, and one $120,225 fine. The most recent survey was February 2026, so the record is current. The staffing hours are real; the consistency behind them is the question.

C

68/100

Envive Of Beech Grove

Beech Grove, IN · Marion County

CMS 4/5 52 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
50%
Serious cites
0

Envive Of Beech Grove runs 52 beds as a for-profit LLC, and its record is a real mix. Inspections are a genuine strength, a 4 out of 5 health inspection rating, a recent survey in December 2025, and 11 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related. Where it slips is staffing: a 1 out of 5 rating, the weakest piece of the picture, plus 50% annual turnover against a national average of 45.8%. Quality measures land mid-range at 3 out of 5. So you're looking at a home that inspects cleanly but runs lean on the people doing the daily work, and that gap is worth asking about directly before you decide.

C

68/100

Rock Creek Of Ottawa

Ottawa, KS · Franklin County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
58%
Serious cites
0

Rock Creek Of Ottawa runs 75 certified beds under corporate for-profit ownership, and its staffing sits at 3.56 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, and annual turnover hits 58.2% against a national figure of 45.8%, so consistent hands-on care is the real question here. The inspection record shows 28 deficiencies, one serious enough to reach harm or jeopardy level, with a single fine of $12,735; the last survey was January 30, 2025. CMS gives it 2 out of 5 stars for both staffing and health inspections, though its quality measure score is 5.

C

68/100

River's Bend Retirement Community

Kuttawa, KY · Lyon County

CMS 4/5 40 beds Non-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
57%
Serious cites
0

River's Bend is a small nonprofit home in Kuttawa, 40 beds, inspected recently enough that its record is current. Six deficiencies on file, none causing harm and none abuse-related, and a 4-star health inspection rating backs that up. Where it slips is the care side: the quality measure rating sits at 2 stars, staffing is a little under the national average and thins out further on weekends, and turnover runs 56.8% against a national 45.8%. That last number matters more than it looks. At a 40-bed home, a few departures a year reshuffle a large share of the people who know your mother's routine. Ask how long the current aides have actually been there.

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