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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 1321–1340 of 1,547, best-graded first.

C

68/100

Gogebic Medical Care Facility

Wakefield, MI · Gogebic County

CMS 3/5 100 beds Government Medicaid
Nurse hours
2.89 /day
Staff turnover
40%
Serious cites
0

Gogebic Medical Care Facility runs on noticeably thin staffing: 2.89 nurse hours per resident day against a national average of 3.86, with weekends about 7% leaner than weekdays. Turnover sits at 40.4%, a bit better than the 45.8% national figure, so the county does hold onto workers somewhat more reliably than many operators. The inspection record is the harder read, 10 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus a $16,153 fine, on a survey completed March 4, 2025. Quality and inspection scores both land at 2 out of 5, staffing at 1.

C

68/100

Benedictine Living Community Mother Of Mercy

Albany, MN · Stearns County

CMS 2/5 76 beds Non-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
50%
Serious cites
0

Benedictine Living Community Mother of Mercy is a 76-bed nonprofit, church-affiliated home in Albany, and the staffing numbers are its clearest strength, 4.71 nurse hours per resident day, roughly 22% above the national average, which is why CMS gives it four stars on staffing. Weekends dip about 9% below its own weekday levels, so coverage is thinner then. The trouble sits elsewhere. Twenty-nine deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse, plus a $69,449 fine, pull the health inspection rating to two stars, and quality measures land at two as well. Staff turnover runs 50%, above the 45.8% national figure. The last inspection was February 26, 2026.

C

68/100

Keystone Ridge Post Acute Nursing And Rehabilitati

Omaha, NE · Douglas County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
64%
Serious cites
0

Keystone Ridge runs on thinner staffing than most homes, 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. That gap matters more when you consider turnover: 64.4% of staff left over the past year, well above the 45.8% national figure, so the people covering those short weekend shifts are often new. Inspectors have cited 26 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $70,103 fine on record and a May 2025 inspection. Corporate-owned and for-profit, it holds a single health inspection star but five stars on quality measures, a split worth asking about directly.

C

68/100

Quality Life Services - Chicora

Chicora, PA · Butler County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
46%
Serious cites
0

Quality Life Services - Chicora runs 114 beds in Butler County under for-profit LLC ownership, and its record shows a persistent split between how it reports care and how it delivers it. The quality measure rating sits at 4 out of 5, yet the health inspection rating is 1 out of 5, with 67 deficiencies on file, two of them serious enough to involve harm or jeopardy, and eleven tied to abuse. Nurse staffing averages 3.61 hours per resident day, about 6% under the national figure, and weekends drop roughly 6% below the home's own weekday levels, meaning coverage thins exactly when families tend to visit. Turnover of 46.3% slightly exceeds the national rate, and one fine has totaled $91,936.

C

68/100

Quality Life Services - Sugar Creek

Worthington, PA · Armstrong County

CMS 2/5 114 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
44%
Serious cites
0

Quality Life Services - Sugar Creek runs 114 beds under for-profit LLC ownership, and the numbers to focus on are the inspection record and the direct-care hours. Nurse staffing sits at 3.45 hours per resident day against a national average of 3.86, roughly 11% below, and weekends drop about 8% under the home's own weekday level, so coverage thins out exactly when families tend to visit. The current inspection record carries 44 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, with two fines totaling $246,480 and a 1-out-of-5 health inspection rating. Staff turnover, at 43.6%, actually lands slightly under the national 45.8%.

C

68/100

Quality Life Services - Grove City

Grove City, PA · Mercer County

CMS 5/5 109 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
58%
Serious cites
0

Quality Life Services - Grove City runs 109 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. At 3.49 nurse hours per resident day, it sits about 10% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. Annual turnover of 58.3% is well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection record shows 15 deficiencies, including one at the harm level and one abuse-related, with a single fine of $12,649. Its last inspection was November 2025, so the record is recent.

C

68/100

Springfield Rehabilitation And Healthcare Center

Springfield, PA · Delaware County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
49%
Serious cites
0

Springfield Rehabilitation and Healthcare Center runs 100 beds as a for-profit limited liability company, and the numbers suggest a building stretched thin. Nurse staffing sits at 3.68 hours per resident day against a national average of 3.86, and weekends drop roughly 10% below what the home staffs on weekdays, so the coverage gap lands exactly when families tend to visit. Staff turnover is 49%, higher than the 45.8% national figure, meaning nearly half the people caring for residents leave within a year. The inspection record carries 52 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $20,010 in fines across two penalties. The most recent inspection was April 2, 2026.

C

68/100

Paramount Nursing And Rehab At Fayetteville, Llc

Fayetteville, PA · Franklin County

CMS 1/5 92 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
41%
Serious cites
0

Paramount Nursing and Rehab runs 92 beds in Fayetteville under corporate ownership, and its inspection record is the main thing to know: 26 deficiencies on file, two of them serious enough to cause harm or jeopardy, plus two tied to abuse. The last state visit was June 2025, so the findings are recent. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop about 9% below the home's own weekday level. Turnover, at 40.7%, is actually a little better than the 45.8% national figure. Two fines totaling $17,345 round out the record.

C

68/100

Luther Manor

Milwaukee, WI · Milwaukee County

CMS 1/5 99 beds Non-profit Medicaid
Nurse hours
4.81 /day
Staff turnover
55%
Serious cites
0

Luther Manor runs 4.81 nurse hours per resident day, roughly a quarter above the national average of 3.86, and CMS gives it four stars for staffing. That's the good news, and it's real. The rest is harder. Fifty deficiencies sit on the current record, seven of them at harm or jeopardy level and twelve abuse-related, with six fines totaling $170,666. Staff turnover is 55.2% against a national 45.8%, and weekend coverage drops about 10% below its own weekday level. The last inspection, in December 2025, produced a one-star health inspection rating. The nonprofit owner is a corporation, not a family operation. Strong hours on paper aren't reaching residents the way the numbers suggest they should.

C

68/100

Oak Park Place Of Janesville

Janesville, WI · Rock County

CMS 2/5 35 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
77%
Serious cites
0

Oak Park Place of Janesville runs 35 certified beds under corporate ownership, and the staffing picture is mixed in a way that matters. Total nurse coverage sits at 4.00 hours per resident day, a bit above the national average, but weekends drop roughly 11% below the home's own weekday levels, and annual turnover hits 76.7% against a national figure of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the bigger concern: 33 deficiencies, three serious enough to involve harm or jeopardy, and two tied to abuse, with the most recent inspection in June 2025.

C

67.5/100

Morning Breeze Retirement Community And Healthcare

Greensburg, IN · Decatur County

CMS 3/5 64 beds Non-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
49%
Serious cites
0

Morning Breeze runs lean on nursing hours, 3.31 per resident per day against a national average of 3.86, and weekends dip about 16% below what the home staffs on weekdays. Annual turnover sits at 49.1%, a bit above the 45.8% national figure, so the people who are there keep changing. The good news is the inspection record: 10 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in August 2025. A nonprofit corporation owns the 64-bed building. What you have is a home that's stayed out of serious trouble and scores well on quality measures, but whose day-to-day staffing is thin enough that weekend coverage is the thing to ask about directly.

C

67.5/100

Carmel Home

Owensboro, KY · Daviess County

CMS 2/5 18 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Carmel Home is a small place, 18 certified beds, run by a nonprofit corporation, and that size shapes what the inspection record looks like. Three deficiencies on the current record with none at the harm or jeopardy level and nothing abuse-related is a thin record, and the most recent inspection came in April 2025, so what you're seeing is recent. What pulls the picture down is the money: four fines totaling $40,173 against a home this small. Ask what those fines were for and when they were issued, because the totals don't match the mild inspection findings. Staffing relative to the national average is the other thing to press on, along with how a nonprofit board this size handles turnover.

C

67.5/100

Baptist Homes Of Arcadia Valley

Ironton, MO · Iron County

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

Baptist Homes of Arcadia Valley runs 36 certified beds in Ironton, under church-related nonprofit ownership. Its eight deficiencies on the current record include nothing at the harm or jeopardy level and nothing tied to abuse, which matters more than the raw count, most of what surveyors flagged is paperwork and process, not resident safety. The last inspection came in March 2025, so the record is recent. At 36 beds, this is a small home where staffing ratios and administrator turnover tend to swing widely from quarter to quarter, and that volatility is what a family should ask about directly on a visit. Ask who the director of nursing is, how long they've been there, and how many CNAs have worked here more than a year.

C

67.5/100

Arbor Acres United Methodist Retirement Community

Winston Salem, NC · Forsyth County

CMS 4/5 6 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Arbor Acres is a small unit, six certified beds, run by a nonprofit corporation, and its inspection record is clean: one deficiency on the books, nothing rising to harm or jeopardy, no abuse findings, and the most recent survey was in March 2026. Where it falls short is quality measures, which sit at two stars against a four-star inspection rating, a split that usually means the day-to-day care indicators aren't keeping pace with how well the home performs when surveyors show up. With only six beds, a single resident's outcome can swing those numbers hard, so read the quality score as a thin sample rather than a settled verdict.

C

67.5/100

Brentwood Health Care Center

Sagamore Hills, OH · Summit County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
50%
Serious cites
0

Brentwood Health Care Center is a 99-bed for-profit in Sagamore Hills, and the numbers tell two different stories. Its inspections and quality measures both rate well above average, with the most recent survey done in July 2025. But nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and drops about 16% further on weekends, which matters when families visit and needs don't pause for the calendar. The record also carries 34 deficiencies, including six tied to abuse and one at the level of actual harm. Staff turnover runs 50%, above the national 45.8%. Good survey results are worth something, but thin weekend coverage and that deficiency history are what you'd want to ask about directly.

C

67.5/100

Windsor House At Champion

Champion, OH · Trumbull County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
39%
Serious cites
0

Windsor House At Champion runs about 3.35 nurse hours per resident each day, roughly 13% under the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thinner coverage is the main reason its staffing rating sits at just two stars. Turnover is a relative bright spot at 39.4%, better than the 45.8% national figure, but it doesn't offset 22 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse. The last inspection was in January 2025, so the findings are recent. With 100 certified beds under corporate ownership, this is a home where the staffing numbers and inspection history deserve close attention before you decide.

C

67.5/100

Riverside Lifelong H & R Warwick Forest

Newport News, VA · Newport News City County

CMS 2/5 209 beds Non-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
—
Serious cites
0

Riverside Lifelong in Newport News runs 209 beds under nonprofit ownership, and the staffing numbers are the first thing to look at. At 3.38 nurse hours per resident per day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday level. The inspection record is the bigger concern: 58 deficiencies, 4 of them serious enough to cause harm or jeopardy, with the most recent inspection in December 2023. Quality measures rate mid-range, but a 1-star inspection rating and 2-star staffing tell you where the problems cluster. The single fine of $10,358 is modest, the deficiency pattern is what stands out.

C

67/100

Glenoaks Senior Living Campus

New London, MN · Kandiyohi County

CMS 1/5 52 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
81%
Serious cites
0

Glenoaks Senior Living Campus runs 52 certified beds in New London under corporate for-profit ownership, and the numbers deserve a close look before you visit. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends run about 11 percent thinner than weekdays, so care on a Saturday may look different than on a Tuesday. Staff turnover of 80.5 percent, against a national average near 46 percent, means the aides and nurses who know your family member are likely to change often. The health inspection record is the harder part: 47 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $29,822. The most recent inspection was in April 2025, so the record is current, not stale.

C

67/100

Ayden Healthcare Of Fairfield

Fairfield, OH · Butler County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
51%
Serious cites
0

Ayden Healthcare of Fairfield runs 90 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.10 hours per resident per day, roughly a fifth below the national average, and weekends dip another 8 percent below what the home itself provides on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover of 51.4 percent means more than half the nursing staff leaves each year, against a national rate near 46 percent. Its current inspection record carries 59 deficiencies, including two at the level where harm or jeopardy to residents was found and three tied to abuse. One fine totaling $141,833 is on file. The last inspection was September 18, 2024.

C

66.5/100

Highlands Living Center

Pittsford, NY · Monroe County

CMS 2/5 122 beds Non-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
60%
Serious cites
0

Highlands Living Center is a 122-bed nonprofit in Pittsford, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends run roughly 15% thinner than weekdays, so coverage depends on when you visit. Annual turnover of 60.3% is well above the 45.8% norm, meaning the people caring for residents change often. The current record shows 19 deficiencies, three tied to abuse, though none reached harm or jeopardy level. State inspectors were last in on February 19, 2025, and all three CMS star ratings, health inspections, quality measures, and staffing, landed at 2 out of 5. Ask about weekend coverage and how they screen and supervise staff.

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