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.
Manatawny Center runs 133 certified beds in Pottstown under for-profit LLC ownership, and the staffing numbers are where your attention should go first. Nurses provide 3.38 hours per resident day, roughly 13% under the national average, and weekends dip about 9% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 61.5% sits well above the 45.8% national figure, meaning the aides and nurses caring for residents are cycling through quickly. The health inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, plus a $25,140 fine. Quality measures score better than staffing does, which suggests the care model works when people are there to deliver it.
Greenwood Center runs about 3.23 nurse hours per resident per day, roughly 16 percent under the national average, and weekends dip another 7 percent below its own weekday level. Staff turnover sits at 64.9 percent against a national 45.8 percent, so the people caring for residents are changing constantly.
The inspection record backs that up: 53 deficiencies, including one at the harm or jeopardy level and two tied to abuse. CMS gives the home 2 out of 5 stars for both staffing and health inspections, though its quality measure score is a 3. The last inspection was in January 2026, so the record is recent. A for-profit limited liability company operates its 150 certified beds.
Sunset Home is run by the local hospital district, and its 128 beds are staffed at 2.65 nurse hours per resident day, roughly 31% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so if your family visits on a Saturday, expect less coverage than a Tuesday. Turnover sits at 37.2%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on May 29, 2025, and found 13 deficiencies, one serious enough to put a resident in harm's way, no abuse citations, and fines total $14,020.
Kendall House runs 40 certified beds as a nonprofit operation, and its most recent inspection in January 2026 earned four stars for health inspections and three for quality measures. The staffing picture is a different story: a one-star rating and 68.1% annual turnover, well above the 45.8% national average, meaning nearly seven in ten staff left within the year. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a single fine of $88,390. Turnover that high with a harm-level deficiency is what pulls the overall picture down despite decent inspection scores.
Sierra View Homes in Reedley is a 59-bed nonprofit, and its last state inspection was in February 2026, so the record is current. What that record shows is 29 deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The bigger issue is staffing: 0.59 nurse hours per resident day against a national average of 3.86, with weekends running about 15% below its own weekday numbers. That's the thinnest coverage in the building when families tend to visit and when problems often surface. Inspection and quality measures both land mid-range, but the staffing figure is the one to press on before deciding.
The Cedars of Chapel Hill runs just 12 certified beds, so it operates more like a small residential care setting than a typical nursing home, worth knowing, because small homes can be hard to compare against facilities ten times their size. The inspection record looks solid: a 5-star health inspection rating, three deficiencies total, none at the harm level, none related to abuse, and the most recent survey was in April 2025. What pulls the overall picture down is the 1-star quality measure rating, which tracks things like resident outcomes and care processes rather than whether the building passed inspection. Nonprofit ownership under the "Other" category gives you some sense of mission, but it doesn't explain the gap between clean inspections and weak quality scores.
Handmaker Home for the Aging carries a one-star health inspection rating and 51 deficiencies on its current record, including 16 tied to abuse and one at the harm or jeopardy level. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems. Staffing sits at 3.90 nurse hours per resident day, barely above the national average, but turnover runs 68% against a national 45.8%, and weekend coverage drops about 9% below weekday levels. The five-star quality measure score doesn't offset a record this heavy. If you're considering this Tucson home, ask directly what's changed since the October 2024 inspection.
Prescott Village runs 3.27 nurse hours per resident per day, about 15% under the national average, and weekend staffing drops roughly 12% below its own weekday levels. That thinner weekend coverage matters because this for-profit LLC carries 33 deficiencies on its current record, including one at the harm level and one tied to abuse, with $8,278 in fines. Staff turnover sits at 52.2% against a national 45.8%, so the people caring for residents keep changing. The 5/5 quality measure score reflects reported clinical data, but the 1/5 inspection rating and 2/5 staffing rating come from what regulators found on site. The most recent inspection was March 6, 2026, so the record is current.
Haven Of Safford runs 106 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip another 13 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 42.5 percent, slightly better than the 45.8 percent national figure, but the inspection record is where the real story sits: 31 deficiencies on file, including one at the harm or jeopardy level and 12 tied to abuse. One fine totaling $15,210. The last inspection was November 2024. Strong self-reported quality scores don't erase that paper trail.
Immanuel Campus Of Care runs 228 certified beds in Peoria under corporate for-profit ownership, and the numbers pull in two directions. Nurse staffing sits at 4.75 hours per resident day, roughly 23% above the national average, and turnover is 23.1% against a national 45.8%, so the people providing care are largely staying put, and weekend coverage drops only about 9% from weekday levels. What undercuts that is the inspection record: 36 deficiencies, including 2 at harm or jeopardy level and 16 tied to abuse, with a January 2025 inspection date and $18,529 in fines. Strong staffing and a troubled compliance history can coexist, and here they do.
La Brea Rehabilitation Center runs 141 beds in Los Angeles under corporate ownership, and its staffing is the strongest card it holds, 4.55 nurse hours per resident day, about 18% above the national average, with turnover at 30.6% against a national 45.8%. Weekend coverage dips roughly 6% below its own weekday level, so care thins out a bit on Saturdays and Sundays. The inspection record is where the concern sits: a 1-out-of-5 health inspection rating, 98 deficiencies on the current record, including 6 at the harm or jeopardy level and 7 tied to abuse. One fine totaling $33,091 has been levied, and the last inspection was June 19, 2025.
Rock Canyon runs on lean staffing: 2.80 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level, so coverage thins exactly when families tend to visit. The 41 deficiencies on record include 7 at the harm or jeopardy level and 5 tied to abuse, and three fines total $89,938. Annual turnover of 49.1% sits slightly above the national 45.8%, which means caregivers cycle through faster than average. The quality measure star (4/5) looks strong on paper, but that score reflects reported clinical metrics, not the hands available at the bedside.
Villas At Sunny Acres runs 160 certified beds in Thornton under corporate for-profit ownership, and its 3.06 nurse staffing hours per resident day sit roughly 21% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage. Turnover is the one number that looks better than most, 30.6% against a national 45.8%. The inspection record is where the concern sits: 28 deficiencies, four at harm or jeopardy level and four abuse-related, with a $19,988 fine and a 2/5 health inspection rating, though the most recent survey came in April 2025.
Good Samaritan Society's Loveland Village runs a mixed picture. The nonprofit home holds 104 certified beds, and its 3.39 nurse hours per resident day sit about 12% under the national average, thinner still on weekends, when staffing drops roughly 13% below its own weekday level. Turnover is a genuine bright spot at 35.2%, well below the 45.8% national figure, and residents' quality measures earn top marks.
The inspection record is where families should slow down. Sixteen deficiencies are on file, five serious enough to involve harm or jeopardy, three tied to abuse, with four fines totaling $51,424. The most recent inspection came January 29, 2026, so the findings are recent, not stale.
Saint Mary Home runs a tight ship on staffing retention: 23.8% turnover is roughly half the national rate, which matters because consistent caregivers tend to know residents' routines and catch changes early. Nurse staffing sits just under the national average at 3.80 hours per resident day, and weekends dip about 8% below the home's own weekday coverage, so ask how that gap gets filled. The inspection record is the softer spot, 26 deficiencies on file, including one at the harm level and two tied to abuse, with the most recent survey in November 2024. Quality measures score well, but the survey history is what a family should read closely.
Caleb Hitchcock Health Center sits on strong staffing numbers: 5.91 nurse hours per resident day, well above the national average, and weekend coverage barely dips from weekday levels. Turnover runs about half the national rate, which matters for consistency of care. The problem is the inspection record. Twenty-one deficiencies, three serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $55,350, all from a state survey dated November 2025, so it's recent. A nonprofit operator with a stable workforce still hasn't translated that into safe conditions on the ground. Families should ask directly what changed since that last survey.
Civita Care Northbridge runs 44 deficiencies on its current record, including four at the harm or jeopardy level and seven tied to abuse. That's the number that matters most here, and it's why the health inspection rating sits at 1 out of 5. Nurse staffing is 3.60 hours per resident day, about 7% under the national average, and weekends drop roughly 12% below the home's own weekday level, so the coverage gaps aren't just relative, they're internal. Turnover at 31.5% is genuinely better than the 45.8% national figure, and the quality measure rating is 4 out of 5, so there are pieces working. But this is a for-profit LLC with $162,221 in fines across three penalties and an inspection dated March 2026. Ask about those seven abuse-related deficiencies directly.
The Commons at Orlando Lutheran Towers runs a nonprofit shop with 168 beds, and the staffing numbers hold up: 4.03 nurse hours per resident day, about 4% above the national average, with weekend coverage dipping roughly 8% below its own weekday level. Turnover sits at 41.7%, better than the 45.8% national figure, which matters over time more than any single month's numbers. Eleven deficiencies on the current record, none at harm or jeopardy level, none abuse-related, and the last inspection was January 8, 2026. All three CMS star categories come in at 4 out of 5. The honest read: steady, well-staffed, no red flags, though the weekend drop and the deficiencies are worth asking about on a tour.
Westminster Suncoast runs 120 certified beds as a nonprofit, and its staffing sits a bit under the national average at 3.67 nurse hours per resident day, about 5% below, with weekends running roughly 9% lighter than weekdays. Turnover is 35% against a national 45.8%, so the people who stay tend to stay. Inspections are the weak spot: 21 deficiencies on the current record, 3 tied to abuse, though none reached harm or jeopardy level and the last survey was April 2024. That mix, solid quality and staffing stars, thinner inspection record, is what pulls the overall picture down.
Legacy Pointe At Ucf runs 5.17 nurse hours per resident day, well above the national average of 3.86, though weekends dip about 12% below its own weekday coverage. That staffing comes with heavy churn: 71.3% annual turnover against a national average of 45.8%, meaning the people providing most of that care are frequently new. The inspection record shows 19 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $26,685 in fines and a March 2026 inspection date that's still recent enough to be relevant. A nonprofit corporation owns the 48-bed home. Strong quality measure scores don't erase a 2-star inspection rating.
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?