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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 121 to 140 of 1,547, best-graded first.

A

96/100

Westminster-Canterbury Of Lynchburg Inc

Lynchburg, VA · Lynchburg City County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
5.92 /day
Staff turnover
16%
Serious cites
0

Westminster-Canterbury of Lynchburg runs on a church-affiliated nonprofit model with 80 certified beds, and the staffing numbers are the story here. At 5.92 nurse hours per resident day, it sits about 53% above the national average, and weekend coverage barely dips, roughly 5% under its own weekday level, which is a small gap by most standards. Just as notable: 16% annual turnover against a national average near 46% means the people caring for residents tend to stay. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection dated March 2026. The quality measure rating lands at 4/5 rather than perfect, so it isn't flawless across the board, but the inspection and staffing records are strong.

A

96/100

Goodwin House Bailey's Crossroads

Falls Church, VA · Fairfax County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.42 /day
Staff turnover
19%
Serious cites
0

Goodwin House Bailey's Crossroads runs on 5.42 nurse hours per resident per day, roughly 40% above the national average of 3.86, and its staff turnover sits at 19.3% against a national 45.8%. Weekend coverage dips only about 6% below its own weekday level, which is unusually steady. The 16 deficiencies on file include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was August 2024. That combination, heavy staffing, low turnover, no serious findings, is what separates this home from most of what you'll see in Fairfax County.

A

96/100

Judson Park Health Center

Des Moines, WA · King County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
21%
Serious cites
0

Judson Park Health Center runs on unusually deep staffing for a 96-bed nonprofit: 4.60 nurse hours per resident day, roughly 19 percent above the national average, with weekend coverage dipping only about 10 percent below its own weekday level. Turnover sits at 21.1 percent against a national 45.8 percent, so the people caring for residents tend to stay. The tradeoff shows up in its inspection history, 57 deficiencies on record, three tied to abuse, though none at the harm or jeopardy level, and the most recent inspection was August 2025, so the picture is current. Quality and staffing measures both rate at the top of CMS's scale, while health inspections land mid-range.

A

96/100

St Joseph Residence

New London, WI · Waupaca County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
6.03 /day
Staff turnover
38%
Serious cites
0

St Joseph Residence runs on roughly 6 hours of nursing care per resident per day, about 56% more than the typical American nursing home. Staff turnover sits at 38.3%, better than the 45.8% national figure, though weekend coverage dips about 10% below its own weekday pace, worth asking about if you'll be visiting Saturdays. The 13 deficiencies on record include two tied to abuse; none reached harm or jeopardy, and the most recent inspection was October 2025. Under church-related nonprofit ownership, its federal ratings land at 4 out of 5 for health inspections and 5 out of 5 for both quality measures and staffing.

A

96/100

Webster House

Palo Alto, CA · Santa Clara County

CMS 5/5145 bedsNon-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
21%
Serious cites
0

Webster House runs on 5.05 nurse hours per resident per day, which is about a third more staffing than the typical California nursing home manages. The tradeoff is weekends, when hours drop roughly a quarter below the weekday pace, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 20.6%, less than half the national rate, so the people caring for residents tend to stay. Twenty-three deficiencies on the current record sounds like a lot until you see none involved harm or jeopardy, and none were abuse-related. The last inspection was in January 2025, so the picture is recent.

A

96/100

Lincoln Glen Skilled Nursing

San Jose, CA · Santa Clara County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
23%
Serious cites
0

Lincoln Glen runs on unusually stable staffing for a nursing home: 4.76 nurse hours per resident day, roughly a quarter more than the national average, and turnover of 22.6% against a national rate near 46%. Weekend coverage dips about 7% below weekdays, which is worth asking about if your visits fall on Saturdays or Sundays. The church-affiliated nonprofit's inspection record shows 27 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2025. Quality and staffing measures both sit at the top of CMS's scale, while the health inspection rating lands in the middle.

A

96/100

San Francisco Towers

San Francisco, CA · San Francisco County

CMS 5/527 bedsNon-profit
Nurse hours
6.88 /day
Staff turnover
13%
Serious cites
0

San Francisco Towers is a small nonprofit home, 27 certified beds, and its staffing numbers are the story. At 6.88 nurse hours per resident day, it runs about 78% above the national average, and weekend coverage dips only modestly, roughly 12% below its own weekday level. Staff turnover sits at 13%, well under the national 45.8%, which matters for continuity of care. On its current record: 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with an inspection as recent as December 2025. The mix, nonprofit ownership, high staffing, low turnover, no serious deficiencies, is what's actually behind the score.

A

96/100

Orchards Skilled Nursing

Rancho Mission Viejo, CA · Orange County

CMS 5/549 bedsFor-profit
Nurse hours
5.35 /day
Staff turnover
33%
Serious cites
0

Orchards Skilled Nursing runs about 5.35 nurse hours per resident day, roughly 39% above the national average, and the weekend dips only about 11% below its own weekday staffing, a modest drop compared to many homes. Staff turnover sits at 33.3%, below the national 45.8%, so the people caring for residents are more likely to stick around. The tradeoff is paper: 39 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related, which suggests recordkeeping and process issues rather than unsafe care. It's a for-profit LLC with 49 beds and a clean inspection in April 2025.

A

96/100

C C Young Memorial Home

Dallas, TX · Dallas County

CMS 5/5129 bedsNon-profit
Nurse hours
5.30 /day
Staff turnover
43%
Serious cites
0

C C Young Memorial Home sits in Dallas as a nonprofit with 129 certified beds, and the numbers behind its record are worth walking through. Nurse staffing runs 5.30 hours per resident day, roughly 37% above the national average of 3.86, though weekend coverage dips about 9% below its own weekday levels. Staff turnover is 43.1%, slightly better than the national 45.8%. Eight deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection dated January 15, 2026. All three CMS star ratings land at 5 out of 5.

A

95.5/100

Masonic Village At Elizabethtown

Elizabethtown, PA · Lancaster County

CMS 5/5434 bedsNon-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
28%
Serious cites
0

Masonic Village at Elizabethtown runs 434 certified beds as a nonprofit, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average, and annual turnover of 27.5% is well below the 45.8% national figure, which matters because consistent caregivers know the residents. Weekend staffing does dip about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record is recent, January 2026, with a 5/5 health inspection rating and only 5 deficiencies total, none at the harm or jeopardy level. Two are abuse-related, which is worth asking about directly.

A

95.5/100

Town & Country

Santa Ana, CA · Orange County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
5.47 /day
Staff turnover
32%
Serious cites
0

Town & Country runs on real staffing depth: 5.47 nurse hours per resident day against a national average of 3.86, and its staff turnover of 31.5% sits well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off shows up in the inspection record, 53 deficiencies on file, four of them abuse-related, though none rose to the level of harm or jeopardy, and the most recent inspection came in November 2025. That split, strong quality and staffing scores, a thinner three-star inspection history, nonprofit ownership, is what's actually behind the 86. Weekend coverage dips about 16% below weekday levels, worth asking about directly.

A

95/100

Nottingham Health And Rehabilitation

Olathe, KS · Johnson County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
4.74 /day
Staff turnover
34%
Serious cites
0

Nottingham Health and Rehabilitation runs 4.74 nurse hours per resident day, about 23% above the national average of 3.86, and its staff turnover sits at 34.3%, well under the 45.8% national figure, meaning the people caring for residents tend to stay. The 14 deficiencies on record include none at the harm level and none related to abuse, and the last inspection was April 8, 2026. Weekend staffing dips about 11% below its weekday level, which is common but worth asking about if you're planning visits on Saturdays or Sundays. For-profit individual ownership, 80 beds. The numbers here hold up.

A

95/100

Bedford Court Healthcare Cent.

Silver Spring, MD · Montgomery County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
19%
Serious cites
0

Bedford Court runs on unusually steady staffing for a for-profit home: 5.06 nurse hours per resident day, roughly a third more than the national average, and turnover sits at 19.1 percent against a national 45.8, that retention matters more than any single inspection score, since consistent caregivers know the residents. Weekends dip about 9 percent below weekday coverage, worth asking about if your family visits then. The 28 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was March 2026. Quality measures score 5/5 and inspections 4/5, which lines up with what the staffing numbers suggest.

A

95/100

Carleton-Willard Village Retirement & Nursing Ctr

Bedford, MA · Middlesex County

CMS 5/5179 bedsNon-profitMedicaid
Nurse hours
5.17 /day
Staff turnover
32%
Serious cites
0

Carleton-Willard Village runs a nonprofit operation in Bedford with 179 certified beds, and the caregiving hours stand out: 5.17 per resident day, roughly a third more than the national average of 3.86, with weekend coverage dipping only slightly below weekdays. Staff turnover of 32.3% also beats the 45.8% national figure, which matters for continuity. The caution signs sit on the inspection side, 11 deficiencies on the current record, five serious enough to involve harm or jeopardy, one tied to abuse, and two fines totaling $25,497, all from an inspection dated February 2025. Strong staffing and quality scores, but a recent survey that found real problems.

A

95/100

Lutheran Social Ministries Cranes Mill

West Caldwell, NJ · Essex County

CMS 5/556 bedsNon-profit
Nurse hours
4.37 /day
Staff turnover
25%
Serious cites
0

Lutheran Social Ministries Cranes Mill runs about 4.37 nurse hours per resident per day, roughly 13% above the national average, and its staff tends to stay: turnover is 25% against a national 45.8%. Weekend coverage dips only slightly from weekday levels. The catch is the inspection record, 13 deficiencies, including one at the harm or jeopardy level and one abuse-related. A recent March 2025 inspection means the state has looked at this building lately, so those findings reflect current conditions rather than an old survey. Strong staffing and quality scores sit in the same file as a serious deficiency. Worth asking the administrator directly what that harm-level citation involved and what changed afterward.

A

95/100

Mirabella Portland

Portland, OR · Multnomah County

CMS 5/544 bedsNon-profit
Nurse hours
5.30 /day
Staff turnover
35%
Serious cites
0

Mirabella Portland runs 44 certified beds as a nonprofit, and the staffing numbers are the first thing that stands out: 5.30 nurse hours per resident day, roughly 37% above the national average of 3.86. Weekend staffing holds level with weekdays, which is not typical, and annual turnover sits at 35.1% against a national 45.8%. Inspections tell a similar story, a 5/5 health inspection rating, most recently surveyed in March 2026, with 8 total deficiencies and none at the harm or jeopardy level. Two of those eight are abuse-related, which is worth asking about directly.

A

95/100

Philadelphia Protestant Home

Philadelphia, PA · Philadelphia County

CMS 5/5116 bedsNon-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
20%
Serious cites
0

The Philadelphia Protestant Home runs 4.07 nurse hours per resident day, a bit above the national average of 3.86, and its weekend staffing holds steady at roughly the same level as weekdays, a gap that trips up plenty of homes. Staff turnover sits at 20.2% against a national average near 46%, meaning the people caring for residents tend to stick around. Its last inspection was in May 2026, and the eight deficiencies on record include none tied to harm, jeopardy, or abuse. For a 116-bed nonprofit in Philadelphia, that combination of stable coverage and a clean recent inspection record is doing most of the work here.

A

95/100

Atherton Baptist Home

Alhambra, CA · Los Angeles County

CMS 5/5113 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
26%
Serious cites
0

Atherton Baptist Home sits in Alhambra with 113 certified beds and a nonprofit owner, which tends to show up in the numbers here. Nurses provide 4.29 hours per resident day, about 11 percent more than the national average of 3.86, though weekend coverage dips roughly 12 percent below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 25.8 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The 28 deficiencies on record include one abuse-related citation but none at the harm or jeopardy level, and the last inspection dates to January 2026.

A

94.5/100

Ohio Living Cape May

Wilmington, OH · Clinton County

CMS 5/523 bedsFor-profitMedicaid
Nurse hours
4.89 /day
Staff turnover
23%
Serious cites
0

Ohio Living Cape May runs a small house in Wilmington, 23 certified beds, nonprofit-owned, and the staffing numbers are the first thing that stands out. At 4.89 nurse hours per resident day, it sits roughly 27% above the national average of 3.86, and its annual turnover of 22.7% is about half the national rate. Weekend coverage does dip about 17% below its own weekday level, which is worth asking about directly. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, one abuse-related; the most recent inspection was June 2023, so the record is getting stale. A 4/5 on health inspections with 5/5 on quality and staffing measures is a solid profile for a home this size.

A

94.5/100

Stones River Manor, Inc

Murfreesboro, TN · Rutherford County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
6.19 /day
Staff turnover
29%
Serious cites
0

Stones River Manor runs a small house, 30 beds, and staffs it far heavier than most places. At 6.19 nurse hours per resident per day, it's roughly 60 percent above the national average, and its nurses stay: turnover of 28.6 percent against a national rate of 45.8 percent. Inspectors were last in on July 1, 2025, and the home has 15 deficiencies on record with none at the harm or jeopardy level, one of them abuse-related, which is worth asking about directly. The trade-off to know is weekends, when staffing drops about a fifth below its own weekday level. Ownership is nonprofit.

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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