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.
The staffing numbers here are genuinely strong, 5.09 nurse hours per resident day, about a third more than the national average, with weekend coverage dipping only slightly below weekdays. Turnover sits at 36.4%, below the national figure, which suggests people stay. But the inspection record tells a different story: 29 deficiencies, including two at the level where residents were actually harmed or put in jeopardy, and six tied to abuse. Two fines totaling $20,501 followed. The last inspection was in December 2025, so the record is current. Good care requires enough hands and safe conditions, this home clearly has the first and a documented problem with the second.
Clark-Lindsey Village runs a small 25-bed unit, and its nurse staffing is genuinely strong, 6.56 hours per resident day, roughly 70% above the national average, with a weekend dip of only about 8% versus weekdays. The trouble sits elsewhere. Its inspection record shows 32 deficiencies, including four at the harm or jeopardy level and seven tied to abuse, plus three fines totaling $129,850, and its last inspection was February 2025. Staffing can look good on paper while a building still accumulates serious, harm-level citations; here the quality and inspection ratings both sit at 2 out of 5. As a nonprofit, it answers to a board rather than shareholders, but that doesn't erase what those deficiencies describe.
Westminster Village runs a five-star staffing operation, 4.20 nurse hours per resident day, roughly 9% above the national average, and its 36.5% turnover beats the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends thin out about 14% below weekday levels, a gap worth asking about. The concerns sit elsewhere: 28 deficiencies on the current record, including 2 at harm or jeopardy level and 3 abuse-related, with one fine of $12,149. A 3/5 inspection rating and a last visit in April 2024 round that out. Strong staffing, real compliance problems, that's the tradeoff here.
Seminary Manor runs about 4.25 nursing hours per resident per day, roughly 10% above the national average, and its 42.4% turnover is slightly better than the 45.8% typical elsewhere. That staffing picture is the strongest part of the story here. The inspection record is the problem: 23 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus one $41,300 fine, and the most recent inspection was in May 2025. Weekend staffing also drops about 11% below weekday levels, which matters for families who visit or need help on Saturdays and Sundays. It's a nonprofit corporation with 121 certified beds.
Montgomery Place sits in Chicago with 40 certified beds and a nonprofit owner, and its nurse staffing comes in at 3.82 hours per resident day, just under the national average of 3.86. Weekend coverage dips about 3% below its own weekday level, so the difference between a Tuesday and a Sunday is real. The inspection record is the harder part: 33 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $19,752. That health inspection rating lands at 2 out of 5, though quality measures score 5 and staffing scores 4, a split worth asking about directly when you tour.
Pa Peterson At The Citadel runs about 3.70 nurse hours per resident day, roughly 4% under the national average, and weekends dip another 6% below its own weekday level. That thin margin shows up in the staffing rating: 1 out of 5. Annual turnover sits at 59.6%, well above the 45.8% national figure, so the people caring for residents are changing often. The current record lists 63 deficiencies, including 3 at the harm or jeopardy level and 8 tied to abuse, with one fine of $21,212. A May 2025 inspection is recent, and the 3/5 health inspection and 4/5 quality measure ratings suggest some clinical care is tracked well, but the staffing numbers and deficiency history are what a family should ask about directly.
Smith Village is a nonprofit home on Chicago's South Side with 93 certified beds, and its staffing is genuinely heavy, 5.27 nurse hours per resident day, roughly 36% above the national average, though weekends run about 10% thinner than weekdays. The trouble sits elsewhere: 23 deficiencies on the current record, five of them serious enough to put residents in harm's way and one tied to abuse, plus a $16,350 fine and a November 2025 inspection that landed at two stars for health inspections and two for quality measures. Staff turnover of 57.3% is well above the national 45.8%. Generous staffing only helps if the same caregivers stay long enough to know the residents.
Three Crowns Park is a small nonprofit home in Evanston, just 34 certified beds, and it was inspected recently, in April 2025. The staffing number is the one that stands out: one star, well below what CMS expects, in a building where there's no corporate chain to blame and no obvious excuse for running thin. Its inspection record shows five deficiencies, three tied to abuse and two serious enough to reach harm or jeopardy. A recent inspection with active harm-level findings isn't a stale problem. If you're considering this place, ask what changed after April and who's on the floor overnight.
American Village is county-owned and holds 150 beds, and its last inspection was in March 2026, so the record on file is recent. That record shows 34 deficiencies, including one at the harm or jeopardy level and one tied to abuse. Staffing is where the pattern holds: 3.37 nurse hours per resident day against a national average of 3.86, weekends running about 16% below its own weekdays, and turnover at 54.4% compared with 45.8% nationally. The quality measure rating of 5 out of 5 sits alongside a 2 out of 5 on both inspection and staffing, which tells you the clinical measures look better than the day-to-day coverage.
Heritage Pointe of Huntington is a nonprofit home with 78 beds, and its staffing is the strongest part of the picture, 4.33 nurse hours per resident day, about 12% above the national average, with turnover at 38.2% compared to 45.8% nationally. Weekend coverage dips roughly 9% below weekday levels, so ask how that plays out on Saturdays and Sundays.
The inspection record is where the concern sits. Sixteen deficiencies are on file, including one at the harm or jeopardy level and two tied to abuse, and the last inspection was February 11, 2026. That combination, solid staffing alongside a 2-out-of-5 inspection rating and serious citations, is worth asking the administrator about directly before you decide.
Perry Lutheran Homes Eden Acres sits in Dallas County with 57 certified beds and a for-profit LLC owner. The staffing picture is mixed: 3.43 nurse hours per resident day lands about 11% under the national average, and weekends run roughly 15% lighter than weekdays, but turnover at 36.2% beats the national 45.8%, a sign this home can hold onto aides better than most. What stands out is the inspection record: six deficiencies, two at harm or jeopardy level and two tied to abuse, plus a $9,110 fine, with the most recent inspection in June 2025. Those harm-level and abuse findings are the kind regulators treat seriously, and they're the real weight on this home's record.
St. Anthony Senior Services runs 79 certified beds as a church-affiliated nonprofit in Carroll, and its nurse staffing sits at 3.87 hours per resident day, essentially level with the national average of 3.86, though weekends run about 8% leaner than weekdays. The real concern is the inspection record: 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, including one abuse-related finding, and a $12,038 fine. A recent inspection in February 2026 means the record is current, not stale. Quality measures score well, but strong clinical numbers don't offset a pattern of serious health and safety findings.
Tallgrass Healthcare Campus runs 100 beds in Junction City under for-profit partnership ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, with weekends roughly 10% leaner than weekdays. Annual turnover is 49.3%, above the 45.8% national figure, which means a lot of the people providing that care are still learning the building. The inspection record is the part I'd ask about directly: 19 deficiencies, including one at the harm level and one tied to abuse, plus a $21,530 fine, and a health inspection star of 1 out of 5. The quality measure star of 5 shows the clinical numbers can look good, but that contrast is worth understanding before you decide.
The nurse staffing number at The Gardens At Aldersgate looks fine on its face, 4.01 hours per resident day, slightly above the national average, but the turnover rate tells a different story. At 64.2%, roughly three in five caregivers are leaving each year, well past the national figure of 45.8%, and weekend coverage drops about 7% below what the home runs on weekdays. The inspection record is the harder problem: 56 deficiencies, four serious enough to cause harm or jeopardy, four tied to abuse, and three fines totaling $56,617, with the most recent inspection in January 2026. A for-profit LLC operation with that citation history and 175 beds is worth a close, unannounced visit before you decide anything.
Nurse staffing at this Hays home runs about 4.11 hours per resident day, roughly 7% above the national average, so direct care hours aren't the problem. The problem shows up nearly everywhere else: staff turnover hit 91.8% against a national average of 45.8%, meaning the people delivering that care are largely new and constantly changing. The inspection record carries 46 deficiencies, including two at harm or jeopardy level and one abuse-related, with $73,576 in fines and a 1-out-of-5 health inspection rating; ownership also changed within the past year. Weekend staffing drops about 8% below weekday levels. High turnover plus a serious deficiency history is a pattern worth asking about directly before you decide.
Staffing is this home's strongest number. At 4.47 nurse hours per resident day, it runs about 16% above the national average, and a 38.2% turnover rate sits well below the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends thin out roughly 11% from weekday coverage, worth asking about if your visits fall on Saturdays or Sundays.
The trouble sits in the inspection record. Twenty-two deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and a $36,040 fine. The most recent inspection was in February 2026. Strong day-to-day care, but a survey history that needs explaining before you sign anything.
Nurse staffing at The Healthcare Resort Of Kansas City runs 4.34 hours per resident day, roughly 13% above the national average, but the workforce behind those hours churns hard, 60.4% turnover against a national 45.8%. Weekends drop about 15% below weekday coverage. The inspection record is the bigger problem: a 1-out-of-5 health inspection rating, 55 deficiencies logged, three of them at harm or jeopardy level and five tied to abuse. One fine totaling $28,834 is on file. Ownership is a for-profit limited liability company, and the most recent inspection was May 2026. Strong quality measure scores don't offset that history.
Attica Long Term Care runs on thin margins, and you can see it in the numbers. The hospital district that owns it staffs nurses at 3.95 hours per resident day, just above the national average, and those hours thin out on weekends, roughly 12% below what the home itself manages Monday through Friday. Turnover sits at 36.2%, better than the national 45.8%, so the people who stay tend to stay.
The problem is the record. Eighteen deficiencies, two serious enough to put residents at risk of harm, and one tied to abuse. The health inspection rating reflects that. Quality measures land in the middle. If you're weighing this one, the staffing is genuinely a strength, but ask hard questions about those harm-level findings and who's supervising on Saturdays.
Staffing is the strongest part of the picture at Christian Health Center Corbin: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 41.1%, a bit better than the 45.8% national figure. The trouble is the inspection record. Seven deficiencies are on file, three at the harm or jeopardy level and three tied to abuse, plus a single $181,590 fine. The most recent inspection was March 2025, so the record is current, not old. Quality and staffing measures score well; the health inspection side, where a 1-out-of-5 rating reflects those harm-level findings, is what pulls the overall picture down.
Village Health Care At The Glen runs 4.19 nurse hours per resident day, roughly 9% above the national average, which matters more here than the staffing star suggests. Weekend coverage dips about 5% below weekdays, and turnover sits at 33.6%, well under the national 45.8%, so caregivers tend to stick around. The concerning part is the inspection record: 23 deficiencies, including five tied to abuse and one at the harm or jeopardy level, with a $12,735 fine. That's a lot of findings for a nonprofit, and it weighs against the decent staffing.
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?