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 Orchards At Canterbury On The Lake runs on thinner staffing than most homes, at 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. Its inspection record carries 73 deficiencies, including three at the harm or jeopardy level and 12 tied to abuse, with one $45,461 fine and a health inspection rating of 1 out of 5. The quality measure rating sits at 3, but that measures resident outcomes, not whether the building has enough hands on deck.
Orchard Creek runs 5.75 nurse hours per resident day, roughly half again the national average, and its staff turnover sits just under the national figure, so the people caring for your relative tend to stay. Weekends are thinner, about 16% below weekday coverage, worth asking about if you visit Saturdays. The trouble is the inspection record: 19 deficiencies, two serious enough to put residents in harm's way, five tied to abuse. That mix, strong daily staffing, weak state survey results, is why this small for-profit home lands in the middle rather than near the top. Ask directly what changed since the September 2025 inspection.
Caretel Inns of Linden runs 3.45 nursing hours per resident day, about 11% under the national average, and weekends dip roughly 9% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays, since fewer hands are on the floor. Annual turnover sits at 57.5% against a national 45.8%, and the home carries 58 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse. A 2/5 on health inspections and 2/5 on staffing, offset by a 4/5 on quality measures, suggests the clinical tracking looks better than the day-to-day oversight.
Bayside Manor runs on thin staffing: 3.60 nurse hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels, so care gets leanest exactly when families tend to visit. The bigger warning sign is turnover, 75% of staff leaving annually, well above the 45.8% norm, which means unfamiliar faces on a 44-bed unit. Its record shows 34 deficiencies, three involving harm or jeopardy and six tied to abuse, plus a $16,982 fine. Ownership is for-profit, and the last inspection was December 2025. The quality measures look decent, but that gap between how the home scores on paper and how it actually operates is worth asking about directly.
Cedars Health Center runs on unusually thin staffing margins in one direction and comfortable ones in another: 4.86 nurse hours per resident day against a national average of 3.86, but weekends drop roughly 10% below what the home itself staffs Monday through Friday. Turnover sits at 48.8%, a few points above the national figure, meaning nearly half the nursing staff cycles out annually. The inspection record is where the trouble shows: 17 deficiencies, one serious enough to reach harm or jeopardy, two tied to abuse, and a $16,153 fine. The most recent inspection was November 2025, so the picture is current, and it is mixed, strong daily coverage undercut by a citation history that a family should ask about directly.
Rosewood runs below the national average on nurse staffing, 3.51 hours per resident day against 3.86, and weekend coverage dips about 5% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 59.8% against a national average of 45.8%, meaning roughly six in ten caregivers left within the year. The inspection record is heavy: 58 deficiencies, five involving harm or jeopardy, six tied to abuse, and three fines totaling $47,917. Two stars for health inspections and two for staffing tell you where the problems concentrate, and ownership is a for-profit limited liability company.
Kingswood Senior Living runs 86 certified beds as a nonprofit, and its nurse staffing comes in at 4.03 hours per resident day, about 4% above the national average of 3.86. That's the strongest part of the picture. Weekends dip roughly 6% below weekday coverage, and annual turnover sits at 55.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. One fine on file, $14,069, with the last inspection in June 2025. Quality measure scores land at 2 out of 5 stars, which is worth asking about directly.
Abbey Senior Health runs on a for-profit LLC model with 55 beds in O'Fallon, and its strongest signal by far is nurse staffing: 4.74 hours per resident day, roughly 23% above the national average, which is why CMS hands it five stars there. Turnover of 35.6% also beats the 45.8% national figure. The trouble sits elsewhere. Inspections in October 2024 turned up 28 deficiencies, including one at the harm level and three tied to abuse. Quality measures score two stars, inspections two. Weekends run about 13% thinner than weekdays. The people caring for residents appear to be there in numbers, what the record flags is what happens around them.
Cedar Crest/Mountainview Gardens runs on a nonprofit model with 113 certified beds, and its staffing numbers are genuinely strong, 4.18 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 10% below its own weekday level. Turnover sits at 21.2%, less than half the national rate of 45.8%, which matters for continuity of care. The trouble is on the inspection side: 14 deficiencies on the current record, including 3 at the harm or jeopardy level and 1 abuse-related, plus $49,960 in fines across 3 penalties. A recent January 2026 inspection found a 2-out-of-5 health inspection rating, even as quality measures and staffing each earned 5 out of 5. Strong hands on deck, but a documented history of serious compliance problems.
The Neighborhood In Rio Rancho runs a nonprofit shop with 72 beds, and the raw nursing hours look generous, 4.83 per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. But look at who's providing it: annual turnover sits at 82.3%, nearly double the national figure, and weekend coverage drops about 9% below weekday levels, so that staffing edge is fragile in practice.
The inspection record is where things get concerning. Thirty-eight deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. A 2-out-of-5 inspection rating and a November 2025 survey date back that up.
Trinity Grove is church-affiliated and nonprofit, and its staffing is genuinely strong, 4.37 nurse hours per resident day sits about 13% above the national average, earning top marks on that measure. The trouble shows up everywhere else. Inspectors cited 15 deficiencies, four serious enough to put residents in harm's way and five tied to abuse, and the home has paid $102,910 across four fines. Weekend staffing drops roughly 12% below its own weekday level, which is when families often visit and notice less coverage. Turnover of 45.5% is essentially the national norm, so experience isn't accumulating here. The last inspection was September 2025. Good ratios, a troubling citation record, that gap is what families should weigh.
Ave Maria sits in Jamestown with 100 certified beds and a nonprofit owner, and its staffing is the standout: 4.98 nurse hours per resident day, roughly 29% above the national average, with turnover at 37% versus 45.8% nationally. Weekend coverage dips about 16% below its own weekday level, so the weekday-to-Saturday drop is worth asking about. The inspection record is where the concern lives, 11 deficiencies, 2 at harm or jeopardy level, 5 tied to abuse, and a $6,788 fine, with a 2/5 health inspection rating and 2/5 quality measures. The most recent inspection was December 11, 2025, so the record is current. Ask directly how those abuse-related deficiencies were resolved and what weekend staffing looks like now.
Summit Acres runs 95 beds in Caldwell under corporate ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is 40.5%, a bit better than the 45.8% national figure. What stands out more is the inspection record: 52 deficiencies, including one at the harm level and nine tied to abuse, with a $16,801 fine and a 2-out-of-5 inspection rating. The 5-out-of-5 quality measure score reflects resident care metrics, not the supervision and safety problems inspectors documented.
Wellspring Health Center runs 54 beds in Cincinnati under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than weekdays. That gap matters because staffing is thinner exactly when families tend to visit and when backup is hardest to call in. Staff turnover is 58.1% against a national 45.8%, and the inspection record shows 32 deficiencies, two of them serious enough to cause harm or jeopardy. The last inspection was in December 2025, so it's current, and there's one fine on record for $110,468. Quality measures look strong; the inspection and turnover numbers are the ones worth asking about directly.
Country Club Retirement Center runs on thinner nursing coverage than most homes, 3.38 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday levels. That staffing picture, plus a two-star inspection rating and 42 deficiencies on record (three at harm or jeopardy level, seven tied to abuse), is where the real story sits. Turnover is 45.5%, essentially matching the national rate, so the problem isn't retention, it's how few hours each resident actually gets. The 2024 inspection is recent enough to reflect current conditions. A four-star quality measure score is the one bright spot, but quality measures come from resident assessments, not from how the place is run day to day.
Saint Joseph Care Center runs 60 beds in Louisville under corporate for-profit ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop another 13% below the home's own weekday coverage, and annual turnover of 54.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse; that last inspection was January 5, 2026. With a 2-out-of-5 staffing rating and a 2-out-of-5 inspection rating against a 3-out-of-5 on quality measures, the pattern here is thin coverage, heavy turnover, and a recent record that warrants questions.
Aventura At Oakwood Village runs on 2.98 nurse hours per resident day, roughly a quarter below the national average of 3.86, and its weekend shifts dip about 8% below its own weekday coverage, so the thinnest days are the ones families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, which means the aides and nurses who know your mother's routines are frequently new. The current deficiency record carries 42 citations, including one at the harm or jeopardy level and eight tied to abuse. Inspectors were last on site in May 2025. The two-star health inspection rating and one-star staffing rating describe a building where the problems are chronic rather than isolated.
Baptist Village Of Oklahoma City runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 6.15 hours per resident day, roughly 59% above the national average of 3.86. That cushion matters, though weekend coverage dips about 14% below its own weekday level, and annual turnover of 54.9% tops the national 45.8%, so the people delivering those hours keep changing. The recent inspection picture is the harder read: 25 deficiencies on record, including four at the harm or jeopardy level and two tied to abuse, plus two fines totaling $28,695. The last inspection was October 2025. Strong staffing, but a citation history worth asking about directly.
Passavant Retirement and Health in Zelienople runs on strong staffing numbers: 4.51 nurse hours per resident day, roughly 17% above the national average, and turnover of 36.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits fall on Saturdays or Sundays. Then there's the inspection record, and it's the reason the grade lands where it does: 38 deficiencies on the current record, three at harm or jeopardy level and four abuse-related, with the most recent inspection dated February 27, 2026. A church-affiliated nonprofit with 102 beds, this home staffs well and scores well on quality measures, but its last survey turned up serious problems. Read that inspection report before you decide.
Vincentian Home runs on a solid staffing base: 4.27 nurse hours per resident day, roughly 11% above the national average, with a 4-out-of-5 CMS staffing rating to match. Weekend coverage dips about 5% below its own weekday levels, and turnover sits at 40.2%, better than average, but still a lot of caregivers cycling through. The bigger issue is the record itself: 33 deficiencies, including 6 tied to abuse, with a 2-out-of-5 health inspection rating. None were flagged at harm or jeopardy level, and the most recent inspection was in May 2025, so the findings are current. Nonprofit ownership and steady nurse hours help; the inspection history is what pulls this one down.
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?