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.
Kadima Rehabilitation & Nursing At Greenville runs 154 certified beds under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.17 nurse hours per resident day, it sits about 18% under the national average, and weekends dip roughly 8% below its own weekday levels. Staff turnover lands at 53.8%, well above the 45.8% national figure, meaning the people around your relative change often.
The inspection record shows 17 deficiencies, including one at the harm level and one abuse-related, plus a $21,645 fine. A June 2025 inspection is recent, which is the one favorable detail. The 1-out-of-5 staffing rating and 2-out-of-5 health inspection rating tell you where the trouble concentrates, even though the quality measure score of 3 suggests some care processes track adequately on paper.
If you're considering this home, ask directly about weekday versus weekend coverage and how they're addressing turnover.
St. John Specialty Care Center in Mars runs high on nurse staffing, 3.96 hours per resident day, a bit above the national average, and that earned it a four-star staffing rating. But the inspection record tells a different story: 54 deficiencies on file, including 12 tied to abuse and two at the harm or jeopardy level, with the most recent inspection in October 2024. Staff turnover sits at 52.3%, well above the national 45.8%, and weekend coverage drops about 8% below weekday levels. A nonprofit corporation operates its 150 beds. Strong numbers on paper and repeated problems on inspection rarely point the same direction; here, the inspection history is what a family should weigh.
Kadima Rehabilitation & Nursing At New Wilmington runs 115 certified beds under for-profit LLC ownership, and its inspection record is the strongest part of the picture, a 4-out-of-5 health inspection rating with nine deficiencies on file, none at the harm or jeopardy level. One abuse-related citation is there, though, and worth asking about directly. Staffing is where it slips: 3.42 nurse hours per resident day sits about 11% under the national average, weekends run roughly 10% thinner than weekdays, and turnover hits 52.3% against 45.8% nationally. With quality measures at 2 out of 5, the pattern is a home that inspects cleanly but may struggle to keep consistent hands on deck.
Ellen Memorial runs about 3.57 nursing hours per resident day, roughly 8% under the national average, and weekends drop another 9% below its own weekday staffing. That thinner weekend coverage matters because 55.4% of staff turned over in a year, against a 45.8% national rate, so the aides and nurses on Saturday are more likely to be new. The inspection record shows 31 deficiencies, including one at the harm or jeopardy level and five tied to abuse, and CMS rated health inspections 2 out of 5 stars. Quality measures scored 4 out of 5, but the staffing and inspection scores are where families should focus.
Luther Acres Manor runs 106 certified beds in Lititz under corporate for-profit ownership, and its staffing sits at 3.94 nurse hours per resident day, slightly above the national average of 3.86, though weekends dip about 6% below its own weekday level. The bigger concern is turnover: 53.8% of staff leave annually, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines and changes. Inspections in November 2024 turned up 9 deficiencies, none at harm or jeopardy level, but 3 were abuse-related, and the quality measure rating sits at 1 out of 5 stars. Families should ask how the home addresses weekend coverage and what those abuse citations involved.
Heritage Ridge is a for-profit LLC home with 63 certified beds in Johnstown, and its state inspection record is the part that should worry you most. CMS has tagged the current record with 68 deficiencies, including four at the harm or jeopardy level and eight tied to abuse, a pattern serious enough to pull the health inspection rating down to 1 out of 5 stars. Its last inspection, on January 14, 2026, found the home again without clearing that history. Staffing is the better news: 3.64 nurse hours per resident day, about 6% under the national average, with weekends roughly 2% thinner than weekdays, though turnover at 41.4% does beat the 45.8% national figure. The clinical quality measures sit at 3 stars. Given the inspection record, ask to see the last two years of state survey reports and the abuse-related plans of correction before you decide anything.
Mountain Top Rehabilitation & Healthcare Center runs about 18% leaner on nursing hours than the national average, and weekends are thinner still, roughly 7% below what the building staffs on weekdays. Turnover sits at 40.4%, which is actually a bit better than the 45.8% national figure, so the problem isn't retention so much as how few hours each resident gets. The inspection record is the harder read: 29 deficiencies, three serious enough to reach harm or jeopardy, two tied to abuse, and a February 2026 inspection that's still recent. Quality measures score well, but staffing and inspections don't, and that gap is worth asking about directly.
The Reformed Presbyterian Home runs on about 3.97 nurse hours per resident per day, a bit above the national average, and its staff turnover of 36.7% is noticeably better than the 45.8% typical elsewhere. Those are real strengths, and they're why staffing earns top marks. The trouble sits on the other side of the ledger: 40 deficiencies on the current record, including two at the harm level and four tied to abuse, with the most recent inspection in June 2025. Weekend coverage also dips about 8% below its own weekday staffing. This is a nonprofit home where the care hours and retention look solid, but the inspection history is heavy enough that you'd want to read the actual reports and ask questions before deciding.
Meadows Nursing and Rehabilitation Center runs 130 certified beds in Luzerne County under nonprofit ownership, and its staffing numbers tell a mixed story. At 3.80 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip roughly 12% below its own weekday coverage. Where it stands out is retention: 30.2% turnover beats the 45.8% national figure by a wide margin, which matters for continuity of care. The inspection record is the harder part to swallow, 24 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus a $52,135 fine, with the most recent inspection in July 2025.
Mount Carmel Senior Living Community runs about 3.15 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage dips another 9% below its own weekdays. That thin staffing shows in the CMS staffing rating of 1 out of 5, and turnover sits at 46.9%, slightly above the national 45.8%. The inspection record is heavy: 51 deficiencies, two at harm or jeopardy level, two tied to abuse, with one fine of $24,700 and a health inspection rating of 2 out of 5. The most recent inspection was July 2025. Quality measures score a middling 3 out of 5, but staffing and inspections are where the problems concentrate at this for-profit LLC.
Penn Highlands Jefferson Manor runs 160 beds as a nonprofit corporation, and its staffing picture is genuinely solid on paper, 3.88 nurse hours per resident day, a hair above the national average, with a 4-out-of-5 staffing rating and turnover at 39.4% versus 45.8% nationally. But weekends run about 7% leaner than weekdays, and the inspection record is where things get harder to explain: 23 deficiencies, three of them at harm or jeopardy level and one abuse-related, across two fines totaling $15,160. That combination, good staffing numbers sitting alongside serious inspection findings, is why the health inspection rating lands at 2 out of 5. The most recent survey was December 2025, so the picture is current.
Southmont of Presbyterian Seniorcare runs 3.90 nurse hours per resident day, just barely above the national average of 3.86, though weekends dip about 9% below its own weekday staffing. Turnover sits at 34.4%, better than the 45.8% national figure, which matters for consistency of care. The trouble is inspections: 14 deficiencies on record, including 3 at harm or jeopardy level and 2 tied to abuse, with one fine of $8,824. That inspection history is what drags the overall picture down, despite solid staffing numbers and a recent survey date of May 2026.
Transitions Healthcare Washington Pa runs 120 certified beds under for-profit LLC ownership, and its staffing is the weak spot: 3.54 nurse hours per resident day against a national average of 3.86, with weekends running about 9% thinner than weekdays. Annual turnover sits at 47.3%, slightly above the national 45.8%, and CMS gives staffing just 1 out of 5 stars even as quality measures score 4 out of 5. The inspection record shows 19 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection dated March 25, 2026. Ownership, turnover, and thin weekend coverage are the pieces worth weighing before you decide.
Emmanuel Center For Nursing runs about 4.52 nurse hours per resident day, roughly 17% above the national average of 3.86, though weekends dip about 10% below its own weekday level. That staffing cushion hasn't translated into a clean inspection record: 42 deficiencies on file, none at harm or jeopardy level, but two tied to abuse, which is the kind of finding families should ask about directly. The last inspection was recent, December 2024, so the picture is current rather than stale. Quality measures score well, inspections don't, and this church-affiliated nonprofit sits somewhere in between, decent hands-on care, a paper trail worth reading closely before you decide.
Lebanon Valley Home runs a tight ship on the numbers that matter most. Nurses deliver 4.68 hours of care per resident each day, roughly a fifth more than the national average, and weekend coverage barely dips below weekday levels. Staff turnover sits at 17.7 percent, well under half the national rate, which means the people caring for residents tend to stick around. The inspection record backs it up: two deficiencies total, none causing harm and none tied to abuse, with the most recent state visit in September 2025. As a nonprofit, it isn't answerable to shareholders. The care hours are there, the staff are stable, and the record is clean.
Patriot Village runs 3.47 total nurse hours per resident day, roughly 10% under the national average, and weekends dip about 6% below its own weekday staffing. Turnover sits at 31%, which is actually better than the 45.8% national figure, so the problem here isn't retention. The current inspection record shows 48 deficiencies, three at harm or jeopardy level and two tied to abuse, with one fine of $132,561 and a January 2026 inspection. A for-profit LLC operating 100 beds with a one-star health inspection rating and a two-star staffing rating, those are the numbers that matter, and they point to a home where the care environment has real problems worth asking about directly.
Valley View runs on a nonprofit model with 163 certified beds, and its staffing is the strongest part of the picture: 4.47 nurse hours per resident day, about 16% above the national average, with a 5-star staffing rating to match. Turnover sits at 26.7% against a national average of 45.8%, which matters for whether your family sees the same faces month to month. The tradeoffs are elsewhere, 34 deficiencies on record including 5 abuse-related, though none reached harm or jeopardy, and weekend staffing dips roughly 10% below weekday levels. One fine totaling $11,788 and an April 2026 inspection round out a record that's solid but not spotless.
Westminster Woods At Huntingdo runs 64 certified beds as a nonprofit corporation, and its staffing sits at 3.69 nurse hours per resident day, roughly 4% under the national average of 3.86, with weekends running about 6% lighter than its own weekdays. Turnover is 38.3%, better than the 45.8% national figure, so the same faces are likelier to stay. The harder numbers are on the inspection side: 25 deficiencies on record, 4 of them abuse-related, though none reached harm or jeopardy, and the last inspection was recent. The two CMS ratings that matter most to families, health inspections and quality measures, both land at 2 out of 5.
Redstone Highlands has the staff most families are looking for, 4.59 nurse hours per resident day, well above average, and turnover at 42.4% actually beats the national figure. But staffing is only one part of the picture, and the rest is troubling. The current inspection record shows 45 deficiencies, including 7 at the harm or jeopardy level and 4 abuse-related, plus six fines totaling $67,296. That inspection history is why the health inspection rating sits at 1 out of 5. Weekend coverage runs about 13% thinner than weekdays, so the strong weekday numbers don't hold steady across the week.
Monumentalpostacutecare at Woodside Park is a 180-bed for-profit partnership in Philadelphia, and its inspection record is the first thing a family should see. Fifty deficiencies on the current record, including two at the harm or jeopardy level and six tied to abuse, is a lot of documented trouble for one building. Staffing sits at the lowest federal tier while quality measures land mid-range, and two fines totaling $30,752 are on file. The last inspection was December 11, 2025, so the record is recent, not stale. If you're considering this home, ask directly about the abuse-related findings and how the current administrator has addressed them.
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?