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.
Willow Terrace runs 174 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.55 hours per resident day, roughly 8 percent under the national average of 3.86. Weekend coverage drops about 10 percent below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 47.6 percent against a national average of 45.8 percent, meaning nearly half the nursing workforce turns over in a year. The inspection record carries 61 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with one fine of $9,113. A January 2025 inspection is recent, but the 1-star health inspection rating against a 4-star quality measure score suggests the care problems are real and documented, not just paperwork.
Martha Franks Baptist Retirement Center sits in Laurens, and the numbers tell a mixed story worth sorting through. Nurse staffing runs 4.24 hours per resident day, roughly 10% above the national average, and weekend coverage holds up reasonably well even if it dips about 13% below weekdays. Staff turnover at 41.1% is slightly better than the national 45.8%, so people aren't fleeing. Where it gets harder: 11 deficiencies on the current record, including one at the harm level and two tied to abuse, with a $12,735 fine. The last inspection was September 2025. Good daily care hours, but a compliance record that needs a close look.
The staffing numbers at United Living Community look strong at first glance, 4.78 nurse hours per resident day, well above the national average, and CMS agrees, giving it 4 out of 5 staffing stars. But weekends run about 12% leaner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover sits at 50%, higher than the national 45.8%, meaning the people providing that care are often new. The inspection record is where things get concerning: 22 deficiencies, including 2 at the harm level and 5 abuse-related, plus $33,027 in fines. That combination is what pulls the overall picture down to a C.
Denton Village by Purehealth runs 88 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.55 hours per resident day, about 8% under the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the thinnest shifts are the ones families tend to visit. The inspection record is the harder read: 26 deficiencies, including one at the harm level and one abuse-related, plus a $55,112 fine, with the most recent inspection in September 2025. Staff turnover at 41.3% is slightly better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection score. The gap between those two numbers is worth asking about directly.
The Jefferson runs 31 beds in Arlington, and the numbers behind its record are worth pausing on. Inspectors have cited 63 deficiencies, four of them at the level where a resident was actually harmed or put in jeopardy, and four tied to abuse, with three fines totaling $61,065. Staff turnover sits at 68.3% against a national average of 45.8%, which tracks with its one-star staffing rating, and the most recent inspection was March 2026. What's odd is the quality measure score: five stars, meaning the clinical data the home reports looks good even as its staffing and inspection records don't. Ask what that gap actually reflects before you decide.
Samaritan runs a genuine split personality. The nursing hours are real, 4.95 per resident per day, roughly 28% above the national average, and weekends thin out about 15% from that weekday level, which is a normal dip. But 75.7% of staff turned over in a year against a national 45.8%, so those hours keep getting delivered by new faces.
Then there's the record. Fifty-seven deficiencies, four serious enough to put residents in harm's way, eight tied to abuse. Two fines totaling $210,298. The health inspection rating sits at the bottom of CMS's scale, and the last inspection was January 2025. A corporation owns it. Good staffing numbers don't erase a paper trail like that.
Tudor Oaks runs more nursing hours per resident than most homes nationally, 4.34 versus 3.86, but that edge thins on weekends, when coverage drops about 9% below its own weekday levels. The bigger concern sits in the inspection record: 37 deficiencies, three serious enough to involve harm or jeopardy, and nine tied to abuse. A single fine of $180,810 followed the most recent inspection in June 2025. Staff turnover of 56.4% runs well above the 45.8% national figure, which matters for consistency of care. This church-affiliated nonprofit has real strengths in direct staffing, but the harm-level and abuse-related findings are the kind families should ask about directly before deciding.
Stevens Point Health Services runs 50 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.66 hours per resident day, about 5% under the national figure of 3.86. Weekends dip roughly 10% below the home's own weekday coverage, and annual turnover is 57.1% against a national average of 45.8%, so the aides and nurses your family sees may keep changing. The inspection record shows 48 deficiencies, including one at the harm level and seven tied to abuse. The most recent inspection was July 2025. Quality measure scores land at 1 out of 5 stars, meaning clinical outcomes like falls and infections trail what CMS expects.
New Glarus Home runs on better-than-average nurse coverage, 3.95 hours per resident day, just above the national figure, though weekends dip about 5% below its own weekday pace, and staff turnover sits at 50.8%, worse than the 45.8% national rate. The inspection record is where the trouble shows: 40 deficiencies, including 4 at harm or jeopardy level and 9 tied to abuse, plus a $60,466 fine. Its last inspection was March 2026, so that record is current, not stale. That combination, solid staffing scores undercut by a heavy, recent deficiency history at a church-affiliated nonprofit, is what pulls the overall picture down.
Bayshire Riverwalk runs on a for-profit corporate model with 120 beds, and its staffing numbers are the strongest thing it has going: 4.51 nurse hours per resident day, roughly 17% above the national average, though weekend coverage drops about 9% below its own weekday level and annual turnover sits at 49%, a bit worse than the 45.8% national figure. The trouble is everything on the inspection side. Sixty-six deficiencies are on the current record, including three at the harm or jeopardy level and five tied to abuse. Two fines total $80,668, and the most recent inspection was December 4, 2025. A 1-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you where the risk sits.
Northfield Retirement Communities Care Center runs 66 certified beds as a nonprofit corporation, and its overall nurse staffing of 3.88 hours per resident day sits roughly 1% above the national average of 3.86. That headline number looks fine until you notice weekends run about 16% thinner than weekdays, and annual turnover hits 65.8% against a national 45.8%, meaning most of the people caring for residents are relatively new to the building. The current record carries 28 deficiencies, three tied to abuse, with the last inspection in May 2025. CMS gives the home one star each for health inspections and staffing, two for quality measures.
Envive of Evansville is county-owned and holds 200 certified beds, and its inspection record is the part that stands out most: 46 total deficiencies on file, including 3 at the harm or jeopardy level and 1 abuse-related, with 11 fines totaling $74,236. The health inspection rating sits at 1 out of 5, and the last inspection date is March 2026, so that record is recent, not stale. Staffing lands at 3.62 hours per resident day, roughly 6% under the national average of 3.86, and weekends dip about 4% below the home's own weekday level. Turnover runs 44.4%, a bit better than the 45.8% national figure.
Azria Health Winterset runs 65 beds under for-profit LLC ownership, and its nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 42.9% is slightly better than the 45.8% national figure, but the inspection record is the bigger concern: 30 deficiencies, one of them serious enough to reach harm or jeopardy level. That March 2026 inspection is recent, and the two-out-of-five ratings on health inspections, quality measures, and staffing all point the same direction.
St Leonard HCC runs 150 beds under corporate for-profit ownership, and the numbers show where that pressure lands. Nurse staffing sits at 3.73 hours per resident day, slightly under the national average, and it thins out further on weekends, about 8% below the home's own weekday coverage. Staff turnover is 50.3%, meaning roughly half the workforce leaves each year, which matters for anyone who needs consistent caregivers. The inspection record is heavier: 40 deficiencies, including three at the harm level and three tied to abuse, plus two fines totaling $89,700. The 2024 inspection is recent enough to be relevant. Quality measures look better than staffing and inspection results, but families should ask directly about those harm-level findings.
Walnut Creek Nursing Center runs on thinner staffing than most homes its size, 3.08 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That shortfall shows up in the numbers: a one-star CMS staffing rating and 61.3% annual turnover, well above the 45.8% national figure. The inspection record carries 48 deficiencies, including two at the harm or jeopardy level and four tied to abuse. Its two-star health inspection rating sits alongside a four-star quality measure score, a split worth asking about directly. Corporate-owned and certified for 139 beds, last inspected March 2025. Staffing and safety records are where the questions should start.
Oak Hill runs on 3.26 nurse hours per resident day, about 16% under the national figure of 3.86, and weekends dip roughly 7% below its own weekday level. Turnover sits at 58.8% against a 45.8% national average, so the aides and nurses your family would see most often are changing frequently. The inspection record backs that up: 60 deficiencies, six at harm or jeopardy level, five tied to abuse, and three fines totaling $61,932, with the most recent inspection in December 2025. It's a for-profit LLC, 136 beds. The one bright spot is the quality measure rating, which reflects clinical outcomes rather than day-to-day care.
Susquehanna Health and Wellness Center runs 173 certified beds in Columbia, and its nurse staffing sits at 3.03 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, right when families often visit. The inspection record is the bigger concern: 36 deficiencies, including 3 at the harm or jeopardy level and one tied to abuse, plus 10 fines totaling $117,308. Staff turnover of 47.7% runs slightly above the national 45.8%, meaning many of the people caring for residents are still learning the building. The most recent inspection was July 2025, so the record is current.
Dubois Nursing Home runs 3.38 nurse hours per resident day, about 12 percent under the national average, and weekends drop roughly 14 percent below its own weekday staffing. Annual turnover sits at 57.9 percent against a national 45.8 percent, so the people providing care keep changing. The inspection record is where things get serious: 49 deficiencies, five of them at harm or jeopardy level and two tied to abuse, with two fines totaling $17,225 and a survey date of April 30, 2026. CMS gives this home one star each for health inspections and quality measures, three for staffing. The nonprofit ownership doesn't offset what the numbers show.
Oakwood Heights Village runs about 106 beds in Oil City under for-profit LLC ownership, and the numbers worth noticing are the ones families feel day to day. Nurse staffing sits at 3.56 hours per resident, roughly 8 percent under the national figure, and weekends drop about 11 percent below what the home itself staffs on weekdays, so the coverage is thinnest exactly when many families visit and when backup is hardest to find. Staff turnover of 60.2 percent, against a national 45.8, means aides and nurses cycle through quickly.
The inspection record backs that up: 27 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with a $14,015 fine. The most recent inspection was February 2026. Ask about weekend coverage and how abuse complaints get handled.
The Gardens at Stevens runs 82 certified beds in Lancaster County under for-profit LLC ownership, and its staffing sits at 3.49 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins exactly when families tend to visit. The bigger number is turnover: 70.1% annually against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Its inspection record carries 44 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, plus one fine of $55,807. The most recent inspection was February 27, 2026.
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?