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.
Lindengrove New Berlin runs below average on nurse staffing, at 3.65 hours per resident day against a national figure of 3.86, and it thins out further on weekends, roughly 10% below its own weekday level, which matters when families visit and needs don't pause. The inspection record is the bigger concern: a one-star health inspection rating, 32 deficiencies on file including four at the harm or jeopardy level and four tied to abuse, plus two fines totaling just over $100,000. Staff turnover sits at 46.6%, essentially in line with the national rate. The most recent inspection was in January 2025.
Prescott Valley Nursing & Rehabilitation runs on 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 15% below what it provides on weekdays. That thin schedule shows up in the staffing rating, which sits at the bottom of CMS's scale, and in turnover: 59.3% of staff left over the past year, well above the 45.8% national figure. The inspection record carries 31 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $8,278. The last full inspection was November 2023, so that record is getting old. Strong quality measure scores don't offset a floor staffed this lightly.
Saint Anthony runs 189 certified beds in Crown Point under corporate for-profit ownership, and its staffing sits at 3.60 nurse hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 16% below its own weekday levels, and turnover is 46.8%, slightly above the national 45.8%. The inspection record is the real concern: 50 deficiencies, two tied to abuse, and a 1-out-of-5 health inspection rating, though zero rose to harm or jeopardy. Quality measures score better at 3 out of 5, but staffing also rates 1 out of 5. The most recent inspection was June 16, 2025, so the record is current. If you're considering this one, ask directly about weekend coverage and how they've addressed those abuse-related findings.
Chateau Girardeau runs 4.26 nursing hours per resident per day, roughly 10% above the national average, and its most recent inspection from January 2025 turned up no deficiencies at the harm or jeopardy level and nothing abuse-related. That part is solid. The strain shows in the workforce: 65.7% annual turnover, well above the 45.8% national figure, and weekend staffing drops about 17% below the home's own weekday levels, so the hands-on coverage your family sees on a Tuesday isn't what shows up on a Saturday. Fourteen deficiencies sit on the current record, none serious, but the low quality-measure score suggests outcomes haven't kept pace with the hours billed.
The Cardinal At North Hills is a small, for-profit home in Raleigh, just 15 certified beds, and its record splits in two directions. Inspectors have been in recently, in September 2025, and the health inspection star rating of 4 out of 5 suggests the day-to-day survey picture is decent. But look closer: four deficiencies on the current record, including one at the harm level and one tied to abuse, plus a $7,901 fine. Quality measures score just 1 out of 5. With that few beds, there's little room to absorb a staffing gap or a single bad stretch.
Lake Forest Senior Living runs 50 beds in Hot Springs Village under corporate ownership, and the numbers show a home that's getting by on thinner staffing than most. At 3.69 nurse hours per resident day, it sits about 4% under the national average, and weekend coverage doesn't drop off, it actually runs slightly above weekdays. The bigger concern is turnover: 60.4% of staff leave each year, well above the 45.8% national rate, which matters because unfamiliar caregivers struggle to catch changes in condition early. The current inspection record carries 13 deficiencies, one serious enough to reach harm level, plus a $13,627 fine. The last inspection was September 2025, so the record is recent.
Hilltop Lodge runs on thinner nurse coverage than most homes in the country, 3.42 hours per resident day against a national average of 3.86, and weekends dip even further below its own weekday level, which is when families tend to visit and notice. The inspection record is the bigger concern: 43 deficiencies, including six tied to abuse and two serious enough to put residents in harm's way, with $28,937 in fines behind them. Annual turnover sits slightly above the national rate. The most recent inspection was in January 2026, so the findings are current, not stale. For-profit, LLC-owned, 90 beds. If you're considering this one, ask directly what changed since that inspection.
The Waterview Woods in Eveleth runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 12% under its own weekday level. That thin coverage shows up in the inspection record: 39 deficiencies, four serious enough to cause harm or put residents in jeopardy, two tied to abuse, and three fines totaling $55,269. Staff turnover sits at 50%, higher than the 45.8% national rate, so caregivers are cycling through steadily. Medicare's own ratings put staffing at the bottom and inspections and quality measures each below middle. Corporate ownership takes the profit here, not the residents. The last inspection was November 2025.
Oakdale Care Center runs on 2.57 nursing hours per resident per day, roughly a third below the national average of 3.86, and that thin coverage gets thinner on weekends, when staffing drops about 13% below its own weekday level. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people providing that care are cycling through steadily. On paper the record has bright spots: a 4/5 health inspection rating, 22 deficiencies with none at the harm or jeopardy level, and a recent inspection in February 2026. One abuse-related deficiency is on the books, though. The staffing number is the one worth sitting with.
Centerville Health and Rehab is a 120-bed for-profit home in Dayton, and the staffing numbers are the first thing I'd flag. At 3.03 nurse hours per resident per day, it runs about 21% below the national average, with weekends even thinner than weekdays. That thin coverage shows up in a 66.7% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses caring for your family member are, more often than not, new to the building. On the plus side, the quality measure rating is strong and no deficiency reached actual harm. But 56 deficiencies, five abuse-related, and a recent July 2025 inspection mean I'd ask hard questions before moving anyone in.
Hilltop Heights runs lean on nursing staff, 3.30 hours per resident day against a national average of 3.86, with weekends dropping about 13% below its own weekday levels. That gap matters most when families visit on Saturdays and Sundays and find fewer hands on deck. Annual turnover sits at 56.2%, meaning more than half the nursing staff leaves each year, which makes consistent care hard to build. The inspection record is the bigger concern: 76 deficiencies on file, including one abuse-related finding, and the most recent state visit was January 8, 2026. Corporate ownership and a one-star inspection rating round out a picture of a home that needs close watching before you sign anything.
Seton Manor runs 3.24 nurse hours per resident per day, about 16 percent under the national average of 3.86, and its weekend staffing drops roughly 9 percent below its own weekday level, the stretch when families tend to visit and notice. Staff turnover sits at 49.6 percent against a national 45.8 percent, so the people providing that thin coverage are also frequently leaving. The inspection record is the strong part: 17 deficiencies, none at harm or jeopardy level, no abuse findings, and a survey as recent as February 2026. Ownership is corporate for-profit, and the 129-bed home draws a 2/5 on CMS staffing and quality measures alongside its 4/5 inspection score.
Horsham Center for Jewish Life is a 324-bed for-profit home in Montgomery County, and the numbers pull in two directions. Residents get 3.57 hours of nursing care per day, about 8% under the national average, and weekend staffing drops roughly 9% below its own weekday level, so a Sunday shift runs leaner than a Tuesday. Turnover sits at 45.9%, essentially the national norm, which means the churn isn't unusual but also isn't helping.
What stands out is the inspection record: 48 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $114,699, with the most recent inspection in June 2025. The 5/5 quality measure rating reflects chart-based clinical metrics, while the 1/5 staffing rating reflects what families actually feel day to day. Ask about weekend coverage and the plan of correction before you visit.
Kadima Rehabilitation & Nursing At Harmony is a 115-bed for-profit home in Butler County, and the numbers behind its federal record are hard to dress up. Inspectors have cited 75 deficiencies, including two at the level where residents were actually harmed or put in immediate jeopardy, plus 11 tied to abuse, and two fines totaling $174,201 suggest the problems weren't paperwork. Staffing sits in the bottom tier nationally, and the most recent inspection was May 2025, so this isn't a stale record. Ownership is a limited liability company, which can make accountability harder to trace. One bright spot: the quality measure rating lands middle of the pack, meaning some clinical outcomes look average. But average care measures don't offset a staffing shortfall and that citation history.
High Plains Post Acute runs about 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops another 9% below its own weekday levels. The bigger concern is turnover: 65.7% annually against a national average of 45.8%, meaning most of the people caring for your family member are relatively new. On the last inspection in February 2025, surveyors wrote 33 deficiencies, six serious enough to put residents in harm's way, one involving abuse, with four fines totaling $72,840. The quality measure score looks good on paper, but those numbers come largely from resident assessments, the staffing and inspection record is where the real picture sits.
Terrace At Solarbron runs 3.53 nurse hours per resident day, roughly 9% under the national average, and weekend coverage drops about 12% below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover sits at 67% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The current inspection record carries 31 deficiencies, including one at the harm level and one tied to abuse, with the most recent inspection in March 2026. As a nonprofit, it isn't answering to shareholders, but the numbers describe a building where consistency is the problem.
Ridgecrest Village runs 137 certified beds in Davenport as a nonprofit, and the numbers worth knowing sit in its staffing and inspection record. Nurse staffing comes in at 3.69 hours per resident day, roughly 5% under the national average, and weekends drop about 7% below what the home staffs on weekdays. Annual turnover is 97.4%, more than double the national figure of 45.8%, meaning the aides and nurses around your family member likely change often. The current record carries 41 deficiencies, three at harm or jeopardy level and two tied to abuse, along with three fines totaling $118,886. The most recent inspection was October 2025, and the health inspection rating sits at 1 out of 5.
Via Christi Village Pittsburg runs a nonprofit home with 96 beds, and its nurse staffing sits at 4.06 hours per resident day, about 5% above the national average, though weekend coverage drops roughly 7% below its own weekday level. The bigger issue is turnover: 88.8% annually, nearly double the national rate of 45.8%, meaning the people caring for residents are constantly changing. On inspections it holds a 3-star rating with 29 deficiencies on record, including two at the harm level and one tied to abuse, plus a $13,397 fine. Ownership changed within the past year, and its last inspection was October 2024.
The Village of Lebanon runs 54 beds under for-profit partnership ownership, and its payroll sits almost exactly at the national norm, 45.6% turnover against 45.8% nationally, so the staffing churn here isn't unusually bad for the industry. What stands out more is the quality measure rating of 1 out of 5, which is where the clinical picture looks weakest, and 12 deficiencies on the current record including one tied to abuse. Inspectors were last on site in August 2025 and found nothing at the harm or jeopardy level, which matters. Eight fines totaling $45,335 is real money, though not extreme for a home this size.
Nazareth Living Center runs on thin staffing margins. At 3.69 nurse hours per resident day, it sits below the national average, and weekends dip about 11% below its own weekday levels, so the hours when families visit most are often the leanest. The bigger warning sign is turnover: 77.4% of nursing staff leaving annually, well above the 45.8% national figure, which typically means less continuity for residents who need consistent caregivers. Its inspection record shows 49 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $11,928. The most recent inspection was March 2025, so the record is current, not stale. This nonprofit has real problems worth asking about directly.
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?