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.
Shenandoah Senior Living runs on 3.13 nurse hours per resident per day, roughly 19% under the national average, and weekends drop about 8% below what the home itself staffs during the week. That thinner coverage matters more given the inspection record: 39 deficiencies, including three at the harm level and four tied to abuse, with two fines totaling $76,285. Annual turnover sits at 46.9%, just above the national figure. The most recent inspection was in May 2026. A for-profit limited liability company owns the 119-bed home. Whatever the quality measures suggest, the health inspection history is where the real trouble shows.
Birchwood runs 3.34 total nurse hours per resident per day, roughly 14% under the national average of 3.86, and weekend staffing drops another 8% below its own weekday level. Turnover sits at 53.9%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 52 deficiencies, including three at the harm or jeopardy level and three abuse-related, with two fines totaling $123,390; the last inspection was March 2026. It's a for-profit LLC with 121 beds, and its quality measure score stands out against a staffing picture that doesn't.
Wyndmoor Hills runs on 3.10 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend coverage slips another 5% below its own weekday levels. That thin staffing sits alongside a one-star inspection rating and 82 deficiencies on the current record, including four at the harm or jeopardy level and four tied to abuse. Staff turnover is 47.7%, a bit above the national 45.8%, and the home has paid three fines totaling $102,309. The most recent inspection was January 10, 2025. Ownership is for-profit, through a limited liability company. Quality measures score better than the rest, but they don't offset what the inspection and staffing numbers show.
Crown Point Health Campus is county-owned, and it's in the CMS Special Focus Facility program, which is a short list of homes the government tracks because problems keep showing up. The inspection record backs that up: 67 deficiencies currently on file, including one at the harm level and two tied to abuse, with a single fine of $25,665. Nurse staffing runs 3.26 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below the home's own weekday coverage, that's when gaps tend to bite. The last inspection was in March 2026, so the record is current, not stale. If you're considering this one, ask specifically what the abuse-related findings involved and how weekend coverage is handled.
Letort Spring runs about 13 percent below the national average on nurse staffing, and weekends dip roughly another 10 percent below its own weekday level, so the hours a resident gets vary by the day. The inspection record is the bigger problem: 59 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $63,892 in fines across three actions. A recent inspection date doesn't erase that backlog. For-profit LLC ownership, a one-star health inspection rating, and thin weekend coverage together mean you'd want to visit unannounced, on a weekend, and ask directly who's on the floor.
Brookdale Lakeway runs on thinner staffing than most homes its size, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what it manages Monday through Friday. That gap matters because care doesn't pause on Saturdays. Annual turnover sits at 55.3%, well above the 45.8% national figure, so the aides and nurses your family member sees are cycling through faster than average. The inspection record backs this up: 23 deficiencies, three serious enough to involve harm or jeopardy, two tied to abuse, and $91,420 in fines. The most recent inspection was in August 2025. Quality measures score well, but the staffing and oversight numbers are where the concern lives.
Brandon Community Care Center runs 230 beds under for-profit LLC ownership, and its staffing is genuinely a bright spot, 4.58 nurse hours per resident day, roughly 19% above the national average of 3.86. But that staffing comes with a catch: weekend coverage drops about 13% below weekday levels, and turnover sits at 60.4% against a national average of 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The inspection record is where things get serious, 43 deficiencies, 11 at harm or jeopardy level, 4 abuse-related, and $97,553 in fines, with the most recent inspection in July 2025. Good weekday hours can't offset that pattern.
Adept Nursing & Rehab Of North Platte runs 94 beds under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.49 hours per resident day, about 10 percent under the national average, and it thins out further on weekends, roughly 14 percent below its own weekday level, which is when families tend to visit and notice. Staff turnover is the bigger red flag: 63.2 percent a year against a national average of 45.8 percent, meaning most of the aides and nurses you'd meet are relatively new. Add 23 deficiencies on the current record, two of them serious enough to risk harm, plus $44,343 in fines, and the two-out-of-five ratings on health inspections and quality measures line up with what the record already says.
Oak Ridge runs 142 certified beds in Taylor under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.30 nurse hours per resident day, it sits roughly 14% under the national average of 3.86, and weekends dip about 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 45%, basically level with the national figure, so that's not the differentiator here. The inspection record is: 65 deficiencies, six at harm or jeopardy level, nine abuse-related, and two fines totaling $104,143. CMS scored its last inspection on February 6, 2026, one star, with staffing also one star.
Columbus Oaks runs 137 certified beds as a for-profit corporation, and the numbers show strain in a few places. Staff turnover sits at 56.5% against a national average of 45.8%, and the federal staffing and quality ratings both come in at one star out of five. The health inspection record shows 30 deficiencies, two of them serious enough to reach harm or jeopardy level, though none tied to abuse. Fines total $8,412 from a single penalty, and the most recent inspection was July 9, 2025. Nothing here suggests a home in crisis, but the combination of high turnover and low staffing marks is worth asking about directly.
Vista Ridge runs about 18% below the national average on nurse staffing, and weekends drop another 12% below its own weekday level, so coverage thins out right when families tend to visit. Turnover sits at 64.2% against a national 45.8%, roughly two of every three caregivers left within the year. The inspection record shows 31 deficiencies, including three at the harm level and three tied to abuse, with $41,772 in fines. A December 2025 inspection is recent, and the 3/5 health inspection and quality scores aren't alarming on their own. The staffing number is the one worth pressing on during a tour.
Masonicare Health Center is a 336-bed nonprofit home in Wallingford, and the staffing number is the one to sit with: 0.36 total nurse hours per resident day against a national average of 3.86. That's roughly 91% below average, and it's the kind of gap that shows up in call-bell response times and how much time aides actually have with your mother. Weekend staffing runs about 29% above its own weekday level, which sounds reassuring until you realize it may just reflect how thin weekdays are. Staff turnover sits at 69.6% versus 45.8% nationally, meaning most of the people caring for residents are still learning the building. The current record shows 28 deficiencies, including one at the harm level and one abuse-related, plus a $13,085 fine; the last inspection was December 2024.
Creekside runs 80 beds in Hagerstown under for-profit LLC ownership, and the staffing numbers are the first thing you should look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 64.7% means most of the people caring for your relative are new, and against a 45.8% national rate that's a lot of churn. The inspection record is worse: 104 deficiencies, six at harm or jeopardy level, twelve abuse-related, two fines totaling $111,536, and CMS has placed it in the Special Focus Facility program.
Pisgah Manor runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 6% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 59.1% against a national 45.8%, which means CNAs and nurses are cycling out faster than residents can get used to them. The inspection record shows 12 deficiencies, one serious enough to put a resident in harm's way, plus a $59,391 fine. A 2/5 on health inspections and 2/5 on staffing tell you the same story the numbers do.
Country Club Retirement Ctr Iv carries a one-star health inspection rating and a one-star staffing rating, and the numbers behind those marks are worth sitting with. State inspectors logged 45 deficiencies, four of them serious enough to involve actual harm or jeopardy, and three tied to abuse. Staff turnover runs at 69.8% a year against a national average of 45.8%, which means the people caring for residents are, more often than not, new to the building. The quality measure score is high, but that reflects charted care, not the hands available to deliver it. A for-profit limited liability company operates the 62-bed home, and its last full inspection was September 2024.
Louisburg Healthcare and Rehabilitation Center runs about 3.49 nurse hours per resident per day, roughly 10% under the national average, and weekends dip another 11% below its own weekday levels. Staff turnover sits at 38.6%, better than the 45.8% national figure, so the people who are there tend to stay. What stands out is the inspection record: 24 deficiencies, one serious enough to involve harm or jeopardy, and a $19,218 fine, with the most recent inspection in August 2025. The quality measure rating of 1 out of 5 is the weakest mark in the file. For-profit ownership through a limited liability company, 60 beds.
Good Shepherd Lutheran Home runs 84 certified beds in Blair under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 70.3% is well above the 45.8% national figure, meaning the people caring for your relative are likely new and still learning the building. Add a one-star health inspection rating, 34 deficiencies on record including one at harm level and three abuse-related, and a May 2025 inspection, and you're looking at a home with real, documented problems. Worth asking hard questions before committing.
Good Samaritan Society - Grand Island Village runs 67 certified beds as a nonprofit, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 10% below its own weekday numbers, so the thinnest coverage lands when families are most likely to visit. The 63.8% annual turnover is the number that stands out most: well above the 45.8% national figure, which means a good share of the people caring for residents are still learning the building. Its record shows 22 deficiencies, including one at the harm level and one abuse-related, with a single $10,033 fine. The last inspection was 2025-12-30, so the picture is current.
Legacy Park runs 176 certified beds in Knox County under for-profit LLC ownership, and the staffing numbers are the first thing I'd want you to see. At 3.33 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop another 13% below its own weekday level. That thin coverage helps explain a 63.6% annual turnover rate, well above the 45.8% national figure, and a CMS staffing rating of 1 out of 5. The health inspection record shows 32 deficiencies, one serious enough to reach harm or jeopardy level, plus a $74,633 fine. Its last inspection was August 2025, so the record is current. Quality measures score well, but consistent hands-on care is the weaker spot here.
Winfield Rehab & Nursing runs about 3.2 nurse hours per resident per day, roughly 17% under the national average, and weekend coverage dips another 11% below its own weekday level. Staff turnover sits at 62.1%, well above the 45.8% national figure, that's a lot of unfamiliar faces cycling through an 83-bed building. The inspection record is where things get serious: 48 deficiencies, nine at harm or jeopardy level, ten tied to abuse, and five fines totaling $355,773. The quality measure score looks fine on paper, but that reflects charted care processes, not the staffing and safety problems inspectors keep documenting. For-profit individual ownership, and the last inspection was December 2025.
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?