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.
Plaza West runs 151 certified beds as a for-profit LLC, and the numbers tell a consistent story. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average of 3.86, and weekends drop roughly 22% below what the home staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 58.7% is well above the 45.8% national figure, which means the people caring for your relative are often new. The inspection record is the heavier concern: 63 deficiencies, including one at the harm level and one abuse-related, with ten fines totaling $93,073 and a March 2025 inspection.
Forest City Nursing and Rehab Center is a 132-bed for-profit home in Susquehanna County, and the numbers point to staffing strain. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, meaning the thinnest coverage comes when families tend to visit. That staffing shortfall shows up in the inspection record too: 19 deficiencies, one serious enough to reach harm or jeopardy level, plus a $21,405 fine. The most recent inspection was February 2025, so the picture is current. There's no abuse finding on file, which matters. But with both staffing and quality measures at the bottom of CMS's scale, this is a home worth asking hard questions about before committing.
Park Vista runs on thin nurse staffing, 3.14 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday level. That shortfall shows up in the numbers that track workers: 72.5% annual turnover, well above the 45.8% national figure, and a one-star CMS staffing rating. The inspection record is heavier still: 63 deficiencies, including two at the harm level and one abuse-related, plus a $24,876 fine, with the most recent inspection in February 2025. Quality measures rate better at three stars, but the corporate owner's record here is mostly a staffing and compliance story. Families should ask direct questions about who's on the floor on weekends and how long the current director of nursing has been in place.
Saint Luke Lutheran Home is a 166-bed nonprofit in North Canton, but nonprofit status isn't shielding residents here. Nurse staffing sits at 3.71 hours per resident day, under the national average, and weekends run thinner than weekdays. The bigger flag is turnover: 81.7% annually, far above the 45.8% national figure, meaning caregivers are constantly changing. Its inspection record shows 85 deficiencies, four at harm or jeopardy level, seven abuse-related, and one fine near $98,000. CMS has placed it in the Special Focus Facility program, reserved for the poorest performers. The last inspection was January 2023, so that record is getting old, which matters when you're weighing how current the picture really is.
Continuing Healthcare At Forest Hill runs 88 certified beds in St. Clairsville under corporate ownership, and the staffing numbers are the first thing to look at. At 3.04 nurse hours per resident day, it sits roughly 21 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday level. That thin coverage shows up in the federal staffing rating of 1 out of 5, and turnover runs 56.3 percent against a national 45.8 percent, more than half the nursing staff leaving in a year. The current record carries 45 deficiencies, two of them serious enough to involve harm or jeopardy. Its last inspection was in January 2026.
The Gardens of St. Francis runs on 1.48 nurse staffing hours per resident day, roughly 62% below the national average, and weekend coverage drops about 15% below what it manages on weekdays. Turnover sits at 65.6% against a national rate of 45.8%, so a large share of the staff you'd meet is relatively new. The record shows 40 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a $45,250 fine. Inspections are recent, and the quality measure score is strong, but that staffing number is the one worth weighing hardest.
Lindengrove Waukesha runs a nonprofit home with 61 beds, and its nurse staffing sits slightly above the national average at 3.98 hours per resident day, but weekends drop about 10% below its own weekday levels, so coverage thins out when families tend to visit. The bigger concerns are elsewhere: staff turnover is 70.8% against a national 45.8%, meaning most of the people caring for residents are new to the building within the year. Inspectors have cited 47 deficiencies, including two at the harm level and one abuse-related, with a $39,621 fine and a September 2025 inspection on record.
Church Of Christ Care Center runs 129 certified beds as a church-affiliated nonprofit, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the 3.86 national average, with weekends running about 5% leaner than its own weekdays. Annual turnover is 54.2% against a national 45.8%, so more than half the nursing staff leaves each year. The inspection record shows 28 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus two fines totaling $40,940; the most recent inspection was August 2025. CMS rates it 2 out of 5 on health inspections, 2 on staffing, and 1 on quality measures, a pattern where weaker clinical outcomes line up with thinner staffing.
Wesleyan Village runs 3.42 nurse hours per resident per day, about 11% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin coverage is paired with 66% annual turnover against a national 45.8%, so the people at the bedside keep changing. The inspection record is the harder problem: 54 deficiencies, six at harm or jeopardy level, four tied to abuse, and $219,798 in fines across two penalties, with the most recent inspection in February 2025. A five-star quality measure score sits alongside one-star inspection and staffing ratings, which is worth asking about directly, since quality scores depend on the staff actually documenting and delivering care.
Springfield Nursing & Independent Living runs on 3.10 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Staff turnover sits at 78.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 50 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus an $85,067 fine. The last inspection was May 2024, so that record is fairly recent. Quality measures score well, but staffing and inspections tell the harder story.
North Park runs 140 certified beds in McKinney under corporate ownership, and its most recent inspection in June 2025 found 13 deficiencies, none of them causing harm or tied to abuse, which matters. But look at the workforce: 3.05 nursing hours per resident per day, about a fifth below the national average, with weekends even thinner. Turnover sits at 95.6%, more than double the national rate, meaning the staff caring for residents turns over almost completely each year. The 5-star health inspection rating reflects that clean survey, but a 1-star quality measure score and 1-star staffing suggest the day-to-day care is stretched. Families should ask directly how the home keeps consistent caregivers on weekends and evenings.
Avina Of Milwaukee runs 108 certified beds under corporate for-profit ownership, and its staffing comes in at 3.97 nurse hours per resident day, modestly ahead of the national average but thinning out on weekends, when coverage drops roughly 17% below its own weekday level. The bigger concern sits in the numbers behind that average: annual turnover of 74% against a national norm near 46%, meaning most of the people caring for residents are relatively new to the building. Its inspection record carries 80 deficiencies, including 16 tied to abuse and 5 serious enough to put residents in harm's way, plus $90,921 in fines and a one-star health inspection rating. The most recent inspection was March 2026.
Knollwood Healthcare runs 71 certified beds in Mobile under for-profit limited liability ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below the home's own weekday level, so the thinnest coverage lands when families visit most. Staff turnover of 74.2% means most of the people caring for residents this year likely won't be there next year. Forty-six deficiencies are on the current record, twelve at harm or jeopardy level and ten abuse-related, with four CMS fines totaling $318,070. CMS has placed it in the Special Focus Facility program, its last inspection was September 11, 2025, and you should ask pointed questions before considering it.
Encore At Parkside has 53 deficiencies on its current record, three of them at the harm or jeopardy level and two tied to abuse. That's the number that matters most here, because CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The inspection star rating sits at 1 out of 5, and the last survey was in January 2026. Nurse staffing runs 3.51 hours per resident day, about 9% under the national average, with weekends roughly 14% thinner than weekdays. Staff turnover is 38.9%, better than the 45.8% national figure, and ownership changed within the past year.
Gulf Coast Village runs a nonprofit shop with 85 beds in Cape Coral, and the raw nursing hours look good, 4.93 per resident per day, about 28% above the national average. Weekend staffing dips roughly 7% below its own weekday level, so coverage thins out when families tend to visit. Staff turnover sits at 53.6%, well past the 45.8% national figure, and that churn shows up in a record with 21 deficiencies, five at harm or jeopardy level and one tied to abuse. CMS has placed it in the Special Focus Facility program and fined it three times, totaling $37,092. Its most recent inspection was 2026-05-07, so the picture is current rather than stale.
Villa Health Care East runs 109 beds in Sherman under nonprofit ownership, and its staffing sits right at the national average on paper. The problem is consistency: weekends run roughly 12 percent thinner than weekdays, and 63.6 percent of staff turned over in a year against a national rate near 46 percent, so the people giving care keep changing. Inspectors cited 19 deficiencies on the current record, six of them serious enough to involve harm or jeopardy, with $90,998 in fines and a two-star health inspection rating. Its last inspection was August 2024. Quality measures scored one star, the lowest tier.
Robin Run has more direct nursing hours per resident than most homes, 4.27 versus a national average of 3.86, but those hours thin out on weekends, and the staff itself turns over at 66.2% a year against a national 45.8%. That churn matters more than the raw staffing number, because it's the same people who are supposed to know your parent's routine. The inspection record is the bigger problem: 60 deficiencies on file, four serious enough to put a resident in harm's way, two tied to abuse, and CMS has placed the home in its Special Focus Facility program, the list reserved for the country's most persistently troubled homes. A recent inspection in September 2025 doesn't erase that pattern. Its quality-measure scores look good on paper; the deficiency history says look closer.
Bishop Drumm is run by a church-affiliated nonprofit, and its staffing numbers tell two stories. Nurse hours sit at 3.64 per resident day, about 6% under the national average, and weekends drop roughly 13% below its own weekday coverage. Turnover is the bright spot: 34.9% against a national 45.8%, which suggests people stay. But the inspection record is where this home falls apart, 77 deficiencies, 9 of them at harm or jeopardy level, four fines totaling $258,177, and a place in CMS's Special Focus Facility program, reserved for the country's most troubled homes. A July 2025 inspection is recent, so the picture isn't stale.
Chapters Living Of Council Bluffs has real staffing strength, 4.88 nurse hours per resident day, well above the national average, though weekends run thinner than weekdays. The inspection record tells a different story: 68 deficiencies, including nine tied to abuse and one serious enough to put residents in harm's way, plus a $163,800 fine. That combination landed it in CMS's Special Focus Facility program, which is reserved for the country's most troubled homes. A recent inspection in January 2026 means the state is watching closely. For families weighing this one, the question isn't whether aides are present, it's what those inspections keep finding.
Kearny County Hospital Ltcu is a 40-bed county-owned home in Lakin, and the federal numbers are hard to read past. Inspectors have cited 43 deficiencies on the current record, two of them serious enough to put residents in harm's way, and the staffing rating sits at the bottom of CMS's scale, well below what the government considers adequate. The result: 8 fines totaling $69,565, and a place in the Special Focus Facility program, which CMS reserves for the homes with the most persistent problems. The last inspection was in October 2024, so that record is current, not stale. County ownership here doesn't translate into better care. If you're considering this home, ask what's changed since that inspection.
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?