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.
Clover Health Care in Auburn runs 109 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national average, and weekends drop about 10% below its own weekday levels, while annual turnover hits 55% against a national 45.8%. What stands out most is the inspection record: 54 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus a spot in CMS's Special Focus Facility program and a 1-star health inspection rating. A recent May 2025 inspection and only $15,317 in fines suggest problems are being watched closely.
Olivia Restorative Care Center has enough nurses on paper, 3.62 hours per resident day, close to the national figure, but that staffing thins out on weekends, running about 12% below its own weekday level. The bigger problem is what inspectors found: 40 deficiencies on the current record, six serious enough to put residents in harm's way and five tied to abuse. That's why CMS placed this 60-bed for-profit home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. Staff turnover of 58.7% means the people providing care keep changing, which matters when residents need consistent attention. Inspectors were last on site in July 2025.
Beth Haven has one genuinely good number: 4.61 total nurse hours per resident day, roughly 19% above the national average of 3.86. That's where the good news stops. CMS has placed this Hannibal home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the inspection record explains why, 81 deficiencies, five of them at harm or jeopardy level, 12 abuse-related, and six fines totaling $70,743. All three CMS star ratings sit at 1 out of 5, and the most recent inspection was February 2025, so this isn't a stale picture. Weekend staffing also dips about 7% below weekday levels. Corporate-owned, 105 beds. Staffing hours alone don't offset an inspection and quality record like this.
Lawrence County Manor reports 0.39 total nurse staffing hours per resident day, roughly a tenth of the national average of 3.86, and weekends run about a third thinner than weekdays already are. Staff turnover sits at 93.3% against a national 45.8%, meaning the people who do show up are largely new. The inspection record shows 32 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $13,762 and a health inspection rating of 1 out of 5. County ownership doesn't change any of that. If you're considering this home, the staffing numbers are the ones to ask about directly.
Masonic Village at Burlington runs on a contradiction. The nursing hours are genuinely high, 5.24 per resident day, roughly a third more than the national average, and CMS gives it top marks for staffing. But inspections tell a different story: 14 deficiencies on record, six of them serious enough to endanger residents, three tied to abuse, plus $178,446 in fines and a spot in the federal Special Focus Facility program, which CMS reserves for the worst-performing homes. Turnover sits at 46%, about even with the national rate, and weekend coverage drops roughly 11% below weekday levels. Quality scores look strong at 4 out of 5, but a home with three abuse citations and active federal monitoring has problems that staffing numbers alone don't fix.
The Fountains of Atco reports 7.70 nurse hours per resident day, roughly double the national average of 3.86, but that staffing number comes with real caveats. Weekend coverage drops about 10% below weekday levels, and CMS still rates staffing just 2 out of 5, with an inspection record of 1 out of 5 behind it. That record includes 34 deficiencies, two at harm or jeopardy level and two abuse-related, plus $153,458 in fines across two penalties. The quality measure score sits at 4 out of 5, which reflects resident health outcomes rather than the home's compliance history. CMS has placed this for-profit, individually owned 60-bed home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Las Cruces Village runs 3.67 nurse hours per resident day, roughly 5% under the national average, and weekend coverage drops about 10% below what it manages on weekdays. That thin margin matters because staff turnover is 64.6% a year, well above the 45.8% national figure, so the people providing most of the care are still relatively new. The inspection record shows 83 deficiencies, seven of them abuse-related, and CMS gave the health inspection domain its lowest rating; quality measures scored well, but that's largely a charting exercise. A recent June 2025 inspection means the findings are current, not stale. As a for-profit LLC with 94 beds, the numbers point to a building where care quality depends heavily on who happens to be on shift.
Country Club Center I runs 72 beds in Dover under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.78 nurse hours per resident day it sits just under the national average, but weekends drop about 14% below its own weekday levels, and turnover hits 83.8% against a national 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is worse: 90 deficiencies, six at harm or jeopardy level, eight abuse-related, and CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently poor performers. Three fines totaling $31,371 are on file.
Maplewood Center has real staffing muscle, 5.12 nurse hours per resident day sits about a third above the national average, but the inspection record is where the story turns. Eighty-one deficiencies on the current record, eleven of them at harm or jeopardy level and ten tied to abuse, with $352,483 in fines across four penalties. That's a lot of serious findings for a 150-bed nonprofit, and a 1-out-of-5 health inspection rating reflects it.
Turnover runs 52.1% against a national 45.8%, so even the strong staffing numbers come with constant churn, and weekend coverage drops about 9% below weekdays. The most recent inspection was May 2025, so the record is current.
The Jewish Home and Care Center in Milwaukee runs about 5.01 nurse staffing hours per resident day, roughly 30% above the national average, yet weekend coverage dips about 12% below its own weekday levels. Staff turnover sits at 52.4%, higher than the 45.8% national figure. What tempers that staffing picture is the record: 33 deficiencies on file, seven at the harm or jeopardy level and two tied to abuse, with one $8,959 fine. CMS has placed this home in its Special Focus Facility program, and its most recent inspection came April 6, 2026. A nonprofit operator and strong weekday hours don't erase a harm-level deficiency pattern.
Medallion Post Acute Rehabilitation runs on 3.25 nurse hours per resident per day, roughly 16% under the national average, and weekend coverage drops another 15% below its own weekday levels. That thin staffing shows in the numbers: a 55.6% annual turnover rate, well above the 45.8% national figure, and 25 deficiencies on the current record, seven serious enough to involve harm or jeopardy, one abuse-related. Four fines total $86,723. The last inspection was August 2024, so the record is fairly recent. This is a for-profit LLC with 60 beds, and the pattern across staffing, turnover, and inspection history is consistent rather than isolated.
The Arc At Cincinnati runs 3.56 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday coverage, so the thinnest shifts are when families tend to visit. Annual turnover hits 58.3% compared to 45.8% nationally, meaning many of the people caring for residents are still learning the building. The current inspection record carries 85 deficiencies, including 7 at harm or jeopardy level and 8 tied to abuse, with $233,690 in federal fines. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was December 2025.
Helia Southbelt Healthcare runs 156 certified beds in Belleville under individual for-profit ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.14 hours per resident per day, roughly 19% under the national average, with weekends about 3% thinner than weekdays, so coverage is stretched before you even get to the harder measures. Inspectors have cited 65 deficiencies, including 6 at harm or jeopardy level and 7 tied to abuse, and the fines total $240,982. Staff turnover of 37.8% is actually below the national figure, which may be the one bright spot; the last inspection was in September 2025.
Grandview Nursing And Rehabilitation in Danville carries one of the heavier regulatory loads in Pennsylvania. The 172-bed for-profit home has 117 deficiencies on its current record, including 8 at the harm or jeopardy level and 5 tied to abuse, and CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of persistent problems. Staffing sits at 3.82 nurse hours per resident day, slightly under the national figure, and drops about 15% on weekends. Turnover runs 50.9% against a 45.8% national average, meaning roughly half the nursing staff leaves each year. Four fines totaling $157,241 round out the record.
The Mckendree Post Acute & Rehabilitation is a 180-bed nonprofit home in Hermitage that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. The numbers explain why: 37 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, plus a single fine of $252,242. Staffing sits at 3.50 nurse hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 58% against a national 45.8%. Its last inspection was October 2023. If you're considering this home, ask what's changed since then.
Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.
Mt Zion Health & Rehab runs on thinner nursing coverage than most homes in the country, 3.22 nurse hours per resident day against a national average of 3.86, and weekends get even leaner, dropping roughly 12% below its own weekday staffing. That strain shows up in the workforce itself: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record backs it up, with 51 deficiencies on file, including three at the level that put residents in harm's way and seven tied to abuse, plus a $47,700 fine. State surveyors last visited in February 2024.
Champion City is a 187-bed for-profit home in Pittsburgh, and the federal numbers paint a rough picture from every angle. Staff turnover runs at 60.7 percent a year, well above the national average of 45.8, and its staffing, quality, and health inspection ratings each sit at the lowest mark CMS gives. The current record carries 90 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse. CMS has placed it in the Special Focus Facility program, which the agency reserves for the homes with the most persistent problems. Its last inspection was March 27, 2026, and there's one fine on record, totaling $7,656.
Pittsfield Manor runs on a corporate for-profit model, and the numbers show where that pressure lands. Nurse staffing sits at 3.84 hours per resident day, technically just under the national average, but weekends drop about 7% below the home's own weekday levels, and annual turnover hits 63.7% against a national 45.8%. That churn matters more than the headline staffing figure suggests.
The inspection record is the harder problem: 41 deficiencies, including five at harm or jeopardy level and seven tied to abuse. Four fines total $212,564, and the most recent inspection was December 2024. All three CMS star ratings, health inspection, quality measures, and staffing, land at one or two out of five.
A family calling about Pembroke Center should know a few numbers before anything else. The home runs 3.37 nurse hours per resident per day, about 13% under the national average of 3.86, and weekend staffing drops roughly 9% below its own weekday level. Annual turnover is 68.4%, well above the 45.8% national figure, so the people caring for residents change often.
Its inspection record shows 41 deficiencies, including 4 at the harm or jeopardy level and 5 tied to abuse. Three fines total $37,339, and the most recent inspection was November 21, 2025. Corporate-owned and operating under a low-rated history across inspections, quality measures, and staffing, this home carries real risk on paper.
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?