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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.

Nursing hours per resident per day

4.46

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

42.4%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

81.3/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

670 grade A, 624 grade B, 217 grade C, 32 grade D,

The best-graded CCRC home in the United States is Goodwin House Alexandria in Alexandria, VA — grade A, 100/100.

Every CCRC nursing home in the United States

Showing 1541–1547 of 1,547, best-graded first.

D

46/100

St Paul's Senior Community

Belleville, IL · St. Clair County

CMS 1/5 108 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
61%
Serious cites
0

St. Paul's Senior Community runs about 3.68 nurse hours per resident day, roughly 5% under the national average, and weekends drop another 10% below its own weekday numbers. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale, and in turnover: 60.8% of staff leave each year, well above the 45.8% national figure. The inspection record is heavier still, 39 deficiencies, 10 of them at harm or jeopardy level, one tied to abuse, and five fines totaling $227,658. Ownership is for-profit through a limited liability company. The last inspection was in January 2025, so the record is current, not stale.

D

43/100

Arc At Sangamon Valley

Springfield, IL · Sangamon County

CMS 1/5 171 beds Non-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
73%
Serious cites
0

Nurse staffing at Arc at Sangamon Valley runs about 25% under the national average, 2.91 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself provides on weekdays. When aides and nurses leave at a 72.6% annual rate, well above the 45.8% national figure, that thin coverage gets harder to hold steady. The inspection record carries 82 deficiencies, 14 of them at harm or jeopardy level and 13 tied to abuse; federal fines total $583,051 across five penalties, and the most recent inspection was September 2024. Nonprofit ownership hasn't translated into stronger numbers here.

D

43/100

Vintage Health Care Center

Denton, TX · Denton County

CMS 1/5 106 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
97%
Serious cites
0

Vintage Health Care Center runs on 3.23 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday staffing. Annual turnover sits at 96.6 percent, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, likely to be new or on their way out. The inspection record backs that up: 57 deficiencies, seven serious enough to put residents in harm's way, one tied to abuse, and four fines totaling $252,370. Federal regulators have placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.

–

Not graded

Raintree Village

Lees Summit, MO · Jackson County

40 beds For-profit Medicaid
Nurse hours
4.92 /day
Staff turnover
—
Serious cites
0

Raintree Village runs a small house, 40 beds, and staffs it well above the national average at 4.92 nurse hours per resident day. That cushion matters most on weekends, and here it thins by about 14% against the home's own weekday coverage, which is worth asking about directly since that's when families tend to visit and notice. The inspection record is thin: one deficiency on file, nothing at the harm or jeopardy level, no abuse citations, and the most recent state visit came in May 2025. Corporate ownership doesn't tell you much on its own, but combined with that staffing and citation picture, the numbers suggest a home that has been running clean.

–

Not graded

Bloomsbury At Hayes Barton Place

Raleigh, NC · Wake County

31 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Bloomsbury at Hayes Barton Place is a small Wake County home, 31 certified beds, corporate for-profit ownership, and its inspection record right now is spotless. Zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related, with the most recent survey completed January 22, 2026. That recency matters; a clean record from years ago tells you less than a clean one from weeks ago. What the numbers don't show is anything about staffing hours, turnover, or how residents and families actually experience the place day to day. Thirty-one beds means the place runs small, which can cut either way. If you're considering it, ask directly about nurse coverage on nights and weekends, and whether the same aides are still there year to year.

–

Not graded

Rolling Meadows

Wichita Falls, TX · Wichita County

2 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Rolling Meadows is a small non-profit home in Wichita Falls, certified for just two beds, and its record is clean on the federal measures that matter most: no deficiencies of any kind, nothing at the harm or jeopardy level, and no abuse-related citations. The most recent inspection was July 24, 2025, so the picture is current rather than stale. With a bed count that low, there's also no meaningful staffing average to weigh against the national figure, the usual comparison doesn't apply here. What you're looking at is a very small operation with a spotless recent survey history and no for-profit owner pushing the numbers. Call and ask how those two beds are actually used.

–

Not graded

Cedarfield Pinnacle Living

Richmond, VA · Henrico County

20 beds Non-profit
Nurse hours
5.64 /day
Staff turnover
47%
Serious cites
0

Cedarfield Pinnacle Living runs about 5.64 nurse hours per resident day, roughly 46% above the national average, which is a real cushion for a 20-bed nonprofit home in Henrico County. That staffing isn't perfectly even, though, weekends run about 13% leaner than weekdays, so coverage can thin out when families tend to visit. Turnover sits at 46.7%, essentially tracking the national rate, meaning the hands-on hours come from a workforce that changes over about as often as everyone else's. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, with the last inspection in May 2023.

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?
Goodwin House Alexandria in Alexandria, VA — grade A, 100 out of 100.
Does being CCRC mean a nursing home is safe?
No. Of the 1,543 graded CCRC homes in the United States, 670 grade A and 32 grade D or F.
Do CCRC nursing homes in the United States accept Medicaid?
1,255 of the 1,547 are certified to accept Medicaid. See Medicaid and nursing homes.

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