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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 141 to 160 of 1,547, best-graded first.

A

94.5/100

Brandon Oaks Nursing And Rehabilitation Center

Roanoke, VA · Roanoke County

CMS 5/562 bedsNon-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
35%
Serious cites
0

Brandon Oaks runs about 5.4 nurse hours per resident per day, roughly 40% above the national figure, which is the kind of margin that usually shows up as more hands on the floor. Weekend coverage dips about 16% below its own weekday level, so families should ask how that gap gets managed. Staff turnover sits at 34.6%, better than the 45.8% national average, and the home carries 12 deficiencies with none at harm or jeopardy level and none abuse-related. Its last inspection was September 2023, so the record is getting a little dated. Nonprofit ownership tends to mean steadier staffing decisions, and the numbers here back that up.

A

94/100

Sun Health La Loma Care Center

Litchfield Park, AZ · Maricopa County

CMS 3/543 bedsNon-profit
Nurse hours
5.20 /day
Staff turnover
21%
Serious cites
0

Sun Health La Loma runs 43 certified beds in Litchfield Park under nonprofit ownership, and its staffing is the story here: 5.20 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping about 10% below its own weekdays. Staff turnover sits at 20.8%, less than half the national figure, which suggests people stay. The trade-off shows up in inspections, 11 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a two-star health inspection rating, though the last visit was recent, in March 2025. A single fine totaling $8,278 is modest, and there's nothing abuse-related. Strong daily care, thinner regulatory record.

A

94/100

Ventura Post Acute

Ventura, CA · Ventura County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
25%
Serious cites
0

Ventura Post Acute runs 4.70 nurse hours per resident day, about 22 percent above the national average, and its staff tends to stay, 25 percent annual turnover against a national 45.8 percent. Weekend coverage dips roughly 9 percent below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in June 2025. It's an individual for-profit with 71 beds, and the quality and staffing ratings both come in at the top of CMS's scale.

A

94/100

Carlsbad By The Sea

Carlsbad, CA · San Diego County

CMS 5/533 bedsNon-profitMedicaid
Nurse hours
5.37 /day
Staff turnover
25%
Serious cites
0

Carlsbad By The Sea runs 33 certified beds as a nonprofit corporation, and the staffing numbers are where it separates itself: 5.37 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 12% below its own weekday level, which is worth knowing if you're planning visits or worrying about Saturday and Sunday care. Turnover sits at 25%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The home carries 8 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection dated March 25, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

94/100

Frasier Meadows Health Care Center

Boulder, CO · Boulder County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.18 /day
Staff turnover
29%
Serious cites
0

Frasier Meadows runs a leaner ship than most. Nurse staffing sits at 5.18 hours per resident day, roughly a third more than the national average, and weekend coverage barely dips, staying within about 7% of weekday levels. That consistency matters, because short weekend shifts are where care problems tend to hide. Staff turnover is 28.8%, well under the national 45.8%, so the people caring for residents here tend to stick around. The record isn't spotless: seven deficiencies, two serious enough to reach harm or jeopardy, one tied to abuse, and three fines totaling $49,202. But a 4-out-of-5 inspection rating and a recent April 2024 inspection suggest those issues were addressed rather than ignored, and the quality measures themselves are strong.

A

94/100

Seabury

Bloomfield, CT · Capitol County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
10%
Serious cites
0

Seabury is a church-affiliated nonprofit in Bloomfield with 72 beds, and the numbers that stand out most are its staffing and its retention. Nurses provide 4.78 hours of care per resident each day, roughly a quarter more than the national average, and weekend coverage dips only about 10% below its own weekday level, a far smaller drop than many homes see. Annual turnover of 10.4% is remarkably low against a national average near 46%, meaning familiar faces are likely to stay familiar. The current record shows 16 deficiencies, none at the harm level and none abuse-related, with one fine of $28,105 and an inspection in March 2024.

A

94/100

Avalon Health Care Center At Stoneridge

Mystic, CT · Southeastern Ct County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
27%
Serious cites
0

Avalon Health Care Center at Stoneridge runs on more nursing hours than most homes in the country, 4.80 per resident day against a national average of 3.86. That's roughly a quarter more hands-on time, and the staff tends to stay: turnover sits at 27.1% while the national figure is closer to 46%. Weekend coverage does thin out, running about 11% below its own weekday pace, so ask how that plays out on a Sunday afternoon. The inspection record is a mixed picture worth reading carefully. Eight deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $8,018 fine. The most recent state visit was September 2024. Staffing is clearly the strength here; the survey history is where your questions should go.

A

94/100

Majestic Oaks

Orange City, FL · Volusia County

CMS 5/5150 bedsNon-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
26%
Serious cites
0

Majestic Oaks runs on a nonprofit model with 150 certified beds, and the numbers back up the care. Nurse staffing sits at 3.98 hours per resident day, slightly above the national average, though weekends drop about 12% below the home's own weekday levels, worth asking about if your family member needs consistent weekend attention. Turnover is the real standout: 26.1% against a national average of 45.8%, meaning the people caring for residents tend to stay. One deficiency on the current record, none involving harm or abuse, and the last inspection was in December 2024.

A

94/100

Boca Pointe Center For Rehabilitation And Healing

Boca Raton, FL · Palm Beach County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
19%
Serious cites
0

Stratford Court of Boca Raton runs 60 certified beds under corporate for-profit ownership, and the staffing numbers stand out: 5.10 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Annual turnover of 19.2% is well under half the national rate, which suggests a stable crew. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in September 2024. The health inspection rating sits at 3 out of 5, softer than the staffing and quality scores.

A

94/100

Premier Place At The Glenview

Naples, FL · Collier County

CMS 5/542 bedsNon-profit
Nurse hours
4.75 /day
Staff turnover
39%
Serious cites
0

Premier Place At The Glenview runs about 4.75 nurse hours per resident each day, roughly a quarter more than the national average, and weekend staffing only dips about 4% below its own weekday levels. Turnover sits at 38.8%, below the 45.8% national figure, which matters for whether you see the same faces month to month. The current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was January 23, 2026. It's a nonprofit corporation operating 42 certified beds in Naples, with five out of five stars on health inspections, quality measures, and staffing.

A

94/100

Willowbrooke Court At Lanier Village Estates

Gainesville, GA · Hall County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
23%
Serious cites
0

Willowbrooke Court runs 4.24 nurse hours per resident day, roughly a tenth more than the national average, and its staff tends to stay, turnover is 23.1% against a national figure near 46%. Weekend coverage dips about 6% below weekday levels, a gap worth asking about if your family visits Saturdays and Sundays. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. It's a 48-bed nonprofit in Gainesville, and the staffing and inspection numbers are doing the heavy lifting here.

A

94/100

Terraces At Peachtree Hills Place, The

Atlanta, GA · Fulton County

CMS 5/525 bedsFor-profit
Nurse hours
7.90 /day
Staff turnover
24%
Serious cites
0

Staffing is the real story at Terraces at Peachtree Hills Place: 7.90 nurse hours per resident day is more than double the national average of 3.86, and that coverage holds steady on weekends rather than thinning out the way it often does elsewhere. Turnover sits at 24.3% against a national 45.8%, so the people providing that care tend to stick around. The current record shows seven deficiencies, none at the harm level and none abuse-related, and the last inspection was in May 2026. For a 25-bed for-profit LLC, the weak spot is quality measures at 3 out of 5 stars, not the hands-on care.

A

94/100

Meridian Village Care Center

Glen Carbon, IL · Madison County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
28%
Serious cites
0

Meridian Village Care Center runs on church-affiliated nonprofit ownership in Glen Carbon, and the numbers back up what that structure often buys: time with residents. Nurse staffing sits at 4.66 hours per resident day, roughly a fifth above the national average, and weekends dip only about 5% below weekdays, a small gap compared with what many homes show. Staff turnover is 28%, well under the national 45.8%, which matters because consistent caregivers know the residents. The current record carries seven deficiencies, none at the harm level, though one is abuse-related and worth asking about directly. A 5/5 inspection rating and a November 2024 survey round out a record that looks stable rather than lucky.

A

94/100

Accura Healthcare Of Le Mars

Le Mars, IA · Plymouth County

CMS 3/546 bedsFor-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
26%
Serious cites
0

Accura Healthcare Of Le Mars runs a 46-bed for-profit home in Plymouth County, and the staffing numbers are its strongest card. At 4.51 nurse hours per resident day, it sits about 17% above the national average, and weekend coverage dips only about 9% below its own weekday level, modest by industry standards. Turnover is 26.1%, well under the national 45.8%, which suggests people stay. The caution is on the inspection side: 17 deficiencies on the current record, including 2 at the harm level and 1 abuse-related. That's a meaningful count for a home this size. Staffing is clearly doing the heavy lifting here.

A

94/100

Bethany Home

Dubuque, IA · Dubuque County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
32%
Serious cites
0

Bethany Home runs on 4.50 nurse staffing hours per resident day, roughly 16% above the national average, and its weekend coverage dips about 13% below its own weekday level, a gap worth asking about if you're planning visits or worrying about Saturday-night response times. Staff turnover sits at 32.1%, well under the 45.8% national figure, which suggests less churn than most places and more familiar faces on the floor. The inspection record is thin: two deficiencies total, none at harm or jeopardy level, none abuse-related, with the last survey in May 2025. Corporate for-profit ownership, 66 beds, and a clean survey history carry real weight here.

A

94/100

Scottish Rite Park Inc

Des Moines, IA · Polk County

CMS 5/551 bedsNon-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
14%
Serious cites
0

Scottish Rite Park runs on unusually steady staffing for a 51-bed nonprofit home in Des Moines. Nurses provide 5.15 hours per resident day, roughly a third more than the national average, and only 14% of staff left last year, against a national rate near 46%. Weekend coverage dips about 12% from weekday levels, which is worth asking about, but the bigger caution sits in the inspection record: nine deficiencies, three serious enough to involve harm or jeopardy, and six fines totaling $60,726. The most recent state visit was June 2025, so the record is current. Strong care numbers paired with real compliance problems, that mix is what a B reflects.

A

94/100

Larksfield Place

Wichita, KS · Sedgwick County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
34%
Serious cites
0

Larksfield Place runs on lean, steady staffing: 4.55 nurse hours per resident day, roughly 18% above the national average, and weekend coverage drops only about 9% from weekday levels, so care doesn't thin out much on Saturdays and Sundays. Staff turnover sits at 33.9% against a national average near 46%, which means the people caring for residents tend to stick around. The record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in October 2024. As a nonprofit, it answers to a board rather than shareholders. The numbers describe a home that is well-staffed, stable, and currently clear of serious findings.

A

94/100

Leonardville Nursing Home

Leonardville, KS · Riley County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
35%
Serious cites
0

Leonardville Nursing Home runs on unusually deep staffing for a 55-bed nonprofit, 5.10 nurse hours per resident day against a national average of 3.86, and weekend coverage only dips about 13% below weekdays, which is a smaller drop than many homes show. Staff turnover sits at 34.8%, better than the 45.8% national figure, so the people here tend to stay. The tradeoff is a longer paper trail: 12 deficiencies on record, one abuse-related, though none rose to harm or jeopardy level. A clean five-star inspection rating and a recent October 2024 survey back that up.

A

94/100

Linden Ponds

Hingham, MA · Plymouth County

CMS 4/5132 bedsNon-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
41%
Serious cites
0

Linden Ponds runs 5.15 nurse hours per resident day, roughly a third more than the national average of 3.86, and its 41% staff turnover sits below the national rate of 45.8%, a real edge on the two things families worry about most. Weekend staffing dips about 12% below weekdays, though, so the coverage your relative gets on a Saturday won't quite match Tuesday. The health inspection side is less comfortable: six deficiencies, two of them at harm or jeopardy level and one abuse-related, with one fine of $12,735, and the last inspection was April 2026. The five-star quality measure rating reflects good clinical outcomes, but those harm-level findings are worth asking the administrator about directly.

A

94/100

Holland Home - Raybrook Manor

Grand Rapids, MI · Kent County

CMS 4/5101 bedsNon-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
31%
Serious cites
0

Raybrook Manor is a nonprofit home in Grand Rapids with 101 certified beds, and the numbers behind its grade are mostly about people. Nurse staffing runs 4.77 hours per resident day, roughly a quarter above the national average, and only about 11% of that thins out on weekends. Annual turnover sits at 31.3% against a national average near 46%, which matters more than it sounds, since aides and nurses who stay put know the residents. The tradeoff shows up in its record: 21 deficiencies, including one at the harm level and four tied to abuse, though the most recent inspection this March earned 4 out of 5 stars. Worth asking about those abuse citations 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?
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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