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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 161 to 180 of 1,547, best-graded first.

A

94/100

St Williams Living Center

Parkers Prairie, MN · Otter Tail County

CMS 5/553 bedsNon-profitMedicaid
Nurse hours
5.15 /day
Staff turnover
30%
Serious cites
0

St Williams Living Center runs a 53-bed nonprofit home in Parkers Prairie, and its nurse staffing sits well above what most Minnesota nursing homes provide, about 5.15 hours per resident day. That cushion matters, though weekends drop roughly 13% below the home's own weekday coverage, and turnover near 30% is lower than the national average but still means roughly a third of the staff turns over each year. The bigger concern is the inspection record: 10 deficiencies, including two at the harm level and two tied to abuse, plus one fine of $14,901. A February 2026 inspection is recent, so the record is current, not stale. Strong staffing and quality scores don't erase those findings.

A

94/100

St Johns On Fountain Lake

Albert Lea, MN · Freeborn County

CMS 3/584 bedsNon-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
29%
Serious cites
0

St. Johns on Fountain Lake runs a church-affiliated nonprofit home with 84 certified beds, and its staffing is the clearest strength: 4.55 nurse hours per resident day, roughly 18% above the national average. Turnover sits at 29.4% against a national 45.8%, which means aides and nurses tend to stay. Weekends run about 12% leaner than weekdays, so ask how that gap gets covered. The tension is in the inspection record, 30 deficiencies, three at harm or jeopardy level, and one fine of $16,448, with the last inspection in December 2025. Quality measures score well; the survey history is what pulls the overall picture down.

A

94/100

Continuing Care At Seabrook

Tinton Falls, NJ · Monmouth County

CMS 5/586 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
17%
Serious cites
0

Continuing Care At Seabrook runs on about 5.1 nurse hours per resident day, roughly a third more staffing than the national average, and its staff turnover of 16.9% is well under the 45.8% national figure, that kind of retention usually means residents see the same faces. Weekend coverage dips about 11% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. The home is nonprofit-owned, holds a five-star inspection rating with six deficiencies on record, none involving harm or abuse, and its last inspection was in September 2024.

A

94/100

Jewish Home Of Rochester

Rochester, NY · Monroe County

CMS 5/5362 bedsNon-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
33%
Serious cites
0

The Jewish Home of Rochester runs 362 certified beds as a nonprofit, and its nurse staffing sits at 4.80 hours per resident day, roughly a quarter above the national figure of 3.86. That said, weekends dip about 13% below its own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. Staff turnover is 32.8%, well under the national 45.8%, which means aides and nurses tend to stick around. On inspections, seven deficiencies appear on the current record, three tied to abuse and none reaching harm or jeopardy level. The most recent inspection closed in December 2025, so the picture is current.

A

94/100

Highland Farms

Black Mountain, NC · Buncombe County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
28%
Serious cites
0

Highland Farms runs on a nonprofit model with 60 certified beds in Black Mountain, and the staffing numbers are the first thing worth noticing. At 4.92 nurse hours per resident day, it sits roughly 27% above the national average, and weekend coverage only dips about 12% below its own weekday level, a smaller drop than many homes show. Staff turnover lands at 28.1%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The inspection record backs this up: 14 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,271. State surveyors visited recently, in August 2025, so the picture is current.

A

94/100

Ohio Living Llanfair

Cincinnati, OH · Hamilton County

CMS 5/536 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Ohio Living Llanfair runs a small 36-bed nonprofit home in Hamilton County, and the staffing numbers are the story here. At 5.28 nurse hours per resident day, it's well above the national average, and weekend coverage only dips about 14% from weekdays, less than many places manage. Staff turnover sits at 28.2%, noticeably below the national rate, which matters for consistency of care. On the record: 14 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The most recent inspection was December 31, 2025, so the picture is current. For a family weighing options, the staffing depth and low turnover are the real signals behind the A.

A

94/100

Trinity Woods, Inc.

Tulsa, OK · Tulsa County

CMS 5/584 bedsNon-profitMedicaid
Nurse hours
5.57 /day
Staff turnover
37%
Serious cites
0

Trinity Woods is run by a nonprofit corporation and holds 84 certified beds in Tulsa. Its nurse staffing runs about 5.57 hours per resident day, roughly 44% above the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes show. Staff turnover sits at 36.5%, below the national 45.8%, which matters for continuity of care. On its current record: five deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in July 2024. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 5 out of 5.

A

94/100

Saint Paul Homes

Greenville, PA · Mercer County

CMS 5/5192 bedsNon-profitMedicaid
Nurse hours
4.57 /day
Staff turnover
25%
Serious cites
0

Saint Paul Homes is run by a nonprofit and holds 192 beds in Greenville. The numbers behind its record are strong: nurse staffing sits at 4.57 hours per resident day, roughly 18% above the national average, and only 2 deficiencies show on the current record, none at the harm or jeopardy level. One is abuse-related, which is worth asking about directly. Annual staff turnover is 25% against a national average near 46%, so the people caring for residents tend to stay. Weekend staffing dips about 11% below its own weekday level, a normal pattern but one to check if your visits land on Saturdays or Sundays. The last inspection was August 2025, and all three CMS star ratings land at 5 out of 5.

A

94/100

Chandler Hall Health Services

Newtown, PA · Bucks County

CMS 5/553 bedsNon-profitMedicaid
Nurse hours
4.47 /day
Staff turnover
25%
Serious cites
0

Chandler Hall runs on a nonprofit model with 53 certified beds in Newtown, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national average, and weekend coverage dips only about 5% below its own weekday level, so care doesn't thin out much when families tend to visit. Annual turnover lands at 24.5%, well under the national 45.8%, which matters because consistency is what residents actually feel. Seven deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in May 2025, so the picture is current rather than stale.

A

94/100

Bethany Village Retirement Center

Mechanicsburg, PA · Cumberland County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
27%
Serious cites
0

Bethany Village Retirement Center runs on 4.39 nurse hours per resident day, about 14 percent above the national average, and its weekend staffing only dips about 6 percent below weekdays, a fairly small drop compared with what many homes show. Staff turnover is 27.1 percent against a national average of 45.8 percent, which matters for whether your family sees the same faces month to month. The current record holds 12 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the last inspection was in December 2025. This is a nonprofit operation, and the quality measure rating comes in at 5 out of 5.

A

94/100

Messiah Lifeways At Messiah Village

Mechanicsburg, PA · Cumberland County

CMS 5/5118 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
40%
Serious cites
0

Messiah Village in Mechanicsburg runs a church-affiliated nonprofit home with 118 certified beds, and the staffing numbers are the standout: 5.25 nurse hours per resident day, roughly 36% above the national average of 3.86. Weekends dip about 8% below its own weekday coverage, and staff turnover sits at 39.5%, better than the 45.8% national figure, though still meaning more than a third of the workforce turning over annually. Five deficiencies show on the current record, one of them serious enough to reach harm or jeopardy level, with a single fine of $8,018 and an inspection completed in August 2025.

A

94/100

Pennswood Village

Newtown, PA · Bucks County

CMS 5/553 bedsNon-profit
Nurse hours
5.73 /day
Staff turnover
27%
Serious cites
0

Pennswood Village sits in Newtown, and its nurse staffing runs about 48% above the national average, 5.73 hours per resident day against 3.86. That's real coverage, though weekends dip roughly 8% below the home's own weekday level, and annual turnover of 27.3% is well below the national 45.8%, which matters for consistency of care. The inspection record is where the caution lies: five deficiencies currently on file, two at the harm or jeopardy level and one tied to abuse, plus two fines totaling $32,349. A December 2025 inspection is recent enough that the picture is current. Strong staffing numbers, but the harm-level findings are the part a family should ask about directly.

A

94/100

Trillium Place

Lancaster, PA · Lancaster County

CMS 5/5160 bedsNon-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
33%
Serious cites
0

Trillium Place runs 160 certified beds as a nonprofit corporation, and the staffing numbers are the story here: 4.79 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 32.9%, well under the 45.8% national figure, so the people caring for residents tend to stick around. One deficiency on the current record, none at harm or jeopardy level, none abuse-related, with the last inspection in late November 2024.

A

94/100

Landis Homes

Lititz, PA · Lancaster County

CMS 5/5103 bedsNon-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
31%
Serious cites
0

Landis Homes sits on 103 certified beds in Lititz, run by a nonprofit corporation. Nurse staffing averages 5.43 hours per resident day, roughly 41% above the national figure of 3.86, though weekend coverage dips about 7% below its own weekday levels. Staff turnover lands at 30.6%, noticeably under the 45.8% national average, which matters because stable caregivers tend to know residents' routines. The tradeoff is in the inspection record: just one deficiency on file, but it's flagged at the harm or jeopardy level, and the most recent inspection was September 2025. That single serious citation is worth asking about directly, even though the quality and staffing ratings both sit high.

A

94/100

Fairmount Homes

Ephrata, PA · Lancaster County

CMS 5/5114 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
25%
Serious cites
0

Fairmount Homes runs about 4.39 nurse hours per resident per day, roughly 14% above the national average, and its 25% turnover is well under the 45.8% typical elsewhere, both point to a staff that mostly stays put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean: zero deficiencies, none at the harm level, no abuse findings, and the most recent survey was July 2025. As a nonprofit with 114 beds, it isn't chasing quarterly returns, and the numbers here reflect that steadiness.

A

94/100

Homewood Living Plum Creek, Inc

Hanover, PA · York County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
27%
Serious cites
0

Homewood Living Plum Creek runs on nurse staffing of 4.14 hours per resident day, roughly 7 percent above the national average, and its weekend coverage only dips about 10 percent below weekday levels, a smaller drop than many homes show. Staff turnover sits at 26.5 percent against a national average near 46 percent, which matters for whether caregivers actually know the residents. The tradeoff is a current record of 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $7,443. Its last inspection was in December 2025, so the picture is recent.

A

94/100

Kirkland Village

Bethlehem, PA · Northampton County

CMS 5/560 bedsNon-profit
Nurse hours
4.71 /day
Staff turnover
32%
Serious cites
0

Kirkland Village runs 4.71 nurse hours per resident per day, roughly 22% above the national average, and its staff turnover sits at 31.9% against a national 45.8%, both numbers point to a home that keeps its people and staffs them well. Weekend coverage dips about 13% below weekday levels, and the current inspection record shows nine deficiencies, one serious enough to reach harm or jeopardy, plus a single $21,645 fine. The last inspection was August 2025. Nonprofit ownership and a recent survey are worth noting, but that one harm-level finding is the piece of the record that deserves your attention before you decide.

A

94/100

Garden Spot Village

New Holland, PA · Lancaster County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
32%
Serious cites
0

Garden Spot Village runs nurse staffing at 5.00 hours per resident day, roughly 30% above the national average, and its staff turnover of 32.2% sits well below the national 45.8%, people tend to stay. Weekends dip about 14% below weekday coverage, which is worth asking about if your family visits then. The trade-off is in the inspection record: four deficiencies, two serious enough to reach harm or jeopardy level, and one fine of $8,018. The most recent inspection was January 2026. Strong staffing and better-than-average retention are real, but four deficiencies with two at the harm level means the care isn't flawless.

A

94/100

Village At Penn State, The

State College, PA · Centre County

CMS 4/536 bedsNon-profit
Nurse hours
5.23 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at The Village at Penn State runs 5.23 hours per resident day, roughly a third above the national average, and weekends barely dip from weekday levels, which matters because short-staffed weekends are where a lot of problems show up. Turnover sits at 27.9% against a national 45.8%, so the people caring for residents tend to stick around. The current record holds 13 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was in May 2026. Its three stars on health inspections and quality measures are middling; staffing is where it stands out.

A

94/100

Avera Prince Of Peace

Sioux Falls, SD · Minnehaha County

CMS 4/5126 bedsNon-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
25%
Serious cites
0

Avera Prince Of Peace runs on church-affiliated nonprofit ownership, and the staffing numbers show it: 5.74 nurse hours per resident day, roughly half again the national average, with turnover at 25% against a national 45.8%. Weekend coverage dips about 7% below weekday levels, but that's a modest drop for a 126-bed home. The caution sits in the inspection record. Seventeen deficiencies, three tied to abuse and one serious enough to reach harm or jeopardy, plus an $8,278 fine, pulled the health inspection rating down to 2 of 5 despite strong marks on quality measures and staffing. The most recent survey closed in August 2025, so that record is current.

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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