Home / Continuing care retirement communities
Nursing homes in continuing care retirement communities
CMS flags 1,546 of the country's 14,690 certified nursing homes as part of a continuing care retirement community (CCRC), also called a life plan community. Here is every one, by state, with its federal inspection record.
CCRC nursing homes
1,546
Average overall stars
3.7 vs 2.9 others
Nonprofit
63% vs 14%
States
48
CMS Provider Information, data as of September 1, 2026
What a continuing care retirement community is
Pennsylvania's Insurance Department describes CCRCs as residential communities for older adults, generally over 55 or 60, where residents can get a continuum of care including assisted living and skilled nursing.pa.gov
North Carolina's Department of Insurance defines a CCRC as a community that offers independent living and access to assisted living, nursing care or other health services under a continuing care contract.ncdoi.gov
Pennsylvania notes that CCRCs are not always linked to a facility that gives advanced medical care; in some, continuing care is limited to housing, meals and services.pa.gov
Contracts and fees
- CCRCs charge a one-time entrance fee plus monthly or periodic fees, and Pennsylvania says entrance fees range from several thousand dollars to one million dollars.pa.gov
- In Pennsylvania the entrance fee cannot be raised once charged, is usually earned by the provider over about five years, and the unearned part is refunded if the resident dies or leaves.pa.gov
- Monthly fees run from a few hundred to several thousand dollars and can go up, but a Pennsylvania provider must disclose its increases over the last five years.pa.gov
- Pennsylvania's regulator says a resident is not required to sign over their assets, and should not.pa.gov
What this page covers
CMS certifies nursing homes, so the federal inspections, star ratings and fines cover the nursing home part of a community. Those are the records here. The contracts, entrance fees and the rest of the campus are outside the CMS files: ask the community for its disclosure statement, and check with the state regulator listed below.
The CCRC flag is reported by each home to CMS. A home that is part of a CCRC but did not report it is not on this page.
CCRC nursing homes against all other nursing homes
| Measure | CCRC homes | All other homes |
|---|---|---|
| Certified nursing homes | 1,546 | 13,144 |
| Average CMS overall star rating | 3.71 | 2.91 |
| Rated 5 stars overall | 40% | 18% |
| Rated 1 star overall | 9% | 22% |
| Health citations per home (inspections on file) | 20.2 | 29.5 |
| Fined in the last three years | 34% | 45% |
| Nonprofit | 63% | 14% |
| Government owned | 2% | 7% |
| Median nurse staffing hours per resident day | 4.36 | 3.63 |
| Better than the national rate at returning short-stay residents home | 42% | 17% |
Counts and averages of CMS fields as of September 1, 2026. Returning residents home is CMS's own comparison on its discharge to community measure (Skilled Nursing Facility Quality Reporting Program).
CCRC nursing homes by state
| State | CCRC homes | Average stars, CCRC | Average stars, other homes | Fined, CCRC |
|---|---|---|---|---|
| Pennsylvania | 234 | 3.67 | 2.60 | 34% |
| Ohio | 150 | 3.79 | 3.05 | 23% |
| Iowa | 105 | 3.43 | 2.96 | 30% |
| Kansas | 94 | 3.55 | 2.90 | 48% |
| Indiana | 80 | 3.65 | 3.05 | 18% |
| California | 78 | 4.23 | 3.09 | 26% |
| Florida | 64 | 4.14 | 3.19 | 20% |
| Illinois | 62 | 3.94 | 2.39 | 47% |
| Texas | 57 | 3.84 | 2.60 | 56% |
| North Carolina | 46 | 4.18 | 2.78 | 35% |
| Wisconsin | 38 | 3.13 | 2.96 | 42% |
| Minnesota | 37 | 3.22 | 3.15 | 41% |
| Missouri | 37 | 3.28 | 2.45 | 41% |
| Virginia | 36 | 4.29 | 2.78 | 19% |
| Michigan | 34 | 3.74 | 3.08 | 21% |
| South Carolina | 34 | 4.00 | 2.80 | 38% |
| Maryland | 33 | 4.30 | 2.99 | 30% |
| Colorado | 29 | 3.59 | 3.10 | 62% |
| New Jersey | 28 | 3.79 | 3.30 | 39% |
| Arizona | 26 | 3.62 | 3.23 | 23% |
| Kentucky | 23 | 3.13 | 2.97 | 48% |
| Oklahoma | 20 | 3.75 | 2.61 | 60% |
| Connecticut | 19 | 3.89 | 2.90 | 58% |
| Massachusetts | 19 | 4.05 | 2.99 | 26% |
| Washington | 18 | 4.11 | 3.16 | 39% |
| Tennessee | 16 | 3.25 | 3.02 | 44% |
| Alabama | 15 | 2.50 | 3.04 | 27% |
| New York | 15 | 4.07 | 3.01 | 13% |
| Georgia | 14 | 3.50 | 2.64 | 29% |
| Nebraska | 12 | 2.08 | 2.81 | 42% |
| Delaware | 10 | 4.30 | 2.85 | 50% |
| Oregon | 8 | 4.50 | 3.03 | 38% |
| Arkansas | 5 | 3.00 | 3.44 | 60% |
| Louisiana | 5 | 3.40 | 2.54 | 40% |
| Mississippi | 5 | 3.00 | 2.72 | 60% |
| New Mexico | 5 | 2.00 | 2.92 | 40% |
| South Dakota | 5 | 3.20 | 2.92 | 100% |
| North Dakota | 4 | 3.75 | 3.12 | 50% |
| Utah | 4 | 3.00 | 3.35 | 50% |
| Hawaii | 3 | 4.67 | 3.63 | 33% |
| Maine | 3 | 3.67 | 3.03 | 33% |
| New Hampshire | 3 | 3.67 | 3.01 | 0% |
| Nevada | 3 | 3.67 | 3.11 | 0% |
| District of Columbia | 2 | 3.50 | 3.33 | 50% |
| Idaho | 2 | 2.50 | 3.17 | 50% |
| Montana | 2 | 4.00 | 2.84 | 0% |
| Vermont | 2 | 4.00 | 2.83 | 0% |
| West Virginia | 2 | 3.00 | 3.02 | 0% |
31 states with 10 or more CCRC nursing homes have their own page. The homes in the other 17 states are listed below.
Who regulates CCRC contracts
- In Pennsylvania, the Insurance Department regulates the communities that charge large upfront entrance fees, and they must disclose their finances every year.pa.gov
- North Carolina's Department of Insurance licenses CCRCs and oversees disclosure statements, financial solvency and reserves, but does not regulate daily operations or health care.ncdoi.gov
- In North Carolina a disclosure statement must be given to prospective residents before they sign a continuing care contract, and the Department posts them online.ncdoi.gov
- Pennsylvania: Pennsylvania Insurance Department. Pennsylvania's Insurance Department regulates the CCRCs that charge large upfront entrance fees.
- North Carolina: North Carolina Department of Insurance. North Carolina's Department of Insurance licenses CCRCs and posts their disclosure statements.
Before you sign
- Read the disclosure statement and the resident agreement closely, ideally with a trusted family member or financial adviser; the agreement spells out what the community will provide.pa.gov
- Entrance fee refunds follow the terms of the contract and state law; North Carolina's Department does not decide individual refunds.ncdoi.gov
Each fact links to the official page it came from; regulator links checked October 8, 2026. This is general information, not legal or financial advice.
States with fewer than 10 CCRC nursing homes
Arkansas (5)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Butterfield Trail Village | Fayetteville | 87 | Non profit - Corporation | 3 | 14 | $58,006 | No different from |
| Conway Healthcare and Rehabilitation Center | Conway | 105 | For profit - Limited Liability company | 2 | 24 | $25,483 | Not reported |
| Lake Forest Senior Living at Hot Springs Village | Hot Springs Village | 50 | For profit - Corporation | 2 | 12 | $13,627 | Better than |
| Lake Forest Senior Living at Mountain Home | Mountain Home | 70 | For profit - Limited Liability company | 3 | 22 | No different from | |
| Presbyterian Village, Inc | Little Rock | 70 | Non profit - Corporation | 5 | 7 | Worse than |
District of Columbia (2)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Ingleside at Rock Creek | Washington | 34 | Non profit - Corporation | 3 | 42 | $39,419 | Better than |
| Knollwood Hsc | Washington | 69 | Non profit - Corporation | 4 | 39 | No different from |
Hawaii (3)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| 15 Craigside | Honolulu | 45 | Non profit - Corporation | 5 | 5 | Not reported | |
| Arcadia Retirement Residence | Honolulu | 91 | Non profit - Corporation | 4 | 37 | $12,854 | No different from |
| Hi'olani Care Center at Kahala Nui | Honolulu | 20 | Non profit - Corporation | 5 | 24 | Better than |
Idaho (2)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Sunny Ridge | Nampa | 43 | For profit - Limited Liability company | 3 | 34 | No different from | |
| Terraces of Boise, the | Boise | 48 | Non profit - Corporation | 2 | 28 | $20,501 | No different from |
Louisiana (5)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Arbor Lake Skilled Nursing & Rehabilitation | Farmerville | 150 | For profit - Limited Liability company | 3 | 21 | No different from | |
| Christwood | Covington | 30 | Non profit - Corporation | 5 | 8 | No different from | |
| Live Oak | Shreveport | 130 | For profit - Corporation | 4 | 15 | No different from | |
| St. James Place Nursing Care Center | Baton Rouge | 90 | Non profit - Corporation | 4 | 25 | $72,485 | Better than |
| Village Health Care at the Glen | Shreveport | 126 | Non profit - Corporation | 1 | 26 | $8,278 | Worse than |
Maine (3)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Clover Health Care | Auburn | 109 | For profit - Limited Liability company | 1 | 54 | $15,317 | No different from |
| Gorham House | Gorham | 69 | For profit - Limited Liability company | 5 | 25 | Better than | |
| Piper Shores | Scarborough | 40 | Non profit - Corporation | 5 | 21 | No different from |
Mississippi (5)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Brandon Community Care Center | Brandon | 230 | For profit - Limited Liability company | 1 | 43 | $117,453 | Worse than |
| Brandon Court | Brandon | 100 | For profit - Limited Liability company | 4 | 15 | No different from | |
| Cedars Health Center | Tupelo | 140 | Non profit - Corporation | 3 | 17 | $16,153 | Better than |
| Stone County Rehabilitation and Nursing Ctr Inc | Wiggins | 59 | For profit - Corporation | 3 | 9 | No different from | |
| Trinity Healthcare Center | Columbus | 60 | Non profit - Corporation | 4 | 10 | $10,033 | Better than |
Montana (2)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Immanuel Skilled Care Center | Kalispell | 155 | Non profit - Corporation | 5 | 21 | Better than | |
| St. John's Lutheran Home | Billings | 186 | Non profit - Corporation | 3 | 40 | Better than |
Nevada (3)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Alpine Skilled Nursing and Rehabilitation Center | Reno | 189 | For profit - Limited Liability company | 2 | 41 | No different from | |
| Highland Manor of Mesquite Rehabilitation LLC | Mesquite | 112 | For profit - Limited Liability company | 4 | 15 | No different from | |
| Las Ventanas Retirement Comm SNF | Las Vegas | 60 | Non profit - Corporation | 5 | 20 | Better than |
New Hampshire (3)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Covenant Living of Keene | Keene | 20 | Non profit - Corporation | 4 | 6 | No different from | |
| Havenwood-Heritage Heights | Concord | 70 | Non profit - Corporation | 2 | 7 | No different from | |
| Riverwoods at Exeter | Exeter | 8 | Non profit - Corporation | 5 | 4 | Better than |
New Mexico (5)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| La Vida Llena | Albuquerque | 58 | Non profit - Other | 3 | 21 | Worse than | |
| Las Cruces Village Nursing & Rehabilitation LLC | Las Cruces | 94 | For profit - Limited Liability company | 1 | 83 | No different from | |
| Manzano Del Sol by Purehealth | Albuquerque | 117 | For profit - Corporation | 1 | 33 | $26,109 | Better than |
| Northgate Unit of Lakeview Christian Home | Carlsbad | 112 | Non profit - Corporation | 3 | 34 | No different from | |
| The Neighborhood in Rio Rancho | Rio Rancho | 48 | Non profit - Corporation | 2 | 38 | $8,278 | No different from |
North Dakota (4)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Smp Health - Ave Maria | Jamestown | 100 | Non profit - Corporation | 3 | 11 | $13,978 | Worse than |
| Smp Health - St. Aloisius | Harvey | 65 | Non profit - Church related | 5 | 6 | Not reported | |
| St. Rose Care Center | Lamoure | 36 | Non profit - Corporation | 3 | 13 | Not reported | |
| Woodside Village | Grand Forks | 138 | Non profit - Church related | 4 | 11 | $17,625 | Not reported |
Oregon (8)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Cascade Manor | Eugene | 32 | Non profit - Corporation | 4 | 16 | $10,033 | Not reported |
| Marquis Hope Village | Canby | 50 | For profit - Corporation | 4 | 14 | Better than | |
| Mennonite Home | Albany | 95 | Non profit - Corporation | 4 | 20 | $17,934 | No different from |
| Mirabella Portland | Portland | 44 | Non profit - Corporation | 5 | 8 | No different from | |
| Pioneer Nursing Home | Vale | 33 | Government - Hospital district | 4 | 9 | $114,520 | Better than |
| Rogue Valley Manor | Medford | 68 | Non profit - Corporation | 5 | 17 | Better than | |
| Village at Hillside | McMinnville | 22 | For profit - Limited Liability company | 5 | 21 | Better than | |
| Willamette View Health Center | Milwaukie | 6 | Non profit - Corporation | 5 | 5 | Not reported |
South Dakota (5)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Avera Mother Joseph Manor Retirement Community | Aberdeen | 81 | Non profit - Corporation | 2 | 17 | $8,824 | No different from |
| Avera Prince of Peace | Sioux Falls | 126 | Non profit - Church related | 4 | 17 | $8,278 | Better than |
| Dow Rummel Village | Sioux Falls | 50 | Non profit - Corporation | 3 | 10 | $87,723 | No different from |
| United Living Community | Brookings | 67 | Non profit - Corporation | 2 | 22 | $33,027 | Worse than |
| Westhills Village Health Care Facility | Rapid City | 44 | Non profit - Other | 5 | 11 | $8,788 | Better than |
Utah (4)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Fairfield Village Rehabilitation | Layton | 40 | For profit - Limited Liability company | 3 | 24 | Better than | |
| Maple Springs Senior Living | North Logan | 98 | For profit - Corporation | 3 | 22 | $8,278 | Better than |
| Msm Brigham City LLC | Brigham City | 41 | For profit - Limited Liability company | 3 | 47 | $67,436 | Better than |
| St. Joseph Villa | Salt Lake City | 221 | For profit - Corporation | 3 | 14 | Better than |
Vermont (2)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Mayo Healthcare Inc. | Northfield | 50 | Non profit - Other | 4 | 10 | No different from | |
| Wake Robin-Linden Nursing Home | Shelburne | 33 | Non profit - Corporation | 4 | 2 | Not reported |
West Virginia (2)
| Home | City | Beds | Ownership | Overall stars | Health citations | Fines, 3 years | Returning home (CMS) |
|---|---|---|---|---|---|---|---|
| Arthur B Hodges Center, the | Charleston | 20 | Non profit - Corporation | 4 | 16 | No different from | |
| Stone Pear Pavilion | Chester | 60 | For profit - Corporation | 2 | 35 | No different from |
Common questions
- How many nursing homes are part of a continuing care retirement community?
- 1,546 certified nursing homes carry the CMS continuing care retirement community flag, in data as of September 1, 2026. Pennsylvania has the most (234), then Ohio (150) and Iowa (105).
- Do CCRC nursing homes have better ratings?
- On average, yes: the 1,546 CCRC nursing homes average 3.71 CMS overall stars against 2.91 for other certified homes, and 40% are rated 5 stars (others 18%). Averages hide wide differences, so read each home's own record.
- What is a continuing care retirement community?
- Pennsylvania's Insurance Department describes CCRCs as residential communities for older adults, generally over 55 or 60, where residents can get a continuum of care including assisted living and skilled nursing.
Data: CMS Provider Information, released September 30, 2026 (September 2026 data). Also see state veterans homes and short-term rehab after a hospital stay.