America's Best Continuing Care Retirement Communities 2024

America's Best Continuing Care Retirement Communities 2024

Continuing Care Retirement Communities (CCRCs) are emerging as a desirable option for seniors looking for both the independence they want and the care they may need. There are approximately 2,000 CCRCs in the U.S., and that number is expected to continue to increase as the population ages. These communities provide a continuum of care that adapts to the evolving needs of aging people.

Today's senior citizens are more active than the generation before them. Consequently, senior housing options have changed to meet the expectations of these active retirees, with a wide variety of activities like fitness classes, gardening, dance lessons and book clubs, just to name a few. From living independently to assisted living and skilled nursing, each facility offers comprehensive services, ensuring residents can age with dignity and grace.

To help our readers make informed decisions, Newsweek has partnered with the respected global research firm Statista to rank America's Best Continuing Care Retirement Communities for the first time. This year, we are proud to award the leading 250 CCRCs in the United States—places where residents not only live but thrive.

Nancy Cooper Signature 5
U.S. RankFacilityScoreCityStateState Rank
1
91.70%
Santa Barbara
California
1
2
91.66%
Dallas
Texas
1
3
88.88%
Willow Street
Pennsylvania
1
4
87.92%
Bloomington
Minnesota
1
6
82.95%
The Villages
Florida
1
7
82.41%
Chicago
Illinois
1
8
81.43%
Naples
Florida
2
9
80.99%
Lititz
Pennsylvania
2
10
80.91%
Seattle
Washington
1
11
80.80%
Baltimore
Maryland
1
12
80.75%
Lubbock
Texas
2
13
80.65%
Asheville
North Carolina
1
14
79.94%
San Antonio
Texas
3
15
79.58%
Elizabethtown
Pennsylvania
3
16
79.33%
Burlington
North Carolina
2
17
78.95%
Dearborn
Michigan
1
18
78.70%
Plantation
Florida
3
19
78.53%
Worcester
Massachusetts
1
20
78.27%
Houston
Texas
4
21
78.13%
Oakland
California
2
22
77.89%
Palm Harbor
Florida
4
23
77.03%
Durham
North Carolina
3
24
76.85%
Gainesville
Florida
5
25
76.69%
South Setauket
New York
2
26
76.59%
Durham
North Carolina
4
27
75.78%
Virginia Beach
Virginia
1
28
75.68%
New Paltz
New York
3
29
74.99%
Charlotte
North Carolina
5
30
74.51%
La Jolla
California
3
31
74.37%
Boca Raton
Florida
6
32
74.03%
Lincolnshire
Illinois
2
33
73.99%
Winston-Salem
North Carolina
6
34
73.91%
Dedham
Massachusetts
2
35
73.87%
Lexington
South Carolina
1
36
73.84%
Chambersburg
Pennsylvania
4
37
73.80%
Naples
Florida
7
38
73.45%
Sarasota
Florida
8
39
73.43%
Dallas
Texas
5
40
73.39%
Black Mountain
North Carolina
7
41
73.19%
Grand Rapids
Michigan
2
42
73.18%
Columbus
Ohio
1
43
73.09%
Chicago
Illinois
3
44
73.04%
Los Angeles
California
4
45
73.01%
Delray Beach
Florida
9
46
72.99%
Charlotte
North Carolina
8
47
72.97%
Orange City
Florida
10
48
72.88%
Catonsville
Maryland
2
49
72.84%
Dallas
Texas
6
50
72.82%
Seattle
Washington
2
51
72.75%
Fort Belvoir
Virginia
2
52
72.70%
Annapolis
Maryland
3
53
72.69%
Dayton
Ohio
2
54
72.43%
Warminster
Pennsylvania
5
55
72.39%
Asheville
North Carolina
9
56
72.35%
Harrisonburg
Virginia
3
57
72.32%
Cincinnati
Ohio
3
58
72.31%
Philadelphia
Pennsylvania
6
59
72.27%
Charlotte
North Carolina
10
60
72.25%
Rockford
Illinois
4
61
72.22%
Mechanicsville
Virginia
4
62
72.19%
Los Angeles
California
5
63
72.18%
Cupertino
California
6
64
72.16%
Philadelphia
Pennsylvania
7
65
72.09%
Palo Alto
California
7
66
72.08%
Toledo
Ohio
4
67
72.07%
Winter Park
Florida
11
68
72.06%
Los Angeles
California
8
69
71.96%
Jacksonville
Florida
12
70
71.90%
Chicago
Illinois
5
71
71.85%
Richmond
Virginia
5
72
71.82%
Columbia
South Carolina
2
73
71.81%
Fort Myers
Florida
13
74
71.71%
San Diego
California
9
75
71.67%
Cary
North Carolina
11
76
71.64%
Monroe
Ohio
5
77
71.63%
Greenport
New York
4
78
71.61%
Rochester
New York
5
79
71.59%
Silver Spring
Maryland
4
80
71.54%
Austin
Texas
7
81
71.50%
Schaumburg
Illinois
6
82
71.46%
Aventura
Florida
14
83
71.44%
Atlantic Beach
Florida
15
84
71.34%
San Angelo
Texas
8
85
71.28%
Evanston
Illinois
7
86
71.26%
Indianapolis
Indiana
1
87
71.14%
Lynchburg
Virginia
6
88
71.02%
Potomac Falls
Virginia
7
89
70.92%
Houston
Texas
9
90
70.89%
Elmhurst
Illinois
8
91
70.88%
Richmond
Virginia
8
92
70.85%
Urbana
Illinois
9
93
70.84%
Carmel
California
10
94
70.80%
Tacoma
Washington
3
95
70.78%
Glenview
Illinois
10
96
70.75%
Chapel Hill
North Carolina
12
97
70.69%
East Lansing
Michigan
3
98
70.67%
Cabot
Pennsylvania
8
99
70.64%
St. Petersburg
Florida
16
100
70.63%
Thomasville
North Carolina
13
101
70.49%
Norfolk
Virginia
9
102
70.43%
Newtown
Pennsylvania
9
103
70.40%
Charleston
South Carolina
3
104
70.39%
Dallas
Texas
10
105
70.35%
San Diego
California
11
106
70.32%
Gaithersburg
Maryland
5
107
70.30%
Fort Myers
Florida
17
108
70.20%
Akron
Ohio
6
109
70.15%
Ithaca
New York
6
110
69.99%
Pasadena
California
12
111
69.94%
Sidney
Ohio
7
112
69.82%
Vero Beach
Florida
18
113
69.77%
San Antonio
Texas
11
114
69.70%
Chicago
Illinois
11
115
69.66%
Lebanon
Ohio
8
116
69.48%
Houston
Texas
12
117
69.43%
Media
Pennsylvania
10
118
69.24%
Verona
Pennsylvania
11
119
69.20%
Delray Beach
Florida
19
120
69.19%
Bridgewater
Virginia
10
121
69.15%
Fort Worth
Texas
13
122
69.14%
Santa Barbara
California
13
123
69.09%
Lexington
Virginia
11
124
69.03%
Springfield
Illinois
12
125
69.00%
Troy
New York
7
126
68.92%
Columbus
Ohio
9
127
68.91%
Mesquite
Texas
14
128
68.89%
Rye
New York
8
129
68.87%
Richmond
Virginia
12
130
68.81%
Rock Hill
South Carolina
4
131
68.79%
Philadelphia
Pennsylvania
12
132
68.74%
Doylestown
Pennsylvania
13
133
68.72%
Oberlin
Ohio
10
134
68.67%
Cupertino
California
14
135
68.65%
Greenville
South Carolina
5
136
68.61%
San Diego
California
15
137
68.58%
Lakeside-Marblehead
Ohio
11
138
68.57%
Winston-Salem
North Carolina
14
139
68.54%
Pompano Beach
Florida
20
140
68.50%
Naples
Florida
21
141
68.44%
Raleigh
North Carolina
15
142
68.38%
Cleveland
Ohio
12
143
68.37%
Boca Raton
Florida
22
144
68.36%
Redmond
Washington
4
145
68.30%
Evanston
Illinois
13
146
68.25%
San Diego
California
16
147
68.21%
Orlando
Florida
23
148
68.20%
Raleigh
North Carolina
16
149
68.19%
Farmington Hills
Michigan
4
150
68.17%
Waverly
Ohio
13
151
68.16%
Kirkwood
Missouri
1
152
68.15%
Fairfield
California
17
153
68.14%
Winchester
Virginia
13
154
68.12%
Orland Park
Illinois
14
155
68.10%
Ann Arbor
Michigan
5
156
68.06%
Orlando
Florida
24
157
68.05%
Timonium
Maryland
6
158
68.02%
Audubon
Pennsylvania
14
159
67.99%
Charlton
Massachusetts
3
160
67.97%
Irvine
California
18
161
67.95%
Austin
Texas
15
162
67.87%
Austin
Texas
16
163
67.79%
Wilmington
North Carolina
17
164
67.72%
Chicago
Illinois
15
165
67.71%
Delray Beach
Florida
25
166
67.70%
Indianapolis
Indiana
2
167
67.66%
Cleveland
Ohio
14
168
67.65%
Kansas City
Missouri
2
169
67.62%
Glen Carbon
Illinois
16
170
67.57%
Willoughby
Ohio
15
171
67.50%
Mount Dora
Florida
26
172
67.43%
Canton
Massachusetts
4
173
67.31%
Carlsbard
California
19
174
67.19%
Mechanicsburg
Pennsylvania
15
175
67.17%
Tallahassee
Florida
27
176
67.10%
Lancaster
Pennsylvania
16
177
66.99%
Overland Park
Kansas
1
178
66.90%
Columbus
Ohio
16
179
66.87%
Allentown
Pennsylvania
17
180
66.84%
Columbus
Ohio
17
181
66.83%
Fresno
California
20
182
66.79%
Port Washington
New York
9
183
66.77%
Lacey
Washington
5
184
66.75%
Austin
Texas
17
185
66.72%
Los Gatos
California
21
186
66.65%
Houston
Texas
18
187
66.61%
Hudson
Ohio
18
188
66.54%
Alameda
California
22
189
66.39%
Hingham
Massachusetts
5
190
66.36%
Novi
Michigan
6
191
66.33%
Needham
Massachusetts
6
192
66.32%
Richmond
Virginia
14
193
66.29%
Bluffton
Indiana
3
194
66.26%
Iowa City
Iowa
1
195
66.23%
Kennett Square
Pennsylvania
18
196
66.22%
Topeka
Kansas
2
197
66.21%
West Des Moines
Iowa
2
198
66.20%
Carmichael
California
23
199
66.19%
Plymouth
Minnesota
2
200
66.18%
Olathe
Kansas
3
201
66.17%
Rockville
Maryland
7
202
66.16%
Des Moines
Washington
6
203
66.15%
Fresno
California
24
204
66.14%
Walnut Creek
Ohio
19
205
66.13%
Milwaukee
Wisconsin
1
206
66.12%
San Juan Capistrano
California
25
207
66.10%
Greenwood
Indiana
4
208
66.08%
Elkhart
Indiana
5
209
66.07%
Brookville
Ohio
20
210
66.06%
Williamsville
New York
10
211
66.04%
Bethlehem
Pennsylvania
19
212
66.02%
Seattle
Washington
7
213
65.99%
Janesville
Wisconsin
2
214
65.98%
Cincinnati
Ohio
21
215
65.95%
Terre Haute
Indiana
6
216
65.93%
Wichita
Kansas
4
217
65.92%
Cedar Rapids
Iowa
3
218
65.90%
Parkville
Maryland
8
219
65.89%
St. Louis
Missouri
3
220
65.87%
Greenfield
Wisconsin
3
221
65.84%
Kansas City
Missouri
4
222
65.77%
Roanoke
Virginia
15
223
65.75%
Peabody
Massachusetts
7
224
65.66%
Pittsburgh
Pennsylvania
20
225
65.64%
Findlay
Ohio
22
226
65.58%
Silver Spring
Maryland
9
227
65.54%
Pleasanton
California
26
228
65.52%
La Verne
California
27
229
65.40%
St. Marys
Ohio
23
230
65.38%
Arkansas City
Kansas
5
231
65.37%
La Grange Park
Illinois
17
232
65.35%
Juno Beach
Florida
28
233
65.32%
Tampa
Florida
29
234
65.31%
Altoona
Iowa
4
235
65.27%
Richmond
Indiana
7
236
65.25%
Bloomington
Minnesota
3
237
65.21%
Columbus
Ohio
24
238
65.16%
Woodbury
Minnesota
4
239
65.13%
High Point
North Carolina
18
240
65.11%
Waynesville
Ohio
25
241
65.09%
Barrington
Illinois
18
242
65.08%
Cedar Rapids
Iowa
5
243
65.07%
West Chester
Ohio
26
244
65.06%
New Holland
Pennsylvania
21
245
65.05%
Darlington
South Carolina
6
246
65.04%
Rock Hill
South Carolina
7
247
65.03%
Coatesville
Pennsylvania
22
248
65.01%
Dousman
Wisconsin
4
249
64.98%
Dallas
Texas
19
250
64.94%
Palm Beach Gardens
Florida
30

LICENSING

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METHODOLOGY

The U.S. population aged over 65 will grow continuously over the next few decades. Subsequently, the demand for retirement housing with various levels of care options will increase in the future.

As members of the elderly community prefer to live in the same place, Continuing Care Retirement Communities are a promising opportunity to spend one's retirement.

Continuing Care Retirement Communities (CCRCs), also known as Life Plan Communities, are facilities that offer a continuum of long-term care options, allowing residents to access higher-level care when medical needs progress. The communities typically include Independent Living, Assisted Living, Skilled Nursing Care and Memory Care.

To provide people looking for guidance on CCRCs with a comprehensive resource for informed decision making, Statista and Newsweek have partnered for the first time to award the leading 250 America's Best Continuing Care Retirement Communities (CCRCs) 2024 in the US. The 20 states with the most CCRCs were included in the ranking.

To create the ranking, a score was calculated for each CCRC that was part of the analysis. The total score is based on national online surveys of medical professionals and acquaintances of residents/residents living in CCRCs and accreditation data.

National Online Surveys - Reputation Score

The Reputation Score (90 percent of total score) is based on two scores:

* Professionals' Score

* Acquaintances'/Residents' Score

1. Professionals' Score:

a) Professionals' Recommendations

From August to September 2023, Statista conducted a nationwide online survey among medical professionals (e.g., registered nurses, therapists, and physicians) and staff working in the management/administration of Continuing Care Retirement Communities. The survey was available to medical professionals on Newsweek.com. Additionally, the survey was promoted on several social media platforms.

Participants were asked to recommend notable Continuing Care Retirement Communities. Recommendations for own employer/CCRC were not allowed.

Recommendations received different weights depending on the order in which they were given, with the first recommendation being the highest weight. Additionally, the professional experience of the participant was considered.

The Professionals' Recommendations constitute 90 percent of the Professionals' Score.

b) Care Level Assessment

For each recommended Continuing Care Retirement Community participants were asked to rate the following four care levels on a scale from 1 ("Would not recommend") to 10 ("Would strongly recommend"):

* Independent Living

* Assisted Living

* Skilled Nursing Care

* Memory Care

The Care Level Assessment Score constitutes 10 percent of the Professionals' Score.

2. Acquaintances'/Residents' Score:

a) Acquaintances'/Residents' Ratings

From August to September 2023, Statista conducted a nationwide online survey among thousands of acquaintances of residents and residents living in Continuing Care Retirement Communities. The survey was available to acquaintances to participate on Newsweek.com. Additionally, the survey was promoted on several social media platforms.

Participants were asked to rate notable Continuing Care Retirement Communities they have visited in the past three years, or they currently live in, on a scale from 1-10.

The Acquaintances'/Residents' Ratings constitute 80 percent of the Acquaintances'/Residents' Score.

b) Quality Dimensions Score

For each recommended CCRC, participants were asked to rate the following eight quality dimensions on a scale from 1 ("Poor") to 10 ("Excellent") for each recommended CCRC:

* Accommodation (e.g., qualifications, experience, number of courses)

* Commercial Services (e.g., transportation, postal services, maintenance, service, housekeeping)

* Community Services (e.g., number of activities offered, quality of leisure activities, fitness center, library)

* Financial Factors (e.g., affordability, value for money)

* Food (e.g., variety of menu, product quality, room service, restaurant)

* Overall Care (e.g., safety of residents, communication, hygiene measures)

* Overall Safety Measures (e.g., treatments/therapies, consultation with doctor/therapist)

* Overall Staffing (e.g., size of room, quality of furnishing, leisure, activities)

The eight quality dimensions were presented randomly in the survey, and a Quality Dimensions Score was assigned based on participant-reported importance.

The Quality Dimensions Score constitutes 20 percent of the Acquaintances'/Residents' Score.

Accreditation Score

CARF International, an independent nonprofit accreditor of health and human services, plays a vital role in setting global standards for aging services.

The scope of the accreditation covers a broad spectrum of care options within the continuum of care, including adult day services, assisted living, person-centered long-term care communities, home and community services, case management, independent senior living, and personal support services.

In addition to clinical considerations, CARF evaluates non-clinical aspects, such as food quality, menu variety, room service, and restaurant offerings, as part of its accreditation process.

Accredited facilities received 10 percent towards the total score.

Disclaimer

The rankings are comprised exclusively of Continuing Care Retirement Communities that are eligible regarding the scope described in this document. A mention in the ranking is a positive recognition based on peer recommendations and publicly available data sources at the time. The ranking is the result of an elaborate process which, due to the interval of data-collection and analysis, is a reflection of the last calendar year. Furthermore, events preceding or following the period October 24, 2022 to October 24, 2023 and/or pertaining to individual persons affiliated/associated to the facilities were not included in the metrics. As such, the results of this ranking should not be used as the sole source of information for future deliberations.

The information provided in this ranking should be considered in conjunction with other available information about Continuing Care Retirement Communities or, if possible, accompanied by a visit to a facility. The quality of Continuing Care Retirement Communities that are not included in the rankings is not disputed.

Statista R Text:

Statista R is a world leader in the creation of company, brand, and product rankings and top lists, based on comprehensive market research and data analysis: Statista R recognizes the best. With a team of over 100 expert analysts and in cooperation with more than 40 high profile media brands across all continents, Statista R creates transparency for consumers and business decision makers and helps companies build trust and recognition across a plethora of industries and product categories. Visit r.statista.com for further information about Statista R and our rankings.

Statista R is a division of Statista. The leading data and business intelligence portal provides an extensive collection of statistics, reports, and insights on over 80,000 topics from 22,500 sources in 170 industries. Find out more at statista.com.

Download the full methodology here.