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Compare Assisted Living around Alabama
Info below is compiled from the AL Dept. of Public Health (ADPH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Westminster Village – Spanish Fort | AL HC HOS IL MC NH PC SNF | Spanish Fort (Bridgehead) | 60
Facility
60
AL AVG
90
Rank
#152 / 241 | No |
27
Facility
27
AL AVG
36
Rank
#260 / 417 | Studio / 1 Bed / 2 Bed | - | - |
| Piedmont Health Care Center | AL MC NH SNF | Piedmont | 91
Facility
91
AL AVG
90
Rank
#99 / 241 | No |
61
Facility
61
AL AVG
36
Rank
#58 / 417 | - | - | Lisha Garner |
| Cleburne County Nursing Home | AL NH | Heflin | 82
Facility
82
AL AVG
90
Rank
#119 / 241 | No |
47
Facility
47
AL AVG
36
Rank
#142 / 417 | - | - | Elizabeth Gatell |
| Little Sisters of the Poor Sacred Heart Residence | AL NH | Mobile (North Industrial Area) | 52
Facility
52
AL AVG
90
Rank
#175 / 241 | No |
62
Facility
62
AL AVG
36
Rank
#54 / 417 | - | - | Jason Stinnett |
| Hartford Health Care | AL NH | Hartford | 86
Facility
86
AL AVG
90
Rank
#110 / 241 | No |
55
Facility
55
AL AVG
36
Rank
#90 / 417 | - | - | Lisa Algarin |
| Crowne Health Care of Citronelle | AL IL NH RC SNF | Citronelle | 69
Facility
69
AL AVG
90
Rank
#141 / 241 | No |
19
Facility
19
AL AVG
36
Rank
#304 / 417 | - | - | Gregg Myers |
| Merrill Gardens at Madison | AL IL MC | Madison (The Shoppes Of Madison) | 160
Facility
160
AL AVG
90
Rank
#22 / 241 | Yes |
46
Facility
46
AL AVG
36
Rank
#151 / 417 | Studio / 1 Bed / 2 Bed | - | Stacey Henley |
| Redstone Village | AL IL MC NH SNF | Huntsville (Redstone Village) | 56
Facility
56
AL AVG
90
Rank
#165 / 241 | Yes |
17
Facility
17
AL AVG
36
Rank
#312 / 417 | SNF (Skilled Nursing) (56) | - | Amy Reynolds |
| Brookdale University Park | AL IL | Birmingham (South Denver) | 60
Facility
60
AL AVG
90
Rank
#152 / 241 | Yes |
84
Facility
84
AL AVG
36
Rank
#1 / 417 | Studio / 1 Bed / 2 Bed | A+ | Brandon Bornstein |
| Truewood by Merrill, Riverchase | AL MC | Hoover | 101
Facility
101
AL AVG
90
Rank
#84 / 241 | Yes |
57
Facility
57
AL AVG
36
Rank
#79 / 417 | Studio / 1 Bed | - | Eric Sharp |
| Keestone of Florence | AL IL | Florence (West Florence) | 43
Facility
43
AL AVG
90
Rank
#198 / 241 | Yes |
80
Facility
80
AL AVG
36
Rank
#4 / 417 | Studio / 1 Bed | A+ | Jodi Gilreath |
| St. Martin’s in the Pines | AL HOS IL MC NH SNF | Birmingham (Eastwood) | 71
Facility
71
AL AVG
90
Rank
#138 / 241 | Yes |
39
Facility
39
AL AVG
36
Rank
#194 / 417 | Private Rooms | A+ | Courtlyn Wiggins |
| Lynridge of Huntsville | AL MC | Huntsville (Piedmont) | 58
Facility
58
AL AVG
90
Rank
#162 / 241 | No |
58
Facility
58
AL AVG
36
Rank
#71 / 417 | Studio / Suite / 1 Bed | A- | Lashawna Springer |
| The Brennity at Fairhope | AL IL | Fairhope | 143
Facility
143
AL AVG
90
Rank
#37 / 241 | No |
36
Facility
36
AL AVG
36
Rank
#210 / 417 | Studio / 1 Bed / 2 Bed | - | Ashley Lee |
| Brookdale Northport | AL IL MC NH SNF | Northport (Rose Drive) | 83
Facility
83
AL AVG
90
Rank
#116 / 241 | Yes |
47
Facility
47
AL AVG
36
Rank
#142 / 417 | Private Rooms | A+ | Sherry Washington |
Acts Retirement Services has run Westminster Village – Spanish Fort for 47 years now, out of a three-story building at 500 Spanish Fort Blvd in the Bridgehead neighborhood of Spanish Fort, Alabama. Joseph Meadows is the Executive Director. This isn’t a single-purpose nursing home. It’s part of a continuing care retirement community, which means nursing home care, assisted living, memory care, hospice, home care, and independent living all live under the same organization.
Don’t expect to walk to much because the Walk Score is 27. That is somewhat walkable at best, and most errands here mean getting in a car.
Average length of stay runs about 107 days, closer to four months than a permanent placement, and the community accepts both Medicare and private pay, the two payment paths that fit a short-term rehab stay best. Nursing staff provide close to 5 hours of total nursing care per resident each day. On-site, residents have access to licensed therapists, a nurse practitioner wellness center, and round-the-clock medical oversight, plus respite care and short-term rehab for people who need a defined recovery window rather than an open-ended stay.
Occupancy sits at 65% in a 60-bed building with studio, one-bedroom, and two-bedroom options. Residents also have an Active Resident Council, a standing group that meets to weigh in on policy and daily life rather than just live with whatever’s decided for them. State inspections here have tended to focus on routine areas like dietary and food service and resident rights and protections, the kind of themes that come up across nursing homes broadly.
Nearly five decades in the same location, paired with a rehabilitation-heavy care model and a resident group with an actual say in how things run, makes Westminster Village read less like a long-term holding facility and more like a structured stop on the way back to independence for a lot of residents.
Located in Piedmont, Alabama, Piedmont Health Care Center is a skilled nursing community with a focus on long-term care and a specialized Alzheimer’s and dementia unit. The facility has 91 beds and operates at about 92% occupancy. Residents stay an average of 76 days, including short-term rehabilitation residents and those in longer-term placements. Families can pay through Medicare, Medicaid, or private pay to arrange care coverage.
An on-site outpatient therapy program provides physical and occupational therapy services. Rehabilitation and recovery support are part of the facility’s care model. Residents receive an average of 5 hours and 25 minutes of nursing care each day. Registered nurses, nurse aides, and LPN/LVN staff make up that daily staffing support. The combination of skilled nursing and hands-on assistance supports post-acute recovery and ongoing chronic-care needs.
The neighborhood has a Walk Score of 61. Some nearby errands are within walking distance, but many trips still require transportation. The location is moderately walkable for residents and visiting family members.
State inspections have focused on documentation practices, food service hygiene, and facility sanitation. These operational areas are part of the everyday systems that support care and daily living within the facility. Families considering Piedmont Health Care Center should take a tour of the community to see the dementia unit, outpatient therapy areas, and how daily routines are organized for residents.
Tony Culberson owns Cleburne County Nursing Home, an 82-bed skilled-care property that has operated for 54 years in Heflin, Alabama. The facility currently serves 71 residents, representing an 87 percent occupancy level. Stays here average about 201 days, an extended timeline that shows the daily operations split attention between long-term residential care and shorter post-hospital recovery stays.
A 24-hour nursing team drives the daily floor schedule, logging about 4 hours and 50 minutes of direct, hands-on care per resident each day. This collective time is allocated among registered nurses, practical nurses, and assistants to oversee medical care and personal care routines. For visiting relatives, the neighborhood holds a walk score of 47, meaning a few minor tasks can be managed on foot, though most errands across town will require a vehicle.
State records have previously raised compliance issues involving infection control practices and general documentation protocols. Reviewing these past health department reports with the administrative staff is a straightforward way to evaluate their ongoing safety updates and quality control monitoring.
Older adults can contact the admissions office directly to inquire about current room openings, walk through the registration steps, or arrange payment pathways.
Ellen Bueche owns the Little Sisters of the Poor Sacred Heart Residence, a 52-bed care home on McGill Avenue in Mobile, Alabama. The building runs at full occupancy, and the average stay lasts about 340 days. This long tenure shows that the daily workflow is almost entirely geared toward permanent, long-term residential care rather than quick-turnover rehab. To manage the costs of a stay, the front office processes traditional Medicare, state Medicaid, and standard private pay.
Residents receive a high volume of direct attention, with the 24-hour nursing team logging an average of 7 hours and 2 minutes of hands-on care per person every day. This crew of registered nurses, practical nurses, and aides handles all daily medical routines inside the building. Outside, the neighborhood carries a walk score of 62, meaning visitors can easily cross a few quick errands off their list on foot when stopping by.
State reports from the past nine years show a mixed regulatory record, with surveys pointing out recurring compliance issues regarding care protocols and resident communication practices. The most recent health department reviews noted specific areas where staff training and documentation needed to be strengthened. You can go over these long-term survey trends with the administrative staff to see how they manage their quality control systems.
Interested individuals can call the main desk to see if there is a waiting list for open rooms or to find out how the general admissions process works.
Hartford Health Care is an 86-bed nursing home accepting Medicare, Medicaid, and private pay in Hartford, Alabama. Owned by Sharon Owen, it sits in a moderately walkable neighborhood where some errands can be accomplished on foot. With a 91 percent occupancy rate, averaging a stay of 93 days, the home serves a combination of short-term rehabilitation and ongoing care for residents.
Built around rehabilitation services and short-term rehab, the facility is a practical choice for people recovering from hospitalization, surgery, or acute illness. Daily nursing support averages 3 hours and 42 minutes per resident, spread among registered nurses, nurse aides, and licensed practical nurses, providing consistent attentive care all day.
A generally stable safety record has been shown in the state inspections. Prior inspections found no health deficiencies, and the facility has been responsive to identified areas for improvement in zones like dining options, medication protocols, and documentation practices.
For families considering this home, touring in person will help you understand the rehabilitation services offered and examine if Hartford Health Care’s focus matches your loved one’s care needs.
Gregory and Gregg Myers own and administer Crowne Health Care of Citronelle, a 69-bed care home in Citronelle, Alabama. The building runs at a high 97 percent occupancy level, meaning openings are limited. Residents stay here for an average of 272 days, a timeline that shows the daily operations are mostly geared toward extended residential care, though they also handle short-term therapy recovery. For stay costs, the front desk handles traditional Medicare, state Medicaid, and standard private pay.
The floor schedule relies on a 24-hour crew that delivers just over 5 hours of direct, hands-on nursing attention per resident daily. This care time is shared among registered nurses, practical nurses, and assistants who coordinate short-term mobility therapy and temporary respite stays. Outside, the property has a walk score of 19, so visiting family members will need a car to handle errands or travel to the facility.
Over the past seven years, state health surveys have noted strong ratings for both staffing levels and health inspections at the property. However, regulatory outcome data for long-term residents shows higher rates of functional decline and an increased need for daily mobility assistance. Reviewing these specific care trends and past surveys with the administrative staff is a practical way to see how the team addresses physical preservation for long-stay residents.
Prospective residents can get in touch with the main office to inquire about current waiting lists or to walk through the general intake steps.
Merrill Gardens at Madison is an assisted living facility in Madison, Alabama, offering a memory care unit for residents with dementia and an independent living option. The community provides hospice services on-site for residents who need them. The costs at Merrill Gardens at Madison start at $1,835 and range up to $6,631, with the average price being $4,233, which is less than the average price in the area. The community is pet-friendly, and while special diet meals are not always available, it can accommodate residents’ dietary requirements, including no or low-sodium meals.
Residents at Merrill Gardens at Madison are required to have a scheduled, structured activity every day, and the community offers a variety of activities, including musical performances and social outings. The facility is located near two hospitals, Huntsville Hospital and Crestwood Medical Center, and has above-average reviews for the area. Merrill Gardens at Madison offers 175 studio, one, and two-bedroom apartments, with concierge services, scheduled transportation, 24-hour staffing, and weekly housekeeping. The community’s Anytime Dining program provides fresh, restaurant-style meals served from 7 am to 7 pm, seven days a week, allowing residents to live a full and happy life built around their delights and hobbies.
Redstone Village is a comprehensive Life Plan residential continuing care community in Huntsville, Alabama. Offering a spectrum of services, including independent living, assisted living, memory care, skilled nursing, and rehabilitation, Redstone Village exemplifies a commitment to holistic wellness, ensuring an enriched experience for residents across all levels of care. A team of dedicated staff specially trained in enhancing resident experiences upholds the community’s devotion to holistic well-being. Licensed nurses provide round-the-clock availability, offering peace of mind and ensuring the constant well-being of residents. In-house therapy services, overseen by licensed therapists, offer personalized exercise classes to promote overall health and vitality.
Within this community, residents indulge in the finer aspects of life, from the convenience of a beauty salon and barbershop to seamless transportation services that make getting around a breeze. Engaging group and individualized activities keep residents entertained and fulfilled, while housekeeping services alleviate concerns, allowing retirees to relish their golden years. Surrounded by well-manicured lawns and stunning grounds, Redstone Village encourages active senior living in a safe and secure setting. With a talented culinary team, the community ensures a balanced lifestyle that caters to its residents’ varied preferences. Beyond these amenities, Redstone Village offers breathtaking views overlooking the Tennessee River and the Appalachian mountains, promising maintenance-free senior living that combines enjoyment with enrichment. This community is a haven where residents can thrive, creating a fulfilling and enjoyable retirement experience.
Welcome to Brookdale University Park, a charming community in the heart of Birmingham that embodies the warmth and hospitality of the South. The community offers memory care, independent living, assisted living, skilled nursing, and rehabilitation services. Whether seniors are looking for a studio, one-bedroom, or two-bedroom apartment, they have a pet-friendly abode that’s perfect for you. Their staff is available 24/7 to provide residents with any assistance, ensuring their stay is comfortable and stress-free.
The community features an emergency alert system, a cafe-bistro, a fitness center, a chapel, and a clinic, among other amenities. The abundance of green views overlooking Shades Creek is commendable, providing a serene relaxing atmosphere. They also offer a variety of fun activities for their residents, including bingo, yoga, and movie nights. Their dining options are incredibly flexible, and their chefs are always eager to listen to each resident’s menu suggestions and favorite recipes. Their commitment to quality is unmatched, offering multiple levels of care on one campus, ensuring that everyone receives the support they need.
Part of the Merrill Gardens family of communities, Truewood by Merrill, Riverchase is an assisted living and memory care community in Hoover, Alabama. Eric Sharp serves as the administrator. The community is in Jefferson County, about 3 miles from downtown Hoover.
The three-story community has 101 beds. It offers studio and one-bedroom apartments ranging from about 250 to 675 square feet. Residents are welcome to bring their pets, helping make the community feel more like home.
Staff is available around the clock. There are 24-hour concierge services and on-site registered nurses and licensed practical nurses. Assisted living residents get help with activities of daily living and medication management. Memory care residents enjoy an accessible layout and 24-hour emergency response.
Chef-prepared meals are served daily, and residents can enjoy gardens, walking paths, and a courtyard. A full calendar of fitness classes and social activities is available. Amenities on-site include a billiards room, computer centre, games room, movie theatre, and beauty salon. Transportation services are also provided for appointments and outings.
The neighbourhood has a Walk Score of 57, which means it is somewhat walkable. Within walking distance are a few shops and services, but most errands and outings will require a short drive.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
Weighting overview
- 35%Resident Experience
- 25%Regulatory
- 15%Visual Media
- 10%Website
- 10%Stability
- 5%Environment
01
Resident & Family Experience 35%
The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.
- Includes
- Review Sentiment
- Review Volume
02
Regulatory & Safety Record 25%
State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.
- Includes
- State Inspections
- Citations/Inspection
- % Inspections w/ Citations
- Complaint Visits
- Accreditations
- BBB Rating
03
Visual Media & Transparency 15%
Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.
- Includes
- Video Tours
- Virtual Walkthroughs
- Photo Quantity
- Photo Quality
04
Website & Operator Transparency 10%
Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.
- Includes
- Website Content
- Mobile Usability
- Staff Info Available
- Owner Info Available
05
Community Stability 10%
Operational signals indicating whether a community is well-run and meeting demand.
- Includes
- Occupancy Rate
- Bed Options
06
Environment & Pricing 5%
Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.
- Includes
- Walk Score
- Pricing Transparency
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Frequently Asked Questions about Assisted Living in Alabama
What's the difference between assisted living and memory care in Alabama?
Assisted living in Alabama supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.
What's the difference between assisted living and a nursing home in Alabama?
Assisted living in Alabama is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Alabama Medicaid cover assisted living?
Alabama Medicaid does not directly pay room-and-board for assisted living, but most states (including Alabama) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.
What is assisted living?
Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.
How many assisted living facilities are listed on this page?
This page features 165 assisted living facilities in Alabama. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right assisted living facility in Alabama?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Alabama, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting assisted living facilities in Alabama?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.


















