Page 6 of Best Assisted Living in Alabama

Why trust this guide? Our editorial team analyzed 167 assisted living communities in AL using AL Dept. of Public Health (ADPH) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in AL
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Last updated
We analyzed These are the facilities in Alabama our team has analyzed — not a count of every assisted living provider in Alabama.
167 homes
Other senior care options in Alabama:
Avg Monthly Cost: $4,851The average monthly cost across facilities in Alabama. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 33/ 100The average Walk Score across facilities in Alabama. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 63The average licensed bed capacity across facilities in Alabama. Individual facilities can vary widely from this average.
National Average: 90

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-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
The Crossings at Riverchase
AL
CCRC
IL
MC
Hoover (Riverchase Business)
80Yes 16 Studio / 1 Bed / 2 BedJosh Hullett
North River Village
AL
IL
MC
NH
Tuscaloosa (Crown Pointe)
80No 11 Private / Companion SuitesJudith A. Jones
The Renaissance of Florence
AL
Florence
83Yes 7 Studio / 1 Bed / 2 BedLaura Fithian
Altoona Health & Rehab
AL
MC
NH
SNF
Altoona
50
Facility 50
AL AVG
Rank #126 / 135
No
13
Facility 13
AL AVG
Rank #109 / 126
-Adm Linda Bigelow
Extendicare Health and Rehab
AL
MC
NH
RC
SNF
Dothan
170
Facility 170
AL AVG
Rank #17 / 135
Yes
67
Facility 67
AL AVG
Rank #11 / 126
-Shenika Ford
The Reserve at Fairhope (SCALF)
AL
IL
MC
RC
Fairhope
32Yes 79 -Elizabeth Skipper
The Neighborhood at Madison
AL
RC
Madison
46Yes 33 Studio / 1 Bed / 2 BedTanya Barksdale
The Neighborhood at Sheffield
AL
RC
Sheffield (Woodlawn Heights)
56Yes 26 Studio / 1 Bed / 2 BedKutana Mitchell
Country Cottage – Montgomery
AL
MC
RC
Montgomery (Landmarks)
26No 45 Private RoomsVictoria Rudolph
Little Sisters of the Poor Sacred Heart Residence
AL
NH
Mobile
52
Facility 52
AL AVG
Rank #125 / 135
No
62
Facility 62
AL AVG
Rank #26 / 126
-Jason Stinnett

Rank badges are statewide: each community is ranked against every AL community we track that reports that metric, not just the 167 on this page. See how we rank facilities

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Overview of The Crossings at Riverchase

Administered by Josh Hullett, The Crossings at Riverchase is a newly opened senior living community in the Riverchase Business neighborhood of Hoover, Alabama. The community offers independent living, assisted living, and memory care, allowing residents to receive different levels of support without moving to another campus. The three-story building has 80 beds with studio, one-bedroom, and two-bedroom floor plans.

Having all three care levels in one community gives residents the flexibility to transition as their needs change while remaining in familiar surroundings. This can be an advantage for families planning for future care needs.

Residents enjoy chef-prepared meals, walking clubs, cultural entertainment, and an assortment of fitness and recreation programs. The memory care program also includes activities for residents living with dementia or memory loss. The community is pet-friendly, and residents can bring a companion animal with them to live at the community.

The neighborhood is car-dependent, with a Walk Score of 16. Families traveling from out of the area should plan on transportation. Most errands and outings will require a vehicle. As the community is new, families may want to ask about current apartment availability and move-in timelines when they tour.

Contact The Crossings at Riverchase

Overview of North River Village

Nestled in the peaceful neighborhood of Tuscaloosa, AL, North River Village is an idyllic senior living community that provides outstanding independent living, assisted living, and healthcare services. Here, individuality and independence are given the utmost priority for its residents throughout their stay. A highly skilled and passionate team ensures 24/7 services catering to the unique needs of its residents.

Moreover, the community offers trusted healthcare services such as staffing & ancillary services, incontinence care, diabetic care, non-ambulatory care. Enjoy its fine dining experience with delicious and nutritious meals that satisfy cravings. Participate in diverse on-site and off-site activities coordinated by a professional team that boosts engagement and wellness. With North River Village, seniors are assured of a glorious retirement.

Contact North River Village

Overview of The Renaissance of Florence

Formerly known as Merrill Gardens at Florence, The Renaissance of Florence is an assisted living community in Florence, Alabama, about 4.4 miles from the city center in Lauderdale County. Laura Fithian serves as the administrator. The community has been serving residents for 29 years, giving it a long-established presence in the area.

The single-story community has 83 beds. It offers studio, one-bedroom, and two-bedroom apartments, so residents can choose based on their space needs and budget. The car-dependent area has a Walk Score of 7, which means most errands and outings require driving.

Residents receive assistance with personal care tasks such as bathing, dressing, and walking. Medication management and regular health monitoring are also offered here. Staff checks on residents personally throughout the day. Transportation services are available for medical appointments and errands. Fitness and recreation programs help residents stay active.

Meals are prepared using a seasonal menu that changes throughout the year. Residents can also take part in a regular schedule of social events and activities. Pets are welcome in the community, allowing residents to keep a companion animal during their stay.

Contact The Renaissance of Florence

Overview of Altoona Health & Rehab

Altoona Health & Rehab provides nursing home, skilled nursing, assisted living, and memory care in Altoona, AL. Nursing home and skilled nursing services provide medically supervised nursing care, while assisted living supports daily tasks and memory care offers a secured setting with supervision. Having these care levels in one community may suit a resident whose needs change over time without requiring a move to a different community.

Staff are present 24 hours a day, including overnight, so a resident can seek assistance beyond daytime hours. The community also provides rehabilitation services, allowing a resident to receive rehabilitation through the facility, and offers infusion therapy for residents whose treatment includes infusion medication. The available facts do not specify which disciplines are present during each shift or the particular rehabilitation and infusion schedules.

Total nurse staffing is 4 hours and 20 minutes per resident per day, representing the nursing staff time assigned to each resident’s daily care. Licensed nurse staffing is 1 hour and 22 minutes per resident per day, covering RN and LPN time for clinical needs. Families should verify how these hours are distributed across shifts and how the listed programs, services, and payment arrangements apply to a specific admission.

Medicare, Medicaid, and private pay are accepted, giving families public benefit and direct payment routes, with eligibility and covered services determined by the payer. Altoona Health & Rehab has 50 beds, making it a smaller community where staff and residents can get to know one another; its 92% occupancy means current openings and move in timing can change. Adm. Linda Bigelow serves as the administrator. The website summary contains a conflicting location, so the facility’s location should be verified before travel, relocation, or admission planning.

Contact Altoona Health & Rehab

Extendicare Health and Rehab

950 South St. Andrews Street, Po Box 1246, Dothan, AL 36301-3684
Overview of Extendicare Health and Rehab

Extendicare Health and Rehab offers nursing home care, assisted living, memory care, respite care, and skilled nursing in Dothan, Alabama. Assisted living includes help with daily tasks, while skilled nursing provides licensed nursing care on site around the clock. Memory care is provided in a secured setting with supervision, and respite care offers a short stay when someone’s usual caregiver needs to travel or recover. With several care levels available, a resident whose needs grow may be able to move to another level without leaving the community.

The community has 170 beds, making it a larger residential setting with more residents and staff and usually more programming than a smaller home. Total nurse staffing is 4 hours and 53 minutes per resident per day, representing the daily nursing time assigned to each resident. Shenika Ford serves as the administrator. A complimentary beauty and barber salon gives residents access to grooming services on site, while the Senior Rehabilitation program and other rehabilitation services support recovery and functional care.

Scheduled transportation is available for planned trips, and pets are allowed. Medicare, Medicaid, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence, Medicaid may help when savings do not cover a long stay, and private pay means the family funds care directly. The community has a Walk Score of 67, making the area somewhat walkable, so some errands can be completed on foot by a resident who no longer drives. Extendicare Health and Rehab may be a good fit for someone whose care needs could change over time or for a family seeking short term respite care.

Contact Extendicare Health and Rehab

Overview of The Reserve at Fairhope (scalf)

The Reserve at Fairhope is an assisted living community in Fairhope, Alabama. The home at 604 Reserve Loop is in a highly walkable neighborhood where most daily errands can be finished on foot, and essential services are within a short walk. For those seeking an independent living environment with assistance available, the community houses 32 residents in a residential setting built to provide personal care and support. Respite care services are offered for individuals needing temporary residential support.

Assisted living communities like The Reserve at Fairhope supply daily support with activities like bathing, dressing, medication management, and meal preparation, while encouraging residents to be as independent as possible. This model appeals to those seeking personalized care in a home-like setting instead of a larger facility environment. The facility’s location offers a serene, walkable neighborhood that supports residents and visiting family members who cherish accessibility and a community-oriented setting. With nearby parks, shops, and services, the area has convenient access to daily needs and leisure activities.

Contact The Reserve at Fairhope (SCALF)

Overview of The Neighborhood at Madison

The Neighborhood at Madison is where a world-class promise of care awaits seniors in Madison, Alabama. This exceptional senior home offers a small-town feel, delivering top-notch assisted living services in adherence to the highest assisted living guidelines. With a focus on personalized programs and treating each resident like a cherished family, The Neighborhood at Madison elevates their everyday experiences with elegant and refreshing interiors, complemented by inviting outdoor spaces.

Here, residents enjoy the convenience of free Wi-Fi, daily housekeeping, and delicious meals prepared by an executive chef. The community goes above and beyond, providing assistance with medication management, daily activities, and laundry services, ensuring a comprehensive and supportive environment for residents. With a host of amenities to delight the senses, The Neighborhood at Madison stands as one of the finest assisted living facilities, boasting private dining rooms, cozy fireside seating, a well-stocked library, and an arts and craft studio, allowing residents to explore their passions and interests.

Contact The Neighborhood at Madison

Overview of The Neighborhood at Sheffield

Located in the quiet neighborhood of Cox Boulevard Sheffield, AL, The Neighborhood at Sheffield is a welcoming senior living community that provides assisted living and respite care services. Here, residents can choose from a wide array of accommodations with several floor plans depending on their personal tastes. With its dedicated and supportive team, residents feel purpose and connection while engaging in different social activities that this beautiful place has to offer. As for respite care services, the community offers a 60-day short-term stay.

With its dedication to fostering an all-inclusive and secure environment, residents can enjoy exceptional amenities and services which include the following: daily housekeeping, daily wellness checks, personal laundry and linen service, individualized care plans, transportation for group activities, and many more. Meet new friends and create lasting memories. The Neighborhood at Sheffield proudly stands as a premier life community plan for senior living.

Contact The Neighborhood at Sheffield

Overview of Country Cottage – Montgomery

Country Cottage – Montgomery runs 26 beds in Montgomery’s Landmarks neighborhood, a single-story building offering private rooms, administered by Victoria Rudolph. It covers three types of care: assisted living, memory care, and respite care. The Walk Score sits at 45, somewhat walkable, a few things reachable on foot, though most errands still call for a car.

The care model here has an actual name and structure to it: CareSteps starts with a staff assessment, then builds an individualized care plan from there, one that gets revisited every three months or sooner if a resident’s needs shift. That means support scales with the person, not the other way around. As independence increases, care needs (and cost) can decrease. If a resident’s needs grow, the plan and the support adjust to match.

The rooms themselves are private, each with its own bathroom, an emergency alert system, and a real closet, not an afterthought. Cable and phone hookups come standard. Activities aren’t handed down from a generic calendar either; they’re built around what residents actually want to do. Rehabilitation services, respite care, and licensed nurses and CNAs cover the clinical side.

This is a small, single-story community built around a genuinely individualized care model, one where the plan for each resident, and what it costs, is designed to track that person’s actual needs rather than a fixed package.

Contact Country Cottage – Montgomery

Overview of Little Sisters of the Poor Sacred Heart Residence

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.

Contact Little Sisters of the Poor Sacred Heart Residence

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
No paid rankings Communities cannot pay to influence placement.
Data source Alabama Department of Health
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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 167 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.