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Best Assisted Living in Birmingham, AL

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 13 homes in Birmingham, AL

Sources: CMS Centers for Medicare and Medicaid Services, and Alabama Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Birmingham, Alabama.

Watch this Video to see Birmingham's Top-rated Senior Communities
Avg. Monthly cost: $5,000
National average: $5,600
Monthly cost range: $4,500–$7,000 (includes luxury options)
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12 (urban facilities often lean toward higher staffing)
National average: 1:6

Compare Assisted Living around Birmingham (Metro Area)

The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.

Click column headers to sort
The Neighborhood at Vestavia Hills
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Birmingham (Homewood)
77
Facility 77
AL AVG 118
Rank #134 / 247
Yes
31
Facility 31
AL AVG 37
Rank #238 / 419
Studio / 1 Bed / 2 BedB-Barbara Chatman
Longleaf Liberty Park
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Birmingham
90
Facility 90
AL AVG 118
Rank #106 / 247
No
24
Facility 24
AL AVG 37
Rank #284 / 419
Studio / Suite / 1 Bed / 2 BedA+Matthew Nicosia
St. Martin’s in the Pines
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Birmingham (Eastwood)
71
Facility 71
AL AVG 118
Rank #143 / 247
Yes
39
Facility 39
AL AVG 37
Rank #196 / 419
Private RoomsA+Courtlyn Wiggins
Brookdale University Park
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Birmingham (South Denver)
60
Facility 60
AL AVG 118
Rank #157 / 247
Yes
84
Facility 84
AL AVG 37
Rank #1 / 419
Studio / 1 Bed / 2 BedA+Brandon Bornstein
Danberry at Inverness
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Birmingham
56
Facility 56
AL AVG 118
Rank #171 / 247
Yes
51
Facility 51
AL AVG 37
Rank #108 / 419
Studio / 1 Bed / 2 Bed / 3 Bed-William Lytton
Regency Retirement Village of Birmingham
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Birmingham (Sand Ridge)
48
Facility 48
AL AVG 118
Rank #191 / 247
No
19
Facility 19
AL AVG 37
Rank #306 / 419
Studio / 1 Bed / 2 Bed-Chip Cook
Monark Grove Greystone
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Birmingham
32
Facility 32
AL AVG 118
Rank #222 / 247
Yes
47
Facility 47
AL AVG 37
Rank #142 / 419
Studio / 1 Bed / 2 Bed-William Devening
Monark Grove Greystone (The Bluffs at Greystone)
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Birmingham
32
Facility 32
AL AVG 118
Rank #222 / 247
No
56
Facility 56
AL AVG 37
Rank #82 / 419
Special Care (32)-William Devening
Galleria Woods
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Birmingham
24
Facility 24
AL AVG 118
Rank #236 / 247
No
28
Facility 28
AL AVG 37
Rank #256 / 419
1 Bed / 2 BedA+Lynda Sullivan
Country Cottage – Hoover
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Hoover
-
Facility -
AL AVG 118
No
7
Facility 7
AL AVG 37
Rank #356 / 419
---
Somerby St. Vincent’s One Nineteen
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Birmingham
56
Facility 56
AL AVG 118
Rank #171 / 247
No
31
Facility 31
AL AVG 37
Rank #238 / 419
Studio / 1 Bed / 2 Bed-Keegan Jett
Fair Haven – Assisted Living
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Birmingham
76
Facility 76
AL AVG 118
Rank #135 / 247
No
7
Facility 7
AL AVG 37
Rank #356 / 419
--Earnestine Thompson
The Brook
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Birmingham
48
Facility 48
AL AVG 118
Rank #191 / 247
No
0
Facility 0
AL AVG 37
Rank #396 / 419
--Emily Kirouac
Overview of Somerby St. Vincent’s One Nineteen

Located in Birmingham, AL, the Somerby St. Vincent’s One Nineteen is a peculiar senior living community that provides independent living, assisted living, and memory care services. The community offers a broad range of floor plans that are designed to accommodate the needs of assisted living and memory care residents. It includes various options such as the evergreen, the forsythia, the grand, and the azalea which differ in the number of beds provided and spaces covered for convenience.

The community is committed to providing luxurious amenities that are very rewarding for a senior living lifestyle. Experience various social activities and events that foster companionship, along with healthy meals, on-campus entertainment, and wellness programs. At Somerby St. Vincent’s One Nineteen, seniors can surely make the most out of their retirement.

What does this home offer?

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Room Sizes: 619 / 754 / 827 / 894 / 1072 / 1243 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Dining Services

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Security Systems

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Housekeeping Services

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Transportation Services

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Beauty Services

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Recreational Activities

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Exercise Programs

Contact Somerby St. Vincent’s One Nineteen

The Brook

3776 Crosshaven Drive, Birmingham, AL 35223
Overview of The Brook

The Brook is an assisted living community in Birmingham, AL. It offers a customized CareSteps service program tailored to the needs of each resident, ensuring a warm and comfortable home-like environment. Residents can enjoy various activities that support their mind, body, and spirit.

Contact The Brook

Contact Fair Haven – Assisted Living

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 Birmingham, AL

What is the average cost of assisted living in Birmingham, AL?

The average monthly cost of assisted living in Birmingham, AL is approximately $5,000. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Birmingham, AL?

Assisted living in Birmingham, AL typically ranges from $4,500–$7,000 (includes luxury options) per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Birmingham, AL?

Assisted living facilities in Birmingham, AL typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12 (urban facilities often lean toward higher staffing).

How many licensed assisted living facilities are there in Birmingham, AL?

According to state licensing records, there are approximately ~50–70 (major metro hub) licensed assisted living facilities in Birmingham, AL.

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.