Best Nursing Homes in Alabama

Overview of Westminster Village – Spanish Fort

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.

Discover the pinnacle of senior living at Palm Gardens Health and Rehabilitation, LLC, a haven nestled in the heart of Mobile, Alabama. With a highly skilled and compassionate staff and an exceptional facility, they are dedicated to providing an unparalleled experience for seniors. At Palm Gardens, they go beyond traditional care, offering a comprehensive range of skilled nursing and rehabilitation services that redefine what’s possible. From pain management to wound care, diathermy to IV therapy, cardiac recovery to amputations, and audiology to various impairments, their clinical capabilities are vast. Rehabilitation takes center stage with state-of-the-art physical, occupational, and speech therapy programs, complemented by a cutting-edge wellness station gym. 
What sets Palm Gardens apart is its collaboration with nurse practitioners through Southern and the Associates—a team of highly trained practitioners who bridge any communication gaps, ensuring seamless coordination among administrators, health professionals, and family members. Residents are also invited to indulge in the serenity of outdoor courtyards, where nature’s beauty intertwines with daily activities. From captivating entertainment to stimulating programs, each day is filled with excitement and fulfillment.

Overview of Crowne Health Care of Springhill

Settled in the neighborhood of Mobile, AL, Crowne Health Care of Springhill is a dependable senior living community that serves skilled nursing and rehabilitation services in a serene and peaceful healing environment. Designed to serve residents needing professional support in their recovery journey, the community offers 24-hour nursing care and access to excellent physical, occupational and speech therapy services. The community features a team of professional RNs, LPNs, and CNAs to provide residents assistance with a multitude of tasks for their convenience.

In addition to comprehensive care services, residents here are also offered an array of activities to provide them the enrichment they need to thrive holistically. Various amenities, such as a spacious therapy gym, a sprawling courtyard, inviting sitting area, and a coffee bar are available to make residents’ stay within the community as comfortable as possible. Here, residents are guaranteed a speedy and smooth recovery journey so they can quickly get back to doing the things they love.

Washington County Nursing Home is an 88-bed long-term care facility and county-operated governmental institution at 14600 St. Stephens Avenue in Chatom, Alabama, in Washington County. It’s administered by Teresa Grimes and functions as an integral part of Washington County Hospital, which has served the community since 1953. It accepts Medicare and Medicaid, and the current resident census (January 2026) shows 80 residents, with Medicaid covering 83.8 percent and private pay or other sources covering the rest.

The facility scored an overall 5-star rating by CMS, with every rating dimension above the Alabama average, the only facility in this review batch to achieve that across all four components. The overall score is 71.8 percent above the Alabama average, health inspection performance is 74.8 percent above average, staffing is 38.9 percent above average, and quality measures are 69.5 percent above average. The inspection record is extraordinary. Across three surveys over eight years: February 2018, February 2019, and June 2021, the facility accumulated just one total citation, placing it first out of 121 Alabama SNFs on both total citations and per-inspection citation rate. That single citation was a moderate Abuse/Neglect finding from the February 2018 survey, corrected promptly. No critical or serious citations have been issued, with no fines or penalties in the past three years. Quality measure performance for long-stay residents is similarly strong across most dimensions. Hospitalizations run at 0.94 per 1,000 resident days, 53 percent below the Alabama average of 2.00, indicating that chronic conditions are being managed proactively. ADL decline (9.4 percent vs Alabama average 13.9 percent) and walking ability decline (9.6 percent vs 16.1 percent) are both substantially better than state benchmarks, as are pressure ulcer (2.7 percent vs 5.9 percent) and UTI rates (2.3 percent vs 2.7 percent). Both pneumococcal and influenza vaccination rates reach 100 percent for long-stay residents. The composite high-risk clinical events score of 7.1 is 20 percent better than the Alabama average. Three areas warrant monitoring: weight loss at 9.6 percent (78 percent above Alabama average 5.4 percent), bowel/bladder incontinence at 21.7 percent (59 percent above average 13.6 percent), and falls with major injury at 4.4 percent (29 percent above average 3.4 percent). Given these figures, families of long-stay residents should ask specifically about fall prevention protocols and nutritional monitoring. Staffing is above average in total nursing hours, 4 hours 52 minutes per resident per day, 11 percent above the Alabama average, ranking 25th of 121 statewide. LPN hours stand out at 57 minutes per day, 21 percent above the state average. Weekend total nursing of 3 hours 34 minutes is 8 percent above average. One gap needs attention: weekend RN coverage at 8 minutes per day is 64 percent below the Alabama average of 22 minutes, the lowest weekend RN figure in this batch. Q2 2025 payroll data shows 103 total staff: 99 employees, 4 contractors (1.7 percent of hours) with 8.4 hours average shift. The 1.29:1 staff-to-resident ratio is below the Alabama average headcount ratio, though the nursing hours benchmarks remain above average, reflecting longer average shifts.

The campus’ specialty clinic access is a meaningful differentiator for a rural county-operated facility. On-site or affiliated services include cardiology, orthopaedics, pulmonary, radiology, vascular associates, a lab, a swing bed program, and the WCHNH Heritage Adult Day Haven, extending the facility’s services to day care for community members. Millry Family Care provides primary care access within the network.

Washington County Nursing Home is an exceptional option for Washington County and surrounding rural Alabama communities seeking a county-governed, 5-star rated facility. Its inspection record stands among the cleanest in the state, with quality results reflecting resident health outcomes instead of mere regulatory compliance. The RN weekend gap and the weight loss and incontinence metrics are the only material concerns in an otherwise highly favorable profile, though families of long-stay residents must ask about fall prevention protocols and nutritional monitoring.

Overview of Piedmont Health Care Center

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.

Overview of Arbor Woods Health and Rehab

Linda Dill manages the daily operations at Arbor Woods Health and Rehab, an 85-bed skilled nursing facility in Alabama. Right now, the building functions at a lower 57 percent occupancy level, which means they have open beds and can accommodate quick or planned move-ins. People stay here for about 184 days on average, a timeline that tells you the staff splits their time between short-term therapy recovery and long-term residential care.

The floor schedule centers on a 24-hour nursing crew that logs a high average of 6 hours and 4 minutes of direct, hands-on attention per resident every day. This daily care time is divided among registered nurses, practical nurses, and assistants to cover basic personal aid and clinical monitoring. When visiting, keep in mind the neighborhood has a walk score of 36, so you will need a car to handle any errands outside the property.

Past state regulatory health surveys have pointed out compliance problems here tied to basic care practices, infection control methods, and food safety standards. It is a smart move to go over these past inspection files with the supervisor to find out what specific changes the facility has made to its daily quality control systems.

Families can stop by the administrative office to request the intake paperwork checklist or look over open room layouts. The business office handles stay coverage through traditional Medicare, state Medicaid, or standard private out-of-pocket funds.

Southern Springs Healthcare is a 123-bed skilled nursing and rehabilitation facility located at 745 Southern Springs Road in Union Springs, Alabama, in Bullock County. Privately owned by the Estate of Milton E. McGregor as a corporation and administered by Kristy L. Tanner, the facility accepts Medicare, Medicaid, and private pay. Current occupancy is 86 percent, 6 percentage points above the Alabama state average, and the facility is ranked 54th of 132 Alabama SNFs for occupancy. CMS rates Southern Springs Healthcare at 5 stars overall, with all four rating dimensions above the Alabama average: health inspection at plus 74.8 percent, quality measures at plus 35.6 percent, overall at plus 71.8 percent, and staffing at plus 11.1 percent.
Services include skilled nursing, rehabilitative care, and rehabilitation services with physical, occupational, and speech therapy on-site. Southern Springs Healthcare maintains an Active Resident Council and an on-site Nurse Aide Training program, reflecting a commitment to staff development and resident governance. A Nurse Practitioner, mental health service worker, dental staff, and respiratory therapy technician are on-site. The facility has a strong relationship with residents, families, and the surrounding Bullock County community.
Staffing is above average in total nursing hours and notably strong in CNA and LPN coverage. CNA hours at 3 hours 14 minutes per resident per day are 29 percent above the Alabama average, LPN hours are 23 percent above average, and physical therapist hours are double the state benchmark. Weekend total nursing at 3 hours 28 minutes is 5 percent above the Alabama average. RN hours at 24 minutes per day are 37 percent below the Alabama average, and weekend RN hours at 9 minutes are 59 percent below the state average of 22 minutes, the two staffing gaps families of clinically complex residents should raise on a tour. Q4 2025 payroll data shows 109 staff with 105 employees and only 4 contractors (0.7 percent contractor hours), one of the most stable employed workforces in this review.
The inspection record is the strongest component of the 5-star profile. Across five surveys spanning May 2018 through August 2023, Southern Springs Healthcare accumulated just 10 total deficiencies against an Alabama average of 17, at 1.3 per year against a state average of 2.1. No critical or serious citations have ever been issued. The August 2022 routine survey found zero deficiencies. The one substantiated complaint, investigated August 1 2023, found that a facility Admissions Coordinator had become the beneficiary of a resident’s $20,000 life and burial insurance policy and paid premiums without notifying the family. The employee was suspended, subsequently resigned, and corrective audits and staff training were implemented. No penalties have been issued in the past three years.
Quality measure highlights include emergency department visits for long-stay residents at 0.48 per 1,000 resident days (73 percent better than the Alabama average), falls with major injury 63 percent better than average, and UTI rates 81 percent better. Pressure ulcers at 12.1 percent (103 percent above the Alabama average) and weight loss at 10.5 percent (94 percent above average) are the two long-stay clinical outliers families should ask about. Short-stay re-hospitalization at 20.4 percent is 17 percent better than the Alabama average, and short-stay ED visits are zero.
Southern Springs Healthcare suits Bullock County and surrounding Alabama families seeking a 5-star CMS-rated facility with an exceptionally clean inspection record, above-average CNA and LPN staffing, and standout long-stay clinical outcomes, in a community-rooted skilled nursing setting. Families placing long-stay residents should ask specifically about wound prevention and nutritional monitoring protocols before placement.”

Overview of Aliceville Manor Nursing Home

Aliceville Manor Nursing Home is a 100-bed facility that has been operating for 50 years. The building runs at a 73 percent occupancy level, and residents stay here for an exceptionally long average of 572 days. This extended timeline shows that the daily floor routine is overwhelmingly centered on permanent, long-term residential stays rather than short-term therapy turnarounds.

The floor schedule relies on a 24-hour medical team that includes board-certified physicians, a registered pharmacist, and a nursing crew logging an average of 4 hours and 42 minutes of direct care per resident daily. Nurses and aides split these hours to manage clinical tasks like wound care, specialized memory care, and hospice services. Outside, the neighborhood is mostly car-dependent, meaning visitors will need a vehicle for almost all errands away from the building.

State reports have documented repetitive compliance issues at this facility regarding basic infection control methods, building sanitation, care documentation accuracy, and treatment delivery protocols. You can look over these past inspection files with the supervisor to find out what specific corrective changes have been built into their daily cleaning and clinical routines.

Prospective representatives can contact the intake department to ask about the current waiting list or review the registration process. The business office can walk you through financial options like Medicare, Medicaid, and private funds, while the staff can detail household amenities such as therapeutic menus overseen by a registered dietitian, an on-site laundry department, and community volunteer programs.

Overview of Cottage of the Shoals

David Grimes owns Cottage of the Shoals, a 103-bed nursing home located at 500 John Aldridge Drive in Tuscumbia, Alabama. The building runs at an 85 percent occupancy rate, and residents stay for an average of 96 days. A single-level floor plan enables residents to navigate between their private rooms and the shared dining spaces without climbing stairs.

Daily care routines cover skilled nursing assistance, post-acute rehabilitation, and medical supervision. The clinical team provides 24-hour care, averaging 2 hours and 39 minutes of daily nursing support per resident, which includes 47 minutes from registered nurses alongside assistance from licensed practical nurses and nurse aides. State inspection logs note a few regulatory deficiencies focused on infection control procedures, medical records management, and incident reporting protocols.

The surrounding neighborhood carries a walkability score of 65 out of 100, letting visitors and staff handle some nearby errands on foot. Interested individuals can reach out to the facility director to discuss open beds and admission requirements.

Overview of Crossville Health and Rehabilitation, LLC

Heather Blackburn owns Crossville Health and Rehabilitation, a 143-bed care community on Alabama Highway 227 North in Crossville. The building runs at a high 91 percent occupancy rate, and stays here average around 194 days. This timeline shows that the daily routine balances standard long-term residential placements with shorter recovery stints for residents transitioning out of the hospital.

The floor schedule centers on a 24-hour nursing team that averages 4 hours and 23 minutes of direct, hands-on attention per resident daily. This crew utilizes an on-site therapy gym to coordinate short-term physical recovery, medical oversight, and a dedicated Rapid Recovery program. For amenities, the layout features a restaurant-style dining area, private room-service options, beauty shop services, and outdoor seating. The surrounding neighborhood has a walk score of 45, meaning visiting relatives can handle a few minor tasks on foot, but most trips will require a car.

State health surveys for this property have previously noted compliance issues regarding care documentation, medication management, infection control, and resident treatment standards. Reviewing these past inspection files with the administrative staff is a straightforward way to evaluate their current safety protocols and quality control systems.

Prospective representatives can contact the admissions office to check on current bed availability, learn about registration steps, or discuss funding through traditional Medicare, state Medicaid, and private pay.