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Why trust this guide?
Our editorial team analyzed 139 nursing homes in AL using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in AL
Info below is compiled from CMS reports & 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.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Alabama average is: 53.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$7.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
52.6%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other AL nursing home we track that reports that metric, not just the 139 on this page. See how we rank facilities
Overview of Cullman Rehabilitation and Healthcare Center
Cullman Rehabilitation and Healthcare Center carries three care types in Cullman, AL. They are skilled nursing, respite care, and nursing home care. Nursing home care here means long-term support, and that is why the licensed cover has to repeat itself night after night rather than simply be present once. Respite is the one thing here that is not about a resident’s health changing, a short stay while the usual caregiver takes time away or recovers.
The licensed bed count is 95. Short-term rehab and the broader rehabilitation services cover what follows a hospital discharge.
Medicare, Medicaid, and private pay each go toward the cost. The hands-on nursing figure for one resident, across one day, is 4 hours and 18 minutes.
Adam Madison is the administrator. Post-hospital rehabilitation, long-term nursing or a short respite stay are the three things somebody would come here for.
Overview of Birmingham Nursing and Rehabilitation Center East
Birmingham Nursing and Rehabilitation Center East is a senior care facility that provides exceptional long-term care and rehabilitation services. The facility is proud to have Medicare and Medicaid certification, ensuring clients receive top-notch care. The therapy services in this home are customized to meet the individual needs of each resident, including outpatient therapy and transitional care. The facility uses state-of-the-art equipment and has a friendly and attentive staff to help residents achieve maximum results.
To keep residents connected with their loved ones, Birmingham Nursing and Rehabilitation Center East offers Wi-Fi and cable services. The private courtyard provides a peaceful atmosphere where residents can relax and enjoy the surroundings. Residents in the transitional care unit also have access to a designated shower and a wheelchair van for their convenience. The facility offers salon, housekeeping, and laundry services as well. Birmingham Nursing and Rehabilitation Center East does very well in exceeding the expectations of its clients.
Lafayette Extended Care keeps a 69-bed building in Lafayette, AL, licensed for skilled nursing and nursing home care. The nursing here is of the ongoing sort, licensed and meant for somebody who will still need it the next year. Rehabilitation services are provided as well, for the recovery work an injury or an illness leaves someone with.
Nursing time per resident, daily, is set at 4 hours and 43 minutes. Medicaid, Medicare, and private pay are accepted here. Medicaid is for cases where savings don’t reach the bill for a long stay, and Medicare is for those short stretches of skilled care necessary after a hospital stay ends. Private pay is where the bill is met by the family’s money.
Yvonne Butler is named on the administrator line. Between the continuing nursing and the rehabilitation, the building fits a resident who needs either one.
Burns Nursing Home lists three care types in Russellville, AL. It has hospice care, nursing home care, and skilled nursing.
The nursing home side of its offering is help with daily needs and nursing oversight together, and skilled nursing is licensed nursing coverage for a resident who needs both throughout the day and daily. Hospice work here is comfort as a resident nears the end.
Fifty-seven beds keep the community small, so it’s the sort of place where staff learn who is who. Nursing time divides to 4 hours and 7 minutes for each resident’s day.
The home accepts Medicare, Medicaid, and private pay. Meg Deaton keeps the administrator’s job.
The fit is somebody wanting daily assistance, licensed nursing at any hour, or hospice as comfort becomes the priority.
NHC Healthcare – Anniston is a nursing home that offers skilled nursing, home care, hospice care, respite care, and short-term rehabilitation in Anniston, AL. Residents receive care whenever needed, with the community’s multiple levels of care, supported by 24-hour staffing. The community also provides comfort-focused care for terminally ill residents, while respite services are available for those seeking short-term stays when their usual caregiver needs time away.
The community has 151 beds, with a current occupancy of 89.3%. With Keely Stallings as the administrator, the community’s payment options are Medicare, Medicaid, and private pay. Moreover, total nurse staffing is 3 hours and 35 minutes per resident per day. Home care is also available for older adults who prefer to receive care in their own home.
On-site rehabilitation services let residents receive therapy without arranging transportation to another location. An on-site beauty and barber shop provides grooming services within the community, and dietitian- and chef-approved meals are tailored to residents’ nutritional needs. Moreover, housekeeping and laundry are available to help with household tasks. For entertainment options and socialization opportunities, live entertainment and activities are provided.
Summerford Health and Rehab provides nursing home care, skilled nursing, and respite care in Falkville, Alabama. Skilled nursing includes licensed nursing care on site. Respite care offers a short stay when a usual caregiver needs time to travel, recover, or manage other responsibilities.
Short term rehabilitation supports recovery after an illness, injury, or hospital stay, while long term care supports ongoing residence when daily nursing needs continue. The home has 216 beds, creating a larger community with more residents and staff, along with more programming. Total nurse staffing is 3 hours and 45 minutes per resident each day, representing the nursing time available for each resident’s care.
Medicare, Medicaid, and private pay are accepted. Families therefore have several listed ways to cover skilled or long term care costs, including Medicaid for eligible residents and Medicare for qualifying short term skilled care.
Rehabilitation services, wound management, nutrition services, dental services, vision services, and an in house lab address clinical and recovery needs within the facility. Having these services on site reduces the need to arrange each one elsewhere. A pool offers an on site recreational option, and the beauty salon supports personal grooming without requiring residents to leave the community. Rebecca Fraizer Smith serves as the administrator.
Galleria Woods is a continuing care retirement community in Birmingham, Alabama, with independent living, assisted living, respite care, and skilled nursing and nursing home care. Independent living offers private living without daily care, while assisted living includes help with daily tasks. Skilled nursing and nursing home care provide licensed nursing care on site around the clock.
Respite care is available for a short stay when a family caregiver needs to travel or recover. The community has 24 beds, creating a smaller setting where staff and residents can get to know each other. One bedroom and two bedroom housing options can work for an individual, a couple moving together, or someone who wants a companion.
Total nurse staffing is 4 hours and 45 minutes per resident each day, representing the daily nursing time allocated to each resident. Several care levels share one campus, so Galleria Woods may be a good fit for a resident whose needs change over time. Medicare and private pay are accepted, giving families two listed ways to cover care.
Lynda Sullivan serves as the administrator. Pets are allowed, so a resident may be able to bring a pet when moving in.
Glenwood Center provides nursing home and skilled nursing care in Florence, AL, along with hospice, palliative, and respite care. Skilled nursing means licensed nurses are on site around the clock. Hospice and palliative care support residents living with serious or end-of-life illness, while respite care provides a short stay when a usual caregiver needs to travel or recover.
The center has 125 beds, with private and semi-private rooms. A private room gives one resident an individual room; a semi-private room is shared. Medicare, Medicaid, and private pay are accepted, giving families these payment methods for eligible care and services.
Total nurse staffing is 2h 56m per resident per day, representing the daily nursing time allocated to each resident. Glenwood Center may be a good fit for someone who needs skilled nursing, end-of-life support, or a short-term respite stay.
Welcome to Glen Haven Health and Rehabilitation, LLC, a senior living community located in Northport, Alabama, serving Tuscaloosa County and the Western Alabama Region. This community offers nursing homes, providing a wonderful alternative to traditional long-term care and rehabilitation facilities. Their commitment to quality and compassionate care is evident in the professional and caring staff, who are dedicated to creating a warm and welcoming environment for residents. With beautifully decorated common areas and serene outdoor courtyards, the facility offers a relaxing and engaging atmosphere, where residents can participate in daily activities that promote an active and fulfilling lifestyle.
Overview of Enterprise Health & Rehabilitation Center
Enterprise Health & Rehabilitation Center is a skilled nursing and nursing home community in Enterprise, AL. Skilled nursing provides licensed nursing care on site around the clock, while rehabilitation services support residents receiving nursing and recovery focused care. The community may be a good fit for someone who needs ongoing nursing care alongside rehabilitation services.
With 257 beds, Enterprise Health & Rehabilitation Center is a larger community, with more residents and staff and more programming. Total nurse staffing is 5 hours and 41 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicaid, Medicare and private pay are accepted. Wesley Averett serves as administrator.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Alabama
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 nursing home care?
Yes — Alabama Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 139 nursing homes in Alabama. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home 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 nursing homes 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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Alabama at a glance
Avg Overall CMS Rating:2.9/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Alabama. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Alabama. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Alabama. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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