Other senior care options in Alabama:

Page 11 of Best Nursing Homes in Alabama

Why trust this guide? Our editorial team analyzed 137 nursing homes in Alabama using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in AL
Reviewed by
Last updated
Jul 2026
We analyzed
137 homes
Other senior care options in Alabama:
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

Compare Nursing Homes around Alabama

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

CMS & AL Dept. of Health data

Westminster Village – Spanish Fort
NH
AL
HC
HOS
IL
MC
PC
SNF
Spanish Fort (Bridgehead)
60
Facility 60
AL AVG 90
Rank #154 / 243
--
4.91
Facility 4.91
AL AVG 4.37
Rank #27 / 132
+69%+12%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
10
Facility 10
AL AVG 10.4
Rank #66 / 132
3.3
Facility 3.3
AL AVG 3.5
Rank #65 / 132
-10-
27
Facility 27
AL AVG 36
Rank #260 / 417
Acts Retirement Services, Inc
$14.9M*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.
Facility $14.9M*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.
AL AVG $11.1M
Rank #27 / 131
$8.6M*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.
Facility $8.6M*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.
AL AVG $4.7M
Rank #20 / 131
57.5%*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.
Facility 57.5%*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.
AL AVG 45%
Rank #53 / 127
15381
Crowne Health Care of Springhill
NH
RC
SNF
Mobile (College Park)
46
Facility 46
AL AVG 90
Rank #193 / 243
39.1%
Facility 39.1%
AL AVG 78.1
Rank #104 / 110
-50%
4.33
Facility 4.33
AL AVG 4.37
Rank #74 / 132
-3%-1%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
3
Facility 3
AL AVG 10.4
Rank #5 / 132
1.0
Facility 1.0
AL AVG 3.5
Rank #1 / 132
-18-
49
Facility 49
AL AVG 36
Rank #125 / 417
Amber Detamore
$7.1MFiscal year ending 06/2024
Facility $7.1MFiscal year ending 06/2024
AL AVG $11.1M
Rank #91 / 131
$4.0MFiscal year ending 06/2024
Facility $4.0MFiscal year ending 06/2024
AL AVG $4.7M
Rank #102 / 131
56.2%Fiscal year ending 06/2024
Facility 56.2%Fiscal year ending 06/2024
AL AVG 45%
Rank #90 / 127
15426
Palm Gardens Health and Rehabilitation, LLC
NH
PC
SNF
Mobile (South Crichton)
100
Facility 100
AL AVG 90
Rank #87 / 243
87.6%
Facility 87.6%
AL AVG 78.1
Rank #44 / 110
+12%
4.42
Facility 4.42
AL AVG 4.37
Rank #67 / 132
+40%+1%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
4
Facility 4
AL AVG 10.4
Rank #15 / 132
4.0
Facility 4.0
AL AVG 3.5
Rank #92 / 132
-88-
46
Facility 46
AL AVG 36
Rank #151 / 417
Jeanne Freeman
$10.6MFiscal year ending 06/2024
Facility $10.6MFiscal year ending 06/2024
AL AVG $11.1M
Rank #70 / 131
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
AL AVG $4.7M
Rank #63 / 131
50.9%Fiscal year ending 06/2024
Facility 50.9%Fiscal year ending 06/2024
AL AVG 45%
Rank #67 / 127
15403
Washington County Nursing Home
NH
ADC
RC
SNF
Chatom
88
Facility 88
AL AVG 90
Rank #109 / 243
88.1%
Facility 88.1%
AL AVG 78.1
Rank #42 / 110
+13%
4.87
Facility 4.87
AL AVG 4.37
Rank #27 / 132
-4%+11%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
1
Facility 1
AL AVG 10.4
Rank #1 / 132
1.0
Facility 1.0
AL AVG 3.5
Rank #1 / 132
-78-
37
Facility 37
AL AVG 36
Rank #202 / 417
----15123
Arbor Woods Health and Rehab
NH
SNF
Reform
85
Facility 85
AL AVG 90
Rank #114 / 243
59.5%
Facility 59.5%
AL AVG 78.1
Rank #94 / 110
-24%
6.07
Facility 6.07
AL AVG 4.37
Rank #3 / 132
+17%+39%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
2
Facility 2
AL AVG 10.4
Rank #3 / 132
1.0
Facility 1.0
AL AVG 3.5
Rank #1 / 132
-51A+
36
Facility 36
AL AVG 36
Rank #210 / 417
Linda Dill
$5.1MFiscal year ending 06/2024
Facility $5.1MFiscal year ending 06/2024
AL AVG $11.1M
Rank #127 / 131
$3.5MFiscal year ending 06/2024
Facility $3.5MFiscal year ending 06/2024
AL AVG $4.7M
Rank #116 / 131
68.5%Fiscal year ending 06/2024
Facility 68.5%Fiscal year ending 06/2024
AL AVG 45%
Rank #4 / 127
15141
Albertville Nursing Home
NH
RC
SNF
North Albertville
159
Facility 159
AL AVG 90
Rank #23 / 243
97.5%
Facility 97.5%
AL AVG 78.1
Rank #5 / 110
+25%
5.06
Facility 5.06
AL AVG 4.37
Rank #16 / 132
-21%+16%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
9
Facility 9
AL AVG 10.4
Rank #55 / 132
3.0
Facility 3.0
AL AVG 3.5
Rank #49 / 132
-155-
66
Facility 66
AL AVG 36
Rank #33 / 417
Terri Brown
$18.0MFiscal year ending 06/2024
Facility $18.0MFiscal year ending 06/2024
AL AVG $11.1M
Rank #19 / 131
$10.6MFiscal year ending 06/2024
Facility $10.6MFiscal year ending 06/2024
AL AVG $4.7M
Rank #5 / 131
58.9%Fiscal year ending 06/2024
Facility 58.9%Fiscal year ending 06/2024
AL AVG 45%
Rank #23 / 127
15163
Piedmont Health Care Center
NH
AL
MC
SNF
Piedmont
91
Facility 91
AL AVG 90
Rank #101 / 243
92.3%
Facility 92.3%
AL AVG 78.1
Rank #25 / 110
+18%
5.41
Facility 5.41
AL AVG 4.37
Rank #7 / 132
-49%+24%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
3
Facility 3
AL AVG 10.4
Rank #5 / 132
3.0
Facility 3.0
AL AVG 3.5
Rank #49 / 132
-84-
61
Facility 61
AL AVG 36
Rank #58 / 417
Piedmont Health Care Center
$9.3MFiscal year ending 06/2024
Facility $9.3MFiscal year ending 06/2024
AL AVG $11.1M
Rank #81 / 131
$5.6MFiscal year ending 06/2024
Facility $5.6MFiscal year ending 06/2024
AL AVG $4.7M
Rank #44 / 131
60.9%Fiscal year ending 06/2024
Facility 60.9%Fiscal year ending 06/2024
AL AVG 45%
Rank #15 / 127
15194
Cypress Cove Center
NH
HOS
PC
RC
SNF
Muscle Shoals (Jackson Heights)
90
Facility 90
AL AVG 90
Rank #104 / 243
84.6%
Facility 84.6%
AL AVG 78.1
Rank #60 / 110
+8%
3.49
Facility 3.49
AL AVG 4.37
Rank #119 / 132
+121%-20%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
6
Facility 6
AL AVG 10.4
Rank #31 / 132
2.0
Facility 2.0
AL AVG 3.5
Rank #15 / 132
-76-
50
Facility 50
AL AVG 36
Rank #118 / 417
Bardya Mostafavi Naein
$8.8MFiscal year ending 06/2024
Facility $8.8MFiscal year ending 06/2024
AL AVG $11.1M
Rank #67 / 131
$3.7MFiscal year ending 06/2024
Facility $3.7MFiscal year ending 06/2024
AL AVG $4.7M
Rank #76 / 131
41.8%Fiscal year ending 06/2024
Facility 41.8%Fiscal year ending 06/2024
AL AVG 45%
Rank #90 / 127
15392
Keller Landing
NH
HOS
PC
RC
SNF
Tuscumbia (South Sheffield)
109
Facility 109
AL AVG 90
Rank #76 / 243
69.6%
Facility 69.6%
AL AVG 78.1
Rank #84 / 110
-11%
3.52
Facility 3.52
AL AVG 4.37
Rank #119 / 132
+82%-20%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
3
Facility 3
AL AVG 10.4
Rank #5 / 132
1.5
Facility 1.5
AL AVG 3.5
Rank #12 / 132
-76-
48
Facility 48
AL AVG 36
Rank #138 / 417
Christine Davis
$8.0MFiscal year ending 06/2024
Facility $8.0MFiscal year ending 06/2024
AL AVG $11.1M
Rank #97 / 131
$3.7MFiscal year ending 06/2024
Facility $3.7MFiscal year ending 06/2024
AL AVG $4.7M
Rank #80 / 131
46.6%Fiscal year ending 06/2024
Facility 46.6%Fiscal year ending 06/2024
AL AVG 45%
Rank #45 / 127
15028
Southern Springs Healthcare
NH
SNF
Union Springs
123
Facility 123
AL AVG 90
Rank #58 / 243
86.2%
Facility 86.2%
AL AVG 78.1
Rank #53 / 110
+10%
4.65
Facility 4.65
AL AVG 4.37
Rank #41 / 132
-46%+6%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
7
Facility 7
AL AVG 10.4
Rank #40 / 132
2.3
Facility 2.3
AL AVG 3.5
Rank #28 / 132
-106-
61
Facility 61
AL AVG 36
Rank #58 / 417
Estate Of Milton E. Mcgregor
$10.2MFiscal year ending 06/2024
Facility $10.2MFiscal year ending 06/2024
AL AVG $11.1M
Rank #113 / 131
$7.1MFiscal year ending 06/2024
Facility $7.1MFiscal year ending 06/2024
AL AVG $4.7M
Rank #37 / 131
69.9%Fiscal year ending 06/2024
Facility 69.9%Fiscal year ending 06/2024
AL AVG 45%
Rank #1 / 127
15171
Atmore Nursing Center
NH
RC
SNF
Atmore
100
Facility 100
AL AVG 90
Rank #87 / 243
79.0%
Facility 79.0%
AL AVG 78.1
Rank #71 / 110
+1%
4.79
Facility 4.79
AL AVG 4.37
Rank #30 / 132
+7%+10%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
3
Facility 3
AL AVG 10.4
Rank #5 / 132
3.0
Facility 3.0
AL AVG 3.5
Rank #49 / 132
-79-
46
Facility 46
AL AVG 36
Rank #151 / 417
Morgan Smith
$8.2MFiscal year ending 06/2024
Facility $8.2MFiscal year ending 06/2024
AL AVG $11.1M
Rank #82 / 131
$4.9MFiscal year ending 06/2024
Facility $4.9MFiscal year ending 06/2024
AL AVG $4.7M
Rank #77 / 131
59.4%Fiscal year ending 06/2024
Facility 59.4%Fiscal year ending 06/2024
AL AVG 45%
Rank #74 / 127
15129
Coosa Valley Healthcare Center
NH
Sylacauga
85
Facility 85
AL AVG 90
Rank #114 / 243
92.0%
Facility 92.0%
AL AVG 78.1
Rank #27 / 110
+18%
4.71
Facility 4.71
AL AVG 4.37
Rank #41 / 132
-1%+8%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
5
Facility 5
AL AVG 10.4
Rank #22 / 132
2.5
Facility 2.5
AL AVG 3.5
Rank #33 / 132
-78-
58
Facility 58
AL AVG 36
Rank #71 / 417
Archie Chapman
$7.8MFiscal year ending 06/2024
Facility $7.8MFiscal year ending 06/2024
AL AVG $11.1M
Rank #115 / 131
$4.0MFiscal year ending 06/2024
Facility $4.0MFiscal year ending 06/2024
AL AVG $4.7M
Rank #92 / 131
50.6%Fiscal year ending 06/2024
Facility 50.6%Fiscal year ending 06/2024
AL AVG 45%
Rank #29 / 127
15010
Aliceville Manor Nursing Home
NH
HOS
MC
PC
RC
SNF
Northwest Aliceville
100
Facility 100
AL AVG 90
Rank #87 / 243
73.0%
Facility 73.0%
AL AVG 78.1
Rank #80 / 110
-7%
4.70
Facility 4.70
AL AVG 4.37
Rank #41 / 132
+17%+8%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
8
Facility 8
AL AVG 10.4
Rank #48 / 132
2.7
Facility 2.7
AL AVG 3.5
Rank #40 / 132
-73-
36
Facility 36
AL AVG 36
Rank #210 / 417
-
$10.6MFiscal year ending 06/2024
Facility $10.6MFiscal year ending 06/2024
AL AVG $11.1M
Rank #80 / 131
$6.1MFiscal year ending 06/2024
Facility $6.1MFiscal year ending 06/2024
AL AVG $4.7M
Rank #50 / 131
57.7%Fiscal year ending 06/2024
Facility 57.7%Fiscal year ending 06/2024
AL AVG 45%
Rank #20 / 127
15137
Cottage of the Shoals
NH
HOS
PC
RC
SNF
Tuscumbia
103
Facility 103
AL AVG 90
Rank #80 / 243
81.7%
Facility 81.7%
AL AVG 78.1
Rank #66 / 110
+5%
2.64
Facility 2.64
AL AVG 4.37
Rank #132 / 132
+56%-39%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
5
Facility 5
AL AVG 10.4
Rank #22 / 132
1.7
Facility 1.7
AL AVG 3.5
Rank #14 / 132
-84-
65
Facility 65
AL AVG 36
Rank #37 / 417
David Grimes
$10.0MFiscal year ending 06/2024
Facility $10.0MFiscal year ending 06/2024
AL AVG $11.1M
Rank #57 / 131
$4.3MFiscal year ending 06/2024
Facility $4.3MFiscal year ending 06/2024
AL AVG $4.7M
Rank #54 / 131
42.6%Fiscal year ending 06/2024
Facility 42.6%Fiscal year ending 06/2024
AL AVG 45%
Rank #75 / 127
15067
Crossville Health and Rehabilitation, LLC
NH
PC
SNF
North Crossville (Crossville)
143
Facility 143
AL AVG 90
Rank #37 / 243
95.7%
Facility 95.7%
AL AVG 78.1
Rank #9 / 110
+22%
4.38
Facility 4.38
AL AVG 4.37
Rank #67 / 132
+16%0%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 133
13
Facility 13
AL AVG 10.4
Rank #97 / 132
3.3
Facility 3.3
AL AVG 3.5
Rank #65 / 132
-137-
45
Facility 45
AL AVG 36
Rank #166 / 417
Heather Blackburn
$12.9MFiscal year ending 06/2024
Facility $12.9MFiscal year ending 06/2024
AL AVG $11.1M
Rank #54 / 131
$6.4MFiscal year ending 06/2024
Facility $6.4MFiscal year ending 06/2024
AL AVG $4.7M
Rank #47 / 131
49.6%Fiscal year ending 06/2024
Facility 49.6%Fiscal year ending 06/2024
AL AVG 45%
Rank #64 / 127
15176
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Nursing Home Explorer
Overview of Millennium Nursing and Rehab Center

Millennium Nursing and Rehab Center is a premier senior care provider nestled in the heart of Huntsville, Alabama. This skilled nursing facility is dedicated to catering to the unique health needs of its residents, while also addressing any nursing home questions and qualifications that families may have. Millennium maintains an exceptional caliber of service with a team of committed and compassionate staff, ensuring that every resident receives the highest level of care and attention.
For those living with Alzheimer’s disease, Millennium offers advanced integrated cognitive programs. The center’s nurses, therapists, and clinicians are renowned for their expertise and dedication, consistently delivering top-notch care that elevates the quality of life for every resident. All rehab therapists and care providers are in-house, fostering strong and lasting relationships with those they serve, ensuring that residents and their families can have peace of mind knowing they have chosen a facility that not only meets but exceeds nursing home requirements.

Contact Millennium Nursing and Rehab Center

Overview of Bibb Medical Center Nursing Home

A skilled nursing facility on Pierson Avenue in Centreville, Alabama, Bibb Medical Center Nursing Home has 131 beds and typically maintains an occupancy of around 86 percent, reflecting solid community demand. It delivers comprehensive nursing care with total daily care averaging about 4 hours and 6 minutes per resident, supported by a mix of registered nurses, nurse aides, and licensed practical nurses working 24/7. The facility is found in a somewhat walkable area with a Walk Score of 26. This means some local services are accessible on foot, but most travel needs a vehicle.

The home emphasizes rehabilitation and short-term recovery care, along with traditional nursing services. On-site outpatient therapy, laboratory, radiology, and pharmacy services are accessible to residents, decreasing the need for off-campus appointments. The facility also offers respite care for families seeking momentary placement as they manage care shifts or at-home caregiver needs. The Cahaba Lily Cafe serves as the community dining space, and the BMC Wellness Center helps with health and wellness programming.

State inspection records note a history of attention to food service operations, resident documentation practices, and infection control protocols.

When touring, families thinking of choosing the home may want to inquire on how the community handles daily food preparation, dietary compliance for individual residents, and infection prevention practices across the facility.

Contact Bibb Medical Center Nursing Home

Overview of Glenwood Center

Glenwood Center is a well-regarded 125-bed nursing home in Florence, AL, that offers a wide range of care, including short-term rehabilitation, memory care, long-term care, and respite care. Fostering healing and recovery, the community has spacious private and semi-private rooms set in a supportive and welcoming environment. An on-site medical director, as well as a nurse practitioner, oversee residents’ care, while dietary management, medication management, and 24-hour emergency alert are also provided to improve their quality of life. The community also works closely with residents to meet their unique needs through personalized care plans.

Social gatherings, cultural programs, and educational activities help enhance residents’ memory and stay active. Residents can also use the community’s state-of-the-art amenities, such as the sun room, cafe, and lounge areas, to rest and interact with friends. Shoals Pediatric Group, a bank, shops, and restaurants are also available in the area, providing residents with quick access to their needs and leisure. With its extensive amenities and great services, this nursing home has become one of the frontrunners for senior living in Alabama.

Contact Glenwood Center

River City Center

1350 Fourteenth Avenue, Southeast, Decatur, AL 35601
Overview of River City Center

Accepting Medicare, Medicaid, and private pay, River City Center is a 183-bed nursing home owned by Joseph Dunavant in Alabama. The facility serves longer-term residents and those seeking short-term rehabilitation following a hospital stay or recovery period. The average stay duration is nearly 147 days, reflecting that mix of care needs.

The home, clinically speaking, highlights rehabilitation services, making it a pragmatic choice for someone recovering from surgery, an injury, or illness. Total nursing care averages roughly 3 hours and 35 minutes per resident day, with registered nurses, nurse aides, and licensed vocational nurses working to support daily needs. Most errands need a vehicle because the community is in a car-dependent area of Alabama. For families living at a distance, this means visiting will generally involve driving rather than walking from a nearby station or using public transit.

Over the years, state inspections have noted deficiencies in facility maintenance, care procedures, and medication management. The home also has a history of substantiated abuse allegations.

For families considering River City Center, they must request a detailed explanation of how the facility has addressed such past findings and what safeguards are currently in place.

Contact River City Center

Overview of Aspire Physical Recovery Center at Hoover

Hilton Jordan owns Aspire Physical Recovery Center at Hoover, a 118-bed skilled care property on Southland Drive in Hoover, Alabama. The building runs at an 82 percent occupancy rate, maintaining steady room openings for incoming arrivals. Resident stays here average a brief 33 days, a fast-turnover timeline showing that daily operations prioritize temporary, short-term post-hospital rehabilitation rather than extended long-term nursing placements.

The daily floor routine centers on a 24-hour nursing team that logs an average of 5 hours and 8 minutes of direct, hands-on attention per resident every day. Registered nurses and assistants divide this time to coordinate intensive medical supervision, on-site pharmacy support, and therapy protocols. Outside, the property carries a walk score of 49, indicating a somewhat walkable area where visitors can manage a few minor tasks on foot, though most external errands across town will require a vehicle.

Health department surveys have previously flagged regulatory compliance concerns at this facility, including missed seizure and insulin medications that resulted in hospital transfers, incomplete medical records, and a general failure to provide ordered care for multiple residents. You can review these past survey files directly with the administration to see how their current leadership handles daily quality control monitoring and safety corrections.

Prospective representatives can contact the intake department to check on immediate room layouts or review the standard admission steps. The business office can set up billing pathways through traditional Medicare, state Medicaid, and private funds, while the staff can detail available on-site comforts like full-service spa setups, concierge options, professional chef dining menus, and guidance from a registered dietitian.

Contact Aspire Physical Recovery Center at Hoover, LLC

Overview of Aspire Physical Recovery Center at Cahaba River

Owned by John Wheeler, Aspire Physical Recovery Center at Cahaba River is a nursing home built around short-term rehabilitation and recovery in Vestavia Hills, Alabama. The 120-bed facility sits in a really walkable neighborhood where most daily errands can be done on foot, making it convenient for visiting families and residents to venture out when wanted. Medicare, Medicaid, and private pay are welcome, giving families lots of routes to cover post-acute rehabilitation and ongoing skilled nursing care.

The average stay length of 40 days reflects a robust focus on helping residents recover and return home after a hospital stay or major surgery. That short-stay profile shapes the entire approach: the facility emphasizes intensive rehabilitation services via specialized nursing, therapy, and a rapid recovery program, supported by on-site pharmacy services. Staffing levels underscore this dedication, with total nursing care averaging nearly 5 hours per resident day and nurse aide support at nearly 4 hours per resident day. Day-to-day living is boosted by amenities that support recovery and well-being. A full-service spa and health and beauty spa are present, and a professional chef prepares meals using fresh, healthy ingredients under a registered dietician’s guidance. The community also offers concierge services to help with daily needs, allowing residents and families to focus on the recovery process.

Contact Aspire Physical Recovery Center at Cahaba River, LLC

Overview of Village at Cook Springs Skilled Nursing Facility

Village at Cook Springs Skilled Nursing Facility is a 168-bed skilled nursing facility at 415 Cook Springs Road in Pell City, Alabama, in St. Clair County. A voluntary non-profit organization administered by Randolph Pickell under Gregory Flippo’s ownership, it holds CMS Certification and accepts Medicare, Medicaid, and private pay. It attracts a heavily private-pay mix for a non-profit SNF: 47 percent of admissions are private pay with typical stays of two to three months, Medicaid accounts for 30 percent with stays of nine to ten months, and Medicare covers 23 percent with short stays averaging 18 days. The January 2026 census of 91 residents reflects a 73.8 percent occupancy rate, below the Alabama average of 80.8 percent. The facility is also part of a larger Continuing Care Retirement Community on a 200-plus-acre campus, which features walking trails, serene country views, apartment homes, and all-inclusive independent living suites that distinguish its setting from conventional nursing homes in the region.

The inspection record is the primary driver of the 1-star rating. Across 4 surveys in August 2018, July 2019, May 2022, and December 2023, the facility accumulated 12 citations at 4.0 per inspection, above the 3.46 Alabama average. The most significant finding is 3 critical citations over the eight-year window, 329 percent above the 0.7 Alabama average, a figure that places the facility well outside the norm on severity. Two of those critical citations emerged from the July 2019 survey in the Abuse, Neglect, and Exploitation category (one critical, one moderate). The December 2023 survey cited Infection Control and Quality of Care, both moderate and corrected. No fines or penalties have been issued in the past three years, which is a meaningful indicator that more recent performance has not triggered federal enforcement. CMS rates the facility the lowest tier of 1 star overall, fueled by a weak health inspection rating (65.0 percent below Alabama average) and below-average quality measures (32.2 percent below). The staffing dimension is an upside, rating 11.1 percent above average. Total adjusted nursing hours reach 4 hours 41 minutes per resident per day, ranking 37th of 121 Alabama SNFs, with CNA hours of 2 hours 43 minutes per day running 9 percent above the state benchmark. RN hours (32 minutes, −16 percent vs. state) and LPN hours (42 minutes, −11 percent vs state) are both below average, and weekend RN coverage at 16 minutes is 27 percent below the 22 minutes state average. Q2 2025 staffing data shows 196 total staff, 164 employees, and 32 contractors (4.4 percent contractor hours), with a headline staff-to-resident ratio of 2.15:1, though this figure is inflated by the multi-level CCRC campus structure and shouldn’t be read as a pure SNF staffing metric. Quality measure outcomes for long-stay residents present a mixed picture. Composite clinical scores are modestly better than the Alabama average, and ADL decline, walking decline, incontinence, and pressure ulcer rates all outperform state benchmarks. UTI rates, however, are 109 percent above the Alabama average (5.7 percent vs. 2.7 percent), the most significant clinical quality gap in the profile. Falls with major injury run 27 percent above average. For short-stay residents, zero falls with major injury and in-line return-to-community rates are positive, but re-hospitalization (27.4 percent vs. 24.5 percent) and new antipsychotic medication initiation (3.5 percent vs 2.1 percent) are both above average. Both pneumococcal and influenza vaccination rates reach 100 percent for long-stay residents. Financially, the facility is stable: $14.7 million in annual revenue, a $958,000 operating surplus, and payroll at 50.2 percent of revenue, slightly below the 54–69 percent benchmark range for well-run Alabama SNFs, though consistent with a multi-level CCRC where some staff serve non-SNF campus residents.

Amenities include a chapel with daily services, a library, a beauty and barbershop, public Wi-Fi, and a full calendar of social, cultural, and educational programming.

Village at Cook Springs may fit families needing a campus-style non-profit CCRC environment with nature access, above-average CNA staffing, and a broad continuum of care on one site. The 1-star CMS rating, three critical citations particularly Abuse/Neglect findings from 2019, and the elevated UTI rate are crucial concerns that families should address with facility leadership before placement. Reviewing the full inspection reports through CMS Care Compare is strongly recommended.

Contact Village at Cook Springs Skilled Nursing Facility

Overview of Diversicare of Bessemer

Diversicare of Bessemer is a 180-bed skilled nursing facility owned by Maria Ephraim in Bessemer, Alabama, on Golf Course Road. It focuses on short-term rehabilitation and complex medical care, taking Medicare, Medicaid, and private pay. This means families have many ways for coverage, whether they’re seeking post-acute rehabilitation following a hospital stay or ongoing nursing care.

The facility keeps a 77 percent occupancy rate, with an average stay of 139 days, indicating a blend of rehabilitation residents and those in longer-term care. Total nursing care averages roughly 4 hours and 13 minutes per resident day, with support from registered nurses, licensed practical nurses, and nursing aides. Such a level of daily care supports hands-on attention for residents managing complex medical needs or healing from hospitalization. The surrounding area rates 3 on the Walk Score measure, meaning most errands and destinations need a car. That’s typical for Bessemer’s setting, but it means the neighborhood is not walkable for residents or visiting family.

Infection control practices, care planning documentation, food safety and quality, building maintenance, and consistent delivery of direct resident care have been the deficiencies identified by the state inspections. Such findings have shown up across numerous inspection cycles.

Families touring the facility can inquire about how Diversicare of Bessemer is addressing and overseeing the mentioned operational areas.

Contact Diversicare of Bessemer

Overview of Birmingham Rehabilitation and Wellness Center

Delilah Griffith owns Birmingham Rehabilitation and Wellness Center, a 132-bed nursing facility on Dugan Avenue in Birmingham, Alabama. The property maintains a high 92 percent occupancy level, and stays here on average about 258 days. This operational timeline shows that the daily floor workflow is primarily set up for extended residential nursing care, though the staff also manages regular turnarounds for short-term post-hospital therapy.

The daily floor routine relies on a 24-hour nursing team that logs an average of 3 hours and 56 minutes of direct, hands-on attention per resident every day. Registered nurses, practical nurses, and aides split this care time to manage clinical monitoring, personal assistance, and therapy protocols. Outside, the property carries a walk score of 44, meaning visiting family members can manage a few quick tasks on foot, though most external errands will require a vehicle.

Recent state regulatory surveys for this property have flagged compliance concerns regarding staff supervision protocols, behavioral health care, medication administration, and infection control procedures. You can ask the administration to explain how their leadership currently monitors daily quality control to address these historical areas.

Prospective representatives can contact the intake clerk to check on empty semi-private or private floor layouts, learn about standard registration steps, or arrange a billing setup. The office staff can also walk you through available on-site comforts, including dedicated rehabilitation suites, wheelchair-accessible transportation options, an outdoor courtyard, and a beauty and barber shop.

Contact Birmingham Rehabilitation and Wellness Center

Overview of Cordova Health and Rehabilitation

South-Care Medical Facilities operates Cordova Health and Rehabilitation, a 114-bed care home on Highland Street West in Cordova, Alabama. The building currently runs at a low 35 percent occupancy level, which means there are immediately available rooms for new placements. The average stay lasts about 243 days, an extended timeline showing that daily floor operations lean heavily toward permanent residential nursing care alongside short-term rehabilitation.

The floor routine relies on a 24-hour nursing team that delivers an average of 4 hours and 50 minutes of direct, hands-on attention to each resident daily. This crew coordinates a dedicated Rapid Recovery program for people transitioning back home, as well as daily routines in the outdoor courtyards and the restaurant-style dining room. Other basic amenities include beauty shop options, laundry services, and wireless internet. For visitors, the neighborhood holds a 46 walk score, so most errands outside the building will require a car.

State health विभाग surveys have previously flagged compliance deficiencies involving sanitation standards, safety protocols, documentation accuracy, and resident dignity. The management team has since worked through these documented issues to update their daily routines, and you can ask the administration to explain their current quality control monitoring systems.

Interested individuals can get in touch with the admissions desk to check on specific room layouts, walk through the intake paperwork, or discuss billing setup.

Contact Cordova Health and Rehabilitation, LLC

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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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 137 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.