Page 13 of Best Nursing Homes in Alabama

Why trust this guide? Our editorial team analyzed 136 nursing homes in AL using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in AL
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We analyzed These are the facilities in Alabama our team has analyzed — not a count of every nursing home provider in Alabama.
136 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

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 to lowest based on our ranking 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 Table 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.
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.
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.
Bibb Medical Center Nursing Home
NH
SNF
Centreville
131
Facility 131
AL AVG 90
Rank #49 / 242
86.3%
Facility 86.3%
AL AVG 81.3
Rank #54 / 104
+6%
3.95
Facility 3.95
AL AVG 4.37
Rank #86 / 125
-63%-10%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
9
Facility 9
AL AVG 10.4
Rank #52 / 124
3.0
Facility 3.0
AL AVG 3.5
Rank #46 / 124
-113-
26
Facility 26
AL AVG 39
Rank #268 / 382
----15215
Falkville Rehabilitation and Healthcare Center
NH
MC
RC
SNF
Falkville
116
Facility 116
AL AVG 90
Rank #69 / 242
--
4.22
Facility 4.22
AL AVG 4.37
Rank #79 / 125
-21%-3%
$235.1k
Facility $235.1k
AL AVG $59.8k
Rank #124 / 125
18
Facility 18
AL AVG 10.4
Rank #113 / 124
6.0
Facility 6.0
AL AVG 3.5
Rank #117 / 124
747-
31
Facility 31
AL AVG 39
Rank #235 / 382
Martina Shoemake
$4.3MFiscal year ending 06/2024
Facility $4.3MFiscal year ending 06/2024
AL AVG $11.3M
Rank #106 / 108
$3.9MFiscal year ending 06/2024
Facility $3.9MFiscal year ending 06/2024
AL AVG $5.7M
Rank #89 / 108
89.5%Fiscal year ending 06/2024
Facility 89.5%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #4 / 107
15408

Rank badges are statewide: each community is ranked against every AL community we track that reports that metric, not just the 136 on this page.

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Nursing Home Explorer
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Overview of St. Martin’s in the Pines

Located on Montevallo Road in Birmingham, Alabama, St. Martin’s in the Pines is a skilled nursing community with 71 beds in a three-story building. Owned by Trina Vines, the community accepts Medicare, Medicaid, and private pay. It currently has 28 occupied beds, representing a 39% occupancy rate, while the average resident stay of 123 days reflects a combination of short-term rehabilitation and long-term nursing care.

Additionally, residents receive an average of four hours of nursing care each day, including approximately 43 minutes from registered nurses, 37 minutes from LPNs/LVNs, and 3 hours and 2 minutes from nurse aides. The surrounding neighborhood has a Walk Score of 39, making a few nearby destinations accessible on foot, although most errands and appointments require transportation.

Over the past nine years, inspections conducted by the Alabama Department of Public Health have repeatedly identified compliance concerns involving food safety, care documentation, fall prevention, medication administration, pain management, and resident hygiene. These findings highlight the need for continued operational improvements and ongoing regulatory oversight to support the quality of care provided to older adults.

Contact St. Martin’s in the Pines

Overview of Brookdale Northport

Brookdale Northport has provided quality services in Lewiston for over 50 years. With an emphasis on independent living, assisted living, and memory care– a balanced lifestyle of comfort and calmness is met with full support. Residents of the community are encouraged a strong sense of freedom with no shame of being able to receive additional assistance. 

Brookdale Northpoint’s amenities and services include laundry, transportation, a fireplace with piano, a computer area in the library, a game room, healthy and savory chef-prepared meals, social activities, and fitness activities.

Contact Brookdale Northport

Diversicare of Marion

505 East Lafayette Street, Po Box 149, Marion, AL 36756
Overview of Diversicare of Marion

Focused on rehabilitation and short-term care, Diversicare of Marion is a 71-bed nursing home located in Marion with a Walk Score of 47, so some local errands may be walkable. Most trips, however, require transportation. The facility delivers care at staffing levels of approximately 2 hours and 9 minutes of nursing aide support per resident daily, together with registered nurse and licensed practical nurse coverage.

Diversicare of Marion serves patients healing from acute medical needs and those with complex care management needs. Staff are depicted as welcoming and highly trained, forming the groundwork of daily resident care and support.

A visit by families evaluating the home is suggested to see the care environment personally and have a discussion on particular care needs with the team.

Contact Diversicare of Marion

Overview of Regency Healthcare and Rehabilitation Center

Located on Poole Drive in Huntsville, Alabama, Regency Healthcare and Rehabilitation Center is a 90-bed nursing facility. The community is in a neighborhood with a Walk Score of 44. Some nearby services can be reached on foot, but most trips require transportation.

Daily nurse staffing includes registered nurses, nurse aides, and licensed practical nurses. This includes 28 minutes from registered nurses, 2 hours and 40 minutes from nurse aides, and 1 hour and 10 minutes from licensed practical nurses. The combination of nursing staff is the foundation for daily hands-on care.

Families considering Regency Healthcare and Rehabilitation Center may want to schedule an in-person tour. Visiting the community is the best way to see its layout and learn more about its programs, dining, daily activities, and other services available to residents.

Contact Regency Healthcare and Rehabilitation Center

Grandview Gardens

11000 Turnmeyer Dr Se, Huntsville, AL 35803
Overview of Grandview Gardens

Grandview Gardens at Redstone Village is a trusted community in Huntsville, AL, offering assisted living and memory care. Those with cognitive conditions can keep their peace of mind with a kind and highly trained team attending to their needs around the clock. Specially designed and spacious accommodations are provided in a nurturing and inviting environment, ensuring residents thrive in retirement.

Fun recreational activities and engaging programs are conducted to keep residents active and socially engaged. Here, residents enjoy mealtimes with friends that satisfy their dietary needs and preferences with delightful and nutritious dining options. The community is ideal for those needing assistance to live comfortably in their golden years.

Contact Grandview Gardens

Overview of Floyd E. “tut” Fann State Veterans Home

Floyd E. “tut” Fann State Veterans Home is a distinguished skilled nursing and memory care facility that addresses veterans’ needs with the utmost care and compassion. Founded in 1955, this Huntsville, Alabama home exudes cleanliness, compassion, and attentiveness from a dedicated staff. As veterans find comfort in this supportive environment, their loved ones can rest assured that their nursing home questions are answered and their care is of the highest quality. Additionally, the facility is not only a nursing home but also offers specialized memory care living facilities, providing expert care for those in need.
Within the facility, veterans can choose from shared or private rooms with spacious closets, ensuring both comfort and privacy. With a focus on overall well-being, residents benefit from regular physical therapy and speech therapy sessions to support their health and rehabilitation. Also, the facility offers memory care therapy, catering to the unique needs of those with memory-related challenges. Veterans can partake in engaging activities such as arts and crafts classes and take advantage of amenities like the gym, library, and dining hall. The home also features a barbershop and massage therapy, fostering an environment of care and self-pampering. The presence of walking trails further promotes an active lifestyle.

Contact Floyd E. “Tut” Fann State Veterans Home

Overview of Fair Haven – Assisted Living

Fair Haven, Assisted Living offers independent living, assisted living, memory care, nursing care, and skilled nursing in Birmingham, AL. Independent living provides private living with community services and no daily care, while assisted living includes help with tasks such as dressing, bathing, and medication. Memory care is provided in a secured setting with supervision for residents at risk of wandering. Nursing care and skilled nursing provide licensed nursing support on site.

The community has 76 beds and several care levels. A resident whose needs grow may be able to move to a different level of care without leaving the community. Fair Haven, Assisted Living may be a good fit for someone who wants access to multiple care settings in one community, including memory care, nursing care, and rehabilitation.

Nursing staff are on site 24 hours a day, seven days a week, giving residents access to nursing support throughout the day and night. Rehabilitation services and short term rehabilitation are available for residents recovering function or needing temporary care after an illness or hospital stay. Residents can use the salon, exercise room, library, computer lab, courtyard, garden, craft room, chapel, and bistro, while transportation, prepared meals, snacks, religious services, activities, housekeeping and laundry services, and pet access are also available. Earnestine Thompson serves as the administrator.

Contact Fair Haven – Assisted Living

Overview of Decatur Rehabilitation and Healthcare Center

Decatur Rehabilitation and Healthcare Center is a 119-bed skilled nursing facility in Alabama that specializes in post-acute rehabilitation and short-term care. It caters to residents recovering from surgery, hospitalization, or other acute events and needing professional nursing support and intensive rehabilitation services. To ensure continuous care and monitoring, the center maintains 24-hour staffing.

The facility’s clinical focus is on rehabilitation services. It operates a specialized therapy gym on-site where residents work with therapy staff on mobility and strength recovery. This infrastructure anchors the short-term rehab pathway, so it’s suitable for families seeking focused, time-limited rehabilitation and not long-term nursing care. Respite care is present for families who need temporary placement while handling caregiving at home. Situated in a highly walkable neighborhood (Walk Score of 73), Decatur Rehabilitation and Healthcare Center offers decent access to local amenities and makes visiting easy for family members. The surrounding area implies that most errands are walkable, with many essentials within easy reach for ambulatory residents.

For families considering the facility for post-acute rehabilitation, visiting the therapy gym and care units in person can clarify how the community structures its recovery programming and what results residents typically get during their stay. Its short-term rehab pathway is also suitable for those wanting focused and time-limited rehabilitation.

Contact Decatur Rehabilitation and Healthcare Center

Overview of Attalla Center for Rehabilitation and Nursing

Attalla Center for Rehabilitation and Nursing is a skilled nursing home in Attalla, Alabama, located on Stewart Avenue Southeast. It’s designed to support adults who require active skilled nursing care, including those needing longer-term nursing support or recovering from surgery or hospitalization.

The facility specializes in short-stay rehabilitation and complex medical care. This focus makes it a practical choice for residents recuperating from serious illness or injury, or managing complex medical conditions. With 182 beds, it’s among the larger nursing homes in the local area. Daily staffing spans registered nurses, nurse aides, and licensed practical nurses working all day. Total nursing care averages about 3 hours and 40 minutes per resident daily, signifying consistent hands-on attention to medical and personal care needs. Attalla is a pretty walkable community with a Walk Score of 46, meaning some nearby errands can be reached on foot. Still, most trips demand transportation. The quieter setting balances adjacency to local services with a more residential living.

An on-site tour by families evaluating the facility is a valuable way to see the rehabilitation spaces, room options, and daily care environment. Talks with the care team on rehabilitation approaches and how the community manages complex medical needs can help you identify if it suits your loved one.

Contact Attalla Center for Rehabilitation and Nursing

Overview of Arabella Health & Wellness of Birmingham

Arabella Health & Wellness of Birmingham is a 163-bed skilled care facility that has been open for eight years on Bessemer Road in Birmingham, Alabama. The building is set up to handle both short-term therapy recovery and permanent residential stays, while also offering temporary respite care for families who need a short-term break from caregiving.

The daily routine on the floor relies on a round-the-clock medical team backed by on-site nurse practitioners and a full physical, occupational, and speech therapy department. Nurses and aides handle specialized clinical needs, including tracheostomy, respiratory support, tube feeding programs, IV therapy, and on-site visits from podiatrists, eye doctors, and psychiatrists. Outside, the property has a walk score of 29, meaning the surrounding area is mostly car-dependent and you will need a vehicle for almost all errands.

State health department inspectors visit this facility for regular surveys to check that it meets nursing and safety standards. Looking over the latest inspection records with the director of nursing is a great way to see how the current leadership team tracks daily medical quality and handles resident safety.

Older adults exploring care options can call the admissions office to check on open beds, go over the standard intake paperwork, or ask about the meals overseen by a registered dietitian.

Contact Arabella Health & Wellness of Birmingham

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.
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
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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 136 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.