Page 14 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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Last updated
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 Heritage Residential Care Village

Located at 1001 Snows Mill Ave in Tuscaloosa, Heritage Residential Care Village is a 15-bed nursing home operating at full capacity. The home is led by Executive Director Gretchen Vakiener, who brings more than 20 years of experience in senior living and long-term care. Benjamin Edward Jackson serves as the facility’s Administrator.

The neighborhood around Heritage Residential Care Village has a Walkability Score of 27 out of 100. There are a few nearby services within walking distance, but most errands and appointments require transportation. The neighborhood offers a residential setting with limited foot traffic, which is common in many parts of Tuscaloosa.

State inspections over the years have reviewed care planning practices, medication management, and operational standards, including food handling and infection control. These are common areas of focus during nursing home inspections and require ongoing attention from staff to maintain care and operational standards.

Given the home’s small size and full occupancy, families interested in Heritage Residential Care Village should ask about current availability and care options. Touring the home can provide firsthand insight into daily operations, staffing, and specific programs or services available.

Contact Heritage Residential Care Village

Amedisys Hospice Care – Mobile

Rsa Battle House Tower, 11 N Water St Bldg Suite 11225, Mobile, AL 36602
Overview of Amedisys Hospice Care – Mobile

Amedisys Hospice Care, situated in Mobile, excels in providing exceptional hospice care. They possess comprehensive knowledge about the complexities of terminal illnesses, which enables them to enhance the quality of life for both seniors and their families. By addressing nursing care, pain and symptom management, and offering emotional and spiritual support, they alleviate the burdens associated with terminal illness.
With their round-the-clock service, Amedisys Hospice Care ensures that individuals receive continuous care and support. Their services encompass social work assistance, respite care, and bereavement counseling. It’s worth noting that their services are typically fully covered by Medicaid and Medicare, and they maintain a position of excellence within the industry.

Contact Amedisys Hospice Care – Mobile

Overview of Woodland Haus

Woodland Village in Cullman, AL, is a compassionate assisted living and memory care community that offers a wide range of services. Promoting a supportive and welcoming environment, the community ensures residents are comfortable. Respite care, rehabilitation services, and household services are also offered to meet residents’ needs. With its commitment to residents’ welfare, the community creates personalized care plans to help them thrive in their later years.

Exercises, hobby clubs, and plenty of games provide residents with more opportunities for leisure and interaction. A spacious therapy gym, cozy rooms, and lively gathering areas also ensure residents can maintain an active lifestyle and can rest without hassles. Here, residents will surely have a laid-back retirement, especially with its ideal location in the serene residential area of Cullman. As a trusted choice for senior living in Alabama, this assisted living community ensures older adults can thrive in their golden years.

Contact Woodland Haus

Overview of Cullman Health and Rehabilitation

Cullman Health and Rehabilitation in Cullman, AL, is a trusted nursing home that offers long-term care, short-term rehabilitation, and respite care. Promoting a home-like and nurturing environment, the community provides an ideal setting where older adults can feel at ease in their later years. On-site maintenance, medication management, and dietary services are among the exceptional services offered for residents’ welfare. Through a resident-centered approach, residents are guaranteed to receive the utmost attention and care.

Light exercises, social events, and a variety of games ensure residents can freely interact with peers and gain fun experiences. A specialized therapy gym, an activities department, and thoughtfully furnished rooms are also provided for residents’ leisure and wellness. With its convenient location near Highway 31 and Cullman Regional Medical Center, residents have easy access to their medical needs and other necessities. As one of the good options for senior living in Alabama, this nursing home continuously provides the highest quality of care for older adults’ welfare.

Contact Cullman Health and Rehabilitation

Overview of Village at Cook Springs Assisted Living Facility

Gregory Flippo owns, and Randolph Pickell administers the Village at Cook Springs Skilled Nursing Facility, a 168-bed property located on a 200-acre retirement campus in Pell City, Alabama. The building runs at a 74 percent occupancy level, meaning they usually have available rooms for new admissions. Stays here average 128 days overall, though individual timelines shift from brief 18-day rehabilitation stays for Medicare patients to nine or ten months for long-term Medicaid residents.

Day-to-day operations rely on a 24-hour nursing team that logs an average of 4 hours and 41 minutes of direct, hands-on attention per resident daily, with nurse aides covering 2 hours and 42 minutes of that time. This schedule supports standard medical tracking, short-term physical therapy, and temporary respite care. Because the facility sits on a sprawling rural campus, the setting is removed from town services, meaning visitors will need a vehicle for all travel and external errands.

Federal records from the Centers for Medicare & Medicaid Services (CMS) give this facility a one-star overall rating due to poor health inspection outcomes and low clinical quality scores. State health surveys have documented repetitive compliance patterns involving infection control failures, improper care techniques, inaccurate documentation, and flawed reporting procedures, though no federal fines have been issued here in the last three years. You can look over these public regulatory reports directly with the facility leadership to check on their current quality control systems.

Interested individuals can reach out to the admissions department to ask about immediate openings or to review the entry paperwork. The staff can also outline the broader campus amenities, which include a library, a chapel with daily services, on-site salon services, wireless internet, and adjacent independent living apartments.

Contact Village at Cook Springs Assisted Living Facility

Overview of Terrace Oaks Care and Rehabilitation Center

Terrace Oaks Care and Rehabilitation Center is a warm and welcoming community that provides exceptional care to its residents. With 69 beds, this spacious facility is tucked in the heart of Birmingham, Alabama. It has met rigorous federal standards for healthcare and is certified to participate in Medicare and Medicaid. At Terrace Oaks, the team of skilled professionals is dedicated to providing personalized therapy to each resident, focusing on speedy recovery and restoring independence. They work tirelessly to ensure residents receive the care they need to achieve their best potential.
The center boasts a clean and comfortable environment that promotes healing and wellbeing. The staff is highly competent, compassionate, and devoted to the wellbeing of residents. They go above and beyond to ensure that each resident is comfortable, safe, and happy. Terrace Oaks Care and Rehabilitation Center is a community that truly values and cherishes its residents.

Contact Terrace Oaks Care and Rehabilitation Center

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.