Page 14 of Best Nursing Homes in Alabama

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
Reviewed by
Last updated
We analyzed These are the facilities in Alabama our team has analyzed — not a count of every nursing home provider in Alabama.
139 homes
Other senior care options in Alabama:

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-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 Table AL (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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
Regency Retirement Village of Huntsville
NH
AL
IL
MC
SNF
Huntsville (Greenhill)
104
Facility 104
AL AVG 117
Rank #72 / 135
--
4.55
Facility 4.55
AL AVG 4.37
Rank #47 / 125
D- -13%+4%
$16.8k
Facility $16.8k
AL AVG $59.8k
Rank #109 / 125
18
Facility 18
AL AVG 10.4
Rank #113 / 124
6.0
Facility 6.0
AL AVG 3.5
Rank #115 / 124
384-
44
Facility 44
AL AVG 42
Rank #69 / 126
Huntsville Senior Services LLC
$19.3MFiscal year ending 12/2023
Facility $19.3MFiscal year ending 12/2023
AL AVG $11.3M
Rank #6 / 108
$9.1MFiscal year ending 12/2023
Facility $9.1MFiscal year ending 12/2023
AL AVG $5.7M
Rank #10 / 108
47%Fiscal year ending 12/2023
Facility 47%Fiscal year ending 12/2023
AL AVG 53.1%
Rank #77 / 107
15372
Birmingham Rehabilitation and Wellness Center
NH
SNF
Birmingham
132
Facility 132
AL AVG 117
Rank #44 / 135
84.6%
Facility 84.6%
AL AVG 82%
Rank #67 / 108
+3%
3.92
Facility 3.92
AL AVG 4.37
Rank #98 / 125
C- -34%-10%
$74.8k
Facility $74.8k
AL AVG $59.8k
Rank #119 / 125
20
Facility 20
AL AVG 10.4
Rank #116 / 124
2.9
Facility 2.9
AL AVG 3.5
Rank #41 / 124
4112-
44
Facility 44
AL AVG 42
Rank #69 / 126
Delilah Griffith
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
AL AVG $11.3M
Rank #47 / 108
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
AL AVG $5.7M
Rank #33 / 108
61.6%Fiscal year ending 12/2023
Facility 61.6%Fiscal year ending 12/2023
AL AVG 53.1%
Rank #15 / 107
15217
Village at Cook Springs Skilled Nursing Facility
NH
AL
HOS
IL
MC
RC
SNF
Pell City
168
Facility 168
AL AVG 117
Rank #19 / 135
78.8%
Facility 78.8%
AL AVG 82%
Rank #78 / 108
-4%
4.35
Facility 4.35
AL AVG 4.37
Rank #59 / 125
? +1%0%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
12
Facility 12
AL AVG 10.4
Rank #89 / 124
4.0
Facility 4.0
AL AVG 3.5
Rank #86 / 124
3132--Gregory Flippo
$12.7MFiscal year ending 06/2024
Facility $12.7MFiscal year ending 06/2024
AL AVG $11.3M
Rank #38 / 108
$7.4MFiscal year ending 06/2024
Facility $7.4MFiscal year ending 06/2024
AL AVG $5.7M
Rank #25 / 108
58.2%Fiscal year ending 06/2024
Facility 58.2%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #25 / 107
15195
Falkville Rehabilitation and Healthcare Center
NH
MC
RC
SNF
Falkville
116
Facility 116
AL AVG 117
Rank #65 / 135
--
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 #115 / 124
747-
31
Facility 31
AL AVG 42
Rank #84 / 126
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
Bibb Medical Center Nursing Home
NH
SNF
Centreville
131
Facility 131
AL AVG 117
Rank #47 / 135
86.3%
Facility 86.3%
AL AVG 82%
Rank #58 / 108
+5%
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 #53 / 124
3.0
Facility 3.0
AL AVG 3.5
Rank #42 / 124
-113-
26
Facility 26
AL AVG 42
Rank #97 / 126
----15215

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

Rows per page:
Nursing Home Explorer
1...1112

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 Village at Cook Springs Assisted Living Facility

With a 44-bed capacity, Village at Cook Springs in Pell City, Alabama offers nursing home care, assisted living, memory care, respite care, and skilled nursing. Residents receive nursing care from licensed nurses on-site, along with 24-hour staffing. Rehabilitation services, including short-term rehab, are also available to help improve residents’ functionality.

Home care is also available for older adults who prefer to receive care in their own home, while respite services are provided on-site for those seeking short-term stays. Medicaid is also accepted, giving families who use that benefit a payment option for eligible care.

Residents may use the pool, salon, fitness center, library, garden, patio, and walking paths. Religious services are available, along with housekeeping and and dining services. Pets are allowed for residents who want to keep an animal companion with them. Noland Health Services owns the community, withRandolph Pickell serving as administrator.

Contact Village at Cook Springs Assisted Living Facility

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 Attalla Center for Rehabilitation and Nursing

Attalla Center for Rehabilitation and Nursing is a nursing home in Attalla, Alabama, offering skilled nursing, memory care, and hospice care. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers supervision for someone living with dementia, and hospice care supports residents with end of life needs. The community may suit someone who needs short stay rehabilitation after a medical event or ongoing support for complex medical needs.

Short Stay Rehabilitation and Complex Medical Care are specific programs at the community. Residents can receive rehabilitation and medical services during a temporary recovery stay or while managing more involved health needs. Long term care is also available for people who need continuing support. With 182 beds, the setting is larger, with more residents and staff and usually more programming.

A Walk Score of 46 places the area in a car dependent band, so most errands require a car or a ride rather than a short walk. Matthew Leland serves as the administrator.

Contact Attalla Center for Rehabilitation and Nursing

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

Overview of Arabella Health & Wellness of Birmingham

Arabella Health & Wellness of Birmingham operates a 163-bed nursing facility in Birmingham, Alabama, offering skilled nursing, respite stays, and long-term care. Targeted short-term rehabilitation services assist individuals recovering from surgery, illness, or medical events through physical, occupational, and speech therapy.

Advanced clinical capabilities on site include nurse practitioner oversight, respiratory support, tracheostomy care, IV therapy, and a dedicated Quality of Life Program. Administrator Sydney Selman manages daily operations. Care staffing averages cover round-the-clock clinical needs, alongside short-term relief options for primary family caregivers.

Prospective residents can connect with Arabella Health & Wellness of Birmingham to schedule a tour, check current room availability, or discuss admission requirements for specialized rehabilitation and long-term care.

Contact Arabella Health & Wellness of Birmingham

Overview of Woodland Haus

Woodland Haus offers nursing home, skilled nursing, and respite care in Cullman, AL. Skilled nursing includes licensed nursing care on site around the clock, giving residents access to nursing support at any time of day or night.

Respite care provides a short stay for someone whose usual caregiver needs to travel or recover. Private rooms give residents a single private living space. Woodland Haus may be a good fit for a family seeking short-term care or for a resident who needs ongoing nursing care.

Contact Woodland Haus

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 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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.

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