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Why trust this guide?
Our editorial team analyzed 140 nursing homes in AL using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in AL
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.
Info below is compiled from CMS reports & the AL Dept. of Public Health (ADPH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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.
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.
$4.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.1M*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.
66.2%*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.
$5.4M*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.
$0.0k*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.
0%*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.
$4.6M*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.
$2.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
59%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide: each nursing home is ranked against every AL nursing home we track that reports that metric, not just the 140 on this page. See how we rank facilities
Keller Landing provides nursing home, skilled nursing, hospice, palliative, and respite care in Tuscumbia, AL. Nursing home and skilled nursing care include licensed nursing on site around the clock. Hospice and palliative care focus on comfort and symptom management for someone with a serious or life limiting illness. Respite care provides a short stay while the usual caregiver travels or recovers, so Keller Landing may suit someone who needs ongoing nursing care or comfort focused support, as well as a family seeking temporary help.
The community has 109 beds, with private and semi private rooms available. A private room gives one resident personal living space, while a semi private room means sharing that space with another resident. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 3 hours and 53 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Keller Landing is in the South Sheffield neighborhood.
Washington County Nursing Home provides nursing home, adult day care, respite care, and skilled nursing in Chatom, AL. Nursing home care supports residents who need ongoing assistance and nursing oversight, while skilled nursing provides licensed nursing care on site around the clock. Adult day care offers care during the day, and respite care supports a short term stay when a usual caregiver needs time away. This mix may suit families whose care needs vary by setting or length of stay.
Washington County Nursing Home opened in 1975 and has 88 beds. Total nurse staffing is 4 hours and 59 minutes per resident per day, representing the amount of nursing time allocated to each resident across a day. Teresa Grimes serves as the administrator.
Rehabilitation services are available, allowing a resident to receive rehab within the same care setting. The facility’s listed programs include cardiology, Millry Family Care, orthopaedics, pulmonary, radiology, swing bed, lab, Vascular Associates, and WCHNH Heritage Adult Day Haven.
Overview of Adams Rehabilitation and Healthcare Center
Adams Rehabilitation and Healthcare Center offers nursing home care, memory care, respite care, and skilled nursing in Alexander City, Alabama. Nursing home care includes long term support, while skilled nursing provides licensed nursing care on site around the clock. Memory care is provided in a secured setting with supervision for someone at risk of wandering, and respite care offers a short stay when a family caregiver needs to travel or recover.
The community has 75 beds. Rehabilitation services and a gym support residents who need short term rehabilitation, while medication management, bathing and toileting assistance, routine health assessments, and coordination of care address daily and clinical needs. A wellness program, activities and engagement, and religious services are also available.
Total nurse staffing is 4 hours and 32 minutes per resident per day, including 1 hour and 35 minutes from licensed nurses such as RNs and LPNs; these hours represent nursing time available for routine clinical needs and monitoring. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care, and Debbie Barker Stalnaker serves as the administrator. A Walk Score of 63 is rated somewhat walkable, meaning some errands can be done on foot, so a resident who no longer drives may be able to reach selected nearby destinations independently. This may be a good fit for someone who needs long term nursing support, secured memory care, short term rehabilitation, or a temporary stay while a usual caregiver travels or recovers.
Overview of Little Sisters of the Poor Sacred Heart Residence
Ellen Bueche owns the Little Sisters of the Poor Sacred Heart Residence, a 52-bed care home on McGill Avenue in Mobile, Alabama. The building runs at full occupancy, and the average stay lasts about 340 days. This long tenure shows that the daily workflow is almost entirely geared toward permanent, long-term residential care rather than quick-turnover rehab. To manage the costs of a stay, the front office processes traditional Medicare, state Medicaid, and standard private pay.
Residents receive a high volume of direct attention, with the 24-hour nursing team logging an average of 7 hours and 2 minutes of hands-on care per person every day. This crew of registered nurses, practical nurses, and aides handles all daily medical routines inside the building. Outside, the neighborhood carries a walk score of 62, meaning visitors can easily cross a few quick errands off their list on foot when stopping by.
State reports from the past nine years show a mixed regulatory record, with surveys pointing out recurring compliance issues regarding care protocols and resident communication practices. The most recent health department reviews noted specific areas where staff training and documentation needed to be strengthened. You can go over these long-term survey trends with the administrative staff to see how they manage their quality control systems.
Interested individuals can call the main desk to see if there is a waiting list for open rooms or to find out how the general admissions process works.
Gregory and Gregg Myers own and administer Crowne Health Care of Citronelle, a 69-bed care home in Citronelle, Alabama. The building runs at a high 97 percent occupancy level, meaning openings are limited. Residents stay here for an average of 272 days, a timeline that shows the daily operations are mostly geared toward extended residential care, though they also handle short-term therapy recovery. For stay costs, the front desk handles traditional Medicare, state Medicaid, and standard private pay.
The floor schedule relies on a 24-hour crew that delivers just over 5 hours of direct, hands-on nursing attention per resident daily. This care time is shared among registered nurses, practical nurses, and assistants who coordinate short-term mobility therapy and temporary respite stays. Outside, the property has a walk score of 19, so visiting family members will need a car to handle errands or travel to the facility.
Over the past seven years, state health surveys have noted strong ratings for both staffing levels and health inspections at the property. However, regulatory outcome data for long-term residents shows higher rates of functional decline and an increased need for daily mobility assistance. Reviewing these specific care trends and past surveys with the administrative staff is a practical way to see how the team addresses physical preservation for long-stay residents.
Prospective residents can get in touch with the main office to inquire about current waiting lists or to walk through the general intake steps.
Aliceville Manor Nursing Home is a 100-bed facility that has been operating for 50 years. The building runs at a 73 percent occupancy level, and residents stay here for an exceptionally long average of 572 days. This extended timeline shows that the daily floor routine is overwhelmingly centered on permanent, long-term residential stays rather than short-term therapy turnarounds.
The floor schedule relies on a 24-hour medical team that includes board-certified physicians, a registered pharmacist, and a nursing crew logging an average of 4 hours and 42 minutes of direct care per resident daily. Nurses and aides split these hours to manage clinical tasks like wound care, specialized memory care, and hospice services. Outside, the neighborhood is mostly car-dependent, meaning visitors will need a vehicle for almost all errands away from the building.
State reports have documented repetitive compliance issues at this facility regarding basic infection control methods, building sanitation, care documentation accuracy, and treatment delivery protocols. You can look over these past inspection files with the supervisor to find out what specific corrective changes have been built into their daily cleaning and clinical routines.
Prospective representatives can contact the intake department to ask about the current waiting list or review the registration process. The business office can walk you through financial options like Medicare, Medicaid, and private funds, while the staff can detail household amenities such as therapeutic menus overseen by a registered dietitian, an on-site laundry department, and community volunteer programs.
Overview of Arabella Health & Wellness of Montgomery
Arabella Health & Wellness of Montgomery provides nursing home and skilled nursing care in Montgomery, Alabama. Skilled nursing means licensed nursing care is available on site around the clock, while long term nursing care supports residents who need an ongoing nursing setting. Short term rehabilitation focuses on recovery, and respite care offers a temporary stay when a usual caregiver needs time away.
Physical, occupational and speech therapy support rehabilitation in different areas of function. Respiratory services, trach care and IV therapy address more specialized clinical needs, while on site nurse practitioners let residents receive practitioner services within the community. The Quality of Life Program is also available. With 121 beds, the community accepts Medicare, Medicaid and private pay, giving families several listed ways to cover care; total nurse staffing is 4 hours and 38 minutes per resident per day, representing the daily nursing time allocated to each resident. Lisa Hosford serves as administrator.
Overview of Haleyville Rehabilitation and Healthcare Center
Haleyville Rehabilitation and Healthcare Center offers nursing home, memory care, respite care, and skilled nursing in Haleyville, Alabama. Nursing home care supports long term residential needs, while memory care provides a secured setting with supervision for someone at risk of wandering. Skilled nursing means licensed nursing care is available on site around the clock. Respite care provides a short stay when a person’s usual caregiver needs temporary relief.
The community may be a good fit for someone who needs short term rehabilitation or for a family caregiver who needs temporary care. Rehabilitation services and a spacious therapy gym give a resident receiving short term rehabilitation access to therapy resources within the community. There are 97 beds and private rooms, so residents can have a single room rather than share with another resident.
Payment options include Medicare, Medicaid, and private pay. Medicare covers short term skilled care after a hospital stay, Medicaid can support eligible residents whose savings do not cover a long stay, and private pay allows direct payment. Total nurse staffing is 4 hours and 23 minutes per resident per day, representing the total daily nurse staffing time allocated to each resident. Celeste Nix serves as the administrator. A Walk Score of 53 means the area is somewhat walkable, with some errands possible on foot, so a resident may be able to handle certain nearby errands without a vehicle.
Located in Piedmont, Alabama, Piedmont Health Care Center is a skilled nursing community with a focus on long-term care and a specialized Alzheimer’s and dementia unit. The facility has 91 beds and operates at about 92% occupancy. Residents stay an average of 76 days, including short-term rehabilitation residents and those in longer-term placements. Families can pay through Medicare, Medicaid, or private pay to arrange care coverage.
An on-site outpatient therapy program provides physical and occupational therapy services. Rehabilitation and recovery support are part of the facility’s care model. Residents receive an average of 5 hours and 25 minutes of nursing care each day. Registered nurses, nurse aides, and LPN/LVN staff make up that daily staffing support. The combination of skilled nursing and hands-on assistance supports post-acute recovery and ongoing chronic-care needs.
The neighborhood has a Walk Score of 61. Some nearby errands are within walking distance, but many trips still require transportation. The location is moderately walkable for residents and visiting family members.
State inspections have focused on documentation practices, food service hygiene, and facility sanitation. These operational areas are part of the everyday systems that support care and daily living within the facility. Families considering Piedmont Health Care Center should take a tour of the community to see the dementia unit, outpatient therapy areas, and how daily routines are organized for residents.
Coosa Valley Healthcare Center is a nursing home in Sylacauga, AL, providing residential nursing care for people who need ongoing health support and daily assistance. The community has 85 beds, and 94% are occupied, so most beds are filled. A resident who needs continued nursing support in a residential setting may find this home worth considering.
Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Nursing staff time totals 4 hours and 31 minutes per resident each day. Sherry Glenn serves as the administrator.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Alabama
What's the difference between assisted living and a nursing home in Alabama?
Assisted living in Alabama is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Alabama Medicaid cover nursing home care?
Yes — Alabama Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 140 nursing homes in Alabama. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Alabama?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Alabama, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Alabama?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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