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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
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.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
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.
$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.
$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.
$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.
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
Cypress Cove Center is an astounding nursing home in Muscle Shoals, AL, that offers a wide range of care options, from short-term rehabilitation to long-term care. The community can accommodate up to 84 older adults with its supportive and welcoming environment. Medication management, 24-hour emergency response, and dietary management are also provided to help improve residents’ quality of life. Through a personalized approach to care, the community ensures residents receive the utmost attention and care for their needs.
Educational programs, cultural, and social activities also provide residents with more opportunities to connect with friends and gain meaningful experiences. An on-site medical director and registered nurses also oversee residents’ care to ensure their comfort. Residents also have easy access to restaurants, shops, and other local amenities for their needs and recreation. This nursing home is a trusted care provider in Alabama, striving to help older adults live to their potential in retirement.
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.
Overview of Adams Rehabilitation and Healthcare Center
Adams Rehabilitation and Healthcare Center in Alexander City, Alabama, delivers skilled nursing, general nursing home care, memory care, and short-term respite stays. Memory care programs utilize secured spaces to protect residents living with cognitive impairment. Everyday personal support covers medication management, bathing, toileting, grooming, and routine health assessments. Therapy services support individuals recovering from illnesses, injuries, or hospital visits, while respite care provides temporary coverage when family caregivers need time off.
Led by administrator Debbie Barker Stalnaker, the 75-bed center records 4 hours and 29 minutes of daily direct nursing care per resident. Community features include an exercise gym, wellness initiatives, spiritual services, and group activities. Situated in a neighborhood with a 63 walk score, the location allows residents to complete select daily tasks on foot. Payment choices include Medicare for qualifying short-term recovery, Medicaid, and direct private funding.
Older adults seeking specialized memory care or post-hospital recovery services can reach out to Adams Rehabilitation and Healthcare Center to inquire about room availability, review care options, or schedule a tour of the area.
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.
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.
Providing assisted living, memory care, and skilled nursing, Piedmont Health Care Center is a nursing home administered by Lisha Garner in Piedmont, AL. Licensed nurses provide ongoing support, while rehabilitation services help improve residents’ mobility. Residents also receive support with daily tasks such as dressing, bathing, and taking medications.
The center has 91 beds, with total nurse staffing of 5 hours and 32 minutes per resident per day, representing the daily nursing time allocated to each resident. Occupancy is at 92.3%, with an average length of stay of 76 days. Medicare, Medicaid, and private pay are also accepted, giving families public-program options alongside direct payment.
Additionally, rehabilitation services and the Piedmont Outpatient Therapy program add therapy to the care available through the center. A Walk Score of 61 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach certain nearby destinations independently.
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.
Arbor Woods Health and Rehab operates an 85-bed facility in Reform, Alabama, delivering nursing home care and skilled nursing services. Clinical teams handle long-term care needs alongside short-term rehabilitation. Nursing coverage averages 6 hours and 17 minutes per resident daily across the community.
Operations run under the leadership of administrator Taylor Marine. Financial arrangements include Medicare for eligible post-hospital recovery, Medicaid assistance for ongoing residential care, and direct private payment options.
Interested families can get in touch with Arbor Woods Health and Rehab to inquire about room availability, tour the grounds, and review funding options.
Goodwater Healthcare Center is a nursing home and skilled nursing facility in Goodwater, Alabama, offering long term nursing care, short term nursing care, and rehabilitation services. Skilled nursing provides licensed nursing care for residents who need ongoing clinical support. Short term nursing and rehabilitation can support recovery after an illness, injury, or hospital stay. The community may be a good fit for someone who needs either a temporary rehabilitation stay or continuing nursing care.
The center has 72 beds and has served residents since 1966. Rehabilitation takes place as part of care at the facility, so residents do not need a separate rehabilitation placement. Janice Tyler serves as the administrator.
Medicaid, Medicare, and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 5 hours and 48 minutes per resident per day, representing the overall nursing time allocated to each resident across a day.
Eamc, Lanier Nursing Home provides nursing home and skilled nursing care in Valley, AL. Skilled nursing means licensed nursing care is available on site around the clock, while nursing home care supports residents who need ongoing assistance in a residential setting. The community may be a good fit for someone whose health needs require continuous nursing oversight.
The home has 103 beds, with semi-private and private rooms. A private room suits a resident who wants an individual living space, while a semi-private room is designed for shared living. Medicare, Medicaid and private pay are accepted, giving families several ways to cover eligible care costs. Total nurse staffing is 4 hours and 29 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident, and Alison Yarbrough 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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 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.
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
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
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