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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 TableNH (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.
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.
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.
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
Kensington Health and Rehabilitation provides nursing home, skilled nursing, and palliative care in Mobile, AL. Skilled nursing gives residents licensed nursing care on site around the clock, while palliative care focuses on comfort and symptom relief.
Rehabilitation services include post-acute rehabilitation, so Kensington Health and Rehabilitation may suit someone recovering after acute care who needs nursing care alongside rehabilitation. The community has 120 beds, with total nurse staffing of 4 hours 3 minutes per resident per day, meaning all nursing time counted for each resident is combined across the day. Medicare and private pay are accepted, and Kristen Birdsong serves as administrator.
Capitol Hill Healthcare in Montgomery’s unwavering commitment is evident in the round-the-clock care they provide to individuals requiring rehabilitation or nursing support. In addition to their comprehensive long-term and skilled nursing care, they specialize in transitional services, providing short-term solutions that accelerate patients’ recovery through focused treatment and specialized care. Their expertise covers a broad spectrum, including stroke care, diabetes management, wound care, and more. Physical, occupational, and speech therapies are tailored to each resident’s specific needs, fostering independence and well-being. Their 284-bed skilled facility boasts state-of-the-art equipment, ensuring residents have access to cutting-edge resources. Recognizing the importance of personal care, they go the extra mile by offering on-site beautician services and a salon, allowing residents to pamper themselves without leaving the comfort of their home. Mealtimes are a treat, with a registered dietitian and dietary manager meticulously crafting menus to suit individual preferences and dietary requirements. Their diligent housekeeping staff and dedicated maintenance team also work tirelessly to maintain an orderly and secure environment, ensuring residents feel at ease.
Crowne Health Care of Montgomery provides nursing home, memory care, respite care, and skilled nursing in Montgomery, AL. Nursing home care supports long-term residence, while skilled nursing provides licensed nursing care around the clock. Memory care serves individuals with Alzheimer’s or dementia, and respite care provides a short stay when a usual caregiver needs temporary relief, so the combination may suit someone who needs supervised memory support or a family seeking short-term help.
The home has 185 beds. That places it among communities with more residents, staff, and usually more programming than smaller communities. Physical rehabilitation services give residents access to therapy as part of their care at the facility, while total nurse staffing is 4 hours 58 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident.
Crowne Health Care of Montgomery accepts Medicare, Medicaid, and private pay, giving families those payment routes based on the resident’s coverage or financial arrangement. A Walk Score of 40 places the area in a car-dependent band, where most errands require a car or a ride, so a resident who no longer drives would need transportation for routine outings. Leslie Smith serves as the administrator.
Crowne Health Care of Fort Payne provides nursing home, respite care, and skilled nursing services in Fort Payne, AL. Nursing home care includes short term and long term stays, while respite care offers a temporary stay when a usual caregiver needs time away. Skilled nursing care includes licensed nursing on site around the clock.
Physical, occupational, and speech rehabilitation services support residents receiving short term or long term care, so these therapies can be part of the stay rather than separate from it. Recreational therapy provides structured activities. The dining room serves Southern favorites and homestyle dishes.
The community has 123 beds. Total nurse staffing is 4 hours and 35 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicaid, Medicare, and private pay are accepted, and Felicia Case serves as the administrator. The combination of short term care, long term care, skilled nursing, rehabilitation, and respite care may suit a resident whose needs range from temporary support to ongoing nursing care.
Overview of McGuffey Health and Rehabilitation Center
McGuffey Health and Rehabilitation Center provides nursing home, memory care, and skilled nursing in Gadsden, AL. Nursing home and skilled nursing care include licensed nursing services on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering.
Memory care may be a good fit for someone living with dementia who needs a supervised environment. The community has 209 beds, so it is a larger setting rather than a small home, and total nurse staffing is 3 hours and 57 minutes per resident per day, representing the daily nursing time allocated to each resident.
Short Term Rehab and Rehab First are rehabilitation programs for residents who need support during recovery. CNA Training is also offered as an educational program for nursing assistants, and Medicare, Medicaid, and private pay are accepted as payment options.
Diversicare of Lanett provides nursing home and skilled nursing care, hospice care, and memory care in Lanett, Alabama. Skilled nursing means licensed nursing care is available on site around the clock, while hospice focuses on comfort and support for someone with an end of life illness. Memory care is provided in a secured setting with supervision for a resident who may be at risk of wandering.
Short stay rehabilitation and complex medical care are also available. That gives a resident a place for temporary rehabilitation or for care needs requiring medical oversight, with recovery focused rehabilitation services included among the facility’s offerings. The range of services may suit someone who needs ongoing nursing support, memory care supervision, hospice support, or short term rehabilitation.
Diversicare of Lanett has 85 beds and an occupancy rate of 99%, meaning nearly all beds are in use at the stated occupancy level. Payment options include Medicare, Medicaid, and private pay. Total nurse staffing is 3 hours and 26 minutes per resident each day, representing the daily hands on nursing time allocated per resident, and Jacqueline Morgan Brown serves as the administrator.
Hatley Health Care is a nursing home in Clanton, Alabama, offering hospice care, memory care, respite care, and skilled nursing. Residents in the nursing home and skilled nursing programs have licensed nursing care on site around the clock, while hospice care supports residents receiving care at the end of life.
Memory care provides a secured setting with supervision for someone at risk of wandering, and respite care offers a short stay when a usual caregiver needs to travel or recover. With 201 beds, Hatley Health Care is a larger community with more residents, staff, and programming.
Its 40% occupancy means fewer than half of the beds are occupied, while total nurse staffing is 3 hours and 46 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care.
The community is administered by Michael Lance Bolding. The area has a car-dependent Walk Score of 46 / 100, meaning most errands require a car or a ride, so a resident who no longer drives would generally need transportation for errands.
Hatley Health Care may be a good fit for someone living with dementia who needs secured supervision or for a family needing short-term care while a primary caregiver travels or recovers.
Andalusia Manor provides long-term nursing care and rehabilitation services in Andalusia, Alabama. On-site clinical staff delivers continuous health oversight, while structured therapy programs assist residents seeking to regain physical function and personal independence.
Administrator Trece Mays oversees operations at the 154-bed facility. Records show an average of 5 hours and 29 minutes of direct hands-on nursing time allocated per resident daily. Residents and their sponsors can cover expenses through Medicare, Medicaid, or private payment channels.
Families looking into ongoing clinical support or recovery care can contact Andalusia Manor to learn more about unit availability, discuss financial options, or arrange a campus visit.
Overview of Henry County Health and Rehabilitation Facility
Henry County Health and Rehabilitation Facility offers nursing home care, hospice care, respite care, and skilled nursing in Abbeville, AL. Skilled nursing provides licensed nursing care on site around the clock, while hospice supports residents receiving end of life care.
Respite care is available for a short stay when a resident’s usual caregiver needs time to travel, recover, or manage other responsibilities. The facility has 142 beds, with private suites and semi private rooms, so a resident may have a private room or share with another resident.
Short term rehabilitation and rehabilitation services support recovery after an illness, injury, or hospital stay without requiring a separate rehabilitation setting. A therapy gym provides a dedicated on site space for rehabilitation activities. Residents can also take part in a life enrichment program, social activities, and specialized dementia activities.
Cafe style dining with an à la carte menu is available at breakfast, lunch, and dinner. Total nurse staffing is 5 hours and 57 minutes per resident per day, representing the daily nursing time allocated per resident. Medicare, Medicaid, and private pay are accepted, and Charlie W. Houston II serves as administrator. The combination of nursing care, rehabilitation, hospice, and respite services can suit someone whose needs range from recovery support to ongoing nursing care or a short term stay.
Overview of Cloverdale Rehabilitation and Nursing Center
Cloverdale Rehabilitation and Nursing Center operates a 141-bed facility in Scottsboro, Alabama, offering nursing home services and skilled nursing support. On-site programs combine specialized therapy and daily nursing services to assist residents requiring ongoing clinical care or rehabilitation.
Administrative oversight is led by LNHA Brooke Gentry. Across the community, nurse staffing averages 4 hours and 33 minutes per resident daily. Payment arrangements accept Medicare for qualifying short-term stays, Medicaid for extended care needs, and private payment methods.
Families can contact Cloverdale Rehabilitation and Nursing Center directly to discuss admission requirements, verify bed availability, and explore financial options.
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Nursing Homes in Alabama at a glance
Avg Overall CMS Rating:3.0/ 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:3.6/ 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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