Page 4 of Best Nursing Homes in Alabama

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
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Last updated
We analyzed These are the facilities in Alabama our team has analyzed — not a count of every nursing home provider in Alabama.
140 homes
Other senior care options in Alabama:
Avg Overall CMS Rating: 2.9/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Alabama. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.5/ 5The average Staffing Rating across all CMS-certified nursing homes in Alabama. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Alabama. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Alabama

Info below is compiled from CMS reports & the AL Dept. of Public Health (ADPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Redstone Village
NH
AL
CCRC
IL
MC
SNF
Huntsville (Redstone Village)
56
Facility 56
AL AVG 117
Rank #124 / 135
41.1%
Facility 41.1%
AL AVG 81.3%
Rank #100 / 104
-49%
4.97
Facility 4.97
AL AVG 4.37
Rank #23 / 125
-34%+14%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
3
Facility 3
AL AVG 10.4
Rank #5 / 124
1.5
Facility 1.5
AL AVG 3.5
Rank #12 / 124
-23-
17
Facility 17
AL AVG 42
Rank #105 / 126
Redstone Military Retirement Residence Association Inc
$22.8MFiscal year ending 12/2023
Facility $22.8MFiscal year ending 12/2023
AL AVG $11.3M
Rank #3 / 108
$10.0MFiscal year ending 12/2023
Facility $10.0MFiscal year ending 12/2023
AL AVG $5.7M
Rank #6 / 108
43.9%Fiscal year ending 12/2023
Facility 43.9%Fiscal year ending 12/2023
AL AVG 53.1%
Rank #87 / 107
15454
Twin Oaks Rehabilitation & Healthcare Center
NH
SNF
Mobile (Gorgas)
131
Facility 131
AL AVG 117
Rank #47 / 135
94.4%
Facility 94.4%
AL AVG 81.3%
Rank #14 / 104
+16%
3.52
Facility 3.52
AL AVG 4.37
Rank #114 / 125
+17%-19%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
6
Facility 6
AL AVG 10.4
Rank #29 / 124
2.0
Facility 2.0
AL AVG 3.5
Rank #15 / 124
1124-
29
Facility 29
AL AVG 42
Rank #87 / 126
Lawrence King
$13.1MFiscal year ending 06/2024
Facility $13.1MFiscal year ending 06/2024
AL AVG $11.3M
Rank #34 / 108
$6.6MFiscal year ending 06/2024
Facility $6.6MFiscal year ending 06/2024
AL AVG $5.7M
Rank #32 / 108
50.3%Fiscal year ending 06/2024
Facility 50.3%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #58 / 107
15211
Diversicare of Lanett
NH
HOS
MC
SNF
Lanett
85
Facility 85
AL AVG 117
Rank #101 / 135
98.6%
Facility 98.6%
AL AVG 81.3%
Rank #3 / 104
+21%
3.43
Facility 3.43
AL AVG 4.37
Rank #118 / 125
-17%-21%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
4
Facility 4
AL AVG 10.4
Rank #20 / 124
4.0
Facility 4.0
AL AVG 3.5
Rank #30 / 124
-84A+
3
Facility 3
AL AVG 42
Rank #123 / 126
Jacqueline Brown
$8.4MFiscal year ending 06/2024
Facility $8.4MFiscal year ending 06/2024
AL AVG $11.3M
Rank #76 / 108
$3.8MFiscal year ending 06/2024
Facility $3.8MFiscal year ending 06/2024
AL AVG $5.7M
Rank #93 / 108
44.7%Fiscal year ending 06/2024
Facility 44.7%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #83 / 107
15196
Brown Nursing Home
NH
RC
SNF
Alexander City
68
Facility 68
AL AVG 117
Rank #118 / 135
94.0%
Facility 94.0%
AL AVG 81.3%
Rank #17 / 104
+16%
4.04
Facility 4.04
AL AVG 4.37
Rank #86 / 125
-32%-8%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
7
Facility 7
AL AVG 10.4
Rank #37 / 124
3.5
Facility 3.5
AL AVG 3.5
Rank #74 / 124
-64-
63
Facility 63
AL AVG 42
Rank #20 / 126
Cecily Lee
$6.8MFiscal year ending 06/2024
Facility $6.8MFiscal year ending 06/2024
AL AVG $11.3M
Rank #95 / 108
$3.8MFiscal year ending 06/2024
Facility $3.8MFiscal year ending 06/2024
AL AVG $5.7M
Rank #90 / 108
56.3%Fiscal year ending 06/2024
Facility 56.3%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #31 / 107
15191
Andalusia Manor
NH
SNF
Andalusia
154
Facility 154
AL AVG 117
Rank #25 / 135
85.7%
Facility 85.7%
AL AVG 81.3%
Rank #59 / 104
+5%
5.49
Facility 5.49
AL AVG 4.37
Rank #8 / 125
-19%+26%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
11
Facility 11
AL AVG 10.4
Rank #74 / 124
3.7
Facility 3.7
AL AVG 3.5
Rank #78 / 124
-132-
60
Facility 60
AL AVG 42
Rank #31 / 126
Treece Mays
$10.7MFiscal year ending 06/2024
Facility $10.7MFiscal year ending 06/2024
AL AVG $11.3M
Rank #46 / 108
$5.9MFiscal year ending 06/2024
Facility $5.9MFiscal year ending 06/2024
AL AVG $5.7M
Rank #40 / 108
55.6%Fiscal year ending 06/2024
Facility 55.6%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #37 / 107
15416
Cottage of the Shoals
NH
HOS
PC
RC
SNF
Tuscumbia
103
Facility 103
AL AVG 117
Rank #73 / 135
88.1%
Facility 88.1%
AL AVG 81.3%
Rank #44 / 104
+8%
3.16
Facility 3.16
AL AVG 4.37
Rank #123 / 125
+56%-28%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
5
Facility 5
AL AVG 10.4
Rank #20 / 124
1.7
Facility 1.7
AL AVG 3.5
Rank #14 / 124
-91-
65
Facility 65
AL AVG 42
Rank #16 / 126
David Grimes
$10.0MFiscal year ending 06/2024
Facility $10.0MFiscal year ending 06/2024
AL AVG $11.3M
Rank #57 / 108
$4.3MFiscal year ending 06/2024
Facility $4.3MFiscal year ending 06/2024
AL AVG $5.7M
Rank #73 / 108
42.6%Fiscal year ending 06/2024
Facility 42.6%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #94 / 107
15067
Aspire Physical Recovery Center Of West Alabama
NH
SNF
Northport
75
Facility 75
AL AVG 117
Rank #110 / 135
64.0%
Facility 64.0%
AL AVG 81.3%
Rank #88 / 104
-21%
4.50
Facility 4.50
AL AVG 4.37
Rank #47 / 125
+4%+3%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
6
Facility 6
AL AVG 10.4
Rank #29 / 124
3.0
Facility 3.0
AL AVG 3.5
Rank #46 / 124
-48-
51
Facility 51
AL AVG 42
Rank #47 / 126
West Alabama Health Properties LLC
$10.6MFiscal year ending 06/2024
Facility $10.6MFiscal year ending 06/2024
AL AVG $11.3M
Rank #49 / 108
$4.5MFiscal year ending 06/2024
Facility $4.5MFiscal year ending 06/2024
AL AVG $5.7M
Rank #67 / 108
42.4%Fiscal year ending 06/2024
Facility 42.4%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #95 / 107
15465
Hatley Health Care, Inc.
NH
HOS
MC
RC
SNF
Clanton
201
Facility 201
AL AVG 117
Rank #9 / 135
40.3%
Facility 40.3%
AL AVG 81.3%
Rank #101 / 104
-50%
3.77
Facility 3.77
AL AVG 4.37
Rank #104 / 125
-6%-14%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
7
Facility 7
AL AVG 10.4
Rank #37 / 124
3.5
Facility 3.5
AL AVG 3.5
Rank #74 / 124
-81-
46
Facility 46
AL AVG 42
Rank #62 / 126
Billy Hatley
$9.8MFiscal year ending 06/2024
Facility $9.8MFiscal year ending 06/2024
AL AVG $11.3M
Rank #60 / 108
$4.1MFiscal year ending 06/2024
Facility $4.1MFiscal year ending 06/2024
AL AVG $5.7M
Rank #82 / 108
41.9%Fiscal year ending 06/2024
Facility 41.9%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #98 / 107
15023
Henry County Health and Rehabilitation Facility
NH
HOS
RC
SNF
Abbeville
142
Facility 142
AL AVG 117
Rank #38 / 135
48.6%
Facility 48.6%
AL AVG 81.3%
Rank #99 / 104
-40%
5.95
Facility 5.95
AL AVG 4.37
Rank #4 / 125
-10%+36%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
11
Facility 11
AL AVG 10.4
Rank #74 / 124
3.7
Facility 3.7
AL AVG 3.5
Rank #78 / 124
-69-
49
Facility 49
AL AVG 42
Rank #53 / 126
Henry County Health Care Authority
$10.4MFiscal year ending 06/2024
Facility $10.4MFiscal year ending 06/2024
AL AVG $11.3M
Rank #52 / 108
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
AL AVG $5.7M
Rank #47 / 108
52%Fiscal year ending 06/2024
Facility 52%Fiscal year ending 06/2024
AL AVG 53.1%
Rank #48 / 107
15373
Springhill Medical Center
NH
SNF
Mobile (Llanfair)
151
Facility 151
AL AVG 117
Rank #28 / 135
53.4%
Facility 53.4%
AL AVG 81.3%
Rank #98 / 104
-34%
4.05
Facility 4.05
AL AVG 4.37
Rank #81 / 125
-7%-7%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 125
5
Facility 5
AL AVG 10.4
Rank #20 / 124
2.5
Facility 2.5
AL AVG 3.5
Rank #30 / 124
-81-
44
Facility 44
AL AVG 42
Rank #69 / 126
Southern Medical Health Systems Inc
$9.2MFiscal year ending 12/2023
Facility $9.2MFiscal year ending 12/2023
AL AVG $11.3M
Rank #68 / 108
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
AL AVG $5.7M
Rank #84 / 108
43.4%Fiscal year ending 12/2023
Facility 43.4%Fiscal year ending 12/2023
AL AVG 53.1%
Rank #88 / 107
15435

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

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Redstone Village

12000 Turnmeyer Dr Se, Huntsville, AL 35803
Overview of Redstone Village

Redstone Village is a comprehensive Life Plan residential continuing care community in Huntsville, Alabama. Offering a spectrum of services, including independent living, assisted living, memory care, skilled nursing, and rehabilitation, Redstone Village exemplifies a commitment to holistic wellness, ensuring an enriched experience for residents across all levels of care. A team of dedicated staff specially trained in enhancing resident experiences upholds the community’s devotion to holistic well-being. Licensed nurses provide round-the-clock availability, offering peace of mind and ensuring the constant well-being of residents. In-house therapy services, overseen by licensed therapists, offer personalized exercise classes to promote overall health and vitality.

Within this community, residents indulge in the finer aspects of life, from the convenience of a beauty salon and barbershop to seamless transportation services that make getting around a breeze. Engaging group and individualized activities keep residents entertained and fulfilled, while housekeeping services alleviate concerns, allowing retirees to relish their golden years. Surrounded by well-manicured lawns and stunning grounds, Redstone Village encourages active senior living in a safe and secure setting. With a talented culinary team, the community ensures a balanced lifestyle that caters to its residents’ varied preferences. Beyond these amenities, Redstone Village offers breathtaking views overlooking the Tennessee River and the Appalachian mountains, promising maintenance-free senior living that combines enjoyment with enrichment. This community is a haven where residents can thrive, creating a fulfilling and enjoyable retirement experience.

Contact Redstone Village

Overview of Twin Oaks Rehabilitation & Healthcare Center

Twin Oaks Rehabilitation & Healthcare Center occupies 131 beds in Mobile, Alabama, at 857 Crawford Lane in a neighborhood where a car handles most errands (Walk Score 29). The average stay runs 172 days, which sets expectations immediately: people come here to recover from something acute, not to settle in. That timeline suggests four to six months of concentrated rehabilitation work.

Nursing care runs 3 hours and 23 minutes per resident per day. Aides provide the bulk of that work at 1 hour 58 minutes. RNs and LPNs each contribute 32 minutes. The balance reflects a short-term rehabilitation model where the work centers on physical recovery and medication management during a defined transition period rather than on managing chronic conditions over years.

Twenty-four-hour skilled nursing is in place. The facility maintains a dedicated rehabilitation space, which means the environment itself is configured for recovery work rather than adapted from a long-term care layout. Family training and involvement are named as part of the care structure, which signals that discharge planning and skill transfer to family caregivers are built into the operation, not added as an afterthought.

Medicare, Medicaid, and private pay are all accepted. State inspections have consistently addressed medication management, infection control, staffing credentials, environmental safety, care planning, resident rights, and housekeeping, which is the standard regulatory focus for nursing homes rather than unique to Twin Oaks.

Twin Oaks is structured as a dedicated short-term rehabilitation environment. It’s designed for people in Mobile who need skilled nursing support concentrated over four to six months, with family involvement included in the recovery plan.

Contact Twin Oaks Rehabilitation & Healthcare Center

Overview of Diversicare of Lanett

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.

Contact Diversicare of Lanett

Brown Nursing Home

2334 Washington Street, Po Box 1056, Alexander City, AL 35010
Overview of Brown Nursing Home

Brown Nursing Home provides nursing home care, skilled nursing, and respite care in Alexander City, AL. Skilled nursing includes licensed nursing care on site around the clock. Respite care offers a short stay when a resident’s usual caregiver needs time away, while short term rehabilitation provides physical, occupational, and speech therapy during a temporary recovery period. The combination may suit someone who needs skilled care and therapy temporarily or a family arranging short term respite.

The home has 68 beds, with total nurse staffing of 4 hours and 3 minutes per resident each day. That figure represents the daily nursing time allocated to each resident. Brown Nursing Home is administered by William D. Beagle. Medicaid, Medicare, and private pay are accepted, giving families different ways to cover care: Medicaid can help when savings may not cover a long stay, Medicare applies to short term skilled care after a hospital stay rather than long term residence, and private pay allows payment from personal funds.

Diet and nutrition counseling and social services are also available as part of the care offered. Fresh meals are designed around residents’ dietary needs while remaining flavorful, balanced, and nutritious. A salon and spa are available on site, so residents can use those services without arranging an outside visit. Seasonal activities, live music, religious services, and games give residents ways to take part in programming at the home.

Contact Brown Nursing Home

Overview of Andalusia Manor

Andalusia Manor is a nursing home and skilled nursing facility in Andalusia, Alabama. The setting provides facility based nursing care for residents with ongoing clinical or daily nursing needs, with staff available around the clock. Rehabilitation services are provided within the skilled nursing setting, so a resident who needs rehabilitation can receive those services without moving to another setting.

Andalusia Manor may be a good fit for a resident who needs continuing nursing support and rehabilitation in one setting. There are 154 beds, making this a large nursing setting with many residents and an established staff and activities operation. Residents can participate in the activities program, and Trece Mays serves as administrator.

Total nurse staffing averages 4 hours and 49 minutes per resident each day, including an average of 1 hour and 35 minutes from licensed nurses such as RNs and LPNs. These are facility wide averages, not dedicated hours promised to one resident. Around the clock staffing also does not specify which roles are present at each hour or how quickly staff respond.

Occupancy is 86 percent, meaning the facility was not at its full reported capacity when measured, although that figure does not confirm that a suitable bed is currently available. Payment options include Medicare, Medicaid, and private pay, allowing families to consider public program eligibility or plan to pay privately, while acceptance alone does not establish coverage, eligibility, or duration. A Walk Score of 60, rated somewhat walkable, means some errands can be completed on foot, so a resident able to leave the facility may reach some destinations without driving, although not all daily needs are walkable.”

Contact Andalusia Manor

Overview of Cottage of the Shoals

Cottage of the Shoals offers nursing home, hospice, palliative, respite, and skilled nursing care in Tuscumbia, AL. Nursing home and skilled nursing services provide licensed nursing care on site around the clock for residents who need ongoing clinical support. Hospice care addresses end of life needs, while palliative care focuses on relieving symptoms and discomfort.

Respite care provides a short stay. The range of services may be a good fit for someone who needs nursing care, end of life support, symptom management, or temporary care while a usual caregiver travels or recovers. The home has 103 beds, with total nurse staffing of 3 hours and 9 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Payment options are Medicare, Medicaid, and private pay, giving eligible families public benefit and out of pocket ways to cover care. David Grimes serves as the administrator.

Contact Cottage of the Shoals

Overview of Aspire Physical Recovery Center of West Alabama

Aspire Physical Recovery Center of West Alabama is a senior care facility with nursing home services located in Tuscaloosa, Alabama. This center aims to provide personalized care in a luxurious and comfortable environment, creating a unique experience akin to a luxury vacation with the warmth of home. At Aspire Physical Recovery Center of West Alabama, the professional and caring staff is dedicated to ensuring residents receive the highest quality of care and attention. 
Serving the Tuscaloosa-Northport area, the beautifully designed center offers living rooms for relaxation, along with a central courtyard that provides a serene and leisurely space for residents. With a focus on individual needs, Aspire offers numerous private accommodations, each with spacious bathrooms and private showers, ensuring a comfortable and welcoming stay for all guests. With a commitment to comfort, well-being, and personalized services, the center strives to make each resident’s stay a positive and enriching experience.

Contact Aspire Physical Recovery Center Of West Alabama

Overview of Hatley Health Care

With over 44 years of care, Hatley Health Care is a nursing home in Clanton, AL, offering memory care, respite care, and skilled nursing. As a nursing home, the community supports residents who need ongoing assistance, providing skilled nursing care supported by licensed nurses. Moreover, respite services are available to support primary caregivers in need of time away.

The home has 201 beds, so residents live in a larger community with more residents and staff. Medicare, Medicaid, and private pay are accepted, giving families several ways to approach the cost of care. This also suggests that Medicare can cover short-term skilled care after a hospital stay rather than long-term residence, while Medicaid may help when savings do not cover a long stay. Private pay also provides another payment route.

Total nurse staffing is 3 hours and 46 minutes per resident per day, representing the daily hands-on nurse time associated with each resident. A Walk Score of 46 out of 100 indicates a setting where most errands require a car or a ride, so a resident who no longer drives would need transportation for those trips.

Contact Hatley Health Care, Inc.

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.

Contact Henry County Health and Rehabilitation Facility

Overview of Springhill Medical Center

Springhill Medical Center emerges as a sanctuary of heartfelt care in Mobile, Alabama, housing 151 beds within its skilled nursing facility. Offering both short-term rehabilitation and long-term care, Springhill Medical Center creates a familiar haven that nurtures the mind, body, and spirit. Within the walls of this esteemed center, therapy services flourish, with a dedicated focus on physical, occupational, wound care, and enteral therapy. These transformative treatments empower residents, helping them regain their strength, mobility, and overall well-being. 
The residents are encouraged to infuse their personal touch, adorning their living spaces with cherished photographs, treasured accessories, and beloved furniture. The picturesque pond and accessible boardwalk invite strolls, providing an opportunity for residents to immerse themselves in the serene surroundings and embrace the beauty of the outdoors. This inclusive environment also embraces diverse faiths, providing a source of solace and inspiration for those seeking spiritual connection.

Contact Springhill Medical Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Alabama

What's the difference between assisted living and a nursing home in Alabama?

Assisted living in Alabama is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Alabama Medicaid cover nursing home care?

Yes — Alabama Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 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.