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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.
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.
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
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.
Crowne Health Care of Citronelle in Citronelle, Alabama, maintains independent living, assisted living, nursing home care, skilled nursing support, and respite stays. Independent living provides private housing paired with community amenities, while assisted living assists residents with everyday routines. Short-term respite admissions offer temporary care to give regular family caregivers a break.
Gregg Myers serves as administrator for the 69-bed campus, which recorded a 95% occupancy rate during its recent measurement period. Recorded nurse staffing averages 5 hours and 10 minutes per resident each day across the facility. Physical rehabilitation therapies support residents undergoing medical recovery. Accepted payment options encompass Medicare, Medicaid, and private funds.
Prospective residents searching for progressive care options or short-term assistance can contact Crowne Health Care of Citronelle to discuss current room availability, review financial guidelines, or plan a facility visit.
Baron House of Hueytown offers specialized long-term nursing, memory support, hospice care, and 24-hour skilled nursing in Hueytown, Alabama. Supervised memory units keep residents prone to wandering secure, while compassionate hospice care helps individuals during end-of-life stages.
Administrator Antonia M. Richey manages the 50-bed residence, which currently operates at a 70% occupancy rate. Nursing reports log an average of 3 hours and 22 minutes of direct daily care per resident. The neighborhood features a walk score of 50, allowing residents who do not drive to accomplish some errands on foot. Accepted payment methods include Medicare for short-term rehabilitation, Medicaid for extended stays, and private payment.
Prospective representatives exploring continuous nursing oversight or dedicated memory support can contact Baron House of Hueytown to check room availability, review insurance choices, or book a walkthrough of the facility.
Hartford Health Care offers nursing home and assisted living care in Hartford, AL. Nursing home residents have licensed nursing support on site around the clock, while assisted living helps with bathing, dressing and medication while preserving a more independent daily routine. Having both care types may suit someone whose needs could increase over time without requiring a move to a different community.
The community has 86 beds. Rehabilitation services and short term rehabilitation are available for residents needing a temporary stay focused on recovery after an illness, injury or hospital treatment. Medicare, Medicaid and private pay are accepted, giving families several ways to cover eligible care costs; total nurse staffing is 3 hours and 57 minutes per resident per day, and Lisa Algarin serves as administrator. A Walk Score of 55 places the area in the somewhat walkable range, so some errands can be completed on foot and a resident who no longer drives may be able to reach certain nearby destinations independently.
Overview of Chapman Specialty Care Assisted Living Facility
Chapman Specialty Care Assisted Living Facility names four care types in Alexander City, AL. Hospice care, skilled nursing, nursing home care, and assisted living are the four. Licensed nursing at all hours is the part the building’s own name does not mention, and it happens on-site. Assisted living covers help with daily tasks, and hospice care is comfort during a final illness.
Daily assistance, licensed nursing, or hospice support are the three reasons people arrive. Forty-two beds make for a small community, where staff and residents come to know one another without effort.
The bill can be met by Medicaid, Medicare or private pay. The nurse staffing figure is 5 hours 4 minutes per resident, per day. Occupational, physical and speech therapy are named programs, with restorative services beside them.
Therapeutic dietary services are named as well. A salon, an enclosed courtyard and a patio are on the amenities list. Crafts, exercise programs, pet visits, community outings and events for holidays and birthdays fill the activity schedule. A Walk Score of 63 is somewhat walkable, so a few errands are possible on foot.
Burrowed in the neighborhood of Mobile, AL, Crowne Health Care of Mobile is a distinct senior living community that specializes in long-term care, rehabilitative services, and skilled nursing. The community features 174 well-designed units that offers a serene haven for living and undergoing the recovery process from illnesses, surgery, and other hospitalizations. Here, residents indulge in comfort and peace of mind with a committed medical and nursing team available around the clock to ensure they are met with personalized services tailored to their needs.
Excellent physical therapy, occupational therapy, speech therapy and IV therapy are offered to make sure residents are provided with the services they need to regain their functionality and strength to return to their old routines. Other services from a dentist, podiatrist and psychosocial specialists are also available, to offer residents easy access should they need them. Plenty of opportunities for enrichment is made possible through a hardworking activities director that carefully curates various activities, events, and more.
Overview of Ashland Place Health and Rehabilitation
Ashland Place Health and Rehabilitation is tucked away on Tuscaloosa Street in the Park Place neighborhood of Mobile, about 2.8 miles from the city center. One of the more practical perks here is its proximity to the Mobile Infirmary; it’s less than a mile away, which really simplifies things if you or your loved ones ever need to manage a sudden health shift or transition between care levels.
It’s a 164-bed facility, and they handle a mix of nursing home, memory care, and palliative care all on one campus. Right now, about 82% of their beds are occupied. The average stay is about 85 days, which means that while many people come here for a focused recovery, the memory and palliative services mean it’s also a space for people settling in for the long haul.
When you look at the staffing, they provide 4 hours and 26 minutes of total nursing care per resident, per day. Within that, registered nurses cover about 41 minutes. They have staff on-site 24/7 and offer rehabilitation services, too. Looking at their state inspection history, the focus has been on things like care planning, documentation, and the general upkeep of the building.
For the day-to-day, residents have options to eat in the dining room, restaurant-style, or in their own rooms. There are outdoor courtyards and even an on-site beautician. I also noticed they have an Active Resident Council, which is a great structure for letting people have a real say in facility policies. They accept Medicare, Medicaid, and private pay.
If you’re on the west side of Mobile and need a place that can handle everything from short-term rehab to more intensive memory support under one roof, this is a very efficient option to keep on your radar.
A reliable senior living community in Snows Mill Avenue, Tuscaloosa, AL, Heritage Health Care and Rehabilitation offers long-term care and short-term rehabilitation. Featuring over 216 accommodations, the community is dedicated to providing top-tier care and assistance for seniors to enjoy a worry-free retirement. Ease your worries with a team of compassionate and highly trained professionals attending to your special needs and aspirations.
The community participates in Medicare and Medicaid to ease seniors’ and families’ financial burdens. With its ideal location near trusted hospitals and senior care providers, residents can rest assured of having easy access to their healthcare needs. Heritage Health Care and Rehabilitation is great for seniors hoping to make the most out of their best years while receiving the utmost care and support they deserve.
Forest Manor Health and Rehab provides nursing home, memory care, and skilled nursing care in Northport, AL. Skilled nursing includes licensed nursing care on site 24 hours a day, while memory care provides a secured setting with supervision for a resident at risk of wandering. The community has 182 beds.
Memory care can suit someone living with Alzheimer’s disease or another form of dementia who needs a secure, supervised setting. Rehabilitation services are also available, so a resident can receive rehabilitation at the community rather than arranging transportation elsewhere.
Payment options include Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay allows a family to pay directly. Total nurse staffing is 4 hours and 4 minutes per resident each day, representing the total daily nursing time available for each resident.
A Walk Score of 68 out of 100 places the area in the somewhat walkable band. Some errands can be done on foot, so a resident who no longer drives may be able to handle some nearby errands independently. Kelvin Robertson serves as administrator.
Overview of Mitchell-Hollingsworth Nursing and Rehabilitation Center
Mitchell-Hollingsworth Nursing and Rehabilitation Center in Florence, AL, offers skilled nursing care, nursing home care, specialized memory care, and short-term respite stays. Skilled nursing services supply ongoing medical oversight around the clock, while memory care provides a secure environment for individuals living with dementia. Short-term rehabilitation supports residents recovering from an illness, injury, or hospital stay, and respite options give primary caregivers brief breaks.
Administrator Brian Scheri oversees the 222-bed property. Healthcare team members deliver an average of 3 hours and 58 minutes of total nurse staffing per resident each day. Financial options include Medicare for short-term rehabilitation stays, Medicaid for qualified long-term residents, and direct private payment.
Nearby neighborhood destinations sit within reasonable walking distance. The area’s layout features a walk score of 52, allowing non-driving residents to manage certain errands on foot independently.
Older adults and family caregivers can reach out to the center’s staff to gather further information or request a tour.
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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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