Other senior care options in Alabama:

Best Nursing Homes in Alabama

Why trust this guide? Our editorial team analyzed 120 nursing homes in Alabama using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in AL
Reviewed by
Last updated
Jun 2026
We analyzed
120 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

The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.

98 facilities compared · CMS & AL Dept. of Health data

Palm Gardens Health and Rehabilitation, LLC
NH
PC
Mobile (South Crichton)
100
Facility 100
AL AVG 90
Rank #89 / 245
89.0%
Facility 89.0%
AL AVG 80.8%
Rank #36 / 138
+10%
4.42
Facility 4.42
AL AVG 4.37
Rank #68 / 136
+40%+1%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
4
Facility 4
AL AVG 10.4
Rank #15 / 136
4.0
Facility 4.0
AL AVG 3.5
Rank #93 / 136
-88A+
46
Facility 46
AL AVG 36
Rank #151 / 418
Jeanne Freeman
$10.6M
Facility $10.6M
AL AVG $11.1M
Rank #65 / 135
$5.4M
Facility $5.4M
AL AVG $4.7M
Rank #60 / 135
50.9%
Facility 50.9%
AL AVG 45%
Rank #72 / 133
15403
Regency Retirement Village of Huntsville
NH
AL
IL
MC
Huntsville (Greenhill)
104
Facility 104
AL AVG 90
Rank #80 / 245
93.8%
Facility 93.8%
AL AVG 80.8%
Rank #18 / 138
+16%
4.48
Facility 4.48
AL AVG 4.37
Rank #60 / 136
-13%+2%
$16.8k
Facility $16.8k
AL AVG $59.8k
Rank #115 / 137
20
Facility 20
AL AVG 10.4
Rank #122 / 136
5.0
Facility 5.0
AL AVG 3.5
Rank #109 / 136
385-
44
Facility 44
AL AVG 36
Rank #170 / 418
Huntsville Senior Services LLC
$19.3M
Facility $19.3M
AL AVG $11.1M
Rank #8 / 135
$9.1M
Facility $9.1M
AL AVG $4.7M
Rank #9 / 135
47%
Facility 47%
AL AVG 45%
Rank #73 / 133
15372
Kirkwood By the River
NH
AL
IL
MC
Birmingham (Overton)
46
Facility 46
AL AVG 90
Rank #195 / 245
100.0%
Facility 100.0%
AL AVG 80.8%
Rank #1 / 138
+24%
5.10
Facility 5.10
AL AVG 4.37
Rank #17 / 136
-41%+17%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
8
Facility 8
AL AVG 10.4
Rank #49 / 136
2.7
Facility 2.7
AL AVG 3.5
Rank #40 / 136
-55A+
0
Facility 0
AL AVG 36
Rank #395 / 418
William Widman
$14.5M
Facility $14.5M
AL AVG $11.1M
Rank #31 / 135
$7.2M
Facility $7.2M
AL AVG $4.7M
Rank #33 / 135
49.9%
Facility 49.9%
AL AVG 45%
Rank #90 / 133
15457
Redstone Village
NH
AL
IL
MC
Huntsville (Redstone Village)
56
Facility 56
AL AVG 90
Rank #169 / 245
41.1%
Facility 41.1%
AL AVG 80.8%
Rank #130 / 138
-49%
5.19
Facility 5.19
AL AVG 4.37
Rank #13 / 136
-34%+19%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
3
Facility 3
AL AVG 10.4
Rank #5 / 136
1.5
Facility 1.5
AL AVG 3.5
Rank #12 / 136
-23-
17
Facility 17
AL AVG 36
Rank #313 / 418
Redstone Military Retirement Residence Association Inc
$22.8M
Facility $22.8M
AL AVG $11.1M
Rank #4 / 135
$10.0M
Facility $10.0M
AL AVG $4.7M
Rank #6 / 135
43.9%
Facility 43.9%
AL AVG 45%
Rank #92 / 133
15454
Athens Health and Rehabilitation, LLC
NH
PC
Athens
149
Facility 149
AL AVG 90
Rank #32 / 245
86.6%
Facility 86.6%
AL AVG 80.8%
Rank #50 / 138
+7%
4.10
Facility 4.10
AL AVG 4.37
Rank #92 / 136
+4%-6%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
10
Facility 10
AL AVG 10.4
Rank #67 / 136
5.0
Facility 5.0
AL AVG 3.5
Rank #109 / 136
-139A+
0
Facility 0
AL AVG 36
Rank #395 / 418
Northport Holding Operations, LLC
$16.1M
Facility $16.1M
AL AVG $11.1M
Rank #17 / 135
$7.6M
Facility $7.6M
AL AVG $4.7M
Rank #29 / 135
47.2%
Facility 47.2%
AL AVG 45%
Rank #103 / 133
15016
Galleria Woods
NH
AL
IL
NC
RC
Birmingham
24
Facility 24
AL AVG 90
Rank #234 / 245
88.5%
Facility 88.5%
AL AVG 80.8%
Rank #40 / 138
+10%
5.15
Facility 5.15
AL AVG 4.37
Rank #17 / 136
+56%+18%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
10
Facility 10
AL AVG 10.4
Rank #67 / 136
3.3
Facility 3.3
AL AVG 3.5
Rank #66 / 136
-26A+
28
Facility 28
AL AVG 36
Rank #255 / 418
Ccrc Opco Ventures LLC
$4.0M
Facility $4.0M
AL AVG $11.1M
Rank #36 / 135
$5.3M
Facility $5.3M
AL AVG $4.7M
Rank #61 / 135
132.4%
Facility 132.4%
AL AVG 45%
Rank #128 / 133
15459
Huntsville Health and Rehabilitation, LLC
NH
PC
Huntsville (Chris Drive Southwest)
105
Facility 105
AL AVG 90
Rank #79 / 245
98.1%
Facility 98.1%
AL AVG 80.8%
Rank #7 / 138
+21%
4.67
Facility 4.67
AL AVG 4.37
Rank #42 / 136
-10%+7%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
6
Facility 6
AL AVG 10.4
Rank #31 / 136
2.0
Facility 2.0
AL AVG 3.5
Rank #15 / 136
-99-
31
Facility 31
AL AVG 36
Rank #237 / 418
Huntsville Health Realty, LLC
$10.3M
Facility $10.3M
AL AVG $11.1M
Rank #73 / 135
$5.9M
Facility $5.9M
AL AVG $4.7M
Rank #52 / 135
57.7%
Facility 57.7%
AL AVG 45%
Rank #33 / 133
15440
Fairhope Health and Rehab
NH
HC
MC
NC
RC
Fairhope
131
Facility 131
AL AVG 90
Rank #50 / 245
57.0%
Facility 57.0%
AL AVG 80.8%
Rank #122 / 138
-29%
4.54
Facility 4.54
AL AVG 4.37
Rank #60 / 136
-24%+4%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
9
Facility 9
AL AVG 10.4
Rank #56 / 136
3.0
Facility 3.0
AL AVG 3.5
Rank #49 / 136
-73-
79
Facility 79
AL AVG 36
Rank #5 / 418
-
$8.0M
Facility $8.0M
AL AVG $11.1M
Rank #77 / 135
$3.8M
Facility $3.8M
AL AVG $4.7M
Rank #111 / 135
47.5%
Facility 47.5%
AL AVG 45%
Rank #125 / 133
15222
Heritage Health Care & Rehab Inc
NH
AL
Tuscaloosa (Green Hills)
216
Facility 216
AL AVG 90
Rank #6 / 245
66.1%
Facility 66.1%
AL AVG 80.8%
Rank #108 / 138
-18%
4.50
Facility 4.50
AL AVG 4.37
Rank #60 / 136
-46%+3%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
9
Facility 9
AL AVG 10.4
Rank #56 / 136
3.0
Facility 3.0
AL AVG 3.5
Rank #49 / 136
-138-
27
Facility 27
AL AVG 36
Rank #261 / 418
Benjamin Jackson
$15.3M
Facility $15.3M
AL AVG $11.1M
Rank #42 / 135
$6.8M
Facility $6.8M
AL AVG $4.7M
Rank #34 / 135
44.3%
Facility 44.3%
AL AVG 45%
Rank #64 / 133
15371
Florence Nursing And Rehabilitation Ctr, Llc
NH
NC
Florence (Cloyd Boulevard)
147
Facility 147
AL AVG 90
Rank #36 / 245
86.1%
Facility 86.1%
AL AVG 80.8%
Rank #57 / 138
+7%
4.40
Facility 4.40
AL AVG 4.37
Rank #68 / 136
+26%+1%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
10
Facility 10
AL AVG 10.4
Rank #67 / 136
3.3
Facility 3.3
AL AVG 3.5
Rank #66 / 136
-132-
21
Facility 21
AL AVG 36
Rank #298 / 418
Donald T Denz Irrv Tr
$13.8M
Facility $13.8M
AL AVG $11.1M
Rank #32 / 135
$8.6M
Facility $8.6M
AL AVG $4.7M
Rank #19 / 135
62.5%
Facility 62.5%
AL AVG 45%
Rank #38 / 133
15169
Capitol Hill Healthcare in Montgomery
NH
MC
Montgomery
284
Facility 284
AL AVG 90
Rank #1 / 245
68.0%
Facility 68.0%
AL AVG 80.8%
Rank #104 / 138
-16%
4.60
Facility 4.60
AL AVG 4.37
Rank #52 / 136
-22%+5%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
3
Facility 3
AL AVG 10.4
Rank #5 / 136
1.0
Facility 1.0
AL AVG 3.5
Rank #1 / 136
-218-
60
Facility 60
AL AVG 36
Rank #63 / 418
Turenne & Associates, LLC
$24.1M
Facility $24.1M
AL AVG $11.1M
Rank #1 / 135
$11.4M
Facility $11.4M
AL AVG $4.7M
Rank #2 / 135
47.3%
Facility 47.3%
AL AVG 45%
Rank #132 / 133
15390
Westminster Village – Spanish Fort
NH
AL
HC
IL
MC
PC
Spanish Fort (Bridgehead)
60
Facility 60
AL AVG 90
Rank #156 / 245
65.0%
Facility 65.0%
AL AVG 80.8%
Rank #109 / 138
-20%
4.91
Facility 4.91
AL AVG 4.37
Rank #28 / 136
+69%+12%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
10
Facility 10
AL AVG 10.4
Rank #67 / 136
3.3
Facility 3.3
AL AVG 3.5
Rank #66 / 136
-10-
27
Facility 27
AL AVG 36
Rank #261 / 418
Acts Retirement Services, Inc
$16.1M
Facility $16.1M
AL AVG $11.1M
Rank #19 / 135
$8.2M
Facility $8.2M
AL AVG $4.7M
Rank #23 / 135
50.6%
Facility 50.6%
AL AVG 45%
Rank #85 / 133
15381
Crowne Health Care of Montgomery
NH
MC
RC
Montgomery (Hillcrest)
185
Facility 185
AL AVG 90
Rank #12 / 245
78.9%
Facility 78.9%
AL AVG 80.8%
Rank #86 / 138
-2%
4.56
Facility 4.56
AL AVG 4.37
Rank #52 / 136
-22%+4%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
5
Facility 5
AL AVG 10.4
Rank #22 / 136
2.5
Facility 2.5
AL AVG 3.5
Rank #33 / 136
1156A+
40
Facility 40
AL AVG 36
Rank #186 / 418
Leslie Smith
$16.3M
Facility $16.3M
AL AVG $11.1M
Rank #11 / 135
$8.1M
Facility $8.1M
AL AVG $4.7M
Rank #25 / 135
50%
Facility 50%
AL AVG 45%
Rank #109 / 133
15393
Birmingham Nursing and Rehabilitation Center East
NH
Birmingham
132
Facility 132
AL AVG 90
Rank #47 / 245
80.0%
Facility 80.0%
AL AVG 80.8%
Rank #82 / 138
-1%
2.89
Facility 2.89
AL AVG 4.37
Rank #132 / 136
-51%-34%
$24.8k
Facility $24.8k
AL AVG $59.8k
Rank #119 / 137
14
Facility 14
AL AVG 10.4
Rank #106 / 136
4.7
Facility 4.7
AL AVG 3.5
Rank #105 / 136
5119-
12
Facility 12
AL AVG 36
Rank #332 / 418
Melody Burch
$9.1M
Facility $9.1M
AL AVG $11.1M
Rank #83 / 135
$5.1M
Facility $5.1M
AL AVG $4.7M
Rank #63 / 135
56.5%
Facility 56.5%
AL AVG 45%
Rank #40 / 133
15134
Plantation Manor Retirement Community
NH
AL
MC
Mccalla
103
Facility 103
AL AVG 90
Rank #81 / 245
83.8%
Facility 83.8%
AL AVG 80.8%
Rank #71 / 138
+4%
4.26
Facility 4.26
AL AVG 4.37
Rank #75 / 136
-31%-2%
$0
Facility $0
AL AVG $59.8k
Rank #1 / 137
13
Facility 13
AL AVG 10.4
Rank #98 / 136
3.3
Facility 3.3
AL AVG 3.5
Rank #66 / 136
-98-
7
Facility 7
AL AVG 36
Rank #355 / 418
Cassie Ball
$8.2M
Facility $8.2M
AL AVG $11.1M
Rank #107 / 135
$4.7M
Facility $4.7M
AL AVG $4.7M
Rank #98 / 135
57.7%
Facility 57.7%
AL AVG 45%
Rank #53 / 133
15015
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Nursing Home Explorer
Overview of Allen Health and Rehabilitation

Situated within the vibrant neighborhood of Mobile, Alabama, Allen Health & Rehabilitation sets an extraordinary standard for exceptional care and unwavering support. With a genuine commitment to healing and comfort, they proudly offer unmatched services in short-term rehabilitation and long-term nursing care. As a fully licensed and Medicare/Medicaid certified facility, Allen Health & Rehabilitation extends their compassionate reach to encompass various managed-care and commercial insurance plans, including VA coverage.
With a keen eye for detail, Allen Health & Rehabilitation takes care of housekeeping and laundry needs, liberating residents from any burden and enabling them to focus on their well-being. Within the facility, a rejuvenating visit to the barber and beauty salon becomes an uplifting experience, instilling a sense of confidence and self-care. Surrounded by picturesque outdoor spaces, residents are invited to engage in recreational activities, fostering a connection with nature and promoting overall well-being. Seamlessly keeping residents connected to their loved ones and the wider world, reliable Wi-Fi services ensure uninterrupted communication and access to valuable information. 

Contact Allen Health and Rehabilitation

Overview of Floyd E. “tut” Fann State Veterans Home

Floyd E. “tut” Fann State Veterans Home is a distinguished skilled nursing and memory care facility that addresses veterans’ needs with the utmost care and compassion. Founded in 1955, this Huntsville, Alabama home exudes cleanliness, compassion, and attentiveness from a dedicated staff. As veterans find comfort in this supportive environment, their loved ones can rest assured that their nursing home questions are answered and their care is of the highest quality. Additionally, the facility is not only a nursing home but also offers specialized memory care living facilities, providing expert care for those in need.
Within the facility, veterans can choose from shared or private rooms with spacious closets, ensuring both comfort and privacy. With a focus on overall well-being, residents benefit from regular physical therapy and speech therapy sessions to support their health and rehabilitation. Also, the facility offers memory care therapy, catering to the unique needs of those with memory-related challenges. Veterans can partake in engaging activities such as arts and crafts classes and take advantage of amenities like the gym, library, and dining hall. The home also features a barbershop and massage therapy, fostering an environment of care and self-pampering. The presence of walking trails further promotes an active lifestyle.

Contact Floyd E. “Tut” Fann State Veterans Home

Overview of Hunter Creek Health and Rehabilitation, LLC

Hunter Creek Health and Rehab has proven an efficient rehabilitative approach to skilled nursing services that enhance their quality of life. Offering a better alternative to long-term care, the well-trained care staff delivers a multidisciplinary approach to nursing when providing tailored care– ensuring service with compassion, kindness, and professionalism. Hunter Creek strives to be the nursing home in Northport that gives the best standard of care. 
With an emphasis on long-term and rehabilitative care, the center offers physical therapy, occupational therapy, speech therapy, wound care, restorative nursing, IV therapy, cardiac recovery, and orthopedic care; with services such as transportation, housekeeping, and laundry– to name a few of the features that residents from both living options get unlimited access to.

Contact Hunter Creek Health And Rehabilitation, LLC

TLC Nursing Center

212 Ellen Street, Po Box 698, Oneonta, AL 35121
Overview of Tlc Nursing Center

Tlc Nursing Center is a 103-bed faith-based skilled nursing and long-term care facility administered by Martin Yeomans at 212 Ellen Street in Oneonta, Alabama, serving Blount County and the broader North Central Alabama region. Operating since 1993, the facility holds Medicare and Medicaid certification across all 103 beds so residents need no relocation when their care needs shift between short-term rehabilitation and long-term care. CMS gives it 5 stars, a designation awarded only to top 10 percent skilled nursing facilities nationally. Occupancy is around 94 percent, well above the 80.8 percent Alabama average, denoting strong community trust and consistent local demand.

The facility has earned an AHCA Bronze Quality Award and 5 stars by CMS for Overall Quality, Staffing, and Clinical Quality Measures. It was also named one of the Best Nursing Homes in Alabama by U.S. News & World Report for 2025. On Medicare Care Compare, the facility carries a 4-star overall CMS rating with sub-ratings of 3 stars for health inspection, 4 stars for staffing, and 5 stars for quality measures, the highest possible QM score. It has recorded zero incidents, substantiated complaints, and fines or penalties. Tlc Nursing Center Quality measure performance is the facility’s strongest dimension. For long-stay residents, hospitalizations run at 1.84 per 1,000 resident days, 8 percent below the Alabama average, with emergency department visits 11 percent below the state benchmark, both indicating proactive daily clinical management. Short-stay measures are largely strong: zero falls with major injury (100 percent better than average), and ED visit rates 37 percent below the Alabama average. Two short-stay metrics warrant note: self-care ability at discharge runs 60 percent below the Alabama average (21.7 percent vs 53.7 percent), and the re-hospitalization rate of 28.5 percent is 16 percent above average. These figures suggest some short-stay residents may have higher underlying acuity or are not completing rehabilitation to the level needed for independent discharge, a question worth exploring with the care team for families considering post-acute recovery stays. Staffing is at or near the Alabama average across most categories, with RN hours (37 minutes/day) and LPN hours (44 minutes/day) modestly below state benchmarks. Weekend RN coverage at 15 minutes per day is 32 percent below the 22 minutes state average, worth a direct conversation with leadership about weekend clinical oversight. CNA hours match the state average, and weekend total nursing coverage matches state norms. The rural Ellen Street location has a 65 walk score, with Oneonta’s broader amenities nearby and some daily services reachable on foot.

The 27-bed Rehabilitation Unit features a large, well-appointed rehab gym, all private patient rooms, and licensed therapists available throughout the week, supporting both short-stay recovery and long-term functional maintenance. The physical environment reflects the home-like philosophy: private rooms with private bathrooms, kitchenettes, AC, cable TV, and Wi-Fi, as well as front porch rocking chairs, gardens with walking paths, a library, arts room, fitness and spa room, and activity and game rooms. Dining is home-cooked with a professional chef and special diet accommodations, served in spacious dining rooms or in residents’ own quarters. The care model is explicitly holistic and faith-grounded. At Tlc Nursing Center, serving “the least of these my brethren” isn’t a mere catchphrase but a way of life. It’s built for resident care encompassing physical, emotional, social, and spiritual needs.

An exceptional choice for families in Blount County and North Central Alabama, Tlc Nursing Center is for those seeking a CMS 5-star-designated facility with award-recognized quality, a Christian community ethos, and a fully dual-certified bed structure that eliminates relocation uncertainties when care needs evolve.

Contact TLC Nursing Center

Overview of The Health Center at Research Park

The Health Center at Research Park is a 91-bed skilled nursing and rehabilitation facility at 5275 Millennium Drive NW in the Quigley neighborhood of Huntsville, Alabama, in Madison County. Operated by Ensign Services and administered by Hunter Wilson, the for-profit corporation has held Medicare and Medicaid certification since 2007. It accepts most major insurance plans alongside private pay, and pricing runs around $6,631 to $7,692 monthly. The center positions itself as Huntsville’s premier destination for short-term rehabilitation, with an in-house therapy team providing physical, occupational, and speech therapy, and a dedicated “Stay Active” program. It is located near historic Oakwood University, north of downtown Huntsville, with a walk score of 78, one of the highest for any nursing facility in this review, meaning most daily errands are walkable from the Millennium Drive campus.

The inspection record spans four surveys: March 2019, April 2021, and two reports dated June 18, 2024, the dual date denoting a standard survey with a complaint investigation. Two enforcement actions are on record per CMS data. Families should review the complete inspection record on Medicare Care Compare before placement, particularly the June 2024 complaint investigation. Quality measure performance is the facility’s most significant area of concern. Long-stay residents experience hospitalizations at 2.30 per 1,000 resident days, 15 percent above the Alabama average, and emergency department visits at 2.39 per 1,000 days, 34 percent above average. Both figures suggest that daily clinical management for long-stay residents may not be preventing acute deterioration at the rate peers achieve. For short-stay residents, re-hospitalization at 22.1 percent is 10 percent better than the Alabama average, a positive signal for the rehabilitation pathway, but falls with major injury during SNF stays run 78 percent above the state benchmark (1.4 percent vs. 0.8 percent), and self-care ability at discharge of 33.3 percent is 38 percent below the state average of 53.7 percent, indicating that a meaningful share of short-stay residents aren’t reaching expected functional recovery levels before discharge. Return to home or community at 49.0 percent is in line with the state average. Meanwhile, staffing presents a split profile. RN hours at 46 minutes per resident per day are 21 percent above the Alabama state average, indicating strong registered nurse clinical oversight. Weekend RN coverage at 27 minutes per day is 23 percent above the state average, a positive differentiator. Physical therapist hours are 7 minutes per day, 250 percent above the Alabama benchmark of 2 minutes, reflecting the facility’s rehabilitation emphasis. However, LPN hours at 28 minutes per day are 40 percent below the 47 minutes Alabama average, a meaningful gap in hands-on bedside care. CNA hours (2 hours 23 minutes) and weekend total nursing (2 hours 56 minutes) are modestly below state averages. Payroll at 41.4 percent of revenue is below the 54–69 percent Alabama benchmark range, warranting attention alongside the LPN staffing deficit.

Features include 91 beds and beautiful spacious rooms in either private or semi-private settings, a diverse activities program, nutritious satisfying menus, housekeeping and laundry services, and beautifully landscaped grounds. Additional clinical services are hospice, catheter and colostomy care, diabetes management, incontinence care, and medication management, a broader clinical scope than many similarly sized facilities. A family council is active, and religious services are available.

The Health Center at Research Park suits families in the Huntsville area seeking a well-located, Ensign-operated facility with above-average RN staffing and a rehabilitation-forward physical therapy model. The LPN staffing gap, below-benchmark quality measures for long-stay residents, and the June 2024 complaint investigation are vital considerations that families must address through a direct visit and conversation with facility leadership. They should also review the full inspection record on Medicare Care Compare before proceeding.

Contact The Health Center at Research Park

Washington County Nursing Home

14600 St. Stephens Avenue, Po Box 1299, Chatom, AL 36518
Overview of Washington County Nursing Home

Washington County Nursing Home is an 88-bed long-term care facility and county-operated governmental institution at 14600 St. Stephens Avenue in Chatom, Alabama, in Washington County. It’s administered by Teresa Grimes and functions as an integral part of Washington County Hospital, which has served the community since 1953. It accepts Medicare and Medicaid, and the current resident census (January 2026) shows 80 residents, with Medicaid covering 83.8 percent and private pay or other sources covering the rest.

The facility scored an overall 5-star rating by CMS, with every rating dimension above the Alabama average, the only facility in this review batch to achieve that across all four components. The overall score is 71.8 percent above the Alabama average, health inspection performance is 74.8 percent above average, staffing is 38.9 percent above average, and quality measures are 69.5 percent above average. The inspection record is extraordinary. Across three surveys over eight years: February 2018, February 2019, and June 2021, the facility accumulated just one total citation, placing it first out of 121 Alabama SNFs on both total citations and per-inspection citation rate. That single citation was a moderate Abuse/Neglect finding from the February 2018 survey, corrected promptly. No critical or serious citations have been issued, with no fines or penalties in the past three years. Quality measure performance for long-stay residents is similarly strong across most dimensions. Hospitalizations run at 0.94 per 1,000 resident days, 53 percent below the Alabama average of 2.00, indicating that chronic conditions are being managed proactively. ADL decline (9.4 percent vs Alabama average 13.9 percent) and walking ability decline (9.6 percent vs 16.1 percent) are both substantially better than state benchmarks, as are pressure ulcer (2.7 percent vs 5.9 percent) and UTI rates (2.3 percent vs 2.7 percent). Both pneumococcal and influenza vaccination rates reach 100 percent for long-stay residents. The composite high-risk clinical events score of 7.1 is 20 percent better than the Alabama average. Three areas warrant monitoring: weight loss at 9.6 percent (78 percent above Alabama average 5.4 percent), bowel/bladder incontinence at 21.7 percent (59 percent above average 13.6 percent), and falls with major injury at 4.4 percent (29 percent above average 3.4 percent). Given these figures, families of long-stay residents should ask specifically about fall prevention protocols and nutritional monitoring. Staffing is above average in total nursing hours, 4 hours 52 minutes per resident per day, 11 percent above the Alabama average, ranking 25th of 121 statewide. LPN hours stand out at 57 minutes per day, 21 percent above the state average. Weekend total nursing of 3 hours 34 minutes is 8 percent above average. One gap needs attention: weekend RN coverage at 8 minutes per day is 64 percent below the Alabama average of 22 minutes, the lowest weekend RN figure in this batch. Q2 2025 payroll data shows 103 total staff: 99 employees, 4 contractors (1.7 percent of hours) with 8.4 hours average shift. The 1.29:1 staff-to-resident ratio is below the Alabama average headcount ratio, though the nursing hours benchmarks remain above average, reflecting longer average shifts.

The campus’ specialty clinic access is a meaningful differentiator for a rural county-operated facility. On-site or affiliated services include cardiology, orthopaedics, pulmonary, radiology, vascular associates, a lab, a swing bed program, and the WCHNH Heritage Adult Day Haven, extending the facility’s services to day care for community members. Millry Family Care provides primary care access within the network.

Washington County Nursing Home is an exceptional option for Washington County and surrounding rural Alabama communities seeking a county-governed, 5-star rated facility. Its inspection record stands among the cleanest in the state, with quality results reflecting resident health outcomes instead of mere regulatory compliance. The RN weekend gap and the weight loss and incontinence metrics are the only material concerns in an otherwise highly favorable profile, though families of long-stay residents must ask about fall prevention protocols and nutritional monitoring.

Contact Washington County Nursing Home

Overview of South Hampton Nursing & Rehabilitation Center

South Hampton Nursing & Rehabilitation Center is an 81-bed skilled nursing and rehabilitation facility at 213 Wilson Mann Road in Owens Cross Roads, Alabama, in Madison County. Privately owned as a limited liability company and administered by Jack B. Grove, the facility accepts Medicare, Medicaid, and private pay.

CMS rates South Hampton Nursing & Rehabilitation Center at 3 stars overall, modestly above the Alabama average by 3.1 percent, with health inspection 4.9 percent above average. Staffing runs 16.7 percent below average, with quality measures 32.2 percent below average. Staffing is above average in LPN hours at 59 minutes per day (26 percent above Alabama average) and physical therapist hours at 3 minutes per day (50 percent above average). RN hours at 32 minutes daily are 16 percent below average, and weekend RN at 13 minutes daily is 41 percent below 22-minute Alabama average, the most significant gap. Q4 2025 data shows 84 employed staff and 34 contractors (10.2 percent contractor hours), with all direct nursing staff employed and contractors covering therapy, social work, and respiratory services. Quality measure strengths for long-stay residents include ADL decline (30 percent better than the Alabama average), walking decline (48 percent better), and depressive symptoms (100 percent better). Hospitalization rate at 3.88 per 1,000 resident days (94 percent worse than average) and UTI rate at 7.2 percent (165 percent worse) are the two most significant long-stay outliers, warranting inquiry about infection prevention and clinical escalation protocols. Return to home for short-stay residents at 61.1 percent is 21 percent better than Alabama average. The four inspections on record are all complaint investigations, addressing employee misconduct rather than systemic care failures. The most serious, substantiated in July 2023, found that the facility’s business office manager misappropriated funds from 13 residents over five years, totaling over $187,000. The employee was terminated, a police report was filed, and audits and revised accounting policies were implemented. No penalties have been issued in the past three years.

The named rehabilitation program, Rehab at the Cove, supports the facility’s short-stay identity. The physical environment is built for rehabilitation: a one-level layout with an easy-access open-floor gym, private and semi-private rooms, a private courtyard, an on-site beauty salon, wireless internet, housekeeping, a large activity room with scheduled activities daily, and an alarm system for resident security. Daily fresh-cooked meals are served in the main dining room, and a private dining space exists for special events. Regular religious services are also offered. A full-time medical director and a nurse practitioner available on weekdays provide a level of physician coverage supporting clinical complexity, alongside doctor on staff, respite care, and short-term rehabilitation services.

South Hampton Nursing & Rehabilitation Center suits North Alabama and Madison County families seeking a rehabilitation-focused post-acute setting with a gym, strong functional outcome measures, and above-average LPN coverage. The hospitalization and UTI data and substantiated employee financial misconduct history warrant in-person inquiry before deciding.

Contact South Hampton Nursing & Rehabilitation Center

River City Center

1350 Fourteenth Avenue, Southeast, Decatur, AL 35601
Overview of River City Center

Accepting Medicare, Medicaid, and private pay, River City Center is a 183-bed nursing home owned by Joseph Dunavant in Alabama. The facility serves longer-term residents and those seeking short-term rehabilitation following a hospital stay or recovery period. The average stay duration is nearly 147 days, reflecting that mix of care needs.

The home, clinically speaking, highlights rehabilitation services, making it a pragmatic choice for someone recovering from surgery, an injury, or illness. Total nursing care averages roughly 3 hours and 35 minutes per resident day, with registered nurses, nurse aides, and licensed vocational nurses working to support daily needs. Most errands need a vehicle because the community is in a car-dependent area of Alabama. For families living at a distance, this means visiting will generally involve driving rather than walking from a nearby station or using public transit.

Over the years, state inspections have noted deficiencies in facility maintenance, care procedures, and medication management. The home also has a history of substantiated abuse allegations.

For families considering River City Center, they must request a detailed explanation of how the facility has addressed such past findings and what safeguards are currently in place.

Contact River City Center

Overview of Rocket City Rehabilitation and Healthcare Center

Rocket City Rehabilitation and Healthcare Center is a skilled nursing facility offering short-term rehabilitation, respite care, or ongoing nursing support in Huntsville. It operates with a 159-bed capacity and maintains 24-hour nursing staff to support daily care needs.

The home offers structured rehabilitation services with three spacious therapy gyms on-site, making it well-equipped for those recovering from surgery, injury, or hospitalization. Staff include registered nurses, nurse aides, and licensed practical nurses present 24/7, with average daily staffing of 1 hour 16 minutes of RN time, 2 hours 21 minutes of aide support, and 34 minutes of LPN care per resident. Rooms have private and semi-private configurations, giving families some choice in housing layout. With a Walk Score of 2, the location on Teakwood Drive is car-dependent, which means visitors and outbound travel will require driving instead of walking.

Contact Rocket City Rehabilitation and Healthcare Center

Overview of Oakview Manor Health Care Center

A skilled nursing facility located in Ozark, Alabama, Oakview Manor Health Care Center caters to residents who need rehabilitative care and ongoing nursing support. The home is owned by Judy Robert. Accepted are Medicare and private pay, allowing flexible payment routes for short-term recovery or longer-term stays. With 138 beds and a current census at 76 percent occupancy, the home maintains a medium-size community setting.

The average stay length is 328 days, reflecting a blend of post-acute residents in rehabilitation and those settled into longer-term care. Clinical staffing averages 4 hours and 5 minutes of total nursing care per resident day, with committed registered nurses, nurse aides, and licensed practical nurses on hand. Such a level of hands-on support underpins the home’s capacity to deliver skilled wound care, medication management, and recovery oversight for residents coming out of hospital stays. Note that Oakview Manor Health Care Center specializes in lots of care pathways. Its Alzheimer’s Unit serves residents with memory loss and early dementia, while the Therapy Department offers physical, occupational, and speech rehabilitation to anchor functional recovery. Residents benefit from the on-site Dietary Department and everyday access to the Housekeeping team, helping maintain the community’s daily operations. The location on Mixon School Road sits in a kind of walkable part of Ozark, having a Walk Score of 56, so some nearby amenities can be accessed on foot, while most trips need a quick drive. For visiting family members, the neighborhood offers a tranquil, accessible setting.

Contact Oakview Manor Health Care 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
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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 120 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.