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Nursing Homes in Alabama
Total Facilities:841
Avg Nursing Home Score:66.2
High-Performing NHs:25.4%
Quick Answer
Alabama has 224 nursing homes, 300 assisted living communities, and 232 home health agencies in our database. Its nursing homes average a SunsetWell Score of 7.0/10, with 25.4% scoring 75 or higher. Average monthly cost: $6,600-$9,600.
Finding Care in Alabama
If you're searching for nursing home care in Alabama—whether in Birmingham, Montgomery, Mobile, Huntsville, or rural communities—you're facing one of the hardest decisions of your life. You might be feeling overwhelmed, guilty about not providing care at home, or worried about quality and costs. Please be compassionate with yourself. Choosing professional nursing care when your loved one needs round-the-clock medical support is responsible and loving.
Alabama has approximately 230 skilled nursing facilities, regulated by the Department of Public Health. Many facilities specialize in memory care, post-acute rehabilitation, or complex wound care. Alabama nursing homes range from large corporate chains to smaller community-based facilities with strong local ties.
Costs in Alabama are below the national average, which can provide some financial relief during a stressful time. Alabama Medicaid covers nursing home care for eligible individuals, and most facilities accept Medicaid—though many require a period of private pay first. Alabama's ombudsman program provides advocacy for residents and families who need support.
Alabama at a Glance
Facility Breakdown
Skilled Nursing Facilities:224
Assisted Living Communities:300
Home Health Agencies:232
Other provider types:85
The total includes every provider type in the database; the categories above explain the largest groups and show the remainder separately.
Quality Metrics
Avg Nursing Home Score:66.2
Median Nursing Home Score:66.9
Nursing Homes Scoring 75+:57 (25.4%)
Staffing Reliability Context
State averages can hide whether staffing is steady day to day. Our Weekend Effect report uses CMS daily payroll data to compare weekend staffing drops, volatility, and contract labor reliance at individual nursing homes.
Request help from SunsetWell
You can store a research request with SunsetWell. Individual review and a response are not guaranteed, so contact facilities directly for current details.
The sponsored advisor link uses affiliate measurement and is available only with optional marketing consent. You can use the SunsetWell request form without changing your privacy choice.
Compare Nursing Homes in Alabama
#1
DIVERSICARE OF GREENSBORO
GREENSBORO • 616 ARMORY STREET
Health: 4 stars
Staffing: 3 stars
Quality: 5 stars
100
Exceptional · 100th percentile in AL
#2
FATHER PURCELL MEMORIAL EXCEPTIONAL CHILDREN'S CTR
MONTGOMERY • 2048 W FAIRVIEW AVE
Health: 1 stars
Staffing: 1 stars
Quality: 2 stars
100
Exceptional · 100th percentile in AL
#3
ARABELLA HEALTH & WELLNESS OF PHENIX CITY
PHENIX CITY • 3900 LAKEWOOD DRIVE
Health: 3 stars
Staffing: 2 stars
Quality: 3 stars
91
Exceptional · 99th percentile in AL
91
Exceptional · 99th percentile in AL
#5
ALTOONA HEALTH & REHAB
ALTOONA • 6532 WALNUT GROVE ROAD
Health: 2 stars
Staffing: 5 stars
Quality: 5 stars
91
Exceptional · 98th percentile in AL
#6
SHADESCREST HEALTH CARE CENTER
JASPER • 331 WEST 25TH STREET
Health: 1 stars
Staffing: 4 stars
Quality: 3 stars
90
Exceptional · 98th percentile in AL
90
Exceptional · 97th percentile in AL
#8
BIBB MEDICAL CENTER NURSING HOME
CENTREVILLE • 208 PIERSON AVE
Health: 1 stars
Staffing: 3 stars
Quality: 3 stars
90
Excellent · 97th percentile in AL
Browse by City
BIRMINGHAM33 facilitiesMOBILE32 facilitiesHUNTSVILLE24 facilitiesMontgomery20 facilitiesBirmingham19 facilitiesMONTGOMERY18 facilitiesMobile17 facilitiesHuntsville16 facilitiesDOTHAN13 facilitiesTuscaloosa12 facilitiesFLORENCE11 facilitiesHoover11 facilitiesCULLMAN11 facilitiesJASPER10 facilitiesPELL CITY10 facilities
Medicaid Coverage in Alabama
Many families need help paying for nursing home care. Medicaid is a vital resource, but the rules vary by state. Here's what you need to know about Medicaid nursing home coverage in Alabama.
Eligibility Requirements
Monthly Income Limit:
$2,982 (2026); Alabama uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
$2,982 (2026); Alabama uses an income cap, but those exceeding it can establish a Qualified Income Trust (QIT)
Asset Limit:
$2,000 for individuals, with home and one vehicle typically exempt
$2,000 for individuals, with home and one vehicle typically exempt
Processing Time:
45-60 days for initial determination
45-60 days for initial determination
How to Apply
Apply through the Alabama Medicaid Agency online at medicaid.alabama.gov or at your local county Department of Human Resources office. You'll need financial documents, medical records, and citizenship proof.
Important Tips for Alabama Families
- •Alabama's income limit is $2,982/month (2026). If your loved one exceeds this, a Qualified Income Trust (QIT) is required—an elder law attorney can help.
- •Many Alabama facilities require 30-90 days of private pay before accepting Medicaid. Confirm policies during tours.
- •Alabama has Medicaid estate recovery, but exemptions exist for surviving spouses and disabled children.
- •Work with an Alabama elder law attorney to understand spousal asset protections.
- •Veterans in Alabama should apply for VA Aid & Attendance benefits, providing up to $2,424/month.
Nursing Home Costs in Alabama
$220-$320/day average
Monthly Range: $6,600-$9,600
Alabama nursing home costs are below the national average. Urban areas (Birmingham, Huntsville, Montgomery) are slightly more expensive than rural counties. Medicare covers skilled nursing for up to 100 days post-hospitalization. Alabama Medicaid covers long-term care for eligible residents.
Medicare Coverage: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay (3+ days). Days 1-20 are fully covered; days 21-100 require a copay ($217/day in 2026).
Alabama Resources & Advocacy
Oversight & Complaints
Alabama State Long-Term Care Ombudsman
1-877-425-2243Visit website →
The ombudsman helps resolve complaints and advocates for nursing home residents' rights.
Alabama Department of Public Health - Bureau of Health Provider Standards
View inspection reports →Support & Guidance
Alabama Department of Senior Services
1-877-425-2243Visit website →
Area agencies on aging provide care planning, caregiver support, and benefit counseling.
Medicare Nursing Home Compare
medicare.gov/care-compare →Ready to Find the Right Facility?
Use our personalized navigator to find facilities that match your loved one's needs, insurance, and location in Alabama.
Start Navigator Tool →Disclaimer: This guide is educational only. SunsetWell scores are based on CMS data and peer-group analysis. Medicaid eligibility rules change frequently—always verify current requirements with your state Medicaid office. Always tour facilities personally, speak with staff, review current state inspection reports, and consult healthcare professionals before making placement decisions.
Last updated: June 2026 | Data source: CMS Nursing Home Compare, Alabama Department of Public Health - Bureau of Health Provider Standards, SunsetWell Analysis