42 Best Medicaid Nursing Homes in Alabama

Nurse hours

4.74 /day

Staff turnover

35%

Serious cites

0

Cherokee County Health and Rehabilitation Center runs on strong staffing and a clean safety record, even though its last health inspection didn't go smoothly. Nurses give residents 4.74 hours of care per day, roughly 23% above the national average, and weekend coverage dips only about 10% below weekday levels. Staff turnover sits at 34.8%, noticeably better than the 45.8% national figure. The inspection side is weaker: 12 deficiencies on record and a one-star health inspection rating from CMS. None of those deficiencies involved actual harm or abuse, and the most recent inspection was December 11, 2025. As a nonprofit with 185 beds, it's a place where the day-to-day caregiving looks steadier than the paperwork does.

Nurse hours

5.02 /day

Staff turnover

44%

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0

Henry County Health and Rehabilitation runs on county money, and the numbers show it: 5.02 nurse hours per resident day, roughly 30% above the national average, which is enough to earn the top federal staffing rating. Turnover sits at 43.6%, modestly better than the 45.8% national figure, though weekend coverage drops about 15% below weekday levels, so care can thin out on Saturdays and Sundays. The inspection record shows 11 deficiencies with nothing at the harm or abuse level, but the last visit was February 2022, over three years ago. Strong staffing paired with that gap in oversight is what's behind the grade.

Nurse hours

3.95 /day

Staff turnover

19%

Serious cites

0

Monroe Manor runs on a stable crew, 19% annual turnover is less than half the national average, and that consistency shows in the staffing numbers, which sit about 2% above the national benchmark. Weekends are the weak spot, with coverage dropping roughly 15% below weekday levels, so ask how that gap gets filled. The heavier concerns are on the inspection side: 16 deficiencies on the current record, including 2 tied to abuse, and the most recent survey is from April 2026. A corporation owns the 84-bed home, and while the federal inspection rating sits at 1 out of 5, resident care measures land at 3.

Nurse hours

4.79 /day

Staff turnover

30%

Serious cites

0

West Gate Village runs on 4.79 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home, and its workers tend to stay, turnover near 30% against a national average closer to 46%. The trade-off shows up on weekends, when hours drop about 22% below the home's own weekday pace. State inspectors last visited in March 2022 and logged four deficiencies, none involving harm or abuse, which is a light record. Family-owned corporations don't always staff this way; this one does, at least on weekdays.

Nurse hours

4.62 /day

Staff turnover

28%

Serious cites

0

Crowne Health Care Of Greenville runs on a corporate for-profit model, and staffing is where it stands out: 4.62 nurse hours per resident day, roughly 20% above the national average. Weekend coverage dips about 20% below its own weekday level, which is common but worth knowing if you visit on Saturdays or Sundays. Staff turnover sits at 27.6%, well under the national 45.8%. Five deficiencies appear on the current record, none involving harm or abuse. The health inspection rating is 4 out of 5, but the last full inspection was January 2022, so that picture is getting old, ask what's happened since.

Nurse hours

4.78 /day

Staff turnover

42%

Serious cites

0

El Reposo runs on 4.78 nurse hours per resident day, about a quarter more staffing than the typical American nursing home, and that shows up in the numbers where it counts. Weekend coverage dips roughly 17% below weekdays, though, so ask how that plays out on Saturdays and Sundays. Staff turnover sits at 42.4%, a bit better than the national 45.8%, no small thing in a labor market where half the aides often walk out the door each year. The current record holds four deficiencies, none involving harm or abuse, with the last full inspection in July 2024. Corporate-owned, 60 beds, and solid marks on quality and staffing measures.

Nurse hours

4.80 /day

Staff turnover

n/a

Serious cites

0

Highlands Health And Rehab is county-owned, which is unusual, most nursing homes in Alabama are for-profit, and the numbers here mostly back it up. Nurse staffing runs at 4.80 hours per resident day, about 24% above the national average of 3.86, and that coverage holds together on weekends, dropping roughly 20% from weekday levels rather than falling off a cliff. The current record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, from an inspection last dated March 2022. With 50 certified beds, this is a small home, and one thing worth asking about directly: that inspection is now more than three years old, so the record may not reflect how things stand today.

Nurse hours

3.86 /day

Staff turnover

44%

Serious cites

0

Athens Health and Rehabilitation runs 149 certified beds under corporate for-profit ownership, and its numbers mostly hold up. Nurse staffing sits at 3.86 hours per resident day, right at the national average, though weekends run about 13% lighter than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover is 43.7%, slightly better than the 45.8% national figure, which suggests less churn than many homes. The inspection record shows 10 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last full inspection was in April 2022, so that record is aging. Four and five stars on inspections, quality measures, and staffing back up the grade.

Nurse hours

4.68 /day

Staff turnover

19%

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0

The Pine Of Camden runs on unusually stable ground. Nurse staffing sits at 4.68 hours per resident day, roughly a fifth above the national average, and the staff star rating bears that out. Just as telling: turnover is 19.4% against a national average of 45.8%, so the people caring for residents tend to stay. The current record shows a single deficiency, none at harm level and none abuse-related, with a clean five-star inspection rating behind it. Two things temper that. The last inspection was March 2021, so the record is aging, and quality measures score 2 out of 5, the clinical numbers families watch don't match the staffing picture. Weekend coverage also dips about 13% below weekdays, worth asking about directly.

Nurse hours

4.23 /day

Staff turnover

37%

Serious cites

0

Anniston Health And Rehab runs a nonprofit home of 85 beds, and its strongest asset is the people on the floor: 4.23 nursing hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 14% below weekdays. Staff turnover sits at 37.4%, better than the 45.8% national figure but still meaning more than a third of the workforce turning over annually. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, though the last inspection was in December 2021, so that picture is getting old. Inspection and quality measures both land mid-range, which fits a home that's well-staffed but not recently scrutinized.

Nurse hours

3.79 /day

Staff turnover

23%

Serious cites

0

Tlc Nursing Center runs 103 certified beds in Oneonta under for-profit, limited-liability ownership, and the numbers that stand out most are about its workforce. Total nurse staffing sits at 3.79 hours per resident day, a hair under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. What offsets that is retention: turnover is 23.1%, notably lower than the 45.8% national figure, so residents likely see familiar faces. The inspection record shows 8 deficiencies, none rated at harm or jeopardy, though 2 are abuse-related, worth asking about directly. Its most recent inspection was April 2026, so the picture is current.

Nurse hours

4.04 /day

Staff turnover

44%

Serious cites

0

Shadescrest runs on more nursing hours than most homes, 4.04 per resident day against a national average of 3.86, and its staff turnover of 44.4% is right in line with the country as a whole, which is unusual in a good way for a for-profit home owned by an individual. The catch is inspections: a one-star health inspection rating, 16 deficiencies on the current record, including one tied to abuse, though none rose to the level of actual harm or jeopardy. The last full inspection was in February 2024, so that record is recent. Weekend staffing drops about a fifth below its own weekday level, which is worth asking about directly.

Nurse hours

3.71 /day

Staff turnover

53%

Serious cites

0

Oak Knoll runs 3.71 nurse hours per resident day, a bit under the national average, and weekends dip about 21% below its own weekday coverage, that gap is where problems tend to surface. Staff turnover sits at 52.5%, higher than the 45.8% national figure, so familiar faces are harder to count on. The record shows 12 deficiencies with none at the harm level, but one is abuse-related, which families should ask about directly. Its last inspection was March 2021, so the picture is years old. Quality measures score well; the inspection history and weekend staffing are the parts worth pressing on.

Nurse hours

3.89 /day

Staff turnover

49%

Serious cites

0

Ridgewood Health Services in Jasper runs 98 certified beds under individual for-profit ownership, and its staffing sits right at the national average, 3.89 nurse hours per resident day against 3.86 nationally. That headline number hides a real gap: weekends run about 19% leaner than weekdays, and annual turnover is 49.3%, higher than the 45.8% national figure. Inspections tell a quieter story. The home carries just two deficiencies on its current record, none involving harm or abuse, though the last full inspection was January 2020, over five years ago. Quality measures score well, staffing holds a solid rating, and there's nothing alarming in the record. The question worth asking is what that weekend coverage actually looks like on the floor.

Nurse hours

4.07 /day

Staff turnover

n/a

Serious cites

0

Marengo Nursing Home in Linden runs on a split record. The clinical side looks strong on paper, five out of five stars for quality measures, four for health inspections, and just six deficiencies on file with none rising to actual harm or abuse. But staffing sits at one star, and that's the number families feel every day: fewer aides per resident than most homes nationally, which shows up in call-button wait times and how much help your mother gets at meals. The last full inspection was in January 2022, so that four-star rating is four years old and may not reflect current conditions. The quality scores suggest good care when someone's watching; the staffing score suggests watching is the issue.

Nurse hours

4.50 /day

Staff turnover

38%

Serious cites

0

Andalusia Manor runs 4.50 nurse hours per resident day, roughly 17 percent more than the national average, and that staffing shows up as a five out of five on the federal staffing measure. Weekend coverage dips about 19 percent below weekday levels, so care on Saturdays and Sundays won't match what you see midweek. Staff turnover sits at 37.8 percent, better than the 45.8 percent national figure, which matters because familiar aides tend to notice changes in a resident before anyone else does. The current record shows 11 deficiencies, none at the harm level and none abuse-related, with the last inspection in January 2024. For-profit LLC ownership, middling inspection and quality scores, strong staffing underneath it all.

Nurse hours

4.39 /day

Staff turnover

34%

Serious cites

0

Little Sisters of the Poor Sacred Heart Residence runs on 4.39 nurse hours per resident day, roughly 14% above the national average, and its staff turnover of 34.4% sits well below the 45.8% norm, two signs of a stable, well-staffed building. Weekend coverage dips about 16% from weekday levels, so ask how that plays out on Saturdays and Sundays. Three deficiencies on record, none at the harm level and none abuse-related. One caution: the last inspection was March 2020, so the clean record is real but aging. The nonprofit's quality measure score of 2 out of 5 is the softer spot against otherwise strong marks.

Nurse hours

4.07 /day

Staff turnover

36%

Serious cites

0

Crowne Healthcare Of North Baldwin runs on better-than-average nursing hours, 4.07 per resident day against a national 3.86, though weekends dip about 21% below its own weekday coverage, so ask how that gap gets filled. Staff turnover sits at 35.6%, well under the 45.8% national figure, which suggests people stay. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, ten deficiencies on record, none rising to harm or jeopardy and none abuse-related. That last inspection was November 2021, so the record may not reflect current conditions. The staffing and turnover numbers are doing the heavy lifting here; the inspection history is the part worth asking about directly.

Nurse hours

3.05 /day

Staff turnover

34%

Serious cites

0

Diversicare Of Riverchase runs 132 certified beds in Birmingham under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 33.8% against a national 45.8%, which suggests a steadier crew than most. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, though the last inspection dates to July 2021, a long stretch without a fresh look.

Nurse hours

4.92 /day

Staff turnover

48%

Serious cites

0

Piedmont Health Care Center runs on city government ownership, and the numbers show a home that's been staffed well and inspected cleanly. Nurse coverage sits at 4.92 hours per resident per day, roughly 27% above the national average, and the staffing star rating reflects that. Only three deficiencies sit on the current record, none involving harm or abuse. The tradeoffs: weekend staffing drops about 14% below weekday levels, annual turnover is 47.7%, slightly worse than the 45.8% national figure, and the last inspection was April 2021, so that five-star inspection rating is several years old. Quality measures land mid-range at 3/5.