57 Independent Nursing Homes in Alabama

Nurse hours

4.61 /day

Staff turnover

25%

Serious cites

0

Washington County Nursing Home runs on numbers that hold up. Nurse staffing sits around 4.61 hours per resident day, roughly a fifth above the national figure, and weekend coverage dips about 16 percent from weekday levels, a gap worth asking about, since that's when families tend to visit. Staff turnover is 25.3 percent, well under the national 45.8 percent, which suggests people stay. The one mark against the place is on the inspection side: a single deficiency on record, abuse-related but not at harm or jeopardy level, and the last full inspection was June 2021, so that record is getting old. County-owned, 88 beds.

Nurse hours

4.47 /day

Staff turnover

27%

Serious cites

0

Fayette Medical Center's long-term care unit runs on county ownership and a payroll that stays put, 26.7% turnover against a national average near 46% means the aides and nurses here are unusually likely to still be around next year. Nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national figure, though weekends drop about that same amount below the home's own weekday pace, so coverage thins out when families tend to visit. Ten deficiencies sit on the record with none at the harm level and none tied to abuse, and the last full inspection was in May 2021, worth asking what's been surveyed since.

Nurse hours

4.54 /day

Staff turnover

44%

Serious cites

0

Lauderdale Christian runs about 4.54 nurse hours per resident per day, roughly 18% above the national average, and that staffing shows up in the CMS star ratings, five out of five there. It's a church-affiliated nonprofit with 58 beds, and the inspection record is short: three deficiencies total, none at the harm or jeopardy level and none abuse-related, with the last state visit in September 2023. Staff turnover sits at 43.8%, which is a touch better than the national 45.8% but still means a lot of churn. One thing worth asking about: weekend staffing runs about 15% below its own weekday level, so if you're planning visits or care conferences for Saturdays and Sundays, know that the floor is thinner then.

Nurse hours

4.32 /day

Staff turnover

42%

Serious cites

0

Cleburne County Nursing Home runs on county government ownership, and the numbers show it. Nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86. Weekend staffing drops about 23% below its own weekday level, so coverage thins out on Saturdays and Sundays. The current record carries just 2 deficiencies, none at the harm or jeopardy level, though 1 is abuse-related, worth asking about directly. Staff turnover is 42.2%, better than the national 45.8% but still meaning nearly half the workforce turns over. The last inspection was March 2022, so the record you're reading is nearly three years old.

Nurse hours

3.86 /day

Staff turnover

34%

Serious cites

0

Wiregrass Rehabilitation Center & Nursing Home is county-owned, which is unusual in Alabama and tends to mean steadier budgets than the for-profit chains. Its 3.86 nurse hours per resident day sits right at the national average, though weekends run about 15 percent lighter than weekdays, so ask how that gap gets covered. Staff turnover is 33.8 percent against a national 45.8, lower, which usually means more familiar faces. Ten deficiencies are on record, none at harm level, none abuse-related, and the last full inspection was March 2022, so the picture is a few years old. The quality and staffing stars look solid; the three-star inspection rating is what holds it back.

Nurse hours

4.09 /day

Staff turnover

22%

Serious cites

0

Southern Springs runs on more nursing hours than most homes in the country, 4.09 per resident day against a national average of 3.86, and its weekend staffing only dips about 14% below weekday levels, which matters because weekend gaps are where a lot of problems hide. Staff turnover sits at 22.4%, roughly half the national rate of 45.8%, so the people caring for residents tend to stick around. The tradeoffs: seven deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the last full inspection was back in August 2022. For-profit corporate ownership, 123 beds.

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%

Serious cites

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

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

4.68 /day

Staff turnover

19%

Serious cites

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

4.04 /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

3.89 /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

4.92 /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.

Nurse hours

4.06 /day

Staff turnover

45%

Serious cites

0

Burns Nursing Home runs a 57-bed for-profit operation in Russellville, and the staffing numbers are its strongest card: 4.06 nurse hours per resident day, about 5% above the national average. That edge narrows on weekends, though, when coverage drops roughly 19% below what the home staffs on weekdays. Annual turnover sits at 44.8%, essentially matching the national figure. Where the record gets thinner is inspections, a 2-out-of-5 health inspection rating, seven deficiencies on file, two of them serious enough to involve harm or jeopardy, and nothing new logged since March 2023. Quality and staffing measures both score 4 out of 5, so the care delivery looks steadier than the survey history suggests.

Nurse hours

3.79 /day

Staff turnover

32%

Serious cites

0

Eamc Lanier Nursing Home runs about 3.79 nurse hours per resident per day, just under the national average, and weekends drop roughly 16% below its own weekday staffing. The tradeoff is retention: turnover sits at 32.4% against a national 45.8%, and the staffing star rating is 5/5. Its inspection record is clean where it counts, 9 deficiencies, none at harm or jeopardy level, none abuse-related, and a 4/5 inspection rating, though the last full inspection was August 2021, so that picture is aging. Quality measures score 2/5, the weak spot. As a nonprofit, it answers to a board rather than shareholders.

Nurse hours

4.33 /day

Staff turnover

35%

Serious cites

0

Westside Terrace runs on a for-profit corporate model with 165 beds in Dothan, and the numbers hold up reasonably well. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, and turnover at 35.3% is notably lower than the 45.8% norm, which matters, since consistent caregivers tend to know residents' routines. The catch is weekends, when staffing drops about 19% below its own weekday level. Its inspection record shows four deficiencies, none involving harm, jeopardy, or abuse, though the last on-site review was in July 2022, so that snapshot is getting old.

Nurse hours

4.77 /day

Staff turnover

43%

Serious cites

0

Hanceville Nursing & Rehab runs a 208-bed for-profit operation, and the staffing numbers are the strongest thing it has going: 4.77 nurse hours per resident day, well above the national average, with turnover at 43.4% running slightly better than the typical home. Weekends thin out by roughly 16% against weekdays, so coverage isn't perfectly even across the week. The caution is inspections. CMS gives the health inspection side one star out of five, with eight deficiencies on the current record, none serious enough to reach harm or jeopardy and none abuse-related. The most recent inspection was in December 2025. Good daily staffing can offset a lot, but ask what those eight citations actually involved.