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57 Independent Nursing Homes in Alabama

57 of the 224 Medicare-certified nursing homes in Alabama (25%) are independently owned, and all are listed below. 16 of the 57 graded homes earn an A and 1 earn a D or F. Nurse staff turnover runs 43.7%, 3.2 points lower than the 46.9% across all homes there. Washington County Nursing Home in Chatom grades highest at A (93 out of 100).

How independently owned homes in Alabama compare

This group set against every nursing home in Alabama, from the current CMS release.

Nursing hours per resident per day

4

All homes in Alabama: 3.88

Better than the local average

Nurse staff turnover

43.7%

All homes in Alabama: 46.9%

Better than the local average

Average ElderGrade score

77.8/100

All homes in Alabama: 77.2/100

Better than the local average

Grade spread

A
B
C

16 grade A, 32 grade B, 8 grade C, 1 grade D,

The best-graded independently owned home in Alabama is Washington County Nursing Home in Chatom, AL, grade A, 93/100.

Every independently owned nursing home in Alabama

Showing 21 to 40 of 57, best-graded first.

B

82.5/100

Fair Haven

Birmingham, AL · Jefferson County

CMS 3/5259 bedsNon-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
n/a
Serious cites
0

Fair Haven is a 259-bed nonprofit home in Birmingham, and its strongest card is raw nursing hours: 4.38 per resident per day, about 13% above the national average. That said, weekends run roughly 9% thinner than weekdays, so the coverage your family sees on a Tuesday isn't quite what shows up on a Sunday. The inspection record carries 11 deficiencies, one tied to abuse, none at the harm or jeopardy level, plus 10 fines totaling $31,615. The last full inspection was in June 2021, which is a long stretch without a fresh look. Ownership is nonprofit, and quality measures score well, but staffing consistency and that dated inspection are the real caveats here.

B

82.5/100

Southland Nursing Home

Marion, AL · Perry County

CMS 5/591 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
n/a
Serious cites
0

Southland Nursing Home in Marion runs a tight ship on care quality, its 5/5 quality measure rating is as good as it gets, and the 4/5 inspection score reflects a record without a single deficiency at the harm or jeopardy level. The seven deficiencies on file are minor, and one fine totaling $5,244 is modest by industry standards. Where it slips is staffing: 3.91 nurse hours per resident day edges the national average by roughly 1%, but weekends run about 10% below its own weekday level, which matters when families visit less. That gap likely explains the middling 3/5 staffing rating. One thing worth asking about: the last inspection was April 2021, so the record is several years old.

B

81.5/100

Sunset Manor

Guin, AL · Marion County

CMS 4/571 bedsFor-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
37%
Serious cites
0

Sunset Manor runs on more nurse hours than most homes in the country, 4.21 per resident day against a national average of 3.86, and the federal staffing rating reflects that at 5 stars. The trade-off shows up elsewhere: nine deficiencies on the current record, none rising to actual harm or jeopardy, and a quality measure rating of 2 out of 5. Staff turnover sits at 36.5%, better than the 45.8% national figure, though weekend coverage drops roughly 16% below what the building manages Monday through Friday. The last full inspection was July 2023, so that record is getting stale. Corporate-owned and Medicare-certified at 71 beds.

B

81.5/100

Heritage Health Care & Rehab Inc

Tuscaloosa, AL · Tuscaloosa County

CMS 3/5216 bedsFor-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
46%
Serious cites
0

Heritage Health Care & Rehab runs 216 beds in Tuscaloosa under corporate ownership, and the staffing numbers are the strongest part of the picture: 4.22 nurse hours per resident day, about 9% above the national average. Weekend coverage drops roughly 16% below its own weekday level, which is common but still worth asking about if you're touring. Turnover sits at 46.2%, essentially matching the national rate, so continuity of caregivers isn't unusually bad here. Nine deficiencies on record with none at the harm level and none abuse-related is a comparatively clean inspection history, though the last full inspection was in January 2022, so that record is aging.

B

81.5/100

Springhill Senior Residence

Mobile, AL · Mobile County

CMS 4/5151 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
48%
Serious cites
0

Springhill Senior Residence runs a 151-bed for-profit operation in Mobile, and the numbers are mostly solid. Nurse staffing sits at 3.89 hours per resident day, just barely above the national average of 3.86, and weekend coverage drops about 15% below what the home provides on weekdays. Staff turnover is 48.4%, running a bit higher than the 45.8% national figure. Five deficiencies appear on the current record, none at the harm level and none abuse-related, though the last full inspection was January 30, 2020, more than five years ago. Inspection, quality, and staffing ratings each land at 4 out of 5 stars.

B

79/100

Attalla Rehabilitation And Nursing Center

Attalla, AL · Etowah County

CMS 2/5182 bedsFor-profitMedicaid
Nurse hours
3.21 /day
Staff turnover
n/a
Serious cites
0

Attalla Rehabilitation and Nursing Center runs 182 certified beds under corporate ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 22% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The inspection record is the harder read: 26 deficiencies on file, six of them at harm or jeopardy level and two tied to abuse, with the last health inspection dated March 1, 2022. CMS rates the inspection side 1 out of 5 stars, staffing 2 out of 5, while quality measures score 5 out of 5. Those quality numbers come from resident assessments the home reports, not from an inspector walking the halls.

B

78.5/100

Convalescent Nursing And Rehab Center

Vernon, AL · Lamar County

CMS 2/5158 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
n/a
Serious cites
0

Southern Health And Rehab Of Vernon runs 158 beds under corporate ownership, and its nurse staffing sits at 3.83 hours per resident day, just under the national average, with weekends running about 13% thinner than weekdays. That dip matters, because care doesn't pause on Saturdays. The inspection record shows seven deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Its last full inspection was April 2022, so that picture is getting stale. CMS gives the home middling marks on health inspections and quality measures, with staffing scoring slightly better. Nothing here screams danger, but the thin weekend coverage and that harm-level finding are the two things I'd ask about directly.

B

78/100

John Knox Manor Inc I I

Montgomery, AL · Montgomery County

CMS 2/598 bedsNon-profitMedicaid
Nurse hours
4.94 /day
Staff turnover
53%
Serious cites
0

John Knox Manor III runs 98 certified beds as a nonprofit corporation, and its inspection record is the steadiest thing about it, four deficiencies on file, none rising to harm or jeopardy, none tied to abuse, with the most recent state visit in January 2024. Staffing is where the picture darkens. CMS rates it 1 out of 5 on both staffing and quality measures, which means nurse coverage and resident care outcomes land well below what regulators expect. Annual staff turnover sits at 53.1 percent against a national average of 45.8 percent, so more than half the workforce leaves each year. Families weighing this one should ask directly how often shifts go short and who actually covers them.

B

77.5/100

Hatley Health Care Inc

Clanton, AL · Chilton County

CMS 4/5201 bedsFor-profitMedicaid
Nurse hours
3.80 /day
Staff turnover
45%
Serious cites
0

Hatley Health Care runs 201 beds in Clanton under corporate ownership, and the staffing picture is roughly average, 3.80 nurse hours per resident day against a national 3.86. Weekends are where it thins out, dropping about 19% below the home's own weekday coverage, so a Saturday or Sunday visit may look different from a Tuesday. Turnover sits at 44.6%, essentially tracking the national rate. Seven deficiencies are on record, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. The last full inspection was June 2023, so that record is getting older. Inspection and quality measures both scored well; staffing is the softer spot.

B

77.5/100

Hendrix Health And Rehabilitation

Double Springs, AL · Winston County

CMS 2/5110 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
44%
Serious cites
0

Hendrix Health And Rehabilitation runs 110 certified beds in Double Springs, owned by an individual for-profit operator. Nurse staffing sits at 3.78 hours per resident day, just under the national average of 3.86, and weekends drop roughly 19% below the home's own weekday coverage. Staff turnover is 44.3%, slightly better than the 45.8% national figure. The current record shows 7 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated September 7, 2023. CMS gives the home 2 of 5 stars on health inspections, 3 on quality measures, and 3 on staffing, so the concerns here center on inspection findings and thinner weekend coverage rather than any documented resident harm.

B

77.5/100

Capitol Hill Healthcare Center

Montgomery, AL · Montgomery County

CMS 4/5284 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
36%
Serious cites
0

Capitol Hill Healthcare Center sits in Montgomery with 284 certified beds under corporate for-profit ownership. Nurse staffing runs about 4.02 hours per resident day, a bit above the national average, though weekends dip roughly 17% below its own weekday levels. Staff turnover of 36.3% is meaningfully lower than the national 45.8%, a real plus for consistency of care. Inspections look mostly clean: three deficiencies on record, none involving harm or abuse, and a 4/5 health inspection rating. The softer spot is quality measures at 2/5. One caution: the last inspection was April 2021, so that record is dated.

B

76.5/100

Ridgeview Health Services, Inc

Jasper, AL · Walker County

CMS 2/5148 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
52%
Serious cites
0

Ridgeview Health Services runs 148 beds in Jasper, and the numbers behind its grade tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 16% below what the home staffs on weekdays. Annual turnover of 52% is well above the 45.8% national figure, so the people caring for residents change often. Its inspection record shows 9 deficiencies, including one at the harm level and one abuse-related, plus a single fine of $8,788. The most recent inspection was August 2025. Families weighing this home should ask directly how weekend coverage is handled and what's changed since that abuse citation.

B

76/100

Mcguffey Health & Rehabilitation Center

Gadsden, AL · Etowah County

CMS 4/5209 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
49%
Serious cites
0

Mcguffey Health & Rehabilitation Center runs 209 certified beds in Gadsden under corporate for-profit ownership, and its inspection record is genuinely clean, seven deficiencies on the books, none at the harm or jeopardy level and none abuse-related. The staffing picture is more mixed than the four-star CMS staffing rating suggests: 3.23 total nurse hours per resident day sits about 16 percent under the national average of 3.86, and weekend coverage drops roughly 13 percent below the home's own weekday level. Staff turnover lands at 49.4 percent against a national 45.8 percent. One thing worth asking about directly: the last inspection was May 2021, so the record you're reading is several years old.

B

76/100

Bibb Medical Center Nursing Home

Centreville, AL · Bibb County

CMS 1/5131 bedsGovernmentMedicaid
Nurse hours
3.23 /day
Staff turnover
53%
Serious cites
0

Bibb Medical Center Nursing Home runs on thinner staffing than most places. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 12% below what the home itself staffs during the week, so the thinnest coverage lands when families tend to visit. Turnover is 53.1% against a national 45.8%, which means aides and nurses cycle through faster than average. The inspection record shows nine deficiencies, none reaching harm or jeopardy and none abuse-related, though the most recent look was November 2023 and the health inspection star sits at 1 out of 5. County-owned, 131 beds.

B

75.5/100

Regency Health Care And Rehabilitation Center

Huntsville, AL · Madison County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
63%
Serious cites
0

Regency Health Care and Rehabilitation Center has 90 certified beds and is run by a for-profit corporation. The nursing hours look decent on paper, 4.30 per resident day, about 11% above the national average, but weekends run roughly 21% leaner than weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 62.7% against a national average of 45.8%, which means a lot of the people caring for your relative are new. The bigger concern is the inspection record: 18 deficiencies, three of them serious enough to put residents in harm's way, two fines totaling $16,801, and a one-star health inspection rating from CMS. Its last full inspection was August 21, 2024.

B

75/100

The Healthcare Center At Buck Creek

Alabaster, AL · Shelby County

CMS 3/5198 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
45%
Serious cites
0

The Healthcare Center At Buck Creek runs about 3.53 nurse hours per resident day, roughly 9% under the national average, and weekends dip another 8% below its own weekday staffing. Turnover sits at 44.6%, close to the national 45.8%, so retention isn't the standout problem here, coverage is. Its current record carries 13 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with $16,801 in fines across two penalties. The last inspection was January 25, 2024. For-profit, LLC-owned, 198 beds. Ask about the abuse-related findings specifically, and how weekend coverage holds up.

B

74/100

Elite Nursing And Rehabilitation Care Center

Birmingham, AL · Jefferson County

CMS 1/5143 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
52%
Serious cites
0

Elite Nursing and Rehabilitation Care Center runs 143 certified beds in Birmingham under for-profit LLC ownership. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 9% below what the home itself staffs on weekdays. Annual turnover of 52.4% tops the national rate of 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 22 deficiencies, including one abuse-related citation, though none reached harm or jeopardy level, and CMS has fined the home $6,682 across a single penalty. Its last inspection was March 29, 2024. Quality and staffing measures both land at 3 out of 5 stars, while health inspections sit at 1.

B

74/100

Montgomery Children's Specialty Center

Montgomery, AL · Montgomery County

CMS 3/554 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
51%
Serious cites
0

Montgomery Children's Specialty Center runs 54 certified beds under for-profit partnership ownership, and its staffing sits about 10% under the national average at 3.49 nurse hours per resident day. Weekends drop roughly 15% below its own weekday levels, and turnover runs 50.8% against a national 45.8%, so the people caring for residents change often and thin out on Saturdays and Sundays. Inspections tell a mixed story: 12 deficiencies on record, none at harm or jeopardy level, though three are abuse-related, with the last visit in May 2023. Quality measures score well, but staffing and health inspection ratings both sit at 2 out of 5.

B

73.5/100

Wesley Place On Honeysuckle

Dothan, AL · Houston County

CMS 2/5166 bedsNon-profitMedicaid
Nurse hours
4.95 /day
Staff turnover
n/a
Serious cites
0

Wesley Place On Honeysuckle runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 4% of weekdays. That's a real strength. But the inspection record is where this home gets tripped up: 15 deficiencies on file, two of them serious enough to reach harm or jeopardy level, plus 12 fines totaling $48,689. The most recent inspection was in March 2024, so the record is current, not stale. Ownership is nonprofit, which sometimes signals steadier resources, but it hasn't translated into a clean survey history here. Good staffing, uneven compliance. If you tour, ask directly what those two harm-level deficiencies involved and what changed since.

B

73/100

Plantation Manor Nursing Home

Mc Calla, AL · Jefferson County

CMS 3/5103 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
36%
Serious cites
0

Plantation Manor runs about 3.49 nursing hours per resident day, roughly 10% under the national average of 3.86, and weekends dip another 7% below its own weekday pace. Turnover sits at 36.4%, which is actually better than the 45.8% national figure, so this isn't a home bleeding staff. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 2026. Quality measures score 2 out of 5, the weakest part of the picture, while staffing holds at 4 out of 5. Corporate for-profit ownership of 103 beds.

Frequently asked questions

How many independently owned nursing homes are there in Alabama?
There are 57 independently owned Medicare-certified nursing homes in Alabama, 25% of the 224 nursing homes there.
Are independently owned nursing homes better staffed?
In Alabama they average 4 total nursing hours per resident per day, against 3.88 for all nursing homes in Alabama, a difference of +0.12 hours. Staff turnover averages 43.7% against 46.9%.
Which independently owned nursing home grades best in Alabama?
Washington County Nursing Home in Chatom, AL, grade A, 93 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 57 graded independently owned homes in Alabama, 16 grade A and 1 grade D or F.
Do independently owned nursing homes in Alabama accept Medicaid?
56 of the 57 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Alabama