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.
Clay County Nursing Home runs leaner on nurse hours than the typical U.S. facility, 3.73 per resident day against a national 3.86, and weekends drop about 16% below what it staffs on weekdays, so coverage thins out when families tend to visit. What offsets that is stability: turnover sits at 39.7%, better than the 45.8% national figure, which matters because consistent caregivers know residents. The inspection record is clean where it counts, eight deficiencies total but none involving harm or abuse, and a four-star health inspection supports that. The weak spot is quality measures at one star, which pulls the overall picture down despite solid staffing and inspection scores.
Coosa Valley Health and Rehab runs 124 certified beds in Glencoe, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average of 3.86. That cushion shrinks on weekends, when coverage drops about 10% below the home's own weekday level, and staff turnover is 53.6%, well above the national 45.8%. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, which matters more than the raw count suggests. The last inspection was April 29, 2022, so the picture regulators have is getting old. For-profit corporate ownership rounds out the profile.
Kirkwood By The River runs on 4.69 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and its staff tends to stick around, turnover of 35.8% is well below the 45.8% national figure. Weekends dip about 11% under weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows eight deficiencies with none tied to harm, jeopardy, or abuse, though the last full inspection was in October 2021, so that picture is getting old. Quality measure scores sit at 2 out of 5 even as staffing and inspections rate 4, a split worth understanding before you decide.
Caregivers of Pleasant Grove runs 64 beds in Jefferson County under corporate ownership, and its nurse staffing sits just above the national average, 3.94 hours per resident day versus 3.86. That margin is thin, and weekends run about 17% lighter than weekdays, so coverage depends on when you visit. Staff turnover is worth asking about: 52.6% a year against a national 45.8%, meaning more than half the nursing staff leaves annually. The health inspection rating is 2 out of 5, with nine deficiencies on record, none at harm or jeopardy level, none abuse-related. Quality measures rate 1 out of 5. The last inspection was March 2021, so the record you're reading is several years old.
Elba Nursing and Rehabilitation Center runs 111 certified beds under corporate ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 21% below the home's own weekday level, a pattern worth asking about if your family visits mainly on Saturdays and Sundays.
Staff turnover is 47.1%, slightly above the 45.8% national figure, so continuity of caregivers is a fair concern. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, but the last inspection was May 2022, which is a long stretch without a fresh look.
Oakview Manor runs lean on nurses. At 2.87 hours per resident per day, its staffing sits about 26% below the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels. Staff turnover lands at 45.9%, essentially identical to the national figure. The health inspection record is the strong part: a 4-out-of-5 CMS star rating, with 8 deficiencies on file and none at the harm or jeopardy level, though one is abuse-related. The last inspection was July 2023. So the picture is a nonprofit home that inspects well but doesn't staff to the national benchmark, worth asking the administrator directly how they cover weekends and what they're doing to hold onto nurses.
Troy Health & Rehabilitation Center runs 220 certified beds under corporate ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit.
Turnover is 40.4%, a bit better than the 45.8% national figure, which matters for continuity of care. The tougher reading comes from inspections: a 1-out-of-5 health inspection rating, a 1-out-of-5 quality measure rating, and 10 deficiencies on record, though none at harm or jeopardy level and none abuse-related. The last inspection was October 2022, so that record is aging. Ask to see current staffing schedules before deciding.
Collinsville Healthcare & Rehab sits at 200 certified beds under corporate for-profit ownership, and its nurse staffing runs about 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real cushion, but weekends dip about 19% below the home's own weekday level, so coverage isn't evenly spread across the week. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated February 2025. CMS rates the health inspection and staffing at 3 out of 5 stars, while the quality measure score comes in at 1 out of 5, a split that's worth asking about directly, since it suggests the day-to-day numbers look better than the resident outcome measures.
Father Purcell Memorial is a small church-run home in Montgomery with 58 beds, and its strongest number is staff retention: 6.9% annual turnover against a national average near 46%. That kind of stability matters for residents who need consistent caregivers. The trouble is how few of them there are. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends run about 5% thinner than weekdays. Inspections are another concern, 10 deficiencies on record, two serious enough to involve harm or jeopardy, and the last full inspection was in December 2022. The low turnover is real, but thin coverage and a dated, flawed inspection history weigh against it.
Health Care Inc runs 53 certified beds in Ashville under individual for-profit ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average of 3.86. That thin coverage gets thinner on weekends, when hours drop about 23 percent below the home's own weekday pace, and turnover runs 78.3 percent against a national average of 45.8, meaning most of the people caring for residents weren't there a year ago. Six deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection dates to August 2022, a long stretch without a fresh look.
Lafayette Nursing Home runs 63 certified beds in Chambers County under individual for-profit ownership. The staffing numbers are the first thing a family should sit with: 3.19 nurse hours per resident day, roughly 17% under the national average, with weekend coverage dropping about 23% below its own weekday level. Then there's the inspection record, 13 deficiencies, three of them serious enough to reach harm or jeopardy, with the most recent state visit back in September 2022. The four-star health inspection rating looks reassuring until you pair it with a one-star staffing rating and a one-star quality measure rating. Worth asking what has changed since that 2022 survey, and who covers weekends.
Greene County Nursing Home sits in Eutaw with 72 certified beds and a for-profit corporation behind it. Federal inspectors handed it the lowest marks possible for both health inspections and staffing, and a below-average score for quality measures, and the last full inspection was back in February 2022, which is a long stretch without a fresh look. Thirteen deficiencies sit on the current record, though none reached harm or jeopardy, and there's no abuse history. One fine of $13,635 has been levied. What stands out is a pattern: thin staffing measured against national norms, weak inspection results, and little recent scrutiny to test whether anything has changed.
Enterprise Health & Rehabilitation Center runs 257 certified beds as a nonprofit corporation, and its nurse staffing of 5.19 hours per resident day sits well above the national average of 3.86, roughly a third more hands-on care. Weekend coverage, though, drops about 16% below its own weekday level, and annual turnover of 40.5% is only slightly better than the 45.8% national figure. The trouble here isn't the payroll, it's the record: a 1-star inspection rating, 12 deficiencies including 3 at harm or jeopardy level, 3 tied to abuse, and an $85,230 fine. Staffing can't offset that pattern, and a January 2026 inspection makes the findings recent.
Arabella Health and Wellness of Red Bay runs 90 certified beds under corporate ownership, and the staffing numbers are the first thing worth knowing: 2.96 nurse hours per resident per day, roughly 23% below the national average of 3.86. Weekends run about 10% thinner than weekdays, so the hours when families tend to visit are also the leanest.
The inspection record shows 13 deficiencies, including one tied to abuse, with no harm-level citations. Its last inspection was March 25, 2022, meaning the picture regulators have is getting old. All three CMS star ratings sit at 1 or 2 out of 5, which lines up with the thin staffing and the citation count. Ask about weekend coverage and what's changed since that 2022 visit.
Pine Hill Rehabilitation and Wellness Center is a 190-bed for-profit in Birmingham, and the numbers that stand out most are about the people doing the work. Nurse staffing sits at 3.19 hours per resident day, about 17% under the national average, and it drops roughly 18% further on weekends, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 71.9% is well above the national figure of 45.8%, which means aides and nurses cycle through quickly and residents see a lot of unfamiliar faces. The current record carries 16 deficiencies, two tied to abuse, though none rose to the level of actual harm or jeopardy. The last full inspection was in March 2024.
Summerford runs 216 certified beds in Falkville under individual for-profit ownership, and its last full health inspection was in September 2023. The record shows 14 deficiencies, two of them serious enough to cause harm or put residents in jeopardy, and two tied to abuse. Nurse staffing sits at 3.36 hours per resident per day, roughly 13 percent under the national average, and weekends run about 11 percent thinner than weekdays. Annual turnover is 59 percent against a national 45.8, nearly six in ten staff leaving each year. Three fines total $25,568. The staffing star comes in at 3, but inspections and quality measures both land at 2.
Walker Rehabilitation Center is a for-profit home in Carbon Hill with 59 certified beds, and the numbers behind its record are worth walking through. Federal inspectors have cited 18 deficiencies, seven of them involving actual harm or jeopardy to residents and four tied to abuse, with a single fine reaching $235,127. Staff turnover sits at 68.8% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Nurse staffing runs slightly under the national average and drops about 22% on weekends. CMS has placed this home in its Special Focus Facility program, which is reserved for the country's most persistently troubled nursing homes, and its most recent inspection was November 30, 2024.
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?