Alabama Best Medicaid Nursing Homes 2026

Nurse hours

4.26 /day

Staff turnover

21%

Serious cites

0

Marion Regional runs a tight ship on staffing. At 4.26 nurse hours per resident day, it sits about 10% above the national average, and a 20.6% turnover rate is less than half the national figure of 45.8%, that kind of stability usually means residents see the same faces. Weekends dip about 14% below the home's own weekday coverage, worth asking about if your family visits then. The tradeoff shows up in inspections: 13 deficiencies on record, including one abuse-related, and a 2-star health inspection rating from CMS. None of those deficiencies rose to harm or jeopardy level, and the most recent inspection was February 2025, so the record is current. A nonprofit operator with strong staffing and a recent, mostly low-level survey history.

Nurse hours

5.07 /day

Staff turnover

41%

Serious cites

0

Arbor Woods runs leaner on risk than most homes its size. Its 5.07 nurse hours per resident day sit about a third above the national average, which is the kind of number that shows up as more hands on the floor, though weekends dip roughly 18% below weekdays, so coverage isn't perfectly even. Turnover at 40.7% is a bit better than the 45.8% national figure. The current record carries just two deficiencies, none at harm or jeopardy level and none abuse-related. The one thing to weigh: that last inspection was in May 2022, so you're looking at a fairly old snapshot of how it's actually running today.

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

4.54 /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

4.47 /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

4.14 /day

Staff turnover

41%

Serious cites

0

Traylor Retirement Community runs 4.14 nurse hours per resident day, roughly 7% above the national average, and its turnover sits below the national figure at 40.8%. Weekend staffing, though, drops about 18% below its own weekday level, so coverage thins out on Saturdays and Sundays. The 10 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in December 2025, so the picture is current rather than stale. Corporate for-profit ownership and a 2/5 inspection rating are the weaker spots, while the quality and staffing ratings both come in at 5/5.

Nurse hours

4.11 /day

Staff turnover

36%

Serious cites

0

Parkwood runs on more nurse hours than most homes, 4.11 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 35.8% compared to roughly 46% nationally. The catch is weekends, when coverage drops about 15% below what the building staffs on weekdays. Inspectors logged 14 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent visit was in February 2026. It's a for-profit limited liability company, 74 beds, sitting in the middle of the pack on inspections while scoring at the top on quality measures and staffing.

Nurse hours

3.90 /day

Staff turnover

32%

Serious cites

0

Altoona Health & Rehab runs 50 certified beds under corporate for-profit ownership, and the staffing picture is its clearest strength: 3.90 nurse hours per resident day, just above the national average of 3.86, with weekend coverage dipping about 8% below its own weekday level. Turnover sits at 31.8%, well under the 45.8% national figure, which matters for whether residents see familiar faces. The tradeoff is oversight. Five deficiencies sit on the current record with none at harm or jeopardy level and none abuse-related, but the last inspection dates to June 2022 and the health inspection rating is 2 of 5. Quality measures score 4 of 5. Stable staff, thin recent inspection history.

Nurse hours

4.44 /day

Staff turnover

27%

Serious cites

0

Evergreen Nursing Home runs on more nursing hours than most places, 4.44 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 27.3% versus 45.8% nationally. That kind of retention usually shows up in how consistently residents get the same caregivers. Two things to keep in mind: weekend staffing drops about 19% below weekday levels, so coverage is thinner on Saturdays and Sundays, and the last state inspection was in March 2020, meaning the record you're looking at is several years old. Six deficiencies on file, none involving harm or abuse. Corporate-owned, 61 beds.

Nurse hours

4.49 /day

Staff turnover

n/a

Serious cites

0

Willowbrooke runs on 4.49 nurse hours per resident day, roughly 16 percent more than the national average, and that staffing shows up clearly in its five-star CMS staffing rating. Weekend coverage dips only about 4 percent below weekdays, so care doesn't thin out much when families visit. The trade-offs sit elsewhere: ten deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy. Its last inspection was April 2021, so that record is getting old and may not reflect today's conditions. Quality measures score well at four stars. Nonprofit ownership under a corporation. The strongest argument here is hands-on time; the open question is what a fresh inspection would find.

Nurse hours

5.28 /day

Staff turnover

35%

Serious cites

0

Englewood Health Care Center runs 5.28 nurse hours per resident per day, about 37% above the national average, and its staff turnover sits at 34.7% against a national 45.8%, meaning fewer caregivers cycling out the door than is typical. Weekend staffing does drop roughly 19% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record shows four deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The last full inspection was June 14, 2021, so you're looking at a four-year-old snapshot of the building's compliance.

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

4.01 /day

Staff turnover

37%

Serious cites

0

Terrace Manor runs about 4.01 nurse hours per resident day, roughly 4% above the national average, and its staff turnover of 37.3% sits well below the 45.8% national figure, a sign people tend to stay. The tradeoff is weekends, when staffing drops about 19% below the home's own weekday level, so coverage is thinner on Saturdays and Sundays. Its record shows four deficiencies, none at the harm level, though one is abuse-related. One thing worth asking about directly: the last inspection was August 2021, so that clean-looking record is several years old.

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

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.