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167 Chain-Owned Nursing Homes in Alabama

167 of the 224 Medicare-certified nursing homes in Alabama (75%) are chain-owned, and all are listed below. 28 of the 167 graded homes earn an A and 5 earn a D or F. Nurse staff turnover runs 47.9%, 1 points higher than the 46.9% across all homes there. Marion Regional Nursing Home in Hamilton grades highest at A (93 out of 100).

How chain-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

3.84

All homes in Alabama: 3.88

Worse than the local average

Nurse staff turnover

47.9%

All homes in Alabama: 46.9%

Worse than the local average

Average ElderGrade score

76.9/100

All homes in Alabama: 77.2/100

Worse than the local average

Grade spread

A
B
C

28 grade A, 106 grade B, 28 grade C, 5 grade D,

The best-graded chain-owned home in Alabama is Marion Regional Nursing Home in Hamilton, AL, grade A, 93/100.

Every chain-owned nursing home in Alabama

Showing 1 to 20 of 167, best-graded first.

A

93/100

Marion Regional Nursing Home

Hamilton, AL · Marion County

CMS 3/579 bedsNon-profitMedicaid
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.

A

92.5/100

Arbor Woods Health And Rehab

Reform, AL · Pickens County

CMS 5/585 bedsFor-profitMedicaid
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.

A

92/100

Willowbrooke Ct Skilled Care Ctr At Magnolia Trace

Huntsville, AL · Madison County

CMS 5/559 bedsNon-profit
Nurse hours
4.05 /day
Staff turnover
14%
Serious cites
0

Willowbrooke runs on a non-profit model with nurse staffing at 4.05 hours per resident day, roughly 5% above the national average, and its staff turnover sits at 14.3% against a national 45.8%. That retention number matters more than it might look, consistent caregivers know the residents. Weekend coverage dips about 8% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays. Four deficiencies on record, none involving harm or abuse, though the last inspection was May 2022, so the picture is a few years old. Quality and staffing both rate 5 out of 5 from CMS; health inspection sits at 3.

A

91.5/100

Traylor Retirement Community

Roanoke, AL · Randolph County

CMS 4/5123 bedsFor-profitMedicaid
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.

A

91/100

Altoona Health & Rehab

Altoona, AL · Etowah County

CMS 3/550 bedsFor-profitMedicaid
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.

A

91/100

Parkwood Health Care Facility

Phenix City, AL · Russell County

CMS 5/574 bedsFor-profitMedicaid
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.

A

90.5/100

Evergreen Nursing Home

Evergreen, AL · Conecuh County

CMS 5/561 bedsFor-profitMedicaid
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.

A

89.5/100

Terrace Manor Nursing & Rehabilitation Center, Inc

Russellville, AL · Franklin County

CMS 5/563 bedsFor-profitMedicaid
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.

A

89.5/100

Englewood Health Care Center

Monroeville, AL · Monroe County

CMS 5/587 bedsFor-profitMedicaid
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.

A

89.5/100

Willowbrooke Ct Skilled Care Ctr Westminster Vlg

Spanish Fort, AL · Baldwin County

CMS 4/560 bedsNon-profitMedicaid
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.

A

88.5/100

Woodhaven Manor Nursing Home

Demopolis, AL · Marengo County

CMS 5/575 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
27%
Serious cites
0

Woodhaven Manor runs on a steady, well-staffed floor: 3.84 nurse hours per resident day sits essentially even with the national average of 3.86, and weekend coverage drops about 24% below its own weekday level, which is worth asking about since that's when families often visit. Turnover at 27.3% is dramatically better than the 45.8% national average, so the people caring for residents tend to stick around. The current record shows a single deficiency, none at harm level, none abuse-related, and the most recent inspection was March 2022, over three years ago as of today, which means that clean record is somewhat dated. A for-profit corporation owns the 75-bed home.

A

88/100

Crowne Health Care Of Citronelle

Citronelle, AL · Mobile County

CMS 5/569 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
42%
Serious cites
0

Crowne Health Care Of Citronelle runs on 4.55 nurse hours per resident per day, roughly 18 percent more than the national average, and its last health inspection in June 2023 closed with no deficiencies at all, none at the harm level, none tied to abuse. Staff turnover sits at 41.8 percent, which is lower than the 45.8 percent national figure but still high enough that you should ask how they keep consistent caregivers on the floor. The one thing to look at closely is weekends, when staffing drops about 15 percent below its own weekday level. If your family member needs help most on Saturday and Sunday, ask who is actually there.

A

88/100

Aliceville Manor Nursing Home

Aliceville, AL · Pickens County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
38%
Serious cites
0

Aliceville Manor runs about 3.88 nurse hours per resident per day, roughly a hair above the national average, with weekends dropping about 14% below its own weekday staffing. The turnover picture is better than most: 38.3% against a national average of 45.8%, so more of the people caring for residents tend to stick around. On the inspection side, there are 8 deficiencies on record, none at the harm or jeopardy level, though one is abuse-related, and the last full inspection was in June 2023. This is a for-profit corporate home with 100 certified beds, and the staffing and quality measure ratings both land at 4 out of 5, staffing at 5.

A

88/100

Albertville Nursing Home

Albertville, AL · Marshall County

CMS 5/5159 bedsFor-profitMedicaid
Nurse hours
5.22 /day
Staff turnover
46%
Serious cites
0

Albertville Nursing Home runs on unusually heavy staffing for a for-profit corporate home, 5.22 nurse hours per resident day, roughly a third more than the national average, which is why its staffing rating tops out. Weekend coverage dips about 12% below weekdays, so ask how that plays out on a Sunday. Turnover sits at 46%, essentially the national average, so the extra hours don't come with unusual churn. Nine deficiencies are on record with nothing at the harm or abuse level, and the last inspection was November 2019, a long stretch without a fresh look, worth asking about directly.

A

88/100

Crossville Health And Rehabilitation, Llc

Crossville, AL · De Kalb County

CMS 5/5143 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
47%
Serious cites
0

Crossville Health and Rehabilitation runs 143 certified beds under for-profit corporate ownership, and its staffing sits at 3.78 nurse hours per resident day, just under the national average of 3.86. Weekends drop roughly 12% below what the home staffs on weekdays, and turnover lands at 46.8%, a touch above the 45.8% national figure. The inspection record shows 13 deficiencies with none at the harm or jeopardy level and nothing abuse-related, though the last full inspection was November 2021. Quality measures score high and staffing holds steady, which is what keeps this one in solid territory despite thin weekend coverage and a four-year gap since inspectors last walked through.

A

88/100

Monroe Manor Health & Rehabilitation Center

Monroeville, AL · Monroe County

CMS 1/584 bedsFor-profitMedicaid
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.

A

87.5/100

West Gate Village

Brewton, AL · Escambia County

CMS 5/5125 bedsFor-profitMedicaid
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.

A

87.5/100

Crowne Health Care Of Greenville

Greenville, AL · Butler County

CMS 5/5118 bedsFor-profitMedicaid
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.

A

87/100

Highlands Health And Rehab

Scottsboro, AL · Jackson County

CMS 5/550 bedsGovernmentMedicaid
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.

A

87/100

Athens Health And Rehabilitation Llc

Athens, AL · Limestone County

CMS 5/5149 bedsFor-profitMedicaid
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.

Frequently asked questions

How many chain-owned nursing homes are there in Alabama?
There are 167 chain-owned Medicare-certified nursing homes in Alabama, 75% of the 224 nursing homes there.
Are chain-owned nursing homes better staffed?
In Alabama they average 3.84 total nursing hours per resident per day, against 3.88 for all nursing homes in Alabama, a difference of -0.04 hours. Staff turnover averages 47.9% against 46.9%.
Which chain-owned nursing home grades best in Alabama?
Marion Regional Nursing Home in Hamilton, AL, grade A, 93 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 167 graded chain-owned homes in Alabama, 28 grade A and 5 grade D or F.
Do chain-owned nursing homes in Alabama accept Medicaid?
162 of the 167 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Alabama