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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 21 to 40 of 167, best-graded first.

A

87/100

Anniston Health And Rehab Services

Anniston, AL · Calhoun County

CMS 4/585 bedsNon-profitMedicaid
Nurse hours
4.23 /day
Staff turnover
37%
Serious cites
0

Anniston Health And Rehab runs a nonprofit home of 85 beds, and its strongest asset is the people on the floor: 4.23 nursing hours per resident day, roughly 9% above the national average, with weekend coverage dipping about 14% below weekdays. Staff turnover sits at 37.4%, better than the 45.8% national figure but still meaning more than a third of the workforce turning over annually. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, though the last inspection was in December 2021, so that picture is getting old. Inspection and quality measures both land mid-range, which fits a home that's well-staffed but not recently scrutinized.

A

87/100

Tlc Nursing Center

Oneonta, AL · Blount County

CMS 4/5103 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
23%
Serious cites
0

Tlc Nursing Center runs 103 certified beds in Oneonta under for-profit, limited-liability ownership, and the numbers that stand out most are about its workforce. Total nurse staffing sits at 3.79 hours per resident day, a hair under the national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. What offsets that is retention: turnover is 23.1%, notably lower than the 45.8% national figure, so residents likely see familiar faces. The inspection record shows 8 deficiencies, none rated at harm or jeopardy, though 2 are abuse-related, worth asking about directly. Its most recent inspection was April 2026, so the picture is current.

A

86.5/100

Oak Knoll Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
53%
Serious cites
0

Oak Knoll runs 3.71 nurse hours per resident day, a bit under the national average, and weekends dip about 21% below its own weekday coverage, that gap is where problems tend to surface. Staff turnover sits at 52.5%, higher than the 45.8% national figure, so familiar faces are harder to count on. The record shows 12 deficiencies with none at the harm level, but one is abuse-related, which families should ask about directly. Its last inspection was March 2021, so the picture is years old. Quality measures score well; the inspection history and weekend staffing are the parts worth pressing on.

A

85.5/100

Crowne Healthcare Of North Baldwin

Bay Minette, AL · Baldwin County

CMS 3/575 bedsNon-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
36%
Serious cites
0

Crowne Healthcare Of North Baldwin runs on better-than-average nursing hours, 4.07 per resident day against a national 3.86, though weekends dip about 21% below its own weekday coverage, so ask how that gap gets filled. Staff turnover sits at 35.6%, well under the 45.8% national figure, which suggests people stay. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, ten deficiencies on record, none rising to harm or jeopardy and none abuse-related. That last inspection was November 2021, so the record may not reflect current conditions. The staffing and turnover numbers are doing the heavy lifting here; the inspection history is the part worth asking about directly.

A

85.5/100

Crowne Health Care Of Springhill

Mobile, AL · Mobile County

CMS 5/546 bedsFor-profit
Nurse hours
4.67 /day
Staff turnover
41%
Serious cites
0

Crowne Health Care Of Springhill runs a 46-bed for-profit home in Mobile, and the numbers that stand out are staffing and turnover. At 4.67 nurse hours per resident day, it sits roughly 21% above the national average, and its staff turnover of 41.4% is better than the 45.8% national figure, both unusual for a corporate-owned building this size. Weekend staffing drops about 19% below its own weekday level, so coverage isn't perfectly even across the week. On inspections, the record shows just three deficiencies, none tied to harm, jeopardy, or abuse, though the last visit was January 2020, a long gap that means the record is more dated than it looks.

A

85/100

Diversicare Of Riverchase

Birmingham, AL · Jefferson County

CMS 3/5132 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
34%
Serious cites
0

Diversicare Of Riverchase runs 132 certified beds in Birmingham under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 33.8% against a national 45.8%, which suggests a steadier crew than most. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, though the last inspection dates to July 2021, a long stretch without a fresh look.

A

85/100

Crowne Health Care Of Thomasville

Thomasville, AL · Clarke County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
4.66 /day
Staff turnover
38%
Serious cites
0

Crowne Health Care of Thomasville runs 4.66 nurse hours per resident day, roughly a fifth more staffing than the typical U.S. nursing home, and its staff turnover of 38.2% sits below the national rate. The inspection record is strong, five deficiencies, none causing harm, though one is abuse-related, and the last full inspection was in December 2021, more than three years ago now, which is worth asking about when you visit. Weekend staffing drops about 27% from weekday levels, so pay attention to who's actually on the floor on a Saturday. Quality measures land mid-range at 3 stars.

A

85/100

Jacksonville Health And Rehabilitation, Llc

Jacksonville, AL · Calhoun County

CMS 3/5167 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
45%
Serious cites
0

Jacksonville Health and Rehabilitation runs 167 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86. Weekend coverage drops roughly 13% below what the home staffs on weekdays, so the care floor thins out when families tend to visit. Annual turnover lands at 44.5%, essentially matching the national rate of 45.8%, meaning the workforce churns about as fast as the typical American nursing home. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related. The last inspection was September 29, 2023, so the record is getting older.

B

84.5/100

Northway Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 3/5113 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
52%
Serious cites
0

Northway runs on thinner nurse coverage than most homes, 3.57 hours per resident day against a national average of 3.86, and weekends drop roughly a fifth below its own weekday staffing. Nearly 52% of its nursing staff turned over in a year, a rate that sits above the national figure. The health inspection record shows 11 deficiencies, including one tied to abuse; none rose to the level of actual harm or jeopardy. Its last inspection was in April 2024. Quality measures score well, but the staffing and inspection side of the picture is where the gaps sit.

B

84.5/100

Goodwater Healthcare Center

Goodwater, AL · Coosa County

CMS 5/572 bedsFor-profitMedicaid
Nurse hours
4.63 /day
Staff turnover
38%
Serious cites
0

Goodwater Healthcare Center runs on about 4.63 nursing hours per resident per day, roughly a fifth more staffing than the typical American nursing home. That matters more than any brochure. Turnover sits at 37.8%, better than the national 45.8%, so the people caring for residents tend to stick around. Five deficiencies on record, none causing harm, none tied to abuse. One catch: the last full inspection was April 2021, so that clean record is several years old now, and weekend staffing drops about 16% below weekday levels. Corporate-owned and for-profit, which shapes how the place budgets. The care numbers look solid; just ask what weekends actually look like.

B

84.5/100

Fairview At Redstone Village

Huntsville, AL · Madison County

CMS 4/556 bedsFor-profit
Nurse hours
4.43 /day
Staff turnover
36%
Serious cites
0

Fairview At Redstone Village runs about 4.43 nurse hours per resident per day, roughly 15% above the national average of 3.86, and its staff turnover of 35.5% sits well under the national 45.8%. That combination, more hands on deck and fewer people leaving, is the main reason this home holds up. Weekend staffing drops about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record shows three deficiencies, none involving harm, jeopardy, or abuse, though the last inspection was February 2022, which is a long gap. For-profit, individually owned, 56 beds.

B

84/100

Sylacauga Health And Rehab Services

Sylacauga, AL · Talladega County

CMS 4/5149 bedsNon-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
41%
Serious cites
0

Sylacauga Health And Rehab Services runs 149 certified beds as a nonprofit corporation, and its staffing sits right at the national line, 3.82 nurse hours per resident day against an average of 3.86. That's essentially even, though weekends drop about 10% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. Turnover of 41.2% is better than the 45.8% national figure, which suggests less churn than many places. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in January 2022, a stretch worth noting if you want a fresher picture.

B

84/100

Moundville Health And Rehabilitation, Llc

Moundville, AL · Hale County

CMS 4/568 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
44%
Serious cites
0

Moundville Health and Rehabilitation runs 68 certified beds under corporate for-profit ownership, and its nurse staffing sits slightly above the national average, about 3.98 hours per resident day. One caveat worth knowing: weekends run roughly 13% leaner than weekdays, so coverage isn't perfectly even across the week. Staff turnover lands at 44%, a touch better than the 45.8% national figure. On inspections, the home has 10 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related. The one thing that gives me pause is timing, the last inspection was October 2021, so that clean record is several years old now.

B

84/100

Chapman Healthcare Center, Inc

Alexander City, AL · Tallapoosa County

CMS 5/5188 bedsFor-profitMedicaid
Nurse hours
4.30 /day
Staff turnover
34%
Serious cites
0

Chapman Healthcare Center runs 4.30 nurse hours per resident each day, roughly 11 percent above the national average, and its staff turnover of 33.5 percent sits well below the 45.8 percent national figure, a sign people tend to stay. Weekend coverage dips about 8 percent from weekday levels, which is common but worth knowing if you're visiting Saturday or Sunday. The inspection record shows five deficiencies, none involving harm or abuse, though the last full inspection was in September 2021, so that picture is getting old. Quality measure scores come in low even as staffing scores run high, a split worth asking the administrator about directly.

B

84/100

Brookdale University Park Snf (Al)

Birmingham, AL · Jefferson County

CMS 1/566 bedsFor-profit
Nurse hours
3.90 /day
Staff turnover
45%
Serious cites
0

Brookdale University Park sits at 66 certified beds in Birmingham, run by a for-profit corporation. Staffing works out to 3.90 nurse hours per resident day, essentially matching the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family visits on Saturdays or Sundays. Annual turnover of 44.6% lands slightly better than the national figure, which means less churn than many peers but still a workforce that changes over regularly. The real concern is the inspection record: a 1-out-of-5 health inspection rating, 17 deficiencies on file, one tied to abuse. Nothing currently rises to harm or jeopardy level, and the most recent inspection was June 2024. Ask directly what that abuse citation involved.

B

83.5/100

Civic Center Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 2/595 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
50%
Serious cites
0

Civic Center Health and Rehabilitation runs 95 beds in Birmingham under corporate for-profit ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.56 hours per resident day, roughly 8 percent under the national average, and weekends run about 20 percent leaner than weekdays, which matters when families visit and needs don't pause. Staff turnover hits 50 percent, higher than the 45.8 percent national figure, so continuity of caregivers is a real question. The current inspection record shows 10 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the last inspection was in March 2024. Quality and staffing measures rate well above average; the health inspection side trails.

B

83.5/100

Glen Haven Health And Rehabilitation, Llc

Northport, AL · Tuscaloosa County

CMS 1/5200 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
40%
Serious cites
0

Glen Haven runs a 200-bed for-profit operation in Northport, and the staffing numbers are genuinely better than average, 4.08 nurse hours per resident day against a national 3.86, with turnover at 40.3% compared to 45.8% nationally. That's the strongest part of the picture. The trouble sits on the inspection side: a 1-out-of-5 health inspection rating, 11 deficiencies with two rising to harm or jeopardy level, and an $81,335 fine, all from a July 2023 survey that's now getting stale. Weekend staffing drops roughly 20% below weekday levels, so coverage thins out when families tend to visit. Good direct-care hours can't fully offset a record like that.

B

83/100

River City Center

Decatur, AL · Morgan County

CMS 1/5183 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
52%
Serious cites
0

River City Center runs 183 beds in Decatur under corporate ownership, and its last full health inspection was in April 2021, more than four years ago. The current record shows 12 deficiencies, including one that caused actual harm or put residents in jeopardy, plus two tied to abuse. Staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 10% below the home's own weekday coverage. Annual turnover is 51.9%, higher than the 45.8% national figure. The quality and staffing scores look strong on paper, but a single-star inspection history and that long gap since the last survey are the numbers worth weighing.

B

83/100

Ozark Health And Rehabilitation, Llc

Ozark, AL · Dale County

CMS 3/5149 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
46%
Serious cites
0

Ozark Health and Rehabilitation runs 149 certified beds under for-profit LLC ownership, and its staffing sits slightly under the national average at 3.74 hours per resident day. The bigger wrinkle is weekends, when coverage drops roughly 13% below what the home staffs on weekdays, so the quiet shifts are the thinner ones. Annual turnover lands at 46.3%, essentially tracking the national rate, and the home's record shows five deficiencies, none at harm or jeopardy level but one tied to abuse. Inspectors last visited in June 2023, which makes that record fairly dated. Quality and staffing measures grade reasonably well; the inspection history and weekend pattern are where a family should focus questions.

B

82.5/100

Mitchell-Hollingsworth Nursing & Rehabilitation

Florence, AL · Lauderdale County

CMS 3/5222 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
37%
Serious cites
0

Mitchell-Hollingsworth runs 222 certified beds in Florence under for-profit LLC ownership, and its staffing figure of 3.38 nurse hours per resident day sits about 12% under the national average of 3.86. Weekend coverage drops roughly 16% below what the home staffs on weekdays, so if you're visiting or calling on a Saturday, that's the stretch where help is thinnest. Turnover lands at 36.6%, which is actually better than the 45.8% national rate, aides and nurses here tend to stay longer than elsewhere. The current record shows 11 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last inspection was September 2025.

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