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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 41 to 60 of 167, best-graded first.

B

82.5/100

Crowne Health Care Of Mobile

Mobile, AL · Mobile County

CMS 3/5148 bedsFor-profitMedicaid
Nurse hours
4.95 /day
Staff turnover
26%
Serious cites
0

Crowne Health Care Of Mobile runs 148 certified beds as a for-profit corporation, and its nurse staffing sits at 4.95 hours per resident day, roughly 28% above the national average of 3.86. That edge is real, though weekend coverage drops about 19% below its own weekday level, so the weekday numbers tell a rosier story than a Saturday does. Staff turnover is 25.7%, well under the national 45.8%, which matters for continuity of care. Against that, the quality measure rating is 1 out of 5, and the last health inspection was September 2019, nearly six years ago. Eight deficiencies on record, none at harm level, none abuse-related.

B

82.5/100

Dadeville Healthcare Center

Dadeville, AL · Tallapoosa County

CMS 3/5144 bedsFor-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
35%
Serious cites
0

Dadeville Healthcare Center runs on a for-profit limited liability company and holds 144 certified beds. The staffing numbers are the real story here: 4.41 total nurse hours per resident day sits about 14% above the national average of 3.86. Turnover is 34.5%, noticeably lower than the 45.8% national figure, though weekend coverage drops roughly 15% below weekday levels, so care may thin out on Saturdays and Sundays. On paper, the clinical record is thinner than the staffing: 16 deficiencies total, none at the harm level but one abuse-related. The 2/5 inspection and quality ratings pull against the 5/5 staffing score, and the last inspection was April 2021, nearly four years without a fresh look at the building.

B

82/100

Sumter Health And Rehabilitation, L L C

York, AL · Sumter County

CMS 3/5125 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
37%
Serious cites
0

Sumter Health and Rehabilitation runs 125 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national figure of 3.86. Weekend coverage dips roughly 14 percent below what the home staffs on weekdays, so the quietest shifts are also the thinnest. Turnover lands at 36.8 percent, which is actually better than the 45.8 percent national average; keeping caregivers longer matters for residents who need consistency. The inspection record shows eight deficiencies, none involving harm or jeopardy and none abuse-related, though the last full inspection was April 2022. Quality and staffing each earned 4 of 5 stars from CMS; health inspection earned 3.

B

82/100

Eastern Shore Rehabilitation And Health Center

Daphne, AL · Baldwin County

CMS 4/5117 bedsNon-profitMedicaid
Nurse hours
4.06 /day
Staff turnover
48%
Serious cites
0

Eastern Shore Rehabilitation and Health Center runs on 4.06 nurse hours per resident day, a bit more than the national average of 3.86, and that shows up in a five-star staffing rating. The catch is weekends, when coverage drops roughly 14% below what the home staffs during the week. Its inspection record shows seven deficiencies with none at the harm level and nothing abuse-related, though the last full inspection was in March 2021, so that picture is getting old. Staff turnover sits at 47.7%, slightly worse than the 45.8% national figure, which matters in a 117-bed nonprofit building where consistent caregivers are the point.

B

82/100

South Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 2/583 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
53%
Serious cites
0

South Health and Rehabilitation runs a for-profit shop with 83 beds in Birmingham, and the staffing numbers are genuinely a bright spot: 4.19 nurse hours per resident day, about 9% above the national average of 3.86. That's real coverage. But look closer and the picture gets uneven, weekends run roughly 27% leaner than weekdays, and annual turnover sits at 53.4% against a national average of 45.8%, so the people providing that care keep changing. Inspections tell a similar story: six deficiencies on record, two of them serious enough to involve harm or jeopardy, with $8,569 in fines and the last full look coming back in August 2023. Good weekday staffing, shakier consistency.

B

81.5/100

Keller Landing

Tuscumbia, AL · Colbert County

CMS 5/5109 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
46%
Serious cites
0

Keller Landing runs about 3.27 nurse hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That dip matters, it's when many families visit and when care gaps can show. Turnover sits at 46.3%, essentially in line with the national 45.8%, so this isn't a home bleeding staff faster than average. On the record side, it looks solid: a 5/5 inspection rating with only 3 deficiencies, none at harm or jeopardy level and none abuse-related. The catch is timing: the last inspection was February 2022, so that clean record is nearly three years old.

B

81.5/100

Diversicare Of Boaz

Boaz, AL · Marshall County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
2.96 /day
Staff turnover
52%
Serious cites
0

Diversicare Of Boaz runs about 2.96 nurse hours per resident each day, roughly a quarter below the national average, and weekends dip another 16% under its own weekday numbers. That staffing gap matters more than the 51.8% turnover rate, which runs several points above the national figure. Eleven deficiencies sit on the current record with none at harm level, but five are abuse-related, a pattern worth asking about directly. The most recent inspection was July 2025, so the picture is fairly current. Quality and staffing measures both score well, though the health inspection side lags at two stars.

B

81.5/100

Park Place

Selma, AL · Dallas County

CMS 3/5103 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
28%
Serious cites
0

Park Place runs 103 beds in Selma under corporate for-profit ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 16% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 28.4% against a national 45.8%, meaning aides and nurses here stick around longer than at the typical home. The tradeoff shows up in oversight, 11 deficiencies on record, one tied to abuse, and the last full inspection was April 2022, so that record is aging.

B

81.5/100

Florence Nursing And Rehabilitation Ctr, Llc

Florence, AL · Lauderdale County

CMS 3/5147 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
36%
Serious cites
0

Florence Nursing and Rehabilitation Center runs 147 certified beds under individual for-profit ownership, and its staffing sits at 3.43 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 18% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is 36%, better than the 45.8% national figure, which suggests a relatively stable workforce. Ten deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, but the last inspection was January 2020, over four years ago, so that clean record is aging.

B

81.5/100

Jackson Health Care Facility

Jackson, AL · Clarke County

CMS 3/591 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
30%
Serious cites
0

Jackson Health Care Facility runs on more nurse hours than most homes, 4.32 per resident day against a national average of 3.86, and its staff stick around: 29.7% turnover versus 45.8% nationally. Those two numbers matter more than most families realize, because consistent caregivers know the residents. The catch is weekends, when staffing drops about 20% below its own weekday level. Nine deficiencies sit on the record, none at harm or jeopardy level and none abuse-related, which is a relatively clean sheet. Two things deserve a closer look. The quality measure rating is 1 out of 5, suggesting clinical outcomes lag despite the staffing. And the last inspection was March 2021, more than three years ago, so you're relying on dated information.

B

81.5/100

Fairhope Health & Rehab

Fairhope, AL · Baldwin County

CMS 2/5131 bedsNon-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
35%
Serious cites
0

Fairhope Health & Rehab runs a nonprofit operation with 131 beds, and the staffing numbers are its strongest hand. At 4.00 nurse hours per resident day, it clears the national average of 3.86 by about 4%, and its staff turnover of 35.1% sits well under the 45.8% national figure, a real advantage in a field where turnover drives worse care. Weekends, though, run about 17% leaner than weekdays, so ask how that gap gets covered. The inspection record is mixed: 9 deficiencies, none at harm or jeopardy level and none abuse-related, but the last full inspection was February 2022, which is a long stretch without a fresh look.

B

81.5/100

Diversicare Of Greensboro

Greensboro, AL · Hale County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
2.84 /day
Staff turnover
32%
Serious cites
0

Diversicare of Greensboro runs 97 certified beds under corporate for-profit ownership, and its staffing numbers are the first thing to notice: 2.84 nurse hours per resident day, about 26% below the national average of 3.86. Weekend staffing drops roughly 19% below its own weekday level, so a Saturday shift is noticeably thinner than a Tuesday. On the other side, turnover is 32.1%, well under the national 45.8%, which suggests a steadier crew than many homes manage. Nine deficiencies sit on the current record with none at harm or jeopardy level and none abuse-related, and the last inspection was February 2024. Quality measures score high; daily staffing coverage is where the gaps show.

B

81.5/100

Roanoke Rehabilitation & Healthcare Center

Roanoke, AL · Randolph County

CMS 2/565 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
19%
Serious cites
0

Roanoke Rehabilitation & Healthcare Center runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.50 hours per resident day, about 9% under the national average of 3.86. Weekends are where it thins out most, with staffing roughly 23% below its own weekday level, though the 18.9% annual turnover is well under the 45.8% national figure, which suggests a steadier crew than most. The health inspection side is the weak spot: a 2/5 star rating and 11 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in September 2023. Quality measures rate 4/5.

B

81.5/100

Gulf Coast Health And Rehabilitation, Llc

Mobile, AL · Mobile County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
51%
Serious cites
0

Gulf Coast Health and Rehabilitation runs 100 beds in Mobile under corporate ownership, and its nurse staffing sits at 3.96 hours per resident day, a bit above the national average of 3.86. That margin is thin, and weekends dip about 17% below the home's own weekday coverage, so the hours aren't spread evenly across the week. Staff turnover is 50.9% against a national 45.8%, meaning roughly half the nursing staff turns over in a year. The current record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, though the last inspection was January 2020, over five years ago, so that clean harm record is aging.

B

81/100

Forest Manor Health And Rehab

Northport, AL · Tuscaloosa County

CMS 3/5182 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
44%
Serious cites
0

Forest Manor runs a 182-bed for-profit operation in Northport, and the staffing story is mixed. Nurses provide 3.56 hours per resident per day, about 8% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday levels, so care thins out exactly when families tend to visit. Turnover sits at 44.4%, essentially matching the national rate, which means the workforce here is no more stable than average. Nine deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, though the last full inspection was back in May 2021, so that record is getting stale. Three stars each on health inspections and quality measures round out the picture.

B

81/100

Lafayette Extended Care

Lafayette, AL · Chambers County

CMS 2/569 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
41%
Serious cites
0

Lafayette Extended Care runs 69 certified beds under corporate ownership, and its staffing picture is the weak spot: 3.82 nurse hours per resident day sits just under the national average of 3.86, weekend coverage drops about 7% below its own weekday level, and CMS gives it 1 out of 5 stars for staffing. Turnover at 41.2% is actually better than the 45.8% national figure. The inspection record shows 13 deficiencies, none at harm or jeopardy level, though two are abuse-related, with one fine totaling $4,558. That last inspection was January 22, 2020, over five years ago, which matters when you're weighing how current any of this is.

B

81/100

Hartford Health Care

Hartford, AL · Geneva County

CMS 4/586 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
48%
Serious cites
0

Hartford Health Care runs 86 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the story: five deficiencies on file, none rising to harm or jeopardy, none tied to abuse, with the last state visit in December 2023. Staffing is where it thins out. At 3.28 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop about 14% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover lands at 47.9%, a touch above the 45.8% national figure. Clean inspections, thinner hands on deck.

B

81/100

Valley View Health And Rehabilitation, Llc

Madison, AL · Madison County

CMS 4/5155 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
71%
Serious cites
0

Valley View runs 4.42 nurse hours per resident per day, about 14 percent above the national average of 3.86, and weekends stay reasonably close to weekdays. The staffing picture isn't the problem. The bigger concern is turnover at 70.8 percent, well above the national 45.8 percent, which means the people providing that care are constantly changing. The record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, though the last full inspection was in April 2022, so that snapshot is more than three years old. For-profit corporate ownership is worth knowing too. Solid day-to-day coverage, but at that churn rate, consistent caregivers are harder to count on than the hours suggest.

B

81/100

Folsom Rehabilitation And Healthcare Center

Cullman, AL · Cullman County

CMS 4/5102 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
50%
Serious cites
0

Folsom Rehabilitation and Healthcare Center runs 102 certified beds under corporate ownership, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. The catch is weekends, when coverage drops about 14% below what the home staffs on weekdays. Annual turnover is 50.4%, higher than the 45.8% national figure, so even with decent daily hours, familiar faces may be hard to count on. Twelve deficiencies are on the current record, none involving harm, jeopardy, or abuse. One thing worth asking about directly: the last inspection was September 2019, so the record you're seeing is several years old.

B

81/100

Galleria Woods Skilled Nursing Facility

Birmingham, AL · Jefferson County

CMS 2/530 bedsFor-profit
Nurse hours
4.36 /day
Staff turnover
70%
Serious cites
0

Staffing at Galleria Woods runs about 4.36 nurse hours per resident each day, roughly 13 percent above the national figure, and that shows up in its staffing rating. The catch is turnover: close to 70 percent of staff left over the past year, well above the 45.8 percent national average, so the people providing that care are often new. On inspections, the record shows 10 deficiencies with none at the harm level and no abuse findings, but the last full look was December 2021, a long gap. A for-profit corporation operates this 30-bed home, and weekend coverage dips slightly below its own weekday level.

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