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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 81 to 100 of 167, best-graded first.

B

79/100

Columbiana Health And Rehabilitation, Llc

Columbiana, AL · Shelby County

CMS 4/563 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
53%
Serious cites
0

Columbiana Health and Rehabilitation runs 63 beds under corporate ownership, and its inspection record is genuinely solid, four deficiencies on the current record, only one at the harm level, and no abuse findings. Where the numbers get thinner is staffing: 3.51 nurse hours per resident day sits about 9% under the national average, weekends drop roughly 13% below the home's own weekday levels, and annual turnover hits 52.8% against a national 45.8%. That combination means the people around your family member change often, and there are fewer of them on Saturdays and Sundays. The last inspection was in August 2022, so the record you're reading is not fresh. One fine totaling $8,018 is on file.

B

78.5/100

Coosa Valley Healthcare Center

Sylacauga, AL · Talladega County

CMS 5/585 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
47%
Serious cites
0

Coosa Valley Healthcare Center runs on more nursing hours than most places, 4.28 per resident per day against a national average of 3.86. But weekends tell a different story: staffing drops roughly a fifth below what the home itself staffs Monday through Friday, so the coverage your family sees on a Tuesday may not be what's there on a Sunday. Turnover sits at 46.7%, essentially the national rate, meaning plenty of familiar faces leave each year. The inspection record is the strongest part here, five deficiencies, none involving harm or abuse, though the last full look was April 2022, so that picture is getting old. Quality measures score low despite the heavy staffing.

B

78.5/100

Brookshire Healthcare Center

Huntsville, AL · Madison County

CMS 3/5129 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
52%
Serious cites
0

Brookshire Healthcare Center runs 129 certified beds in Huntsville 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, though weekends drop roughly 18% below its own weekday levels. Staff turnover is 52.1%, higher than the 45.8% national figure, which matters for continuity of care. The current record shows 8 deficiencies, none at the harm or jeopardy level, but one is abuse-related. Its last inspection was March 2022, so that picture is getting old. CMS rates staffing 4 out of 5 stars and quality measures just 2.

B

78.5/100

Twin Oaks Rehabilitation And Healthcare Center

Mobile, AL · Mobile County

CMS 4/5131 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
34%
Serious cites
0

Twin Oaks runs 131 beds in Mobile, and the numbers tell a fairly steady story. Nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, and weekends drop about 22% below the home's own weekday coverage, that gap matters if your family visits or calls on Saturdays and Sundays. Turnover is 34%, which is actually better than the 45.8% national figure, so the people who are there tend to stay. Inspections look solid: four stars, six deficiencies on record with one at harm level and none tied to abuse, last surveyed in October 2023.

B

78.5/100

Lynwood Rehabilitation And Healthcare Center

Mobile, AL · Mobile County

CMS 2/5127 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
50%
Serious cites
0

Lynwood Rehabilitation runs 127 beds in Mobile under for-profit limited liability ownership, and its staffing is the strongest part of the picture, 3.97 nurse hours per resident day, a bit above the national average. That edge narrows on weekends, when coverage drops roughly 20% below its own weekday level, and turnover sits at 50.3% against 45.8% nationally. Inspections tell a more mixed story: 17 deficiencies on the current record, none at harm or jeopardy level, but two tied to abuse, with the last inspection in October 2024. The federal stars split accordingly, staffing at 4, health inspection and quality measures at 2 each.

B

78/100

Diversicare Of Winfield

Winfield, AL · Marion County

CMS 4/5123 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
42%
Serious cites
0

Diversicare of Winfield runs 123 beds under corporate ownership, and its strongest suit is inspections, a 4-out-of-5 star record with just three deficiencies on file and none rising to harm or jeopardy. The catch is staffing: 3.07 nurse hours per resident day sits about 21% under the national average, and weekends drop roughly 12% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover at 41.8% is modestly better than the 45.8% national figure, which helps continuity. One abuse-related deficiency is on the record, and the last inspection dates to June 2021, so that clean-looking file is several years old.

B

78/100

Adams Rehabilitation And Healthcare Center

Alexander City, AL · Tallapoosa County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
48%
Serious cites
0

Adams Rehabilitation and Healthcare Center runs on 4.13 nurse hours per resident day, roughly 7% above the national average, and weekends dip about 13% below its own weekday staffing. Turnover sits at 48.1%, a bit above the national 45.8%, so the faces change fairly often even with the extra hours on the schedule. The inspection record is the strong part: a 5/5 health inspection rating, just four deficiencies, none at harm or jeopardy level and none abuse-related. The catch is timing, that last inspection was June 2021, so the clean record is several years old. Quality measures come in at 2/5, which is where the softer numbers show up.

B

78/100

Meadowview Nursing Center

Pell City, AL · St. Clair County

CMS 4/559 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
47%
Serious cites
0

Meadowview Nursing Center runs about 4.03 nurse staffing hours per resident per day, roughly 4% above the national average, and that shows up in its staffing rating. Weekends get thinner, though, running about 11% below the home's own weekday level, so coverage isn't perfectly even across the week. Staff turnover sits at 46.6%, essentially in line with the national figure. On inspections, the record is clean where it matters most: seven deficiencies total, none causing harm or jeopardy, none abuse-related, with the last full inspection in June 2023. The weaker spot is quality measures, where the home scores lower than its inspection and staffing results would suggest, which is worth asking about directly.

B

77.5/100

Magnolia Haven Health And Rehabilitation Center

Tuskegee, AL · Macon County

CMS 1/5111 bedsFor-profitMedicaid
Nurse hours
2.86 /day
Staff turnover
42%
Serious cites
0

Magnolia Haven runs on 2.86 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thin coverage is the main thing pulling its grade down, even though turnover at 42.1% is slightly better than the 45.8% national figure. The inspection record shows nine deficiencies, none involving harm or abuse, and the last full inspection was July 2023, so that snapshot is getting stale. Quality measures score well, but staffing is where the risk sits: ask how many nurses are actually on the floor on a Saturday.

B

77.5/100

Greenbriar At The Altamont Skilled Nursing Facilit

Birmingham, AL · Jefferson County

CMS 3/595 bedsNon-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
44%
Serious cites
0

Greenbriar At The Altamont runs 95 certified beds as a nonprofit corporation, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86 nationwide. That's not a cushion, it's a tie, and weekends dip about 19% below the home's own weekday coverage, so care looks thinner on Saturdays and Sundays. Turnover at 43.7% edges just under the 45.8% national figure, a modest positive. Six deficiencies are on record with none at harm or jeopardy level, though one is abuse-related. The last inspection was April 2021, meaning the public picture is roughly five years stale.

B

77/100

Diversicare Of Marion

Marion, AL · Perry County

CMS 5/571 bedsFor-profitMedicaid
Nurse hours
2.96 /day
Staff turnover
47%
Serious cites
0

Diversicare Of Marion runs 71 certified beds as a for-profit corporation, and the numbers tell a mixed story. The inspection record is genuinely clean, five deficiencies, none at harm or jeopardy level, no abuse findings, and the quality measure score is strong at 5/5. But staffing sits at 1/5, the weakest possible mark, and that's the part families feel day to day. Staff turnover runs 47.4%, slightly above the 45.8% national average, meaning nearly half the workforce churns annually. One more caveat: the last inspection was August 2022, so that record is getting stale. The care quality looks good on paper; the question is whether there are enough consistent hands to deliver it.

B

76.5/100

Arbor Springs Health And Rehab Center, Ltd

Opelika, AL · Lee County

CMS 2/5225 bedsFor-profitMedicaid
Nurse hours
4.57 /day
Staff turnover
50%
Serious cites
0

Arbor Springs runs 4.57 nurse hours per resident day, roughly 18% above the national average, which is the main thing keeping its grade respectable. But weekends drop about 16% below the home's own weekday staffing, and turnover sits at 49.7%, higher than the national 45.8%, so the people caring for your family member change often, and there are fewer of them on Saturdays and Sundays. The inspection record shows 11 deficiencies with none at harm or jeopardy level and no abuse citations, though the last inspection was February 2022, so that picture is dated. The two-out-of-five inspection and quality ratings are what pull an otherwise well-staffed building down.

B

76.5/100

Madison Manor Nursing Home

Madison, AL · Madison County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
4.31 /day
Staff turnover
50%
Serious cites
0

Madison Manor runs on a corporate for-profit model with 80 certified beds, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average of 3.86. That's a real strength, though weekend coverage drops about 17% below its own weekday level, so the staffing you see on a Tuesday isn't what you get on a Saturday. The current inspection record shows 8 deficiencies, none at the harm or jeopardy level, but 2 are abuse-related, which deserves a direct question. Staff turnover is 49.5%, higher than the national 45.8%. The last inspection was in August 2024, and CMS rates the quality measures at 2 out of 5 stars.

B

76.5/100

Cypress Cove Care Center

Muscle Shoals, AL · Colbert County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
38%
Serious cites
0

Cypress Cove runs lean on nursing hours, 3.33 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 15% below the home's own weekday coverage. The tradeoff shows up in consistency rather than crisis: four deficiencies on record, none causing harm or involving abuse, and a clean five-star inspection history, though that last full inspection came back in January 2020, so it's been a while since regulators looked closely. Staff turnover sits at 38%, better than the 45.8% national figure, which matters for residents who value seeing the same faces. Corporate-owned and Medicare-certified for 90 beds, this is a home that has avoided serious problems but runs on fewer hands per resident than most.

B

76.5/100

Crowne Health Care Of Montgomery

Montgomery, AL · Montgomery County

CMS 4/5185 bedsFor-profitMedicaid
Nurse hours
4.33 /day
Staff turnover
54%
Serious cites
0

Crowne Health Care Of Montgomery runs 185 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average of 3.86. That headcount comes with a catch: weekends run about 21% thinner than weekdays, and annual turnover is 54.1% against a national 45.8%, so the people providing that care change often. Inspections tell a mixed story. The health inspection rating is 4 of 5, but the current record shows five deficiencies, including one at the harm or jeopardy level and one tied to abuse. The last inspection was April 2023, and quality measures rate just 2 of 5.

B

76.5/100

Aspire Physical Recovery Center Of West Alabama

Northport, AL · Tuscaloosa County

CMS 4/575 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
58%
Serious cites
0

The nursing staff here puts in more hours per resident than the typical American home, about 4.25 hours a day against a national average near 3.86. That cushion matters, though weekends run roughly 15 percent leaner than weekdays, so a Saturday shift won't look like a Tuesday one. Staff turnover sits at 57.6 percent, well above the 45.8 percent national figure, which means the people caring for your relative may change often. On inspections, the record is clean where it counts: six deficiencies, none involving harm or jeopardy, none tied to abuse. The tradeoff is timing, the last inspection was May 2022, so that snapshot is getting old.

B

76.5/100

Aspire Physical Recovery Center At Cahaba River

Vestavia, AL · Jefferson County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
4.86 /day
Staff turnover
62%
Serious cites
0

The numbers here tell two different stories. Nurse staffing runs 4.86 hours per resident day, roughly a quarter above the national average, and that earned a 4-out-of-5 staffing rating, genuinely good coverage on paper. But weekend hours drop about 16% below the facility's own weekday level, so the care you'd see on a Saturday looks thinner than a Tuesday. Staff turnover sits at 62.4% against a national 45.8%, meaning most of the people providing that care are relatively new. The inspection record is the bigger concern: 17 deficiencies, one serious enough to cause harm, and a $16,801 fine, all from a January 2024 visit. Ask how they've addressed that harm-level finding since.

B

76/100

Talladega Healthcare Center, Inc

Talladega, AL · Talladega County

CMS 3/5234 bedsFor-profitMedicaid
Nurse hours
4.50 /day
Staff turnover
56%
Serious cites
0

Talladega Healthcare Center runs 234 certified beds under corporate ownership, and the staffing numbers are its strongest card: 4.50 nurse hours per resident per day, roughly 17% above the national average of 3.86. That advantage narrows on weekends, when hours drop about 13% below the home's own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 56.1% against a national 45.8%, so caregivers change over more often than average. The inspection record shows 9 deficiencies with none at the harm level and none abuse-related, but the last full inspection was March 2022, so the picture is more than three years old.

B

76/100

Self Skilled Nursing & Rehab

Hueytown, AL · Jefferson County

CMS 1/5131 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
51%
Serious cites
0

Self Skilled Nursing & Rehab runs 131 certified beds in Hueytown, and the staffing number is the genuine bright spot here, 4.20 nurse hours per resident day, roughly 9% above the national average, and it earns a 4-out-of-5 staffing rating from CMS. Look closer and the picture complicates. Weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 51.1% against a national average of 45.8%. What pulls the overall picture down is the inspection history: a 1-out-of-5 health inspection rating, 20 deficiencies on the current record, and a last inspection date of March 2021, meaning that record is now years old. None of those deficiencies were flagged at the harm or jeopardy level, and none were abuse-related.

B

76/100

Canterbury Health Care Facility

Phenix City, AL · Russell County

CMS 2/5137 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
54%
Serious cites
0

Canterbury Health Care Facility runs 137 certified beds in Phenix City under corporate for-profit ownership, and its nurse staffing sits at 4.07 hours per resident day, roughly 6% above the national average of 3.86. That edge narrows on weekends, when coverage drops about 14% below the home's own weekday levels, and staff turnover runs at 54.2% against a national average of 45.8%, so the people delivering that care are changing often. The current inspection record shows 13 deficiencies, two of them serious enough to reach harm or jeopardy level, with no abuse citations, and the last full inspection was June 2, 2023. Federal ratings put health inspections and quality measures at 2 out of 5 stars each, staffing at 3.

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