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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 101 to 120 of 167, best-graded first.

B

76/100

Palm Gardens Health And Rehabilitation, Llc

Mobile, AL · Mobile County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
68%
Serious cites
0

Palm Gardens runs about 100 certified beds in Mobile under corporate for-profit ownership, and its last full health inspection was in July 2021, that's a long stretch without a fresh look, which matters because conditions change. The current record shows four deficiencies, none at harm or jeopardy level and none abuse-related, and the inspection history earns a top federal rating. Staffing sits essentially at the national average for total nurse hours, though weekends run roughly 14 percent thinner than weekdays. The real pressure point is turnover: 68.4 percent annually against a national 45.8 percent, meaning most of the people caring for residents are relatively new to the building.

B

75.5/100

Diversicare Of Arab

Arab, AL · Marshall County

CMS 2/587 bedsFor-profitMedicaid
Nurse hours
2.97 /day
Staff turnover
41%
Serious cites
0

Diversicare Of Arab runs on 2.97 nurse hours per resident per day, well under the 3.86 national average, and weekends are thinner still, about 16% below what the home staffs on weekdays. That gap matters most when families visit and when care needs don't pause for the calendar. Turnover sits at 41.2%, a bit better than the 45.8% national figure, so the team is comparatively stable even if it's small. Ten deficiencies appear on the current record, none involving harm or abuse, but the last full inspection was April 2021, more than three years ago. The quality measure score is strong; the inspection history is the part worth asking about directly.

B

75.5/100

Georgiana Health And Rehabilitation, Llc

Georgiana, AL · Butler County

CMS 4/591 bedsFor-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
39%
Serious cites
0

Georgiana Health and Rehabilitation runs 4.29 nursing hours per resident per day, about 11% above the national average, and its staff turnover of 38.5% beats the national 45.8%, both real strengths. The catch is weekends, when staffing drops roughly 24% below its own weekday level, and a CMS quality measure rating of 2 out of 5 that suggests the clinical numbers families care about aren't keeping pace. Five deficiencies sit on the record with none at the harm level, though one is abuse-related, and the last inspection was December 2019, more than five years ago, so that record may not reflect current conditions. The corporation that owns it runs a for-profit operation, and the state hasn't returned since.

B

75.5/100

Rivertown Health And Rehabilitation Center

Montgomery, AL · Montgomery County

CMS 1/5121 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
56%
Serious cites
0

Rivertown Health and Rehabilitation Center runs 121 beds in Montgomery under for-profit limited liability ownership, and its nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 16% below the home's own weekday coverage, and annual turnover hits 55.9% against a national 45.8%. The current inspection record shows 34 deficiencies, five of them abuse-related, though none rose to harm or jeopardy level; the last inspection was July 2025, and CMS gives the health inspection domain a single star. Quality measures score well by contrast. If your family is weighing this one, the staffing and turnover numbers deserve more of your attention than the quality rating does.

B

75.5/100

Aspire Physical Recovery Center At Hoover, Llc

Hoover, AL · Jefferson County

CMS 1/5118 bedsFor-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
67%
Serious cites
0

Aspire Physical Recovery Center At Hoover runs 4.80 nurse hours per resident day, about 24% above the national average of 3.86, and that staffing shows up in its four-out-of-five staffing rating. Two things pull against it. Weekend coverage drops roughly 22% below weekday levels, and annual turnover sits at 67.3% against a national 45.8%, meaning a large share of the people providing that above-average care are new or on their way out. The health inspection record is the bigger concern: a one-out-of-five rating, 12 deficiencies, one serious enough to reach harm or jeopardy level, and the last full inspection dates to June 2023. No abuse deficiencies are on record.

B

75/100

Shelby Ridge Nursing Home

Alabaster, AL · Shelby County

CMS 3/5131 bedsFor-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
62%
Serious cites
0

Shelby Ridge runs nurse staffing at 4.82 hours per resident day, roughly a quarter above the national average, and that's the main reason it holds up. The catch is weekends, when coverage drops about 12% below its own weekday level, and turnover at 62.4% sits well above the 45.8% national figure, so the people providing that above-average care are cycling out fast. Seven deficiencies on record with none reaching harm or jeopardy, and no abuse findings, but the last full inspection was June 2022. With quality measures scoring low, the staffing edge looks like the strongest thing here, and it comes with a retention problem worth asking about.

B

74.5/100

Wetumpka Health And Rehabilitation, Llc

Wetumpka, AL · Elmore County

CMS 1/5121 bedsFor-profitMedicaid
Nurse hours
3.72 /day
Staff turnover
50%
Serious cites
0

Wetumpka Health and Rehabilitation runs 121 certified beds under corporate for-profit ownership, and its staffing sits at 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends drop about 17% below the home's own weekday staffing, and annual turnover hits 50% against a national 45.8%, so the same faces aren't always there. The inspection record shows 18 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the health inspection star rating is 1 out of 5. The last inspection was December 7, 2023, so that record has had time to age. Quality and staffing measures both rate 3 out of 5.

B

74.5/100

Diversicare Of Big Springs

Huntsville, AL · Madison County

CMS 4/5145 bedsFor-profitMedicaid
Nurse hours
3.12 /day
Staff turnover
47%
Serious cites
0

Diversicare Of Big Springs runs 145 certified beds in Huntsville under corporate for-profit ownership, and its inspection record is genuinely clean, nine deficiencies on file, none rising to harm or jeopardy, none tied to abuse. That matters more than most families realize, since a quarter of homes nationally carry at least one serious citation. The staffing picture is more mixed. At 3.12 nurse hours per resident day, direct care sits roughly 19% under the national average, and weekends drop another 18% below the home's own weekday levels. Turnover at 47.1% edges past the national rate, meaning CNAs and nurses cycle through. One caveat: the last full inspection was January 2022, so that clean record is nearly three years old now.

B

74.5/100

Timberland Health And Wellness Center

Butler, AL · Choctaw County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
64%
Serious cites
0

Timberland Health And Wellness Center runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 21% below its own weekday staffing. Those gaps land against a 64.2% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside are often new to the building, which matters most on weekends when coverage thins. The inspection history is genuinely strong: a 5/5 star rating on health inspections, five deficiencies on record, none at the harm level. But that last inspection was March 2021. State surveyors haven't walked this building in over four years, so the clean record is old.

B

74.5/100

South Haven Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 3/5101 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
50%
Serious cites
0

South Haven runs on a for-profit, individually owned model with 101 certified beds, and its nurse staffing sits at 3.95 hours per resident day, just slightly above the national average of 3.86. That edge narrows on weekends, when coverage drops about 22% below weekday levels, so the weekday-to-weekend gap is worth asking about directly. Staff turnover lands at 50% against a national average of 45.8%, meaning roughly half the nursing team turns over in a year. The current record shows 12 deficiencies, none at the harm or jeopardy level, though two are abuse-related. Three stars on health inspection and two on quality measures point to room for improvement, while the last inspection dates to July 2022.

B

74.5/100

Park Manor Health And Rehabilitation, Llc

Northport, AL · Tuscaloosa County

CMS 3/5152 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
58%
Serious cites
0

Park Manor runs about 152 certified beds in Northport under for-profit limited liability ownership, and its nurse staffing sits just barely above the national average, roughly one percent. That margin is thin, and weekends tell a bigger story: staffing drops about 19% below the home's own weekday levels, which is when families tend to visit and notice. Annual turnover of 57.8% is well above the 45.8% national figure, meaning caregivers cycle through faster than average. The health inspection record shows 11 deficiencies, none at harm level and none abuse-related, but the last inspection was August 2021, a long stretch without a fresh look.

B

74.5/100

Bridgeway Health And Rehabilitation Center

Phenix City, AL · Russell County

CMS 3/586 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
42%
Serious cites
0

Bridgeway runs a corporate-owned, 86-bed building in Phenix City, and the numbers are middling across the board, three stars each for inspections, quality measures, and staffing. Total nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average, and weekends run about 23% thinner than weekdays, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover at 41.9% is slightly better than the national 45.8%, so leadership isn't churning worse than most. Six deficiencies on record with none tied to harm or abuse is a relatively clean sheet, though the last inspection was January 2020, over four years ago, so that record is aging.

B

74.5/100

Oaks On Parkwood Skilled Nursing Facility

Bessemer, AL · Jefferson County

CMS 1/5130 bedsNon-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
44%
Serious cites
0

Oaks On Parkwood has enough nurses. At 3.97 hours per resident day, staffing sits slightly above the national average, and CMS gives it top marks there, a rare bright spot. But that same federal data flags real problems: 20 deficiencies on the current record, including one at the harm level and three tied to abuse. The last full health inspection was in May 2021, so that record is years old now. Weekend coverage drops about 16% below weekday levels, and turnover runs near the national rate. As a nonprofit, it answers to a board rather than shareholders, but the inspection history is what a family should weigh here.

B

74.5/100

Legacy Health And Rehabilitation Of Pleasant Grove

Pleasant Grove, AL · Jefferson County

CMS 1/5189 bedsFor-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
53%
Serious cites
0

The numbers here tell a mixed story. Staffing sits at 4.18 nurse hours per resident day, roughly 8% above the national average, which is genuinely good, but weekends run about 24% thinner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Annual turnover of 53.2% means more than half the nursing staff leaves each year, against a national average near 46%, and that churn matters more than raw hours when it comes to knowing your mother's habits and preferences. Eighteen deficiencies sit on the record, though none rose to harm or jeopardy, and none involved abuse. The last inspection was February 2022, over three years ago, so that record is aging.

B

74/100

Diversicare Of Foley

Foley, AL · Baldwin County

CMS 2/5154 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
47%
Serious cites
0

Diversicare of Foley runs 154 beds, and its nurse staffing sits at 3.28 hours per resident per day, roughly 15% under 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. The inspection record is the harder read: 16 deficiencies, 9 of them at harm or jeopardy level, 4 tied to abuse, with the last full inspection in June 2023. Turnover at 46.6% edges just past the national 45.8%. Quality measures score well, but staffing and inspection results carry more weight when you're deciding where a parent lives. Ask about weekend coverage and the abuse-related citations directly.

B

74/100

Ashland Place Health And Rehabilitation, Llc

Mobile, AL · Mobile County

CMS 3/5164 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
59%
Serious cites
0

Ashland Place runs 164 beds in Mobile under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.81 hours per resident day, just under the national average, and weekends drop roughly 14% below what the home staffs on weekdays, that's when call lights tend to ring longest. Annual turnover of 59.2% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than most places, which can wear on continuity of care. Eleven deficiencies on record with none at the harm level and nothing abuse-related is a reasonably clean sheet, though the last inspection was January 2020, so that picture is over five years old.

B

74/100

Haleyville Health Care Center

Haleyville, AL · Winston County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
52%
Serious cites
0

Haleyville Health Care Center runs a tight operation on the direct-care side: 4.15 nurse hours per resident day, roughly 7% above the national average, which is why its staffing rating sits high. But weekends dip about 13% below its own weekday coverage, and annual turnover of 52.4% tops the national 45.8%, so the faces around a resident change often, and the thinnest coverage lands on Saturdays and Sundays. Inspections look strong on paper, five stars, with just one deficiency and nothing at the harm level, but the last one was April 2021, so that record is aging.

B

74/100

Redmont Health And Rehabilitation Center

Birmingham, AL · Jefferson County

CMS 3/5163 bedsFor-profitMedicaid
Nurse hours
3.48 /day
Staff turnover
60%
Serious cites
0

Redmont Health and Rehabilitation Center runs 163 beds in Birmingham under individual for-profit ownership, and its nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 15% below the home's own weekday coverage, and annual turnover hits 59.6% against a national average of 45.8%, so the aides and nurses your family would see most often are cycling through faster than usual. The current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in October 2022, meaning that snapshot is getting old. Federal ratings land at three stars across health inspections, quality measures, and staffing. Nothing here is alarming, but the thin weekend coverage and heavy turnover are the parts worth asking about directly.

B

74/100

Florala Health And Rehabilitation Llc

Florala, AL · Covington County

CMS 3/585 bedsFor-profitMedicaid
Nurse hours
3.80 /day
Staff turnover
47%
Serious cites
0

Florala Health and Rehabilitation is a for-profit corporation home with 85 certified beds in Covington County. Staffing sits at 3.80 nurse hours per resident day, just under the national average of 3.86, and weekends run about 14 percent leaner than weekdays, so if you're visiting on a Saturday, expect a thinner floor. Turnover is 47.1 percent, slightly worse than the 45.8 percent national figure, meaning nearly half the nursing staff turns over in a year. The inspection record is thin and clean: three deficiencies total, none at harm or jeopardy level, none abuse-related, though the last full inspection was August 2022. Quality measures score 2 out of 5, which is where the weaker numbers show up.

B

73.5/100

Northgate Health And Rehabilitation Center

Bessemer, AL · Jefferson County

CMS 2/569 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
79%
Serious cites
0

Northgate runs on thin nursing coverage, 3.19 hours per resident day against a national average of 3.86, and weekends drop roughly 18% below what the home manages Monday through Friday. That staffing picture gets harder to defend next to a 78.6% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are frequently new or on their way out. The inspection record shows 23 deficiencies, three involving actual harm or jeopardy and two tied to abuse, along with three fines totaling $17,346. One recent inspection in January 2025 produced a health inspection rating of 1 out of 5.

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