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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 121 to 140 of 167, best-graded first.

B

73.5/100

Woodland Village Rehabilitation And Healthcare Cen

Cullman, AL · Cullman County

CMS 4/5149 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Woodland Village runs on more nursing hours than most homes, 4.10 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 38.2% versus 45.8% nationally. That stability shows up on inspections too: three deficiencies on record, none causing harm or involving abuse, and a four-star health inspection rating. The catch is that its last full inspection was in May 2021, so that clean record is several years old, and its quality measure score sits at just two stars. Weekend coverage also drops about 16% below weekday levels, meaning the staffing cushion you see on paper may thin out when it matters most.

B

73.5/100

East Glen

Birmingham, AL · Jefferson County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
57%
Serious cites
0

East Glen runs 108 beds in Birmingham under corporate for-profit ownership, and its nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 18% below the home's own weekday coverage, which matters most when families visit and when residents need help. Annual turnover is 56.9%, well above the 45.8% national figure, so caregivers change often. The inspection record shows seven deficiencies, none at harm or jeopardy level and none abuse-related, with the last full inspection in March 2023. Federal ratings land at three stars for health inspections, three for staffing, and four for quality measures, decent care measures propped up by thin and shifting staffing.

B

72.5/100

Prattville Health And Rehabilitation, Llc

Prattville, AL · Autauga County

CMS 1/5162 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
57%
Serious cites
0

Prattville Health and Rehabilitation runs 162 beds under corporate for-profit ownership, and its staffing numbers look strong on paper, 4.11 nurse hours per resident day, about 7% above the national average. But that average hides a weekend drop of roughly 15%, and turnover sits at 57.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the real concern: a 1-out-of-5 health inspection rating, 20 deficiencies on file, and no full inspection since June 2022. Nothing on record rises to harm or abuse, which matters. Still, consistent staffing and a clean safety record aren't the same thing.

B

72/100

Gadsden Health And Rehab Center

Gadsden, AL · Etowah County

CMS 4/5168 bedsFor-profitMedicaid
Nurse hours
4.40 /day
Staff turnover
58%
Serious cites
0

Gadsden Health And Rehab Center runs 168 certified beds under individual for-profit ownership, and the raw staffing number looks decent: 4.40 total nurse hours per resident day, roughly 14% above the national average of 3.86. The catch is consistency. Weekend staffing drops about 14% below the home's own weekday level, and annual turnover sits at 57.7% against a national average of 45.8%, meaning the people covering those weekend shifts are often new. On paper the record is clean: six deficiencies, none at harm or jeopardy level, none abuse-related, with a 4/5 inspection rating. But the last inspection was July 2021, so that rating describes a facility from several years ago.

B

72/100

Orchard Rehabilitation & Healthcare Center

Hayneville, AL · Lowndes County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
31%
Serious cites
0

Orchard Rehabilitation & Healthcare Center runs 72 certified beds in Hayneville under corporate for-profit ownership, and its staffing sits at 3.03 nurse hours per resident day, roughly 22 percent under the national average of 3.86, with weekends about 15 percent thinner than weekdays. Turnover is 31.3 percent, well below the national 45.8, so the aides who are there tend to stay. The trouble is the record: four deficiencies, two at harm or jeopardy level and one abuse-related, with the last inspection dated April 2021. A five-star inspection rating on paper is doing a lot of work against a one-star quality measure score and a thin weekend floor.

B

71/100

Limestone Nursing And Rehabilitation Center, Llc

Athens, AL · Limestone County

CMS 3/5170 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
48%
Serious cites
0

Limestone Nursing and Rehabilitation Center runs 170 certified beds in Athens under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average of 3.86. Weekends dip about 10 percent below its own weekday coverage, and annual turnover is 48.3 percent, a few points above the 45.8 percent national figure. The current record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with a three-out-of-five inspection rating and the same for quality measures. One thing worth noting: the last inspection on file dates to February 2020, so that three-star inspection score reflects a snapshot that hasn't been refreshed in years.

B

71/100

Diversicare Of Lanett

Lanett, AL · Chambers County

CMS 4/585 bedsFor-profitMedicaid
Nurse hours
2.81 /day
Staff turnover
50%
Serious cites
0

Diversicare Of Lanett runs on 2.81 nurse staffing hours per resident day, roughly 27% under the national average, and weekends drop about 12% below its own weekday level. Half the staff turned over in a year, a bit worse than the 45.8% national figure. On the plus side, inspections have been clean: four deficiencies on record, none at harm or jeopardy level, no abuse citations, and the last visit was March 2023. Quality measures land mid-pack. Ownership is corporate for-profit. The pattern here is a home that inspects well but runs lean day to day, worth asking how thin the weekend shifts actually get.

B

70.5/100

Stonehaven Health And Rehabilitation Center

Bessemer, AL · Jefferson County

CMS 1/579 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
73%
Serious cites
0

Stonehaven runs on thinner nurse coverage than most homes: 3.25 hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 72.5%, well above the 45.8% national figure, which means the people caring for residents are frequently new to the building. Its last health inspection was February 2023, and the record carries eight deficiencies, two of them serious enough to involve harm or jeopardy. The limited liability company operating it is for-profit. Quality measures score well, but that sits against staffing and inspection results that raise real questions.

B

70.5/100

Diversicare Of Oxford

Oxford, AL · Calhoun County

CMS 1/5173 bedsFor-profitMedicaid
Nurse hours
3.19 /day
Staff turnover
45%
Serious cites
0

Diversicare Of Oxford runs 173 beds under corporate ownership, and its last inspection was in April 2026. The staffing picture is the real story here: 3.19 nurse hours per resident day sits about 17% under the national average of 3.86, and weekends drop roughly 15% below what the home staffs on weekdays. Turnover lands at 44.8%, close to the national figure, so retention isn't the standout problem, raw coverage is. The inspection record is thinner: 18 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single $111,900 fine. Quality measures score well, but that one-star health inspection rating reflects what surveyors actually found.

B

70.5/100

Opp Health And Rehabilitation, Llc

Opp, AL · Covington County

CMS 3/5197 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
45%
Serious cites
0

Opp Health and Rehabilitation runs 197 certified beds as a for-profit corporation, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekends are thinner still, about 16% below the home's own weekday numbers, so coverage dips exactly when families tend to visit. Turnover lands at 45.3%, almost identical to the national 45.8%, which tells you this isn't a retention crisis but isn't stability either. Six deficiencies sit on the current record with none at harm level and none abuse-related, though the last inspection was March 2020, a long stretch without a fresh look.

B

70.5/100

Marshall Manor Nursing Home

Guntersville, AL · Marshall County

CMS 3/591 bedsFor-profitMedicaid
Nurse hours
4.28 /day
Staff turnover
58%
Serious cites
0

Marshall Manor runs nurse staffing at 4.28 hours per resident day, about 11% above the national average of 3.86, that's the strongest number in its file. The catch is weekends, when coverage drops roughly 24% below the home's own weekday level, so the daily average doesn't tell you what a Saturday looks like. Staff turnover sits at 57.8% against a national 45.8%, meaning more than half the nursing staff leaves each year, which matters for residents who rely on familiar faces. The inspection record is clean where it counts most: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the last full inspection in June 2023. Corporate-owned, 91 beds.

B

70.5/100

Huntsville Health & Rehabilitation, Llc

Huntsville, AL · Madison County

CMS 1/5105 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
63%
Serious cites
0

Huntsville Health & Rehabilitation runs 105 certified beds under corporate for-profit ownership, and its staffing numbers tell two different stories. Total nurse coverage sits at 3.92 hours per resident day, a hair above the national average, but weekends drop about 19% below weekday levels, and annual turnover hits 63% against a national 45.8%. Inspections are the bigger concern: 19 deficiencies on the current record, including four at the harm or jeopardy level and four tied to abuse, with the most recent inspection dated May 2026. CMS scored health inspections 1 out of 5 stars. The consistent staffing hours look decent on paper, but the churn and the inspection history are what a family should weigh.

B

70.5/100

South Hampton Nursing & Rehabilitation Center

Owens Cross Roads, AL · Madison County

CMS 3/581 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
55%
Serious cites
0

South Hampton runs a for-profit limited liability operation with 81 certified beds, and its nurse staffing comes in at 4.00 hours per resident day, a bit above the 3.86 national average. That cushion isn't evenly spread, though: weekends run roughly 21% thinner than weekdays, and annual turnover sits at 55.1% against a national 45.8%, so the people providing that care change often. The current record shows 7 deficiencies, none rising to harm or jeopardy, but 3 of them abuse-related, which is worth asking about directly. The last inspection was July 14, 2023, so the picture is over a year old. Quality measures score low even as staffing scores well, a home held up by hours rather than outcomes.

B

70/100

Greenway Health And Rehabilitation Center, Llc

Grand Bay, AL · Mobile County

CMS 1/592 bedsFor-profitMedicaid
Nurse hours
3.64 /day
Staff turnover
72%
Serious cites
0

Greenway runs about 3.64 nurse hours per resident day, roughly 6% under the national average, and weekend coverage drops another 13% below its own weekday levels, so the thinnest shifts land when families tend to visit. Staff turnover is 72.1% against a national 45.8%. Inspectors cited 21 deficiencies, seven at harm or jeopardy level and five abuse-related, and the home has paid eight fines totaling $78,421. Its last inspection was August 2023, so that record has had time to age without a fresh look. The corporate owner runs it for profit, which is worth knowing when you weigh where the money goes.

C

69.5/100

Cullman Health Care Center

Cullman, AL · Cullman County

CMS 2/595 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
51%
Serious cites
0

Cullman Health Care Center runs 4.11 nurse hours per resident day, about 7% above the national average, and that shows up in its staffing rating. The catch is weekends, when hours drop roughly 19% below the weekday level, and turnover sits at 50.5% against a 45.8% national average, so the people covering those shifts keep changing. Inspections landed at 2 stars, with six deficiencies on record, none tied to harm, abuse, or jeopardy, plus one fine of $26,982. The last full inspection was October 2023. Quality measures also came in at 2 stars. Strong weekday staffing, thinner weekends, and a recent inspection history that isn't clean.

C

69/100

Everstead Health And Rehabilitation Center

Russellville, AL · Franklin County

CMS 2/550 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
60%
Serious cites
0

Everstead Health and Rehabilitation Center runs 50 beds in Russellville under for-profit LLC ownership, and its staffing sits almost exactly at the national average, 3.87 nurse hours per resident day against 3.86. The catch is weekends, when hours drop about 14% below the home's own weekday level, so coverage thins right when families tend to visit. Annual turnover of 60.4% is well above the 45.8% national figure, meaning many of the aides and nurses who know your relative may not stay long. Four deficiencies sit on the current record, none involving harm or abuse, though the last inspection dates to September 2022, so that record is aging.

C

69/100

Camellia Health And Rehabilitation Center

Mobile, AL · Mobile County

CMS 3/5170 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
65%
Serious cites
0

Camellia Health and Rehabilitation Center runs 170 certified beds in Mobile under for-profit limited liability ownership. Nurse staffing sits at 3.79 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. The bigger number is turnover: 65.3% of staff leave annually, well above the 45.8% national average. That kind of churn means unfamiliar faces at the bedside. Six deficiencies sit on the current record, none at harm or jeopardy level, and the last inspection was January 2022, so that record is getting stale.

C

69/100

Baron House Of Hueytown

Hueytown, AL · Jefferson County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
3.03 /day
Staff turnover
46%
Serious cites
0

Baron House Of Hueytown runs 50 certified beds as a for-profit LLC, and its staffing is the number that stands out: 3.03 nurse hours per resident day, roughly 22 percent under the national average of 3.86. Weekends dip about 12 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover sits at 45.5 percent, essentially tracking the national 45.8 percent. On the inspection side, nine deficiencies are on record with none at harm or jeopardy level and nothing abuse-related, and the last survey was March 2024, a decent record, though the two-star quality measure rating and three-star staffing rating suggest the day-to-day care metrics aren't as strong as that inspection result.

C

68.5/100

Diversicare Of Montgomery

Montgomery, AL · Montgomery County

CMS 2/5138 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
57%
Serious cites
0

Diversicare Of Montgomery runs 138 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.02 hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about 18% below what the home itself staffs on weekdays, and annual turnover is 57.1% against a national 45.8%, so the people who remain are stretched thinner than the numbers alone suggest. Inspectors were last on site in April 2023, and the current record carries 14 deficiencies, none at harm or jeopardy level, one tied to abuse. CMS rates the quality measures well at 4 out of 5, but inspection and staffing each land at 2. The clinical results look better on paper than the day-to-day coverage likely feels.

C

68.5/100

Diversicare Of Oneonta

Oneonta, AL · Blount County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
2.85 /day
Staff turnover
46%
Serious cites
0

Diversicare of Oneonta runs about 2.85 nursing hours per resident day, roughly a quarter below the national average, and weekends drop another 15% below its own weekday numbers. That thin coverage sits behind its two-out-of-five staffing rating. The home's 10 deficiencies include one at the harm level and one abuse-related citation, with a $9,318 fine on record; its last inspection was July 2023. Staff turnover at 46% is essentially the national rate, so continuity isn't unusually bad. Ownership is for-profit corporate, and the five-star quality measure score reflects resident assessments rather than the hands available to help. The gap between those quality marks and the staffing and inspection results is the whole story here.

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