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.
Glenwood Center runs on thinner staffing than most homes you'd compare it to, 3.06 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday coverage. That matters more than any single number here, because 52.8% annual turnover means the aides and nurses on those shifts are often new. The 15 deficiencies on record aren't the alarming kind, none reached harm or jeopardy, none involved abuse, but a 1-out-of-5 inspection rating says the day-to-day operation has repeatedly fallen short of federal standards. Corporate for-profit ownership, 125 beds, last inspected in February 2024. The quality measures score better than the inspections do. Worth asking directly how they staff weekends and how long their current Director of Nursing has been in the role.
The Village At Cook Springs runs 168 certified beds as a nonprofit corporation, and its last health inspection was in May 2022, more than three years ago. That inspection left 12 deficiencies on the record, including three at the harm or jeopardy level and two tied to abuse. Staffing sits at 3.71 nurse hours per resident day, slightly under the national average, and weekends run about 14% thinner than weekdays. Annual turnover is 57.7% against a national 45.8%, so nearly three in five caregivers left within the year. A 1-out-of-5 inspection rating and 2-out-of-5 quality measures tell you where the trouble concentrates.
Diversicare Of Bessemer runs 180 certified beds under corporate for-profit ownership, and its inspection record is the first thing to notice: 25 deficiencies on file, two of them serious enough to reach harm or jeopardy level, with the last full inspection dating back to December 2022. Nurse staffing sits at 3.33 hours per resident per day, roughly 14% under the national average, and it thins out further on weekends, dropping about 13% below the home's own weekday coverage. Staff turnover of 56.8% runs well above the 45.8% national figure, which matters for families because unfamiliar caregivers mean less continuity. No abuse citations appear on the current record.
Decatur Health & Rehab Center runs 119 certified beds under corporate for-profit ownership, and its nurse staffing sits just above the national average at 3.97 hours per resident day. That margin is thin, and weekends drop roughly 15% below the home's own weekday coverage, so the hours your relative actually gets may depend on which day of the week it is. Annual turnover of 61.8% is well above the 45.8% national figure, meaning caregivers cycle through quickly. The inspection record is the bigger concern: 16 deficiencies, four at harm or jeopardy level and one abuse-related, with $25,367 in fines across four events. The most recent inspection was February 2025.
Windsor House runs on thin staffing: 2.84 nurse hours per resident day, about a quarter below the national average, and weekends drop roughly another 14% under its own weekday levels. More than half the nursing staff turns over each year, 56.8% against a national 45.8%, which makes it hard to keep consistent caregivers on the floor. The inspection record is the harder problem: 24 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and a single $266,231 fine. That last inspection was in May 2021, so the record families are reading is several years old. Quality measures rate mid-range, but staffing and inspections are where the concerns concentrate.
Brown Nursing Home runs 68 certified beds in Alexander City under corporate ownership, and its staffing sits slightly under the national average at 3.75 hours per resident day. The bigger issue is who's still there: annual turnover hits 60.7%, well above the 45.8% norm, and weekends drop roughly 17% below weekday coverage. Inspections look solid otherwise, a 4-star health inspection rating, seven deficiencies on record with none tied to harm, jeopardy, or abuse. But that inspection happened in February 2020, so it's badly dated. Quality measures come in at 2 stars, which suggests the clinical numbers families actually track aren't keeping pace. Plenty of homes look good on paper until you ask when someone last checked.
Mobile Nursing and Rehabilitation Center runs 120 certified beds under for-profit limited liability ownership, and the staffing numbers are the first thing worth noticing. At 3.12 nurse hours per resident day, it sits about 19% below the national average of 3.86, and weekends dip roughly 20% below its own weekday level, when your family member needs help on a Saturday, there's less of it. Annual turnover of 62.8% against a 45.8% national average means aides and nurses cycle through constantly, so the people learning your parent's routines may not be there long. The inspection record shows 12 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,788 and a June 2025 inspection.
St. Martin's In The Pines has a staffing edge on paper, 4.00 nurse hours per resident day, slightly above the national average, but that edge doesn't hold up on weekends, when coverage drops about 8% below its own weekday level. More striking is the turnover: 58.2% of staff leave each year against a national average of 45.8%, meaning the people providing that care keep changing. The inspection record is where this home has real trouble: 13 deficiencies, one serious enough to reach harm or jeopardy level, and nothing inspected since October 2019. A church-affiliated nonprofit with 128 beds and a single-star health inspection record carries risk a family should weigh carefully.
Cottage Of The Shoals runs 3.29 nurse hours per resident day, about 15 percent under the national average, and weekends drop another 16 percent below its own weekday staffing. That gap is worth asking about directly, since it's the stretch when families often can't visit. Staff turnover sits at 58.8 percent against a 45.8 percent national figure, so the people caring for your relative are cycling through faster than average, though the current record shows just 5 deficiencies with none at the harm or jeopardy level. One is abuse-related, which deserves a specific question. The last inspection was August 2021, so the record you're looking at is nearly four years old.
Birmingham Nursing and Rehabilitation Center East runs on 2.87 nurse hours per resident day, roughly a quarter below the national figure of 3.86, and weekend coverage drops another 20% from its own weekday level. Staff turnover sits at 55.7%, nearly ten points above the national average, so the people around your family member keep changing. The inspection record is the harder part: 14 deficiencies, five serious enough to involve harm or jeopardy, two tied to abuse, and five fines totaling $24,834. Its quality measure score looks strong on paper, but that reflects charted care, not the staffing and safety problems inspectors actually found in May 2024.
Cherry Hill Rehabilitation & Healthcare Center runs 117 certified beds in Birmingham under corporate ownership, and its nurse staffing sits at 3.23 hours per resident per day, roughly 16 percent under the national average. Weekends get thinner still, running about 16 percent below the home's own weekday coverage, and annual turnover of 56.3 percent tops the national figure of 45.8. The inspection record shows nine deficiencies, none at the harm or jeopardy level and none abuse-related, with the last full inspection in December 2022. Quality measures earn three stars, but inspections and staffing each land at two. That mix of adequate clinical scores against weaker staffing and a dated inspection tells you where to focus your questions.
Arlington Rehabilitation runs 117 beds in Birmingham under corporate ownership, and its staffing numbers are the first thing to notice. At 3.35 nurse hours per resident day, it sits about 13% under the national average, and weekends dip roughly 12% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover comes in at 40.4%, a bit better than the 45.8% national figure, which helps. The inspection record is genuinely strong: 4 of 5 stars, 11 deficiencies with none at harm level and none abuse-related. But that last inspection was April 2021, and quality measures score 2 of 5. Ask when the next survey is due.
Cordova Health and Rehabilitation runs 114 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average of 3.86. That looks good until you notice weekends drop roughly 25% below the home's own weekday coverage, and annual turnover hits 57.4% against a national 45.8%.
The inspection record is where the real trouble shows. Thirteen deficiencies are on file, including two at the harm or jeopardy level and three tied to abuse. CMS has fined the home once, for $76,242, and the most recent inspection was November 20, 2024. Strong quality and staffing stars don't offset that inspection history, ask direct questions about those abuse deficiencies before you visit.
Nhc Healthcare, Anniston runs 151 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.47 hours per resident day, about 10% under the national average of 3.86. Weekends dip roughly another 10% below its own weekday levels, so coverage gets thinnest exactly when families tend to visit. The current inspection record shows 10 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with one fine of $11,057 and a survey completed in October 2024. Staff turnover is 46%, essentially matching the national rate of 45.8%. Note the split in the federal stars: quality measures earn 4 out of 5, staffing earns 4, but health inspections earn only 2, the direct-care record is where the problems concentrate.
Crowne Health Care of Eufaula runs 180 certified beds under corporate ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekend coverage dropping about 19% below what it manages on weekdays. Turnover is the brighter spot at 34.4%, well under the national 45.8%. The inspection record is where the concerns pile up: 15 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $42,884 fine. That last inspection was November 2022, so the picture is dated. Families weighing this one should ask what's changed since.
Birmingham Nursing and Rehabilitation Center runs 132 certified beds under for-profit LLC ownership, and the numbers show a building stretched thin on the floor. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average, and weekends drop about 24% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 63.2%, well above the 45.8% national figure, so the people caring for your relative are likely to change often. Its inspection record is the harder read: 20 deficiencies, four at harm or jeopardy level, five tied to abuse, plus $74,848 in fines and a June 2024 inspection. Strong quality-measure scores don't offset that.
Lighthouse runs a solid staffing operation on paper, 4.29 nurse hours per resident day, about eleven percent above the national average, and turnover at 29.7% is well below the 45.8% national figure, suggesting people actually stay. That's the strong part. The concern is oversight: fourteen deficiencies on record, including two at the harm or jeopardy level and two tied to abuse, against a health inspection rating of 2 out of 5. The last inspection was January 2020, so the record is years old and may not reflect current conditions either way. Weekend staffing drops roughly 20% below weekday levels, which matters for a 68-bed for-profit home. Good staffing numbers don't cancel out a thin inspection history.
The Health Center at Research Park runs about 3.46 nurse hours per resident day, roughly 10% under the national average, and weekend coverage falls nearly a fifth below its own weekday level, so the gap between a Tuesday and a Sunday is real. Staff turnover sits at 54.7% against a national 45.8%, which means more than half the nursing staff leaves each year. Its current record carries 20 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus one fine of $69,011; the last inspection was June 2024. Ownership is a for-profit corporation.
Diversicare Of Pell City runs 94 beds under corporate ownership, and the staffing numbers are the first thing worth knowing. At 2.87 nurse hours per resident day, it sits about 26% under the national average of 3.86, and weekends drop roughly 23% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 69% against a national 45.8%, meaning the aide who knows your mother may not be there next month. Nine deficiencies sit on the record with none at harm or jeopardy level and none abuse-related, which matters. But that record hasn't been refreshed since March 2022, so you're looking at a snapshot that's years old.
Bellway runs lean on the floor: 2.87 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than most homes. Weekends dip even further below its own weekday levels, and nearly half the staff turns over each year, so the people caring for your relative may often be new. Twelve deficiencies sit on the current record, including one at the harm level and three tied to abuse, with a $203,450 fine. The last inspection was July 2024. Ownership is a for-profit corporation, and the staffing and health inspection ratings both land at 2 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?