Nursing homes across Madison County, Alabama, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Willowbrooke runs on a non-profit model with nurse staffing at 4.05 hours per resident day, roughly 5% above the national average, and its staff turnover sits at 14.3% against a national 45.8%. That retention number matters more than it might look, consistent caregivers know the residents. Weekend coverage dips about 8% below its own weekday level, which is common but worth asking about if your family visits mainly on Saturdays. Four deficiencies on record, none involving harm or abuse, though the last inspection was May 2022, so the picture is a few years old. Quality and staffing both rate 5 out of 5 from CMS; health inspection sits at 3.
Fairview At Redstone Village runs about 4.43 nurse hours per resident per day, roughly 15% above the national average of 3.86, and its staff turnover of 35.5% sits well under the national 45.8%. That combination, more hands on deck and fewer people leaving, is the main reason this home holds up. Weekend staffing drops about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record shows three deficiencies, none involving harm, jeopardy, or abuse, though the last inspection was February 2022, which is a long gap. For-profit, individually owned, 56 beds.
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.
Rocket City Rehabilitation runs 159 beds under for-profit LLC ownership, and its nurse staffing sits at 3.84 hours per resident day, basically level with the national average. But look closer at how that time is distributed: weekend coverage drops about 14% below the home's own weekday levels, and annual turnover hits 63.8% against a national 45.8%. The inspection record is where the real concern sits, a 1-out-of-5 health inspection rating, 20 deficiencies on file, three serious enough to involve harm or jeopardy, and one tied to abuse. That last inspection was February 2023, so the picture is nearly two years old.
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.
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.
Regency Health Care and Rehabilitation Center has 90 certified beds and is run by a for-profit corporation. The nursing hours look decent on paper, 4.30 per resident day, about 11% above the national average, but weekends run roughly 21% leaner than weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 62.7% against a national average of 45.8%, which means a lot of the people caring for your relative are new. The bigger concern is the inspection record: 18 deficiencies, three of them serious enough to put residents in harm's way, two fines totaling $16,801, and a one-star health inspection rating from CMS. Its last full inspection was August 21, 2024.
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.
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.
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.
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.
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.