Alabama

CMS Data 2022-2026 | Updated March 2026

Nursing Homes in Alabama

224 CMS-certified facilities
130 cities covered
Avg score: 71.07/100
#27 of 51 states
71.07
Avg Score /100
3.0★
Avg CMS Stars
3.91
Nurse Hrs/Day
17.0%
5-Star Facilities
#27
State Rank
224
Total Facilities

#27
of 51 states
Overall Quality Rank
71.07
vs 71.17 national
Avg Composite Score
3.0★
vs 3.0★ national
Avg CMS Rating
3.91
hrs/day vs 3.85 national
Nurse Hours/Day
224
across 130 cities
Total Facilities

About Nursing Homes in Alabama

Alabama has 224 CMS-certified nursing homes spread across 130 cities and towns. This page provides a comprehensive, data-driven overview of nursing home quality across the state, based on official CMS data covering 2022 through 2026.

Alabama ranks #27 out of 51 states for average composite nursing home quality, placing it in the below average tier nationally. The average composite quality score is 71.07/100, compared to the national average of 71.17/100. The average CMS star rating is 3.0 out of 5 stars versus 3.0 stars nationally.

On staffing, Alabama nursing homes provide an average of 3 hours 55 minutes of nurse staffing per resident per day — above the national average of 3 hours 51 minutes. Only 17.0% of Alabama facilities hold the top 5-star CMS rating, compared to 20.2% nationally.

The top-ranked facility in Alabama is Marengo Nursing Home in Linden, with a composite quality score of 91.32/100. The city with the most nursing homes is Birmingham with 20 facilities, followed by Mobile (14) and Huntsville (9). Use the city directory below to find and compare nursing homes near you.

🏆
Best Nursing Home in Alabama
Linden, AL

91.32
Composite Score /100
#423 nationally

Top 10 Nursing Homes in Alabama

# Facility Stars Score National Rank
#1 Marengo Nursing Home

Linden, AL
 ★★★★★ 91.32/100 #423 nationally
#2 Willowbrooke Ct Skilled Care Ctr Westminster Vlg

Spanish Fort, AL
 ★★★★★ 90.19/100 #539 nationally
#3 Park Place

Selma, AL
 ★★☆☆☆ 89.15/100 #680 nationally
#4 Parkwood Health Care Facility

Phenix City, AL
 ★★★★★ 89.08/100 #691 nationally
#5 Marion Regional Nursing Home

Hamilton, AL
 ★★★★☆ 89.05/100 #699 nationally
#6 Willowbrooke Ct Skilled Care Ctr At Magnolia Trace

Huntsville, AL
 ★★★★★ 88.95/100 #712 nationally
#7 Crowne Health Care Of Citronelle

Citronelle, AL
 ★★★★★ 88.17/100 #825 nationally
#8 Washington County Nursing Home

Chatom, AL
 ★★★★★ 88.15/100 #831 nationally
#9 Barfield Health Care

Guntersville, AL
 ★★★★★ 87.67/100 #938 nationally
#10 Traylor Retirement Community

Roanoke, AL
 ★★★★☆ 86.66/100 #1,197 nationally

How Alabama Ranks Against All States

Metric Alabama National Avg State Rank vs National
Overall Quality Score 71.07/100 71.17/100 #27 of 51 states -0.10 vs national
Avg CMS Star Rating 3.01★ 2.98★ #26 of 51 states +0.03 vs national
Health Inspection Rating 2.82★ 2.82★ #25 of 51 states Equal to national avg
% of 5-Star Facilities 17.00% 20.20% #40 of 51 states -3.20 vs national
Nurse Hours/Day (2026) 3 hours 55 minutes 3 hours 51 minutes #24 of 51 states +0.06 vs national
Staff Turnover Rate 48.47% 48.34% #23 of 51 states +0.13 vs national

Star Rating Distribution — Alabama vs National

1★17.0% in AL  |  20.2% national
2★20.2% in AL  |  21.0% national
3★24.7% in AL  |  19.4% national
4★21.1% in AL  |  19.2% national
5★17.0% in AL  |  20.2% national

Avg Overall Rating 2022-2026 — Alabama vs National

5-Year Trends in Alabama

Avg Overall Rating

Avg Health Inspection Rating

Avg Total Nurse Hours/Day (vs National)

Avg RN Hours/Day

Avg Staff Turnover %

Avg Occupancy %

How Alabama Compares to Neighboring States

State Composite Score Avg Stars 5-Star % Nurse Hours/Day Staff Turnover
Alabama (this state) 71.07/100 #27 of 51 states 3.0★ 17.0% 3 hours 55 minutes 48.5%
Georgia 66.65/100 #46 of 51 states 2.6★ 14.1% 3 hours 34 minutes 49.8%
Florida 75.90/100 #9 of 51 states 3.2★ 24.2% 3 hours 52 minutes 44.8%
Mississippi 66.01/100 #48 of 51 states 2.6★ 14.0% 4 hours 13 minutes 46.9%
Tennessee 72.11/100 #22 of 51 states 3.0★ 17.1% 3 hours 51 minutes 50.0%

Browse All 130 Cities in Alabama

Click any city to see all nursing homes in that area, ranked by composite quality score.

Birmingham20 facilitiesMobile14 facilitiesHuntsville9 facilitiesMontgomery8 facilitiesNorthport5 facilitiesBessemer4 facilitiesFlorence4 facilitiesPhenix City3 facilitiesPell City3 facilitiesAlexander City3 facilitiesDothan3 facilitiesGadsden3 facilitiesRussellville3 facilitiesJasper3 facilitiesCullman3 facilitiesSelma3 facilitiesTuscumbia2 facilitiesAlabaster2 facilitiesLafayette2 facilitiesHueytown2 facilitiesMadison2 facilitiesOneonta2 facilitiesScottsboro2 facilitiesMarion2 facilitiesMonroeville2 facilitiesAthens2 facilitiesDecatur2 facilitiesFairhope2 facilitiesGuntersville2 facilitiesFalkville2 facilitiesAnniston2 facilitiesRoanoke2 facilitiesPleasant Grove2 facilitiesOzark2 facilitiesSylacauga2 facilitiesAbbeville1 facilityColumbiana1 facilityCordova1 facilityCrossville1 facilityClanton1 facilityChatom1 facilityDeatsville1 facilityEight Mile1 facilityDouble Springs1 facilityElba1 facilityCollinsville1 facilityCitronelle1 facilityAshland1 facilityAliceville1 facilityAltoona1 facilityAuburn1 facilityBoaz1 facilityBridgeport1 facilityBrewton1 facilityCamden1 facilityCarbon Hill1 facilityCentre1 facilityButler1 facilityCentreville1 facilityArab1 facilityAndalusia1 facilityAshville1 facilityAttalla1 facilityAtmore1 facilityBay Minette1 facilityAlbertville1 facilityGuin1 facilityGreenville1 facilityGreensboro1 facilityGrand Bay1 facilityGlencoe1 facilityGoodwater1 facilityGeorgiana1 facilityGeneva1 facilityFayette1 facilityGardendale1 facilityFort Payne1 facilityFoley1 facilityFlorala1 facilityEnterprise1 facilityEvergreen1 facilityEutaw1 facilityDadeville1 facilityDaphne1 facilityDemopolis1 facilityEufaula1 facilityElmore1 facilityHayneville1 facilityIrondale1 facilityJacksonville1 facilityLanett1 facilityKillen1 facilityJackson1 facilityHoover1 facilityHartford1 facilityHaleyville1 facilityHanceville1 facilityHamilton1 facilityOpp1 facilityOpelika1 facilityMoundville1 facilityMuscle Shoals1 facilityMoulton1 facilityLineville1 facilityLinden1 facilityMc Calla1 facilityLuverne1 facilityHeflin1 facilityPrattville1 facilityPiedmont1 facilityRobertsdale1 facilityReform1 facilityOxford1 facilityOwens Cross Roads1 facilitySpanish Fort1 facilityRed Bay1 facilityTallassee1 facilityTalladega1 facilityThomasville1 facilityTroy1 facilityTrussville1 facilityTuscaloosa1 facilityTuskegee1 facilityUnion Springs1 facilityValley1 facilityVernon1 facilityVestavia1 facilityWetumpka1 facilityWinfield1 facilityYork1 facility

Frequently Asked Questions

There are 224 CMS-certified nursing homes in Alabama as of March 2026, spread across 130 cities and towns. Birmingham has the highest concentration with 20 facilities, followed by Mobile (14) and Huntsville (9).

Based on our composite quality score, the top-ranked nursing home in Alabama is Marengo Nursing Home in Linden, scoring 91.32/100 and ranking #423 nationally.

Alabama ranks #27 out of 51 states for average composite quality score (71.07/100). The national average is 71.17/100. For CMS star ratings, Alabama averages 3.0 stars versus 3.0 stars nationally.

On average, residents in Alabama nursing homes receive 3 hours 55 minutes of total nurse staffing per resident per day, compared to the national average of 3 hours 51 minutes. This includes Registered Nurses (RN), Licensed Practical Nurses (LPN), and nurse aides.

17.0% of nursing homes in Alabama hold the top 5-star overall CMS rating, compared to 20.2% nationally.

Yes — all 224 facilities listed on NursingHomesNearMe.org for Alabama are CMS-certified. Most accept both Medicare and Medicaid. Contact each facility directly to confirm current availability.

Data Disclaimer: All data on this page is sourced exclusively from the CMS Nursing Home Compare dataset (2022-2026). Rankings and composite scores are calculated by NursingHomesNearMe.org.
Learn how rankings are calculated.
Always verify at medicare.gov/care-compare before making care decisions.
224 nursing homes in Alabama | CMS Data March 2026 |
Ranking Methodology |
NursingHomesNearMe.org