Nursing homes in Alabama
Alabama has 224 certified nursing homes in 67 counties. Select a county or a city to see its homes in one table.
Follow changes:Open the watch listFeed (RSS)All homes in Alabama (CSV)
Counties
| County | Homes | Certified beds | Median overall rating | Citations for each 100 beds | Fines |
|---|---|---|---|---|---|
| Autauga | 1 | 162 | 1 | 12.3 | $0 |
| Baldwin | 7 | 772 | 3 | 9.5 | $0 |
| Barbour | 1 | 180 | 2 | 7.8 | $42,884 |
| Bibb | 1 | 131 | 1 | 6.9 | $0 |
| Blount | 2 | 223 | 4 | 8.1 | $0 |
| Bullock | 1 | 123 | 5 | 5.7 | $0 |
| Butler | 2 | 209 | 5 | 4.8 | $0 |
| Calhoun | 5 | 667 | 3 | 7.0 | $122,957 |
| Chambers | 4 | 320 | 4 | 12.2 | $4,558 |
| Cherokee | 1 | 185 | 2 | 6.5 | $0 |
| Chilton | 1 | 201 | 4 | 3.5 | $0 |
| Choctaw | 1 | 120 | 5 | 4.2 | $0 |
| Clarke | 2 | 171 | 5 | 8.2 | $0 |
| Clay | 2 | 184 | 5 | 7.1 | $0 |
| Cleburne | 1 | 82 | 5 | 2.4 | $0 |
| Coffee | 2 | 368 | 1 | 6.3 | $85,230 |
| Colbert | 3 | 302 | 5 | 4.0 | $0 |
| Conecuh | 1 | 61 | 5 | 9.8 | $0 |
| Coosa | 1 | 72 | 5 | 6.9 | $0 |
| Covington | 3 | 436 | 3 | 4.6 | $0 |
| Crenshaw | 1 | 151 | 4 | 5.3 | $0 |
| Cullman | 4 | 554 | 4 | 5.2 | $26,982 |
| Dale | 2 | 287 | 3 | 4.5 | $0 |
| Dallas | 3 | 343 | 2 | 10.8 | $203,450 |
| DeKalb | 3 | 466 | 4 | 5.2 | $0 |
| Elmore | 4 | 421 | 2 | 10.7 | $182,968 |
| Escambia | 2 | 225 | 5 | 3.1 | $0 |
| Etowah | 6 | 848 | 3 | 9.3 | $221,520 |
| Fayette | 1 | 122 | 5 | 8.2 | $0 |
| Franklin | 4 | 260 | 2 | 10.8 | $0 |
| Geneva | 2 | 182 | 4 | 8.2 | $0 |
| Greene | 1 | 72 | 1 | 18.1 | $13,635 |
| Hale | 2 | 165 | 5 | 11.5 | $0 |
| Henry | 1 | 142 | 4 | 7.7 | $0 |
| Houston | 3 | 501 | 2 | 6.2 | $45,544 |
| Jackson | 3 | 291 | 4 | 10.0 | $238,745 |
| Jefferson | 34 | 3,963 | 2 | 11.8 | $621,305 |
| Lamar | 1 | 158 | 2 | 4.4 | $0 |
| Lauderdale | 5 | 612 | 3 | 7.0 | $0 |
| Lawrence | 1 | 136 | 5 | 6.6 | $0 |
| Lee | 2 | 312 | 3 | 5.8 | $0 |
| Limestone | 2 | 319 | 5 | 6.3 | $0 |
| Lowndes | 1 | 72 | 4 | 5.6 | $0 |
| Macon | 1 | 111 | 1 | 25.2 | $0 |
| Madison | 12 | 1,267 | 3 | 11.8 | $352,043 |
| Marengo | 2 | 153 | 5 | 4.6 | $0 |
| Marion | 3 | 273 | 4 | 9.2 | $0 |
| Marshall | 5 | 550 | 3 | 6.5 | $0 |
| Mobile | 17 | 1,975 | 3 | 9.8 | $349,764 |
| Monroe | 2 | 171 | 5 | 11.7 | $0 |
| Montgomery | 8 | 1,081 | 2 | 9.1 | $0 |
| Morgan | 4 | 634 | 1 | 11.8 | $197,550 |
| Perry | 2 | 162 | 5 | 7.4 | $5,244 |
| Pickens | 2 | 185 | 5 | 5.4 | $0 |
| Pike | 1 | 220 | 1 | 4.5 | $0 |
| Randolph | 2 | 188 | 4 | 11.2 | $0 |
| Russell | 3 | 297 | 3 | 11.1 | $0 |
| Shelby | 3 | 392 | 3 | 6.1 | $24,819 |
| St. Clair | 4 | 374 | 3 | 9.1 | $0 |
| Sumter | 1 | 125 | 3 | 6.4 | $0 |
| Talladega | 3 | 468 | 4 | 4.9 | $0 |
| Tallapoosa | 4 | 488 | 5 | 6.6 | $0 |
| Tuscaloosa | 6 | 903 | 3 | 5.9 | $0 |
| Walker | 5 | 526 | 1 | 11.0 | $320,157 |
| Washington | 1 | 88 | 5 | 1.1 | $0 |
| Wilcox | 1 | 95 | 5 | 1.1 | $0 |
| Winston | 2 | 207 | 5 | 3.9 | $0 |
Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.
Cities
Cities with two or more certified nursing homes. The number is the count of homes.
- Alabaster 2
- Alexander City 3
- Anniston 2
- Athens 2
- Bessemer 4
- Birmingham 20
- Cullman 3
- Decatur 2
- Dothan 3
- Fairhope 2
- Falkville 2
- Florence 4
- Gadsden 3
- Guntersville 2
- Hueytown 2
- Huntsville 9
- Jasper 3
- Lafayette 2
- Madison 2
- Marion 2
- Mobile 14
- Monroeville 2
- Montgomery 8
- Northport 5
- Oneonta 2
- Ozark 2
- Pell City 3
- Phenix City 3
- Pleasant Grove 2
- Roanoke 2
- Russellville 3
- Scottsboro 2
- Selma 3
- Sylacauga 2
- Tuscumbia 2
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .
Alabama in figures
The nursing homes in Alabama have 26,504 certified beds. They have about 21,964 residents on an average day. 39% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 44 homes have an overall rating of 5 stars.
The homes have 8.6 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 82 fines with a total of $3,059,355 for these homes in its penalties file. CMS also lists 15 payment denials. 12 homes have the CMS abuse icon.
| Overall rating | Homes | Share | US share |
|---|---|---|---|
| 5 of 5 | 44 | 20% | 20% |
| 4 of 5 | 42 | 19% | 19% |
| 3 of 5 | 50 | 22% | 19% |
| 2 of 5 | 45 | 20% | 20% |
| 1 of 5 | 42 | 19% | 21% |
Chains in the state
| Chain | Homes in Alabama |
|---|---|
| Acts Retirement-Life Communities | 2 |
| Advanced Health Care Management | 1 |
| Arabella Healthcare Management | 11 |
| Ball Healthcare Services | 9 |
| Brookdale Senior Living | 1 |
| Cavalier Healthcare | 1 |
| Crowne Health Care | 18 |
| Diversicare Healthcare | 19 |
| Genesis Healthcare | 7 |
| Greenbrier Senior Living | 1 |
| Healthpeak Properties, Inc. | 1 |
| Huntsville Hospital Health System | 2 |
| National Healthcare Corporation | 2 |
| NHS Management | 33 |
| Noland Health | 10 |
| North Mississippi Health Services | 1 |
| Preston Health Services | 5 |
| Prime Health Care Enterprises | 5 |
| Rehab Select | 5 |
| The Ensign Group | 2 |
| Traylor Porter Healthcare | 5 |
| Trinity Management, Inc. | 5 |
| Tutera Senior Living & Health Care | 1 |
| Venza Care Management | 13 |
| Wellington Health Care Services | 1 |
Fines by year
The CMS penalties file holds about three years. The first year and the last year are not complete.
| Year | Penalties | Fines |
|---|---|---|
| 2023 | 30 | $404,418 |
| 2024 | 46 | $1,462,320 |
| 2025 | 18 | $995,487 |
| 2026 | 3 | $197,130 |
Record by month
One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.
| Month | Surveys with citations | Citations | Penalties | Fines | Recorded changes |
|---|---|---|---|---|---|
| August 2026 | 0 | 0 | 0 | $0 | 0 |
| July 2026 | 0 | 0 | 0 | $0 | 0 |
| June 2026 | 1 | 22 | 0 | $0 | 0 |
| May 2026 | 1 | 16 | 0 | $0 | 0 |
| April 2026 | 3 | 25 | 1 | $111,900 | 0 |
| March 2026 | 1 | 3 | 0 | $0 | 0 |
| February 2026 | 2 | 9 | 0 | $0 | 0 |
| January 2026 | 1 | 5 | 2 | $85,230 | 0 |
| December 2025 | 4 | 24 | 0 | $0 | 0 |
| November 2025 | 1 | 1 | 0 | $0 | 0 |
| October 2025 | 1 | 5 | 2 | $68,647 | 0 |
| September 2025 | 4 | 37 | 2 | $73,817 | 0 |
| August 2025 | 1 | 5 | 1 | $8,788 | 0 |
| July 2025 | 3 | 20 | 2 | $221,520 | 0 |
| June 2025 | 3 | 26 | 1 | $8,788 | 0 |
| May 2025 | 2 | 12 | 4 | $17,346 | 0 |
| April 2025 | 1 | 12 | 1 | $0 | 0 |
| March 2025 | 3 | 35 | 2 | $579,235 | 0 |
| February 2025 | 3 | 22 | 3 | $17,346 | 0 |
| January 2025 | 1 | 2 | 0 | $0 | 0 |
| December 2024 | 1 | 2 | 0 | $0 | 0 |
| November 2024 | 2 | 20 | 3 | $311,369 | 0 |
| October 2024 | 5 | 20 | 1 | $11,057 | 0 |
| September 2024 | 4 | 13 | 4 | $225,852 | 0 |
The site has no recorded change for Alabama. It records changes at each CMS update.
Questions
- How many nursing homes in Alabama are Special Focus Facilities?
- CMS lists 1 home in Alabama as a Special Focus Facility and 5 as candidates. The table of homes on each county page and city page marks these homes.
- Which F-tags have the most citations in Alabama?
- F-tag 880 has 274 citations in the last three survey cycles. F-tag 812 has 270. F-tag 656 has 87.
- What changed in Alabama in the last CMS update?
- The site has no recorded change for Alabama. At each CMS update, the site compares the tracked values of each home.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in Alabama.