Nursing Homes in Alabama: Staffing, Turnover, and Penalties
Alabama has 224 Medicare- or Medicaid-certified nursing homes in 130 cities. On CMS's August 2026 figures, nurse aides there log 2.44 hours per resident per day, 5% above the US average of 2.32, and 46.9% of nursing staff leave in a year (US 45.8%).
Alabama averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Birmingham (20), Mobile (14), Huntsville (9). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Abbeville (1)
- Alabaster (2)
- Albertville (1)
- Alexander City (3)
- Aliceville (1)
- Altoona (1)
- Andalusia (1)
- Anniston (2)
- Arab (1)
- Ashland (1)
- Ashville (1)
- Athens (2)
- Atmore (1)
- Attalla (1)
- Auburn (1)
- Bay Minette (1)
- Bessemer (4)
- Birmingham (20)
- Boaz (1)
- Brewton (1)
- Bridgeport (1)
- Butler (1)
- Camden (1)
- Carbon Hill (1)
- Centre (1)
- Centreville (1)
- Chatom (1)
- Citronelle (1)
- Clanton (1)
- Collinsville (1)
- Columbiana (1)
- Cordova (1)
- Crossville (1)
- Cullman (3)
- Dadeville (1)
- Daphne (1)
- Deatsville (1)
- Decatur (2)
- Demopolis (1)
- Dothan (3)
- Double Springs (1)
- Eight Mile (1)
- Elba (1)
- Elmore (1)
- Enterprise (1)
- Eufaula (1)
- Eutaw (1)
- Evergreen (1)
- Fairhope (2)
- Falkville (2)
- Fayette (1)
- Florala (1)
- Florence (4)
- Foley (1)
- Fort Payne (1)
- Gadsden (3)
- Gardendale (1)
- Geneva (1)
- Georgiana (1)
- Glencoe (1)
- Goodwater (1)
- Grand Bay (1)
- Greensboro (1)
- Greenville (1)
- Guin (1)
- Guntersville (2)
- Haleyville (1)
- Hamilton (1)
- Hanceville (1)
- Hartford (1)
- Hayneville (1)
- Heflin (1)
- Hoover (1)
- Hueytown (2)
- Huntsville (9)
- Irondale (1)
- Jackson (1)
- Jacksonville (1)
- Jasper (3)
- Killen (1)
- Lafayette (2)
- Lanett (1)
- Linden (1)
- Lineville (1)
- Luverne (1)
- Madison (2)
- Marion (2)
- MC Calla (1)
- Mobile (14)
- Monroeville (2)
- Montgomery (8)
- Moulton (1)
- Moundville (1)
- Muscle Shoals (1)
- Northport (5)
- Oneonta (2)
- Opelika (1)
- Opp (1)
- Owens Cross Roads (1)
- Oxford (1)
- Ozark (2)
- Pell City (3)
- Phenix City (3)
- Piedmont (1)
- Pleasant Grove (2)
- Prattville (1)
- Red Bay (1)
- Reform (1)
- Roanoke (2)
- Robertsdale (1)
- Russellville (3)
- Scottsboro (2)
- Selma (3)
- Spanish Fort (1)
- Sylacauga (2)
- Talladega (1)
- Tallassee (1)
- Thomasville (1)
- Troy (1)
- Trussville (1)
- Tuscaloosa (1)
- Tuscumbia (2)
- Tuskegee (1)
- Union Springs (1)
- Valley (1)
- Vernon (1)
- Vestavia (1)
- Wetumpka (1)
- Winfield (1)
- York (1)
Largest nursing home chains in Alabama
CMS links 149 of Alabama's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in AL | Homes nationwide |
|---|---|---|
| NHS Management | 33 | 43 |
| Diversicare Healthcare | 19 | 44 |
| Crowne Health Care | 18 | 18 |
| Venza Care Management | 13 | 25 |
| Arabella Healthcare Management | 11 | 12 |
| Noland Health | 10 | 10 |
| Ball Healthcare Services | 9 | 9 |
| Genesis Healthcare | 7 | 184 |
| Preston Health Services | 5 | 5 |
| Prime Health Care Enterprises | 5 | 5 |
| Rehab Select | 5 | 5 |
| Traylor Porter Healthcare | 5 | 5 |
| Trinity Management, Inc. | 5 | 5 |
| Acts Retirement-Life Communities | 2 | 27 |
| Huntsville Hospital Health System | 2 | 3 |
Chain as recorded in the CMS Provider Information file, August 2026 release