CMS Data · 2026
Alabama Nursing Home Staffing Ratios
State average: 3.25 total HPRD · 0.52 RN · 0.98 LPN · 1.75 CNA
Alabama vs. National Average
Bar = Alabama average. Marker line = U.S. national average. Source: CMS PBJ 2024.
Browse by City in Alabama
Alabama Nursing Home Staffing — Top 50 Facilities
Sorted by CMS overall star rating. Click any facility for detailed staffing data.
COOSA VALLEY HEALTHCARE CENTER
SYLACAUGA, AL · For profit
5★
4★
4.28
0.82
HIGHLANDS HEALTH AND REHAB
SCOTTSBORO, AL · Government
5★
4★
4.80
1.13
ATHENS HEALTH AND REHABILITATION LLC
ATHENS, AL · For profit
5★
4★
3.86
0.70
KELLER LANDING
TUSCUMBIA, AL · For profit
5★
4★
3.27
1.08
WEST GATE VILLAGE
BREWTON, AL · For profit
5★
5★
4.79
0.56
EAMC LANIER NURSING HOME
VALLEY, AL · Non profit
5★
5★
3.79
0.85
CLEBURNE COUNTY NURSING HOME
HEFLIN, AL · Government
5★
4★
4.32
0.69
TERRACE MANOR NURSING & REHABILITATION CENTER, INC
RUSSELLVILLE, AL · For profit
5★
5★
4.01
0.73
EVERGREEN NURSING HOME
EVERGREEN, AL · For profit
5★
4★
4.44
0.49
SOUTHLAND NURSING HOME
MARION, AL · For profit
5★
3★
3.91
0.52
⚠ 1 CMS fine on record
HATLEY HEALTH CARE INC
CLANTON, AL · For profit
4★
3★
3.80
0.66
EASTERN SHORE REHABILITATION AND HEALTH CENTER
DAPHNE, AL · Non profit
4★
5★
4.06
0.72
COTTAGE OF THE SHOALS
TUSCUMBIA, AL · For profit
4★
2★
3.29
0.79
DIVERSICARE OF BIG SPRINGS
HUNTSVILLE, AL · For profit
4★
4★
3.12
0.56
PLANTATION MANOR NURSING HOME
MC CALLA, AL · For profit
3★
4★
3.49
0.44
LIMESTONE NURSING AND REHABILITATION CENTER, LLC
ATHENS, AL · For profit
3★
2★
3.36
0.40
MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION
FLORENCE, AL · For profit
3★
4★
3.38
0.69
HUNTER CREEK HEALTH AND REHABILITATION, LLC
NORTHPORT, AL · For profit
3★
4★
3.93
0.71
SUMTER HEALTH AND REHABILITATION, L L C
YORK, AL · For profit
3★
4★
3.36
0.49
NORTHWAY HEALTH AND REHABILITATION, LLC
BIRMINGHAM, AL · For profit
3★
3★
3.57
0.35
FAIR HAVEN
BIRMINGHAM, AL · Non profit
3★
2★
4.38
0.24
⚠ 10 CMS fines on record
PARK PLACE
SELMA, AL · For profit
3★
3★
3.39
0.39
ALLEN HEALTH AND REHABILITATION
MOBILE, AL · Non profit
3★
4★
3.62
0.73
CROWNE HEALTH CARE OF MOBILE
MOBILE, AL · For profit
3★
5★
4.95
0.68
ALTOONA HEALTH & REHAB
ALTOONA, AL · For profit
3★
5★
3.90
0.69
ASHLAND PLACE HEALTH AND REHABILITATION, LLC
MOBILE, AL · For profit
3★
4★
3.81
0.66
MAGNOLIA HAVEN HEALTH AND REHABILITATION CENTER
TUSKEGEE, AL · For profit
3★
3★
2.86
0.59
BURNS NURSING HOME, INC.
RUSSELLVILLE, AL · For profit
2★
4★
4.06
1.01
THE HEALTHCARE CENTER OF EASTVIEW
BIRMINGHAM, AL · For profit
2★
3★
3.39
0.65
DIVERSICARE OF FOLEY
FOLEY, AL · For profit
2★
3★
3.28
0.53
DIVERSICARE OF MONTGOMERY
MONTGOMERY, AL · For profit
2★
2★
3.02
0.44
CULLMAN HEALTH CARE CENTER
CULLMAN, AL · For profit
2★
4★
4.11
0.86
⚠ 1 CMS fine on record
NORTHGATE HEALTH AND REHABILITATION CENTER
BESSEMER, AL · For profit
2★
3★
3.19
1.06
⚠ 3 CMS fines on record
DIVERSICARE OF BOAZ
BOAZ, AL · For profit
2★
4★
2.96
0.93
EVERSTEAD HEALTH AND REHABILITATION CENTER
RUSSELLVILLE, AL · For profit
2★
4★
3.87
0.92
HANCEVILLE NURSING & REHAB CENTER, INC
HANCEVILLE, AL · For profit
2★
5★
4.77
0.67
SUMMERFORD HEALTH AND REHAB, LLC
FALKVILLE, AL · For profit
2★
3★
3.36
0.69
⚠ 3 CMS fines on record
SOUTH HEALTH AND REHABILITATION, LLC
BIRMINGHAM, AL · For profit
2★
4★
4.19
0.59
⚠ 2 CMS fines on record
CIVIC CENTER HEALTH AND REHABILITATION, LLC
BIRMINGHAM, AL · For profit
2★
4★
3.56
0.64
MERRY WOOD LODGE
ELMORE, AL · For profit
1★
3★
3.24
0.78
⚠ 1 CMS fine on record
WETUMPKA HEALTH AND REHABILITATION, LLC
WETUMPKA, AL · For profit
1★
3★
3.72
0.55
CAREGIVERS OF PLEASANT GROVE, INC
PLEASANT GROVE, AL · For profit
1★
3★
3.94
0.30
STONEHAVEN HEALTH AND REHABILITATION CENTER
BESSEMER, AL · For profit
1★
2★
3.25
0.54
PRATTVILLE HEALTH AND REHABILITATION, LLC
PRATTVILLE, AL · For profit
1★
4★
4.11
0.64
ELBA NURSING AND REHABILITATION CENTER, LLC
ELBA, AL · For profit
1★
4★
3.71
0.92
PINE HILL REHABILITATION AND WELLNESS CENTER
BIRMINGHAM, AL · For profit
1★
1★
3.19
0.28
RIVER CITY CENTER
DECATUR, AL · For profit
1★
4★
3.45
0.96
SHADESCREST HEALTH CARE CENTER
JASPER, AL · For profit
1★
4★
4.04
0.68
CORDOVA HEALTH AND REHABILITATION, LLC
CORDOVA, AL · For profit
1★
4★
4.05
0.54
⚠ 1 CMS fine on record
ROCKET CITY REHABILITATION AND HEALTHCARE CENTER
HUNTSVILLE, AL · For profit
1★
4★
3.84
1.18
Frequently Asked Questions
- What are the nursing home staffing requirements in Alabama?
- CMS requires all Alabama nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. Alabama's state average of 3.25 total HPRD is below the national average of 3.89.
- What is the average RN staffing level in Alabama nursing homes?
- Alabama nursing homes average 0.52 RN hours per resident per day — below the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
- How do I find the best-staffed nursing home in Alabama?
- Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.
Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.