RankingsCMS data: August 2026

Best Nursing Homes in Alabama (2026)

The top 25 of 223 CMS-certified nursing homes in Alabama, ranked by CMS overall rating, then penalties, health inspections and staffing — never paid placement. See how our ranking method works

2241.3 per 30K residentsAbove national avg of 1.3 per 30KTotal Nursing Homes
3.0/5
Same as national avgNational avg: 3.00Statewide Avg Rating
$81K+$10K vs national avgNational avg: $70KAvg Fine (When Penalized)
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1No Penalties

Nursing HomePiedmont, AL

Piedmont Health Care Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures3.0
91 BedsStandard health inspection Apr 2021

Above Alabama avg of 3.0

30 Roundtree DrivePiedmont, AL 36272

(256) 447-8258

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2No Penalties

Nursing HomeChatom, AL

Washington County Nursing Home

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures5.0
88 BedsStandard health inspection Jun 2021

Above Alabama avg of 3.0

14600 St Stephens AvenueChatom, AL 36518

(251) 847-6412

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3No Penalties

Nursing HomeHeflin, AL

Cleburne County Nursing Home

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing4.0
  • Quality Measures4.0
82 BedsStandard health inspection Mar 2022

Above Alabama avg of 3.0

122 Brockford RoadHeflin, AL 36264

(256) 463-2121

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4No Penalties

Nursing HomeFayette, AL

Fayette Medical Center Long Term Care Unit

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures4.0
122 BedsStandard health inspection May 2021

Above Alabama avg of 3.0

1653 Temple Avenue NorthFayette, AL 35555

(205) 932-5966

View Facility
5No Penalties

Nursing HomeScottsboro, AL

Highlands Health And Rehab

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures5.0
50 BedsStandard health inspection Mar 2022

Above Alabama avg of 3.0

380 Woods Cove RoadScottsboro, AL 35768

(256) 218-3708

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State report

Why families compare nursing homes in Alabama

#47of 51 states & DC
Health Ranking

Among the lowest-ranked states for overall health outcomes — long-term care demand runs high (rank 47 of 51).

America’s Health Rankings 2024
  • Population 65+19.2%Census ACS 2023
  • Life expectancy73.2 yrs

    A little lower than the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover46.9%

    A little higher than the national average of 45.8%.

    CMS PBJ 2024

See full demographics & care economics for Alabama →

FAQ

Questions families ask about this page

How many nursing homes are in Alabama?

Alabama has 224 nursing homes in the active CMS data. This rankings page evaluated 223 eligible nursing homes with public CMS ratings and public profile slugs, then highlighted the top 25.

What is the average CMS rating for nursing homes in Alabama?

Nursing homes in Alabama average 3.0 out of 5 on the CMS overall rating, compared with a national nursing-home average of 3.0.

What is the average fine when a nursing home in Alabama is penalized?

Among Alabama nursing homes that were fined, the average fine is $81K. The national nursing-home average is $70K.

How does Alabama compare with the national average?

Alabama averages 3.0 out of 5 on CMS overall rating, compared with a national nursing-home average of 3.0. The average fine when penalized is $81K versus $70K nationally.

Should I rely on these rankings alone?

No. Use this report as a shortlist, then review the facility profile, confirm payment options, look at inspection history, and speak with licensed professionals before making a care decision.

What do the CMS data and inspection dates mean?

CMS data: August 2026. The inspection date is the latest standard health inspection reported in the CMS survey summary, including inspections with no deficiencies. Complaint and fire safety surveys are separate. A recent CMS release can include an older inspection date. Listings absent from the latest imported CMS provider release remain available on the platform but are excluded from current rankings.

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