The 10 Worst Nursing Homes in Alabama

  Worst Nursing Homes in Alabama By City

Every city in Alabama has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Birmingham

• Birmingham Nursing and Rehabilitation Center East (200.167)
• Protect each resident from the wrongful use of the resident's belongings or money. (2024-08-05)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-08-05)
• Birmingham Nursing and Rehabilitation Ctr LLC (198.5)
• Inspect, test, and maintain automatic sprinkler systems. (2024-07-12)
• Provide safe and appropriate respiratory care for a resident when needed. (2024-07-12)
• Oak Knoll Health and Rehabilitation, LLC (135.667)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-05-23)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-05-23)
• Elite Nursing and Rehabilitation Care Center (78)
• Respond appropriately to all alleged violations. (2024-10-23)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-09-03)
• Brookdale University Park Snf (al) (45.333)
• Have approved installation, maintenance and testing program for fire alarm systems. (2024-07-26)
• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2024-07-26)
• Diversicare of Riverchase (34)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-06-02)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-06-02)
• Galleria Woods Skilled Nursing Facility (32)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2022-01-12)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2022-01-12)
• South Haven Health and Rehabilitation, LLC (31.333)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2024-05-21)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-05-21)
• East Glen (30)
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. (2023-06-10)
• Provide properly protected cooking facilities. (2023-04-26)
• North Hill Nursing and Rehabilitation Ctr, LLC (28.667)
• Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2024-04-11)
• Keep residents' personal and medical records private and confidential. (2024-04-11)

Worst Nursing Homes in Huntsville

• Meadowview Healthcare and Rehab (667.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-11-15)
• Honor the resident's right to manage his or her financial affairs. (2024-11-15)
• Rocket City Rehabilitation and Healthcare Center (271.5)
• PASARR screening for Mental disorders or Intellectual Disabilities (2023-03-23)
• Provide safe and appropriate respiratory care for a resident when needed. (2023-03-23)
• Huntsville Post-Acute and Rehabilitation Center (145.5)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-09-20)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-09-20)
• Ahc Millenium (134.167)
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2024-07-23)
• Provide safe and appropriate respiratory care for a resident when needed. (2024-07-23)
• Windsor House (114)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-10-19)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-10-19)
• Regency Health Care and Rehabilitation Center (101.167)
• Reasonably accommodate the needs and preferences of each resident. (2024-09-24)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-09-24)
• Mrc Creekside (39.333)
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2025-01-20)
• Have properly installed electrical wiring and gas equipment. (2024-04-10)
• Huntsville Health Care Center (39.167)
• Inspect, test, and maintain automatic sprinkler systems. (2024-07-25)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2024-05-23)
• Focused Care at Huntsville (24.667)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-05-15)
• Ensure each resident receives an accurate assessment. (2024-05-15)
• Huntsville Health and Rehabilitation, LLC (18.333)
• Have properly located and lighted "Exit" signs. (2022-02-23)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2022-02-23)

Worst Nursing Homes in Mobile

• Knollwood Healthcare (391.667)
• Create arrangements with other facilities to receive patients. (2024-11-20)
• Develop and maintain an Emergency Preparedness Program (EP). (2024-11-20)
• Arabella Health and Wellness of Mobile (47.333)
• Use approved construction type or materials. (2023-09-01)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2022-11-27)
• Lynwood Rehabilitation and Healthcare Center (32)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-11-08)
• Ensure each resident receives an accurate assessment. (2024-11-07)
• Gulf Coast Health and Rehabilitation, LLC (30.667)
• Ensure proper usage of power strips and extension cords. (2020-02-19)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2020-02-13)
• Ashland Place Health and Rehabilitation, LLC (18.667)
• Install corridor and hallway doors that block smoke. (2020-03-04)
• Have corridors or aisles that are unobstructed and are at least 8 feet in width. (2020-03-04)
• Twin Oaks Rehabilitation and Healthcare Center (17)
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2023-11-30)
• Provide and implement an infection prevention and control program. (2023-11-30)
• Allen Health and Rehabilitation (16.667)
• Inspect, test, and maintain automatic sprinkler systems. (2020-03-31)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2020-03-20)
• Crowne Health Care of Mobile (14.667)
• Install an approved automatic sprinkler system. (2019-10-30)
• Have corridors or aisles that are unobstructed and are at least 8 feet in width. (2019-10-30)
• Springhill Senior Residence (10)
• Have approved installation, maintenance and testing program for fire alarm systems. (2020-02-28)
• Meet other general requirements. (2020-02-28)
• Crowne Health Care of Springhill (9.333)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-08-10)
• Dispose of garbage and refuse properly. (2018-12-13)

Worst Nursing Homes in Montgomery

• Arabella Health and Wellness of Montgomery (76.667)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-10-04)
• Protect each resident from the wrongful use of the resident's belongings or money. (2023-10-04)
• Montgomery General Hospital (70)
• To conduct inspection, testing and maintenance of fire doors by qualified individuals. (2023-12-21)
• Have approved installation, maintenance and testing program for fire alarm systems. (2023-12-21)
• Montgomery General Elderly Care (66.667)
• Provide properly protected cooking facilities. (2024-12-03)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-12-03)
• Father Purcell Memorial Exceptional Children's Ctr (51.667)
• Provide a written emergency evacuation plan. (2023-01-24)
• Inspect, test, and maintain automatic sprinkler systems. (2023-01-20)
• Montgomery Nursing and Rehabilitation Center (49.333)
• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (2025-03-13)
• Inspect, test, and maintain automatic sprinkler systems. (2025-03-13)
• Diversicare of Montgomery (32)
• Create arrangements with other facilities to receive patients. (2023-05-18)
• Address subsistence needs for staff and patients. (2023-05-18)
• Hillview Terrace (25.333)
• Install an approved automatic sprinkler system. (2020-04-13)
• Install a two-hour-resistant firewall separation. (2020-04-13)
• Montgomery Children's Specialty Center (24.667)
• Ensure each resident receives an accurate assessment. (2023-06-29)
• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (2023-06-29)
• Crowne Health Care of Montgomery (15.333)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-05-24)
• Develop and maintain an Emergency Preparedness Program (EP). (2023-05-24)
• John Knox Manor Inc I I (12.667)
• Have generator or other power source capable of supplying service within 10 seconds. (2024-02-15)
• Properly install and monitor supervisory attachments on automatic sprinkler systems. (2024-02-15)

Worst Nursing Homes in Tuscaloosa

• Heritage Health Care and Rehab Inc (16.667)
• Provide and implement an infection prevention and control program. (2022-09-01)
• Install corridor and hallway doors that block smoke. (2022-03-10)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Alabama
• Analysis of Nursing Homes in Alabama

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Alabama:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  How We Compile Nursing Home Ratings in Alabama

Every month, we rank all of the skilled nursing facilities in Alabama. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Alabama is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Alabama nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Alabama nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!