Who owns Alabama nursing homes
Ownership shapes staffing and cost decisions. Here is how Alabama nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| For profit | 189 | 3.0 | 3.84 hrs | 17% |
| Non profit | 27 | 3.0 | 4.05 hrs | 19% |
| Government | 8 | 4.3 | 4.54 hrs | 0% |
Largest chains in Alabama
72% of Alabama nursing homes belong to a chain. Counts are homes we list in Alabama.
- Nhs management33 homes · average 2.8 of 5 Medicare stars
- DiversIcare healthcare19 homes · average 2.8 of 5 Medicare stars
- Crowne health care18 homes · average 4.2 of 5 Medicare stars
- Venza care management13 homes · average 2.8 of 5 Medicare stars
- Arabella healthcare management11 homes · average 2.5 of 5 Medicare stars
- Noland health10 homes · average 2.7 of 5 Medicare stars
- Ball healthcare sErvices9 homes · average 2.4 of 5 Medicare stars
- GenesIs healthcare7 homes · average 2.6 of 5 Medicare stars
- Trinity management, inc.5 homes · average 4.0 of 5 Medicare stars
- Traylor porter healthcare5 homes · average 3.0 of 5 Medicare stars
- PresTon health sErvices5 homes · average 3.2 of 5 Medicare stars
- Prime health care enterprisEs5 homes · average 4.0 of 5 Medicare stars
- Rehab sElect5 homes · average 3.6 of 5 Medicare stars
- The ensIgn group2 homes · average 1.5 of 5 Medicare stars
- HuntsVille hosPital health sYsTem2 homes · average 3.5 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.