These are the lowest-rated nursing homes in Alabama based on CMS data (2026). All facilities listed have an overall rating of 1 star(s) or lower. Combined, these 20 facilities have been fined a total of $818,594. 4 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Wetumpka Health and Rehabilitation, LLC | Wetumpka | $0 | |
| 2 | Diversicare of Foley | Foley | $10,065 | |
| 3 | Prattville Health and Rehabilitation, LLC | Prattville | $0 | |
| 4 | River City Center | Decatur | $0 | |
| 5 | Shadescrest Health Care Center | Jasper | $0 | |
| 6 | Cordova Health and Rehabilitation, LLC | Cordova | $76,242 | |
| 7 | Rocket City Rehabilitation and Healthcare Center | Huntsville | $0 | |
| 8 | Magnolia Ridge | Gardendale | $392,125 | |
| 9 | Falkville Rehabilitation and Healthcare Center | Falkville | $108,343 | |
| 10 | Glenwood Center | Florence | $0 | |
| 11 | Greene County Nursing Home | Eutaw | $13,635 | |
| 12 | Glen Haven Health and Rehabilitation, LLC | Northport | $81,335 | |
| 13 | Village at Cook Springs Skilled Nursing Facility | Pell City | $0 | |
| 14 | Generations of Red Bay, LLC | Red Bay | $14,521 | |
| 15 | Decatur Health & Rehab Center | Decatur | $25,367 | |
| 16 | Diversicare of Bessemer | Bessemer | $0 | |
| 17 | Self Skilled Nursing & Rehab | Hueytown | $0 | |
| 18 | Troy Health & Rehabilitation Center | Troy | $0 | |
| 19 | Bibb Medical Center Nursing Home | Centreville | $0 | |
| 20 | Birmingham Nursing and Rehabilitation Ctr LLC | Birmingham | $96,961 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.