By Birmingham Senior Advisor Care Team · October 30, 2026
ADPH lists no assisted living or memory care license in Bibb County and one 16-bed group assisted living home in Chilton County. Each county has one nursing home and one hospital. Bibb's aging services come from the West Alabama AAA; Chilton's from M4A.
Bibb County at a glance
Bibb County had 22,262 residents on July 1, 2025, and 3,892 of them, about 17.5%, were 65 or older, according to Census Bureau estimates. ADPH's October 30, 2026 directory export lists no assisted living or specialty care license in the county. It lists one nursing home, Bibb Medical Center Nursing Home in Centreville, licensed for 131 beds; two home health agencies with offices in Brent and Centreville; and Bibb Medical Center, the county's hospital.
Families who need assisted living or memory care usually look north and east, to Jefferson and Shelby counties, or west toward Tuscaloosa. Our Bibb County page lists the licensed assisted living closest to Centreville by distance.
Chilton County at a glance
Chilton County had 47,708 residents in 2025, with 8,705 (18.2%) age 65 or older. ADPH lists one assisted living license, Gardens of Clanton, a 16-bed group home, and no specialty care license. Hatley Health Care in Clanton is the county's licensed nursing home with 201 beds. Four home health agencies and two hospices have offices in Clanton, and UAB St. Vincent's Chilton is the county's hospital on ADPH's roster.
| ADPH license type | Bibb County | Chilton County |
|---|---|---|
| Assisted living (ALF) | 0 | 1 (16 beds) |
| Specialty care (SCALF) | 0 | 0 |
| Nursing homes | 1 (131 beds) | 1 (201 beds) |
| Home health agencies | 2 | 4 |
| Hospice providers | 0 with county offices | 2 |
| Hospitals | 1 | 1 |
Different agencies for neighboring counties
Although both counties border Shelby, they belong to different aging regions. Chilton County is part of the Middle Alabama Area Agency on Aging (M4A), reachable at 205-670-5770 or 1-866-570-2998, which also runs Elderly and Disabled and ACT waiver case management there. Bibb County belongs to the West Alabama Regional Commission's area agency on aging, based in Northport, at 205-333-2990 or 800-432-5030, which serves Bibb along with Fayette, Greene, Hale, Lamar, Pickens and Tuscaloosa counties.
1-800-AGE-LINE reaches the right office from either county.
Making a small roster work
With few local facilities, home-based care carries more of the load. Medicare home health covers skilled visits for homebound patients, the Elderly and Disabled Waiver can fund personal care and respite for people who qualify, and hospice serves people at home at the end of life. Families often combine those with family caregiving and plan a move to a larger town only when nights become unsafe.
When a move is needed, compare distance for the family who will visit most. A community 40 minutes north in Shelby County with an open bed may serve a Clanton family better than a waitlist at home, but a long drive cuts visits.
Checking the one local option
Whether it is the county's nursing home or Chilton's group home, the same checks apply: the license and bed count on ADPH's directory, the newest posted statement of deficiencies for the assisted living home, and CMS Care Compare ratings and inspections for the nursing home. Bibb Medical Center Nursing Home holds one star overall and Hatley Health Care three stars in CMS's October 2026 release; open each facility page for the details behind those ratings.
Hospital discharges from Birmingham back home
Many Bibb and Chilton County residents are treated at Birmingham hospitals and then discharged home or to rehab. Ask the case manager early whether a rehab bed closer to home is possible, and whether a home health agency with an office in Clanton, Brent or Centreville can start care the day after discharge. Agencies based elsewhere may also serve the area, so ask about your parent's ZIP code specifically.
If the plan is assisted living, remember that Alabama's rules bar assisted living facilities from admitting residents who need ongoing skilled nursing, so the discharge summary should be shared with the community before a move date is set.
Keep a short list of the closest licensed options in neighboring counties, with phone numbers, so a sudden change does not start the search from zero. Our county pages rank the nearest licenses by distance for exactly that purpose, and each facility page shows its newest inspection date.
Keeping a parent home safely in a rural county
Distance makes emergencies harder, so a medical alert device, a neighbor or church member who checks in daily and a written medication list on the refrigerator matter more in rural areas. Many families also schedule home health or private aides around the hours when falls are most likely, such as early morning bathing.
Frequently asked questions
Is there assisted living in Bibb County, Alabama?
ADPH's October 30, 2026 export lists no assisted living or specialty care license in Bibb County. The nearest options are in neighboring counties.
What assisted living is in Clanton?
ADPH lists one assisted living license in Chilton County, Gardens of Clanton, a 16-bed group home.
Which agency on aging serves Bibb County?
The West Alabama Regional Commission's area agency on aging, 205-333-2990 or 800-432-5030.
Which agency on aging serves Chilton County?
The Middle Alabama Area Agency on Aging (M4A), 205-670-5770 or 1-866-570-2998.
