What is assisted living in the Birmingham area?
Assisted living around Birmingham means a facility licensed by ADPH under chapter 420-5-4 that provides housing, meals, supervision and help with daily activities and medications for residents who do not need skilled nursing and can live safely with free exits.
ADPH's directory export of October 30, 2026 lists 35 regular assisted living licenses in Jefferson, Shelby, St. Clair, Walker, Blount, Chilton and Bibb counties, with 1,675 licensed beds: 24 congregate, 10 group and 1 family facilities.Who is a good fit for an Alabama ALF?
A good fit is someone who needs help with bathing, dressing, meals or medication reminders, can still make safety decisions and direct their own care, and can recognize their own medication packets; residents who wander or need daily skilled care need a different license.
The full admission list is in our admission and discharge guide.
What does assisted living cost around Birmingham?
CareScout's 2025 Alabama median for a private one-bedroom is $50,400 a year, about $4,200 a month; Alabama Medicaid does not pay for assisted living.
See how families pay.
How do I check an Alabama ALF's inspection record?
Look up the facility on ADPH's Deficiencies site or on our facility pages, which list the newest posted survey date, the number of deficiency tags in the newest report we could read and a link to the full statement of deficiencies.
The facility must also keep its last 24 months of inspection reports posted inside the building.
What does a typical day look like in Birmingham assisted living?
Most days revolve around three meals in a dining room, help with bathing and dressing in the morning, medication assistance at set times, activities in the afternoon and staff checks through the night; group homes run a quieter, household version of the same routine.
Visit at lunchtime to see staffing, food and how residents interact.
Where are assisted living providers located across the seven counties?
ADPH's October 30, 2026 export lists 35 assisted living licenses in the seven counties; the table shows how they spread by county and city.
| County | Licenses | Licensed beds | Cities |
|---|---|---|---|
| Jefferson | 15 | 914 | Bessemer, Birmingham, Gardendale, Hoover, Irondale, Trussville, Vestavia Hills |
| Shelby | 10 | 431 | Birmingham, Chelsea, Helena, Hoover, Pelham |
| St. Clair | 3 | 140 | Pell City |
| Walker | 4 | 118 | Jasper |
| Blount | 2 | 56 | Hayden, Oneonta |
| Chilton | 1 | 16 | Clanton |
| Bibb | 0 | 0 | None listed |
Browse every one in the sortable roster.
At a glance
| Alabama assisted living provides | It does not provide | |
|---|---|---|
| Daily help | Bathing, dressing, meals, medication assistance | Skilled nursing by its own staff |
| Housing | Private or shared rooms with 24-hour staff | Secured exits (that is a SCALF) |
