What do Birmingham-area nursing homes provide?
Nursing homes provide 24-hour licensed nursing, therapy and help with all daily activities, for short-term rehab after a hospital stay or long-term care, under an ADPH license and, for most, federal Medicare and Medicaid certification.
ADPH licenses 51 nursing homes in the seven counties, 5,991 beds in all; 50 have a CMS Care Compare record, which our nursing home table shows next to each license.
Who pays for nursing home care in Alabama?
Medicare pays for up to 100 days of skilled rehab after a qualifying hospital stay; long-term care is paid privately, by insurance or by Alabama Medicaid, whose 2026 limits are $2,982 a month in income and $2,000 in resources.
The 2025 Alabama median for a semi-private room is about $8,334 a month.
How do I compare nursing homes near Birmingham?
Use CMS star ratings, newest inspection deficiencies, staffing hours and turnover, and Medicaid acceptance; our nursing home pages compare each home with the local median.
Start with the sortable nursing home table.
Do Birmingham nursing homes take Alabama Medicaid?
Most certified nursing homes in the seven counties are certified for both Medicare and Medicaid, but the number of Medicaid long-term beds and waitlists vary, so ask each home directly whether a private-pay resident can convert to Medicaid in place.
CMS's provider type field on Care Compare shows whether a home is certified for Medicare, Medicaid or both.
What should we look for on a nursing home tour?
Look at how quickly call lights are answered, whether residents are up and dressed, the smell, how staff speak to residents, and whether the posted staffing for the day matches what you see on the hall.
Visit again on a weekend evening, when staffing is often thinnest.
How does a nursing home rehab stay work?
After a qualifying inpatient hospital stay, Medicare covers daily skilled therapy or nursing in a certified nursing home for up to 100 days, in full for 20 days, ending when daily skilled needs end.
Where are nursing homes providers located across the seven counties?
ADPH's October 30, 2026 export lists 51 nursing homes licenses in the seven counties; the table shows how they spread by county and city.
| County | Licenses | Licensed beds | Cities |
|---|---|---|---|
| Jefferson | 34 | 3,970 | Bessemer, Birmingham, Gardendale, Hoover, Hueytown, Irondale, McCalla, Pleasant Grove, Tru |
| Shelby | 3 | 392 | Alabaster, Columbiana |
| St. Clair | 5 | 548 | Ashville, Pell City |
| Walker | 5 | 526 | Carbon Hill, Cordova, Jasper |
| Blount | 2 | 223 | Oneonta |
| Chilton | 1 | 201 | Clanton |
| Bibb | 1 | 131 | Centreville |
Browse every one in the sortable roster.
At a glance
| A nursing home provides | It does not provide | |
|---|---|---|
| Care | 24-hour licensed nursing and therapy | Apartment-style independence |
| Payment | Medicare rehab and Alabama Medicaid long-term care | Free long-term care under Medicare |
