Assisted Living in Alabama

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Families looking for assisted living in Alabama (AL) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 196 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 16 percent of the population. A resident in an assisted living community in Alabama will pay $3,271 per month on average.

Average Monthly Costs

States near Alabama

$4,283.00 Tennessee
$4,000.00 US
$3,824.00 Florida
$3,816.00 Mississippi
$3,574.00 Alabama
$3,387.00 Georgia
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Alabama as $3,574. This places Alabama on the lower end of the scale at about $400 under the national average, and about $200 lower than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


Assisted Living


In-Home Care

Average Monthly Costs

Cities in Alabama

$4,362.00 Montgomery
$4,207.00 Daphne Fairhope, Foley
$4,043.00 Auburn, Opelika
$3,896.00 Anniston, Oxford, Jacksonville
$3,819.00 Huntsville
$3,741.00 Mobile
$3,719.00 Decatur
$3,561.00 Florence, Muscle Shoals
$3,232.00 Birmingham, Hoover
$3,207.00 Tuscaloosa
$2,909.00 Dothan
$2,862.00 Rest Of State
$2,267.00 Gadsden
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Alabama. For example, assisted living rates in areas such as Daphne-Fairhope, Foley are at least $600 more than the state average of $3,574, but in areas like Dothan, you're saving on average $700. The most affordable region in Alabama for assisted living is Gadsden at $2,267.

What You Should Know About Assisted Living in Alabama

In Alabama, assisted living facilities are defined as residences that offer both personal care and accommodations to two or more people in need of help with the activities of daily living, also known as ADLs. Those in need of personal care and accommodations who are also cognitively impaired must be admitted to a specialty care assisted living facility that adheres to additional licensing and staffing requirements.

There are three types of assisted living communities in Alabama, categorized by the number of people in residence:

  • Care communities with 2 to 3 residents are family assisted living facilities
  • Care communities with 4 to 16 residents are group assisted living facilities
  • Care communities with 17 or more adult residents are congregated assisted living facilities

Financial Assistance for Assisted Living in Alabama

Low-income seniors living in Alabama who need financial assistance to pay for assisted services may find help from one of the following subsidy programs:

Alabama Medicaid Elderly and Disabled Waiver

The Alabama Department of Senior Services offers the Elderly and Disabled Waiver, which helps elderly and disabled Alabamians retain their independence while also receiving proper care. Participating seniors work with a case manager who designs a plan around each person’s individual needs. Services include meal delivery, companionship, help with personal care and more.

Who Is Eligible?

To be eligible for the Elderly & Disabled Waiver program, applicants must demonstrate financial need according to Medicaid guidelines and be at risk of placement in a long-term care facility.

How to Apply

To apply for the Medicaid Elderly & Disabled Waiver Program, call (800) 243-5463 or visit the Alabama Department of Senior Services website.

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in Alabama

Alabama Area Agency on Aging

There are more than 600 organizations in the United States currently operating under the Area Agencies on Aging (AAA) banner, and a number of them are in Alabama. These Aging and Disability Resource Centers (ADRCs) provide crucial information and assistance to older or disabled Alabamians, their families and their caregivers.

Find more information on the Alabama Department of Senior Services website or call (800) 243-5463 to locate the nearest ADRC.

Southern Alabama Regional Council on Aging

1075 South Brannon Stand Road, Dothan, AL 36305
(334) 793-6843
Serving Barbour, Coffee, Covington, Dale, Geneva, Henry and Houston counties

Middle Alabama Area Agency on Aging

209 Cloverdale Circle, Alabaster, AL 35007
(205) 670-5770
Serving Blount, Chilton, Shelby, St. Clair and Walker counties

United Way Area Agency on Aging of Jefferson County

3600 8th Avenue South, Birmingham, AL 35232
(205) 458-3330
Serving Jefferson County

Central Alabama Aging Consortium

818 Perry St., Montgomery, AL 3610
800-264-4680 or 334-240-4666

Top of Alabama Regional Council of Governments (TARCOG)

5075 Research Drive Northwest, Huntsville, AL 35805
(256) 830-0818
Serving DeKalb, Jackson, Limestone, Madison and Marshall counties

North Central Alabama Regional Councils of Governments

216 Jackson Street Southeast, PO Box C, Decatur, AL 35601
(256) 355-4515
Serving Cullman, Lawrence and Morgan counties

West Alabama Regional Commission

4200 Highway 69 North, Suite 1, Northport, AL 35476
(205) 333-2990
Serving Bibb, Fayette, Greene, Hale, Lamar, Pickens and Tuscaloosa counties

Alabama Tombigbee Regional Commission Area Agency on Aging

107 Broad Street, Camden, AL 36726
(334) 682-5206
Serving Choctaw, Clarke, Conecuh, Dallas, Morengo, Monroe, Perry, Sumter, Washington and Wilcox counties

Northwest Alabama Council of Local Governments Department of Aging Services

103 Student Drive, PO Box 26
Muscle Shoals, AL 35661
(256) 389-0500
Serving Colbert, Franklin, Lauderdale, Marion and Winston counties

East Alabama Regional Planning and Development Commission

1130 Quintard Avenue Suite 300, Anniston, AL 36202
(256) 237-6741
Serving Calhoun, Chambers, Cherokee, Clay, Cleburne, Coosa, Etowah, Randolph, Talladega and Tallapoosa counties

South Central Alabama Development Commission and Area Agency on Aging

5900 Carmichael Place, Montgomery, AL 36117
(334) 244-6903
Serving Bullock, Butler, Crenshaw, Lowndes, Macon and Pike counties

Central Alabama Aging Consortium

2500 Fairlane Drive Suite 200, Montgomery, AL 36116
(334) 240-4680
Serving Autauga, Elmore and Montgomery counties

Lee-Russell Council of Governments Area Agency on Aging

2207 Gateway Drive, Opelika, AL 36801
(334) 749-5264
Serving Lee and Russell counties

South Alabama Regional Planning Commission

110 Beauregard Street, Suite 207, Mobile, AL 36633
(251) 433-6541
Serving Baldwin, Escambia and Mobile counties

Assisted Living Laws and Regulations in Alabama

Assisted living communities in Alabama are bound by state regulations that dictate everything from the paperwork signed upon admission to the quality and quantity of residents' daily meals. Here are some of the most important rules by which these assisted living operations must abide:

Assisted Living Service Plan Requirements

Prior to admission, residents must be examined by a physician to determine their needs. The results of that exam are then used to develop a comprehensive plan of care. Service planning includes not just the physician but also the resident and, if the resident chooses, a third-party representative.

Assisted Living Admission Requirements

Assisted living facilities in Alabama may not admit or retain residents who:

  • Require restraints
  • Are unable to understand the in-house medication system
  • Require complex medical care or daily monitoring for chronic health conditions
  • Need assistance beyond care for typical activities of daily living
  • Have been diagnosed with severe cognitive impairment

Some exceptions may be made for residents who require additional care for 90 days or less or if that resident is under hospice care for a non-cognitive condition.

Assisted Living Scope of Care

Assisted living facilities in Alabama must provide services, including general health supervision, regular assistance with the activities of daily living, medication assistance, housekeeping, laundry, transportation to medical appointments and coordination of social activities. Activities of daily living include but are not limited to:

  • Bathing
  • Oral hygiene
  • Hair
  • Manicure/pedicure
  • Shaving
  • Food service
  • Personal safety
  • Making and keeping appointments

Some services may be provided by an outside home health agency or hospice organization contracted by the assisted living facility.

Assisted Living Medicaid Policy

Medicaid may cover some assisted living costs for eligible residents, but not all facilities accept Medicaid or related programs as a form of payment. The Alabama Medicaid Elderly and Disabled Waiver helps seniors with demonstrated financial need avoid nursing home placement in favor of other appropriate care alternatives.

Individuals interested in using Medicaid benefits to pay for assisted living care in Wyoming should ask whether their preferred assisted living facility accepts Medicaid or the Elderly and Disabled Waiver program as payment.

Assisted Living Facility Requirements

According to state law, assisted living properties in Alabama may have single- or double-occupancy unites. Apartment-style living is not required. These units may share bathrooms and bathing facilities, but there must be a minimum of one sink and toilet per every six residents and a minimum of one shower or bathtub per every eight residents.

Medication Management Regulations

Residents who understand their medical conditions and who are judged to be capable and competent may store and administer their own medication or ask for assistance from both licensed and unlicensed staff members.

Staff at the assisted living community may only store and administer medication that is packaged in single-dose units. Staff may help residents with medication reminders, opening medications and offering liquids to help residents take oral medications, but staff cannot actually administer medication, give injections or prepare any other medications in any way. This includes:

  • Administering eye drops, inhalers, enemas or suppositories
  • Telling a patient to take an as-needed (PRN) medication
  • Crushing, splitting or otherwise altering medications
  • Loading medications into a feeding tube
  • Combining medications with a resident's food or beverage

All medications given to a resident must be recorded in the resident's medication administration record.

Staffing Requirements

Alabama has no minimum staff-to-resident ratios in place for assisted living facilities. Instead, staffing must be “adequate to meet residents' needs.” All assisted living communities must have an administrator to oversee operations and the personal care staff in charge of general resident care. Any community that intends to administer medication to residents must also have a registered nurse (RN) or licensed practical nurse (LPN) on staff.

Each community must have an automated external defibrillator (AED) and be continuously staffed by at least one employee who is certified in AED use by the American Red Cross or American Heart Association and at least one employee who is certified in cardiopulmonary resuscitation (CPR).

Staff Training Requirements

Staff at assisted living facilities in Alabama must be trained both upon hire and on a continual basis on subjects including:

  • All federal, state and facility-specific laws and policies
  • Guidelines for recognizing and reporting abuse, neglect and exploitation of residents
  • Needs of elderly, infirm and mentally disabled residents
  • First aid
  • Advanced directives
  • Resident privacy and overall confidentiality
  • Basic nutrition as it pertains to the elderly
  • Fire safety
  • Environmental safety
  • Signs of dementia

Administrators of assisted living facilities must complete at least six hours of continuing education annually.

Background Checks for Assisted Living Staff in Alabama

Anyone classified as a worker at an adult care facility in Alabama (including contract employees, volunteers and applicants for those positions) must be fingerprinted and undergo a background check. Anyone who appears on the Alabama Department of Public Health Nurse Aide Abuse Registry may not be employed by a long-term care facility.

Requirements for Reporting Abuse

Caregivers in Alabama are legally required to report suspected abuse, neglect or exploitation of seniors as well as any other person who is physically or mentally impaired. This mandate also applies to Alabama’s Long Term Care Ombudsman. Reportable situations include infliction of pain or injury, willful deprivation of care, failure to provide essential services and needs such as food and shelter, exploitation of an individual or their resources, reckless infliction of anguish and other definitions as outlined by the State Code of Alabama.

Instances of abuse or expected abuse should be reported to local law enforcement or by calling the Abuse Hotline at (800) 458-7214.

Assisted Living Facilities in Alabama



Top-Rated Caring Stars Winners in Alabama’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


Danberry at Inverness

Hoover, AL Cost Levels

22 reviews


Gardens of Pelham

Pelham, AL Cost Levels

22 reviews


Homestead Village of Fairhope

Fairhope, AL $$

5 reviews


The Brennity at Daphne

Daphne, AL $$$

17 reviews


Regency Retirement Village - Huntsville

Huntsville, AL Cost Levels

20 reviews


Country Place Senior Living of Hamilton

Hamilton, AL $$

3 reviews


Gardens of Clanton

Clanton, AL Cost Levels

20 reviews


Country Place Senior Living of Fairhope

Fairhope, AL $$$

8 reviews


Morningside of Fayette

Fayette, AL Cost Levels

6 reviews


Galleria Woods

Birmingham, AL $$$$

6 reviews