Search for Assisted Living by ZIP Code:  :

Alabama Assisted Living Facilities

Search Alabama Assisted Living Communities

Get FREE Help NOW Choosing the Right Care

Cost of Alabama Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Alabama is $3,075 per month.

The monthly base rate for Alabama assisted living is typically lower when compared to neighboring states. Alabama is also less expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Alabama. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States


Assisted Living Regulations

Alabama defines Assisted Living Facilities as a facility that provides or offers to provide a residence and personal care to individuals in need of assistance with daily living activities. Specialty licensed assisted living facilities are specially licensed and staffed to permit residences with a degree of cognitive impairment that would ordinarily make them ineligible for state at an assisted living facility. Family assisted living facilities are authorized to care for 2 or 3 adults, group assisted living facilities may care for 4-16 adults and congregate assisted living facilities are authorized to care for 17 or more adults.

Alabama Assisted Living Facilities Scope of Care

Alabama assisted living communities may provide help with grooming, bathing and oral hygiene and must provide observation and health supervision of the resident and become aware of changes in health condition or a need of medical attention. Certified third parties may provide home health services to the resident and licensed hospice agencies may provide hospice services.

Alabama Assisted Living Admission Requirements

To be admitted into a licensed assisted living facility, residents must not require restraints or confinements, require limitations on egress from the facility or require extensive medical care because of chronic health conditions. Residents must be able to understand the unit dose medication system in use by the facility. A resident must be discharged if they require medical care, skilled nursing care is severely cognitively impaired or requires any care beyond care for activities with daily living. If a resident requires some of the care mentioned above for NO longer than 90 days, they may be admitted as the facility is responsible for and arranges for the care with properly licensed individuals.

Alabama Assisted Living Care Plan Requirements

Every resident must have a medical examination prior to entering an Alabama assisted living facility and a care plan developed by the facility along with the resident and the sponsor if appropriate.

Alabama Assisted Living Medication Management Requirements

A resident can self-administer medication or receive assistance from a staff member. Medications managed by the facility must be unit-dosed packages. There are other special circumstances for medication management for dementia residents in specialty care assisted living residences.

Alabama Assisted Living Facility Requirements

A maximum of two residents are allowed per resident unit. Private resident units must be at least 80 square feet while double occupancy units must be at least 130 square feet. Bathrooms may be shared and if shared, there must be at least one bathtub or shower for every eight residents and one lavatory and toilet for every six residents.

Alabama Assisted Living Staffing Requirements

Alabama requires an administrator and sufficient personal care staff to provide adequate care and operate the facility in an orderly fashion. Specialty care assisted living facilities have more staff requirements. Administrators are required to be licensed by the Alabama Board of Examiners of Assisted Living Administrators. Staff having contact with residents must have required initial testing and refresher training as needed.

Alabama Assisted Living Medicaid Policy

There is not a Medicaid waiver program at this time.

Alabama Medicaid Coverage of Assisted Living and Related Services

The State of Alabama manages an extensive Medicaid long term care program that offers eligible patients a wide range of care services and choices. These services are available both at home and in the community. The Alabama Medicaid usually pays for doctor appointments, hospital expenses, medicine, therapy, and some adaptive equipment. The specific long term care services, at home or in the community, include private duty nursing, durable medical equipment, home health services, Hospice care, and targeted case management. The Medicaid program also provides care in long term care facilities, more specifically, nursing homes.

Out of the fifty states, forty-four now provides a level of monetary aid to people for assisted living. However, the term assisted living and the level of benefits vary greatly between states. Medicaid waivers and assistance are not consistent in each state. The definition of care ranges from full economic aid to include nursing services, while other states only pay for personal care services received in assisted living and no benefits are received for room and board costs. Alabama does NOT provide any type of benefits for assisted living at this time

Please note that a skilled nursing facility, when compared to an assisted living facility, is a place for people needing constant nursing care and have significant need for help with activities of daily living.

The Alabama Medicaid Agency does make available waivers to assist people in economic need for long term care. However, they do NOT apply to assisted living facilities where residents are capable of handling most activities on their own.

In general, the 'waivers' provide services to people with other needs, such as people with disabilities, and covers all of the services given under the basic state plan, plus extra services. These services can take place in the person's home or in the community. The waiver allows for Medicaid to be used to pay for additional services. The waiver dollars are part state and part federal money and not every state provides a waiver.

The six Medicaid waiver programs that address alternatives to institutional care in Alabama help individuals to remain in the community, who would otherwise be required to move into a nursing facility. Here is a breakdown of the waivers:

Elderly and Disabled ("E & D") Waiver target persons discharged from an acute care facility, and without the availability of waiver services, would be eligible for placement in a nursing facility includes: Case Management, Personal Care, Respite Care, Homemaker, Adult Day Health, Companion Services, and Home Delivered Meals.

State of Alabama Independent Living ("SAIL") Waiver serves adult individuals with specific medical diagnosis who are at risk of being institutionalized in a nursing home. SAIL waiver services are provided to persons with the following diagnoses: Quadriplegia, Traumatic brain injury, Amyotrophic lateral sclerosis, Multiple sclerosis, Muscular dystrophy, Spinal muscular atrophy, severe cerebral palsy, Stroke, Other substantial neurological impairments, severely debilitating diseases, or rare genetic diseases. The services provided under the waiver are the same as the Elderly and Disabled Waiver services.

Intellectual Disabilities ("ID") Waiver; Living At Home ("LAH") Waiver serves individuals who would otherwise require level of care available in an Intermediate Care Facility for the Mentally Retarded (ICF/MR). Alabama defines intellectual disability as: significantly sub-average general intellectual functioning (IQ lower than 70 on a standardized intelligence test), existing concurrently with deficits in adaptive behavior that manifested in the developmental period (before the age of 18 years, for mental retardation).

HIV/AIDS Waiver serves adult individuals with a diagnosis of HIV, AIDS, and related illnesses who are at risk of being institutionalized in a nursing home. The services provided under the waiver are: Case Management, Personal Care, Respite Care, Skilled Nursing, Companion Services, and Homemaker.

Technology Assisted ("TA") Waiver for Adults serves adult individuals with complex medical conditions who are at risk of being institutionalized in a nursing home - age 21 or older who are ventilator dependent or who have tracheostomies. Services include Private Duty Nursing (RN/LPN), Personal Care/Attendant Service, Medical Supplies and Appliances, Assistive Technology.

Alabama Community Transition ("ACT") Waiver serves adult individuals with disabilities or long term illnesses who currently live in a nursing home and desire to transition to a home or community-based setting. Services include: Community case management, Transitional assistance services, Homemaker services, Home delivered meals, Skilled/Unskilled respite, Adult companion services, Assistive technology, Personal Emergency Response Systems, Medical equipment and supplies, Personal care, Adult day health, Skilled nursing, and Home modifications.

How do I apply for a Medicaid Waiver? Review information on Alabama Medicaid's HCBW site: or for detailed content go to:

What is the best number to call to get started with the Alabama Medicaid Waiver?

Call (800) 361-4491 to start the application process and be placed on the waitlist. Call (800) 367-0955 to be referred to a provider.

This website discusses Medicaid Waiver Program in Alabama and the other 50 states:

Here is a link to Your Guide to Alabama Medicaid

For more information is Alabama please contact:

Agency Department of Public Health, Bureau of Health Provider Standards

Phone (334) 206-5575

Contact Kelley Mitchell Phone (334) 206-5366


Web Site

Alabama Contacts

Alabama Department of Public Health, Bureau of Health Provider Standards

Phone: (334) 206-5575

Diane A. Mann
Phone: (334) 206-5366

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Alabama Department of Public Health

Alabama Assisted Living Facilities by City