State plate · AL

Assisted living in Alabama

Alabama licenses assisted living through ADPH, Bureau of Health Provider Standards, under the license types Assisted Living Facility; Specialty Care Assisted Living Facility (separate dementia license). Alabama does not publish a downloadable list with capacity. CDC's 2020 survey estimated 270 residential care communities with 10,200 beds. HUD's active-loan file shows 6 FHA-insured assisted living loans in Alabama with $47.8 million outstanding as of September 30, 2026.

Licensing

Licensing agency: ADPH, Bureau of Health Provider Standards
License types: Assisted Living Facility; Specialty Care Assisted Living Facility (separate dementia license)
Official program page: alabamapublichealth.gov
Facility list: no download (search form → PDF)

Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.

CDC survey profile (2020)

The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.

Measure	Alabama	US
Communities	270	30,600
Beds	10,200	1,197,600
Average beds per community	38	39
For-profit	79.8%	81.9%
Chain affiliated	70.7%	61.4%
Medicaid certified	n/a%	43.6%
Dementia-only communities	28.2%	10.5%
Dementia-only or with a dementia unit	14.3%	20.5%
Residents 85 and older	56.1%	49.9%
Residents with Alzheimer disease or other dementias	42.9%	42.1%

Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.

HUD Section 232 assisted living loans

Active FHA loans: 6
Outstanding: $47.8 million
Median note rate: 3.14%
Endorsed since FY2001: 24

Since fiscal 2001 HUD has endorsed 24 FHA-insured assisted living loans in Alabama for $121.2 million of original principal, 8 of them for new construction or substantial rehabilitation, and 2 since fiscal 2021. The active file also lists 2 board and care loans in the state.

Property (HUD name)	City	Units	Endorsed	Rate	Balance	Matures
Regency HuntsvilleFHA 06222100	Huntsville	623	Nov 2019	3.55%	$29,904,650	Dec 2054
Legacy Ridge TrussvilleFHA 06222104	Trussville	45	Jul 2021	2.45%	$5,014,195	Aug 2056
Kelly PlaceFHA 06222103	Enterprise	63	Apr 2021	2.81%	$4,785,588	May 2056
Wesley Gardens Rehab CenterFHA 06222083	Montgomery	68	Sep 2015	3.50%	$2,859,854	Oct 2050
Covenant Place of GardendaleFHA 06243080	Gardendale	60	May 2012	3.20%	$2,661,006	Jun 2052
Covenant WoodsFHA 06243082	Gardendale	32	May 2013	3.08%	$2,552,815	Jun 2053

Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.

Own or are buying an assisted living or memory care building in Alabama? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.

Compare the three programs

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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.