Care-facility inspections
How nursing homes and care facilities in Alabama are inspected, licensed, and held to account.
3 laws · 5 enforcement actions · 4 guides · 3 court decisions
See the details
The laws 3
- Code of Alabama 1975, Title 22, Ch. 21, Art. 2 (§§ 22-21-20 to 22-21-35), "Licensing of Hospitals, Nursing Homes, and Other Health Care Institutions" — the state licensing act for hospitals, nursing homes, ALFs, hospices and other health ca… alison.legislature.state.al.us
- Code of Alabama 1975 § 22-21-437 (Act 2023-24, the "Harold Sachs and Anne Roberts Act"), effective April 18, 2023 — gives a resident/client/patient of an Alabama hospital, long-term care facility, skilled nursing facility, intermediate care… alison.legislature.state.al.us
- Code of Alabama 1975 §§ 22-5A-1 to 22-5A-7, the "Long-term Residential Health Care Recipient Ombudsman Act" (Acts 1985, No. alison.legislature.state.al.us
Know your rights 4
- ADPH Bureau of Health Provider Standards — "Selecting a Nursing Home" consumer guidance: how to use ADPH's own Health Care Facilities Directory, an explanation of Special Focus Facilities, a pointer to ADPH's own facility deficiencies data,… alabamapublichealth.gov
- ADPH Bureau of Health Provider Standards — "Visitation Rights" compliance guidance interpreting Code of Ala. § 22-21-437 (Harold Sachs and Anne Roberts Act, eff. Apr. alabamapublichealth.gov
- ADPH's "Health Care Facilities Directory" — the state's own public locator/verification tool for all ADPH-licensed facility types (Nursing Homes, Assisted Living Facilities and ALFs (Specialty Care), Hospices, Home Health Agencies, Hospital… dph1.adph.state.al.us
- ADPH Bureau of Health Provider Standards — "Informal Dispute Resolution (IDR) Process" (dated July 1, 2004), the agency's own procedural guidance for a licensed facility to informally contest a survey's deficiency findings, linked from the… alabamapublichealth.gov
Enforcement actions 1
Orders & settlements 4
- Alabama Administrative Code Ch. 420-5-10, "Nursing Facilities" — ADPH's licensing/administrative-procedure, personnel, resident-rights, admission/transfer/discharge, quality-of-care, nursing/dietary/pharmacy-services, infection-control and… admincode.legislature.state.al.us
- Alabama Administrative Code Ch. 420-5-4, "Assisted Living Facilities" — ADPH's ALF licensing rules: the license, administration, personnel, records/reports, care of residents, food service, physical facilities, sanitation, fire/safety and p… admincode.legislature.state.al.us
- Alabama Administrative Code Ch. 420-5-20, "Specialty Care Assisted Living Facilities" — ADPH's licensing rules for specialty-care ALFs (residents requiring care rising to the level of intermediate/skilled care), paralleling Ch. admincode.legislature.state.al.us
- Alabama Administrative Code Ch. 420-5-17, "Hospices" — ADPH's hospice-licensing rules: licensing/administrative procedures, patients' rights, governing body, personnel, medical director, interdisciplinary care team, nursing/medical-social/p… admincode.legislature.state.al.us
Court decisions 3
- Harris v. Oasis Family Birthing Center, LLC, No. CL-2025-0419 (Ala. Civ. App. Jan. 9, 2026) — the Alabama Court of Civil Appeals holds that ADPH's statutory authority to license and regulate 'hospitals' under the 1949 Hospital Act, now codi… courtlistener.com
- Tucker v. State Department of Public Health, 650 So. 2d 910 (Ala. Civ. App. 1994) — the Alabama Court of Civil Appeals addresses whether a physician's private office was subject to ADPH/State Board of Health licensure and certification rule… courtlistener.com
- Encompass Health Home Health of Alabama, LLC et al. v. State Health Planning and Development Agency et al., No. CL-2022-0539 (Ala. Civ. App. Feb. courtlistener.com
Official notices 2
- ADPH Bureau of Health Provider Standards — Licensure Advisory Board meeting notices/minutes (e.g. Nov. 13, 2024; May 17, 2022; Oct. 12, 2021; Apr. alabamapublichealth.gov
- ADPH Bureau of Health Provider Standards — Medical Director meeting notice page, with a named staff contact for agendas/minutes and a link to an archive of past Medical Director meetings (the ADPH advisory-meeting structure for facility med… alabamapublichealth.gov