Assisted Living in Tuscaloosa, AL
Tuscaloosa has 13 state-licensed assisted living communities: 10 larger communities and 3 small residential homes (16 or fewer residents). The median cost of assisted living in Alabama is $4,425 a month (CareScout 2025), against $6,200 nationally.
Free guide · 14 pages
Choosing Assisted Living
A practical guide for families, with checklists to take on your tours.
- What assisted living costs and the ways to pay
- Signs it may be time
- Tour checklists to print and take with you
- What residents and families told us matters most
Two kinds of assisted living in Tuscaloosa
Both are licensed by Alabama as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. Alabama words these licenses as “Assisted Living Facility (Regular)” (7), “Specialty Care Assisted Living Facility (Regular)” (6).
All 13 licensed assisted living communities in Tuscaloosa
Every assisted living community Alabama licenses in Tuscaloosa, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified testimonials are listed first, then by size.
13 shown
| Community | Size | Price |
|---|---|---|
| The Crossings at North River ALF200 George Hall Lane | Large84 residents | $2,750 to $4,450/moLilisity estimate |
| Riverwalk Senior Living5001 Old Montgomery Highway | Large80 residents | $2,750 to $4,450/moLilisity estimate |
| Crimson Village1410 18th Avenue East | Large62 residents | $2,750 to $4,450/moLilisity estimate |
| North River Village5810 Rice Mine Road NE | Large60 residents | $2,750 to $4,450/moLilisity estimate |
| Water Oak Villa of Tuscaloosamemory care1801 Rice Mine Road | Large60 residents | $2,750 to $4,450/moLilisity estimate |
| Metta Reflections at Riverwalkmemory care5001 Old Montgomery Highway | Large56 residents | $2,750 to $4,450/moLilisity estimate |
| The Tides at Crimson Villagememory care1410 18th Ave. East | Mid-size48 residents | $2,750 to $4,450/moLilisity estimate |
| The Legacy of Crimson Village755 55th Place East | Mid-size36 residents | $2,750 to $4,450/moLilisity estimate |
| The Crossings at North River SCALFmemory care200 George Hall Lane | Mid-size32 residents | $2,750 to $4,450/moLilisity estimate |
| North River Village Memory Carememory care5810 Rice Mine Road NE | Mid-size20 residents | $2,750 to $4,450/moLilisity estimate |
| Traditions Waymemory care515 Roger Sayers Drive | Small home16 residents | $2,750 to $4,450/moLilisity estimate |
| Heritage Residential Care Village, Building #21001 Snows Mill Avenue | Small home15 residents | $2,750 to $4,450/moLilisity estimate |
| Hallmark Manor515 Roger Sayers Drive | Small home13 residents | $2,750 to $4,450/moLilisity estimate |
How much does assisted living cost in Tuscaloosa?
The median cost of assisted living in Alabama is $4,425 a month ($53,100 a year), below the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. If more care is needed: nursing home costs in Alabama, with CareScout medians and the private-pay rates nursing homes publish. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
Three questions to ask on every Tuscaloosa tour
From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
- Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
- How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
- Who is my main contact, and how often will I hear from them?Communication with management was 15%.
All 8 tour questions, with a free printable tour card (PDF).
Check a Tuscaloosa community’s license
Alabama publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: dph1.adph.state.al.us. Ask the community for its most recent inspection report too; they have to keep it.
Tuscaloosa assisted living questions
Alabama licenses 13 assisted living communities in Tuscaloosa as of November 2026: 10 larger communities and 3 small residential homes of 16 or fewer residents, with about 582 licensed spots in all.
The median cost of assisted living in Alabama is $4,425 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. Alabama's Medicaid agency or your local Area Agency on Aging can tell you what's available.
Alabama publishes its licensing records at dph1.adph.state.al.us. You can also ask any community for its most recent state inspection report.