Federal inspection record · CMS data as of October 1, 2026
Aspire Physical Recovery Center At Cahaba River
3070 Healthy Way, Vestavia, AL · (205) 977-7216
- Certified beds
- 120
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 29, 2016
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Aspire Physical Recovery Center At Cahaba River carries 58 inspection points. That is fewer than 14% of Alabama's 223 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Alabama: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–3 pts
- 4★ 3–12 pts
- 3★ 12–23 pts
- 2★ 23–46 pts
- 1★ over 46 pts
Bars show every rated home in Alabama by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Everything else, by area of care
Nutrition and Dietary6F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights4D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care2D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2024-01-12
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2019-09-19
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2018-08-16
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 15 min of nursing staff time a day, 1 h 10 min of it from a registered nurse.
This home
5 h 15 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$16,801 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-12 | Fine | $16,801 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.2 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 96.8% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 100.0% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.3 pts worse | 4.8% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.9 pts worse | 10.3% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.4 pts worse | 31.7% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts better | 19.9% | 21.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.5 pts better | 0.0% | 0.5% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.5 pts worse | 14.5% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts better | 8.8% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.5% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts better | 11.8% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 7.4% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.7 pts better | 92.3% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts better | 11.2% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.5% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.3 pts better | 89.5% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts worse | 24.6% | 24.4% | 23.4% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Northport Holding Operations, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 16 facilities |
| Estes, James | 5% Or Greater Indirect Ownership Interest · Individual | 51% | 43 facilities |
| James N Estes Jr Family Dynasty Tr No 2 | 5% Or Greater Indirect Ownership Interest · Organization | 18% | 24 facilities |
| Jennifer E Agee Family Dynasty Tr No 2 | 5% Or Greater Indirect Ownership Interest · Organization | 18% | 24 facilities |
| James Norman Estes Jr Tr | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 40 facilities |
| Jennifer Lee Estes Tr 031093 | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 40 facilities |
| Cahaba River Health Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Estes, James | Corporate Officer · Individual | 0% | 43 facilities |
| Holmes, Letchernique | Corporate Director · Individual | 0% | 5 facilities |
| Holmes, Letchernique | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Long, Phillip | Corporate Officer · Individual | 0% | 44 facilities |
| Patterson, Derek | Corporate Director · Individual | 0% | 7 facilities |
| Patterson, Derek | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Rasco, Lynn | Corporate Director · Individual | 0% | 43 facilities |
| Rasco, Lynn | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Regions Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 51 facilities |
| Regions Bank | 5% Or Greater Security Interest · Organization | 0% | 51 facilities |
| Wheeler, John | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Wheeler, John | Operational/Managerial Control · Individual | 0% | 3 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install an approved automatic sprinkler system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems3E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Elite Nursing And Rehabilitation Care Center
Birmingham, AL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 10 min
- Fines
- $6,682
-
Brookdale University Park SNF (Al)
Birmingham, AL · Brookdale Senior Living
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 8 min
- Fines
- $0
-
Aspire Physical Recovery Center At Hoover, LLC
Hoover, AL · Nhs Management
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 34 min
- Fines
- $0