Cycle 1
Health 2023-06-25 · Fire 2023-06-25
8 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Hoover, AL
Aspire Physical Recovery Center At Hoover, LLC
1-star overall rating with 1-star inspections with $15,593 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
575 Southland Drive, Hoover, AL
(205) 721-6200
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
118
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Nhs Management
Operator or chain grouping
Approved since
2015-01-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.92
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
1.38
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
3.02
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
5.32
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
2.30
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
4.40
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.06
CMS adjusted RN staffing hours
Adjusted total hours
6.13
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
69%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
65%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,125
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.94
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.54% · Performance 24.39% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.78% · Performance 8.86% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 65.25% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.18
Baseline 5.67 hours · Performance 5.12 hours · Measure score 7.18 · Achievement 7.18 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.42% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 270 · Observed rate 12.59% · Lower 95% interval 9.08% |
| Discharge to community | 58.55% |
50.57%
8 pts better
|
Better than the National Rate · Eligible stays 287 · Observed rate 50.52% · Lower 95% interval 52.01% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 77.23% |
95.27%
18 pts worse
|
Numerator 78 · Denominator 101 |
| Falls with major injury | 0.99% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 101 |
| Discharge self-care score | 52.7% |
53.69%
1 pts worse
|
Numerator 39 · Denominator 74 |
| Discharge mobility score | 37.84% |
50.94%
13.1 pts worse
|
Numerator 28 · Denominator 74 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 101 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.86% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 140 · Observed rate 10.71% · Lower 95% interval 6.2% |
| Staff COVID-19 vaccination coverage | 0.91% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 110 |
| Staff flu vaccination coverage | 15.82% |
42%
26.2 pts worse
|
Numerator 28 · Denominator 177 |
| Discharge function score | 51.35% |
56.45%
5.1 pts worse
|
Numerator 38 · Denominator 74 |
| Transfer of health information to provider | 91.67% |
95.95%
4.3 pts worse
|
Numerator 22 · Denominator 24 |
| Transfer of health information to patient | 90.54% |
96.28%
5.7 pts worse
|
Numerator 67 · Denominator 74 |
| Resident COVID-19 vaccinations up to date | 5.56% |
25.2%
19.6 pts worse
|
Numerator 3 · Denominator 54 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.0
0.8 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% |
91.3%
0.8 pts worse
|
93.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.0% · Q2 96.3% · Q3 100.0% · Q4 97.7% · 4Q avg 90.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
94.8%
3.4 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.4%
1.4 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.9% · Q3 1.9% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.3%
1.3 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.6% |
5.3%
4.7 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.5% |
24.9%
16.6 pts worse
|
19.6%
21.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 51.2% · Q2 43.2% · Q3 35.9% · Q4 34.3% · 4Q avg 41.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 42.1% |
22.8%
19.3 pts worse
|
16.7%
25.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.6% · Q2 45.7% · Q3 39.4% · Q4 33.3% · 4Q avg 42.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.6%
0.6 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.8% |
14.8%
2 pts better
|
16.3%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.7% |
13.4%
1.7 pts better
|
14.9%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 6.8% · Q3 13.5% · Q4 9.1% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.3%
0.1 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 2.2% · Q4 0.8% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
2.6%
0.4 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.5% |
13.5%
2 pts better
|
19.8%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 10.6% · Q3 19.1% · Q4 6.5% · 4Q avg 11.5% |
| Percentage of long-stay residents with pressure ulcers | 15.4% |
5.7%
9.7 pts worse
|
5.1%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 19.1% · Q3 22.6% · Q4 10.6% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.4% |
84.3%
8.9 pts worse
|
81.7%
6.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 35.5% · Q2 68.9% · Q3 95.6% · Q4 98.5% · 4Q avg 75.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
11.5%
0.1 pts worse
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 12.1% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
2.1%
About the same
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.7% · Q3 3.6% · Q4 1.6% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.6% |
80.3%
9.7 pts worse
|
79.7%
9.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.5% |
24.5%
2 pts worse
|
23.9%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 25.0% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-03-18 · Fire 2021-03-18
2 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2020-02-13 · Fire 2020-02-13
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-06-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-29
E · Potential for more than minimal harm
2023-06-25
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-29
D · Potential for more than minimal harm
2023-06-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-07-06
D · Potential for more than minimal harm
2021-03-18
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-04-09
D · Potential for more than minimal harm
2021-03-18
K932 · Smoke Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2021-04-09
F · Potential for more than minimal harm
2020-02-13
E42 · Emergency Preparedness Deficiencies
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2020-03-25
E · Potential for more than minimal harm
2020-02-13
K343 · Smoke Deficiencies
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2020-03-25
D · Potential for more than minimal harm
2020-02-13
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-03-25
D · Potential for more than minimal harm
2020-02-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-25
D · Potential for more than minimal harm
2020-02-13
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2020-03-25
Inspection history
Recent health citations
J · Immediate jeopardy
2023-06-25
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-24
E · Potential for more than minimal harm
2023-06-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-06-25
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-06-25
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-06-25
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-06-25
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-06-25
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-06-25
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-07-24
D · Potential for more than minimal harm
2023-06-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-24
F · Potential for more than minimal harm
2021-03-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-04-22
D · Potential for more than minimal harm
2021-03-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-04-22
F · Potential for more than minimal harm
2020-02-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-06
D · Potential for more than minimal harm
2020-02-13
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2020-03-06
Penalties and ownership
What sits behind the stars
$15,593
2023-06-25
Fine
Fine · fine $15,593
Fine
Ownership
Northport Holding Operations, LLC
5% Or Greater Direct Ownership Interest · Organization
Estes, James
5% Or Greater Indirect Ownership Interest · Individual
James N Estes Jr Family Dynasty Tr No 2
5% Or Greater Indirect Ownership Interest · Organization
Jennifer E Agee Family Dynasty Tr No 2
5% Or Greater Indirect Ownership Interest · Organization
James Norman Estes Jr Tr
5% Or Greater Indirect Ownership Interest · Organization
Jennifer Lee Estes Tr 031093
5% Or Greater Indirect Ownership Interest · Organization
Cobb, Leigh
Operational/Managerial Control · Individual
Cobb, Leigh
Corporate Director · Individual
Estes, James
Corporate Officer · Individual
Green Valley Health Realty, LLC
5% Or Greater Security Interest · Organization
Jordan, Jammion
Operational/Managerial Control · Individual
Long, Phillip
Corporate Officer · Individual
Morris, Hilary
Operational/Managerial Control · Individual
Morris, Hilary
Corporate Director · Individual
Rasco, Lynn
Operational/Managerial Control · Individual
Rasco, Lynn
Corporate Director · Individual
Regions Bank
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
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South Haven Health And Rehabilitation, LLC
Birmingham, AL
3-star overall rating with 3-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Diversicare Of Riverchase
Birmingham, AL
3-star overall rating with 2-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Galleria Woods Skilled Nursing Facility
Birmingham, AL
3-star overall rating with 2-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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