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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

0.92

Registered nurse staffing

LPN hours / resident day

1.38

Licensed practical nurse staffing

Aide hours / resident day

3.02

Nurse aide staffing

Weekend hours

4.40

Weekend nurse staffing

RN turnover

69%

Annual RN turnover

Total nurse turnover

65%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

100% 16 facilities 2011-09-15
Estes, James

5% Or Greater Indirect Ownership Interest · Individual

51% 45 facilities 2011-09-15
James N Estes Jr Family Dynasty Tr No 2

5% Or Greater Indirect Ownership Interest · Organization

18% 24 facilities 2012-12-27
Jennifer E Agee Family Dynasty Tr No 2

5% Or Greater Indirect Ownership Interest · Organization

18% 24 facilities 2012-12-27
James Norman Estes Jr Tr

5% Or Greater Indirect Ownership Interest · Organization

6% 42 facilities 2013-06-30
Jennifer Lee Estes Tr 031093

5% Or Greater Indirect Ownership Interest · Organization

6% 42 facilities 2013-06-30
Cobb, Leigh

Operational/Managerial Control · Individual

0% 5 facilities 2023-07-24
Cobb, Leigh

Corporate Director · Individual

0% 5 facilities 2023-07-24
Estes, James

Corporate Officer · Individual

0% 45 facilities 2011-09-15
Green Valley Health Realty, LLC

5% Or Greater Security Interest · Organization

0% 1 facilities 2014-10-06
Jordan, Jammion

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-14
Long, Phillip

Corporate Officer · Individual

0% 46 facilities 2019-10-01
Morris, Hilary

Operational/Managerial Control · Individual

0% 5 facilities 2023-09-01
Morris, Hilary

Corporate Director · Individual

0% 5 facilities 2023-09-01
Rasco, Lynn

Operational/Managerial Control · Individual

0% 45 facilities 2022-01-03
Rasco, Lynn

Corporate Director · Individual

0% 45 facilities 2022-01-03
Regions Bank

5% Or Greater Security Interest · Organization

0% 53 facilities 2013-12-27

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