SNF
ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER
CCN: 015468 · VESTAVIA, AL 35243 · Jefferson County
Inspection > 2 years ago
Overview
- Address
- 3070 HEALTHY WAY, VESTAVIA, AL 35243
- Phone
- 2059777216
- Certified beds
- 120
- Avg daily residents
- 107 (89% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2016-09-29
- Setting
- Urban
1 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.99 | 3.93 | 4.90 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.79 | 0.69 | 0.78 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.97 | 0.87 | 0.95 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.22 | 2.37 | 3.17 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.76 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.10
hrs / resident / day
RN (weekend)
0.42
hrs / resident / day
Total nurse (adjusted, weekend)
4.03
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
69.5%
annual
RN turnover
61.3%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.39
higher acuity than avg
Case-Mix Index Ratio
1.01
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-01-12 | 8 | 8 | 8 | 60 | 1 | 60 |
| Cycle 2/3 (prior) | 2019-09-19 | 6 | 6 | 0 | 52 | 1 | 52 |
Total weighted health score
58.0
lower is better
Deficiencies (17)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
16 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-01-12 | 2024-02-19 |
| 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-01-12 | 2024-02-19 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-01-12 | 2024-02-19 |
| 0578 | 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. | J | 2024-01-12 | 2023-02-10 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-12 | 2024-02-19 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-12 | 2024-02-19 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-12 | 2024-02-19 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-01-12 | 2024-02-19 |
| 0693 | 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. | D | 2019-09-19 | 2019-10-24 |
| 0803 | 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. | E | 2019-09-19 | 2019-10-24 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2019-09-19 | 2019-10-24 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-09-19 | 2019-10-24 |
| 0814 | Dispose of garbage and refuse properly. | F | 2019-09-19 | 2019-10-24 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-09-19 | 2019-10-24 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2018-08-16 | 2018-09-20 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2018-08-16 | 2018-09-20 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2018-08-16 | 2018-09-20 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$16,801
| Date | Type | Fine amount |
|---|---|---|
| 2024-01-12 | Fine | $16,801 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 16.2% Medicaid 27.1% Other 56.6%
Operating performance
Operating Margin
-17.5%
Total Margin
-9.6%
Occupancy Rate
89.6%
Cost per Resident Day
$95
Revenue & costs
Net Patient Revenue
$15.5M
Total Costs
$3.7M
Net Income
-$1.6M
Balance sheet
Fund Balance
-$1.6M
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NHS MANAGEMENT
- Chain ID
372- Facilities in chain
- 43
- Legal business name
- ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER, LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.6
Staffing
3.7
QM
3.4
Owner / manager organizations (8)
| Organization | Role | Association |
|---|---|---|
| NORTHPORT HOLDING OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/15/2011 |
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/27/2012 |
| JAMES NORMAN ESTES JR TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2013 |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/27/2012 |
| JENNIFER LEE ESTES TR 031093 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 06/30/2013 |
| CAHABA RIVER HEALTH REALTY, LLC | 5% OR GREATER SECURITY INTEREST | since 08/01/2016 |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | since 09/11/2015 |
| REGIONS BANK | 5% OR GREATER MORTGAGE INTEREST | since 09/11/2015 |
Owner / manager individuals (11)
| Name | Role | Association |
|---|---|---|
| ESTES, JAMES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/15/2011 |
| HOLMES, LETCHERNIQUE | OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2022 |
| PATTERSON, DEREK | OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2022 |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2022 |
| WHEELER, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 10/14/2022 |
| HOLMES, LETCHERNIQUE | CORPORATE DIRECTOR | since 01/03/2022 |
| PATTERSON, DEREK | CORPORATE DIRECTOR | since 01/03/2022 |
| RASCO, LYNN | CORPORATE DIRECTOR | since 07/01/2022 |
| ESTES, JAMES | CORPORATE OFFICER | since 09/15/2011 |
| LONG, PHILLIP | CORPORATE OFFICER | since 10/01/2019 |
| WHEELER, JOHN | W-2 MANAGING EMPLOYEE | since 10/14/2022 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 110 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $95 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 27.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 16.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,589,159 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $15,505,186 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 89.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -17.5% | metrics.operating_margin |
| Cost Report | Total Costs ($) | $3,746,862 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,589,159 | metrics.fund_balance |
| Cost Report | Total Margin (%) | -9.6% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.95175 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.17116 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.78082 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.90373 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.02960 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 107.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.87124 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.36782 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.68672 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.92578 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.46016 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.7 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 372 | Chain ID |
| Provider Information | Chain Name | NHS MANAGEMENT | Chain Name |
| Provider Information | City/Town | VESTAVIA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 015468 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Jefferson | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2016-09-29 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.4291 | Latitude |
| Provider Information | Legal Business Name | ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER, LLC | Legal Business Name |
| Provider Information | Location | 3070 HEALTHY WAY,VESTAVIA,AL,35243 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -86.736 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | Y | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 120 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 43 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.39073 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.00950 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3070 HEALTHY WAY | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 360 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 60 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 8 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 8 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-01-12 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 60 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 6 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-09-19 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 52 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 52 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 6 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.42390 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 61.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.76167 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.96774 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.22443 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05856 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.79393 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.98610 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | AL | State |
| Provider Information | Telephone Number | 2059777216 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 16801.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.09729 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 69.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 58.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 35243 | ZIP Code |