Alabama ›Vestavia

Aspire Physical Recovery Center at Cahaba River

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3070 Healthy Way, Vestavia, AL 35243 (opens Google Maps) · Jefferson County · (205) 977-7216· 120 certified beds · avg 114 residents/day · certified since Sep 29, 2016 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)

1/5
Health inspection rating (on-site)
inspected Jan 12, 2024
1
Serious findings on record
most recent Jan 12, 2024
$16,801
Fines, last 3 years
4.84
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Jan 12, 2024 · F-0578 · triggered by a complaint

The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Feb 10, 2023 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.

  1. J · Immediate jeopardy, isolated

    The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint F-0578

  2. F · Potential for more than minimal harm, widespread

    The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint F-0804

  3. D · Potential for more than minimal harm, isolated

    The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint F-0550

View all 17 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jan 12, 2024▲ J · Immediate jeopardy, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint · F-0578
Jan 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804
Jan 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Jan 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint · F-0553
Jan 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint · F-0554
Jan 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Jan 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695
Jan 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Sep 19, 2019F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 19, 2019F · Potential for more than minimal harm, widespreadThe facility did not dispose of garbage and refuse properly. · F-0814
Sep 19, 2019E · Potential for more than minimal harm, patternThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Sep 19, 2019D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Sep 19, 2019D · Potential for more than minimal harm, isolatedThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806
Sep 19, 2019D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 16, 2018F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 16, 2018E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 16, 2018D · Potential for more than minimal harm, isolatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2018
All citations: 3
Serious citations (G–L): 0
2019
All citations: 6
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201830F
201960F
202481J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

1 fine totaling $16,801.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jan 12, 2024Fine$16,801

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.84
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.92
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.04
Alabama average: 3.73
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityAlabama avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.844.433.95top 25% in Alabama; top 16% in the U.S.
Registered Nurse hours0.920.740.69top 19% in Alabama; top 19% in the U.S.
Weekend total nurse staffing4.043.733.50top 23% in Alabama; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)0.570.360.48top 14% in Alabama; top 26% in the U.S.
Total nursing staff turnover (%)62.446.945.8bottom 11% in Alabama; bottom 13% in the U.S.
RN turnover (%)51.639.542.9bottom 25% in Alabama; bottom 32% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.86, RN 0.93, weekend 4.06.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.86 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Aspire Physical Recovery Center at Cahaba River. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Estes, JamesIndividual5% or Greater Indirect Ownership Interest51%09/15/2011
James N Estes Jr Family Dynasty Tr No 2Organization5% or Greater Indirect Ownership Interest18%12/27/2012
James Norman Estes Jr TrOrganization5% or Greater Indirect Ownership Interest6%06/30/2013
Jennifer E Agee Family Dynasty Tr No 2Organization5% or Greater Indirect Ownership Interest18%12/27/2012
Jennifer Lee Estes Tr 031093Organization5% or Greater Indirect Ownership Interest6%06/30/2013
Northport Holding Operations, LLCOrganization5% or Greater Direct Ownership Interest100%09/15/2011
Cahaba River Health Realty, LLCOrganization5% or Greater Security InterestNOT APPLICABLE08/01/2016
Estes, JamesIndividualCorporate OfficerNOT APPLICABLE09/15/2011
Holmes, LetcherniqueIndividualCorporate DirectorNOT APPLICABLE01/03/2022
Holmes, LetcherniqueIndividualOperational/Managerial ControlNOT APPLICABLE01/03/2022
Long, PhillipIndividualCorporate OfficerNOT APPLICABLE10/01/2019
Patterson, DerekIndividualCorporate DirectorNOT APPLICABLE01/03/2022
Patterson, DerekIndividualOperational/Managerial ControlNOT APPLICABLE01/03/2022
Rasco, LynnIndividualCorporate DirectorNOT APPLICABLE07/01/2022
Rasco, LynnIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2022
Regions BankOrganization5% or Greater Mortgage InterestNOT APPLICABLE09/11/2015
Regions BankOrganization5% or Greater Security InterestNOT APPLICABLE09/11/2015
Wheeler, JohnIndividualW-2 Managing EmployeeNOT APPLICABLE10/14/2022
Wheeler, JohnIndividualOperational/Managerial ControlNOT APPLICABLE10/14/2022

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain NHS Management — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "How are residents and families included in care plan meetings, and how often do those meetings happen?"
  • "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 62% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 36 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Elite Nursing and Rehabilitation Care Center3.1 miBirmingham, AL★☆☆☆☆1/5
Brookdale University Park SNF (al)4.0 miBirmingham, AL★☆☆☆☆1/5
Aspire Physical Recovery Center at Hoover, LLC4.4 miHoover, AL★☆☆☆☆1/5
South Haven Health and Rehabilitation, LLC4.5 miBirmingham, AL★★★☆☆3/5
Diversicare of Riverchase4.7 miBirmingham, AL★★★☆☆3/5
Greenbriar at the Altamont Skilled Nursing Facilit5.9 miBirmingham, AL★★★☆☆3/5
South Health and Rehabilitation, LLC6.0 miBirmingham, AL★★☆☆☆2/5
Galleria Woods Skilled Nursing Facility6.3 miBirmingham, AL★★☆☆☆2/5
Fair Haven6.5 miBirmingham, AL★★★☆☆3/5
St Martin's in the Pines6.8 miIrondale, AL★★☆☆☆2/5
Arlington Rehabilitation & Healthcare Center8.0 miBirmingham, AL★★★★☆4/5
Civic Center Health and Rehabilitation, LLC8.1 miBirmingham, AL★★☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Jefferson, AL — 34 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Vestavia →

Facility data as of CMS processing date 2026-08-01. CCN 015468.

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