Aspire Physical Recovery Center at Hoover, LLC

Name: Aspire Physical Recovery Center at Hoover, LLC
Address: 575 SOUTHLAND DRIVE, Hoover, AL, 35226, US
Telephone: 2057216200

575 Southland Drive, Hoover, AL 35226 · Jefferson County · 118 certified beds · avg 107 residents/day · certified since Jan 8, 2015

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

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.22

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

⚠ 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 self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jun 25, 2023 · F-0760

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jul 24, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 25, 2023	▲ J · Immediate jeopardy, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jun 25, 2023	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 25, 2023	D · Potential for harm, one-off	The 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.
Jun 25, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jun 25, 2023	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Jun 25, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 25, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jun 25, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 18, 2021	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 18, 2021	D · Potential for harm, one-off	The 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.
Feb 13, 2020	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2020	2	0	F
2021	2	0	F
2023	8	1	J ▲

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)

No fines or payment denials in the published 3-year window.

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

Measure	This facility	Alabama avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.22	4.43	3.95	top 12% in Alabama; top 10% in the U.S.
Registered Nurse hours	1.29	0.74	0.69	top 5% in Alabama; top 8% in the U.S.
Weekend total nurse staffing	4.08	3.73	3.50	top 21% in Alabama; top 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.57	0.36	0.48	top 14% in Alabama; top 26% in the U.S.
Total nursing staff turnover (%)	67.3	46.9	45.8	bottom 7% in Alabama; bottom 8% in the U.S.
RN turnover (%)	70.0	39.5	42.9	bottom 8% in Alabama; bottom 12% in the U.S.

Hours are per resident per day, 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 4.80, RN 1.18, weekend 3.75. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

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

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Estes, James	Individual	5% or Greater Indirect Ownership Interest	51%	09/15/2011
James N Estes Jr Family Dynasty Tr No 2	Organization	5% or Greater Indirect Ownership Interest	18%	12/27/2012
James Norman Estes Jr Tr	Organization	5% or Greater Indirect Ownership Interest	6%	06/30/2013
Jennifer E Agee Family Dynasty Tr No 2	Organization	5% or Greater Indirect Ownership Interest	18%	12/27/2012
Jennifer Lee Estes Tr 031093	Organization	5% or Greater Indirect Ownership Interest	6%	06/30/2013
Northport Holding Operations, LLC	Organization	5% or Greater Direct Ownership Interest	100%	09/15/2011
Cobb, Leigh	Individual	Corporate Director	NOT APPLICABLE	07/24/2023
Cobb, Leigh	Individual	Operational/Managerial Control	NOT APPLICABLE	07/24/2023
Estes, James	Individual	Corporate Officer	NOT APPLICABLE	09/15/2011
Green Valley Health Realty, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	10/06/2014
Jordan, Jammion	Individual	Operational/Managerial Control	NOT APPLICABLE	10/14/2024
Jordan, Jammion	Individual	ADP of the SNF	NOT APPLICABLE	01/31/2025
Long, Phillip	Individual	Corporate Officer	NOT APPLICABLE	10/01/2019
Morris, Hilary	Individual	Corporate Director	NOT APPLICABLE	09/01/2023
Morris, Hilary	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2023
Rasco, Lynn	Individual	Corporate Director	NOT APPLICABLE	01/03/2022
Rasco, Lynn	Individual	Operational/Managerial Control	NOT APPLICABLE	01/03/2022
Regions Bank	Organization	5% or Greater Security Interest	NOT APPLICABLE	12/27/2013

Questions to ask on your visit

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

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
South Haven Health and Rehabilitation, LLC	0.3 mi	Birmingham, AL	★★★☆☆	3/5
Diversicare of Riverchase	2.5 mi	Birmingham, AL	★★★☆☆	3/5
Galleria Woods Skilled Nursing Facility	2.8 mi	Birmingham, AL	★★☆☆☆	2/5
Brookdale University Park SNF (al)	3.5 mi	Birmingham, AL	★☆☆☆☆	1/5
Aspire Physical Recovery Center at Cahaba River	4.4 mi	Vestavia, AL	★☆☆☆☆	1/5
Elite Nursing and Rehabilitation Care Center	4.5 mi	Birmingham, AL	★☆☆☆☆	1/5
South Health and Rehabilitation, LLC	6.1 mi	Birmingham, AL	★★☆☆☆	2/5
Arlington Rehabilitation & Healthcare Center	6.4 mi	Birmingham, AL	★★★★☆	4/5
Greenbriar at the Altamont Skilled Nursing Facilit	6.9 mi	Birmingham, AL	★★★☆☆	3/5
Redmont Health and Rehabilitation Center	6.9 mi	Birmingham, AL	★★★☆☆	3/5
Oak Knoll Health and Rehabilitation, LLC	7.4 mi	Birmingham, AL	★★★☆☆	2/5
Northgate Health and Rehabilitation Center	7.8 mi	Bessemer, AL	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Hoover →

Facility data as of CMS processing date 2026-08-01. CCN 015464.

The Care File

Visit checklist — Aspire Physical Recovery Center at Hoover, LLC

575 Southland Drive, Hoover, AL 35226 · 2057216200

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Jun 25, 2023 (F-0760, Immediate jeopardy, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 015464 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)