Aspire Physical Recovery Center At Cahaba River
Vestavia, Jefferson County, Alabama · CCN 015468 · For-profit (LLC) · part of Nhs Management (43 facilities, chain average 2.9 stars)
CMS rates Aspire Physical Recovery Center At Cahaba River 1 of 5 overall as of August 2026. 120 certified beds, 114 residents a day on average. 17 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $16,801.
On record
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 4.86095 hours per resident per day |
|---|---|
| Registered nurses | 0.92877 hours per resident per day |
| Weekend total | 4.06142 hours per resident per day |
| Nursing staff turnover | 62.4% (registered nurses 51.6%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2024-01-12 complaint survey |
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. Resident Rights Deficiencies · tag F0578 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2023-02-10 |
| 2024-01-12 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-19 |
| 2024-01-12 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-19 |
| 2024-01-12 complaint survey |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · tag F0553 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-19 |
| 2024-01-12 complaint survey |
Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-19 |
| 2024-01-12 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-19 |
| 2024-01-12 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-19 |
| 2024-01-12 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-19 |
| 2019-09-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2019-10-24 |
| 2019-09-19 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2019-10-24 |
| 2019-09-19 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-10-24 |
| 2019-09-19 | 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-10-24 |
| 2019-09-19 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-10-24 |
| 2019-09-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-10-24 |
| 2018-08-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2018-09-20 |
| 2018-08-16 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-09-20 |
| 2018-08-16 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-09-20 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-12 | Fine | $16,801 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Northport Holding Operations, LLC Organization | 5% or greater direct ownership interest | 100% | 2011-09-15 |
| James N Estes Jr Family Dynasty Tr No 2 Organization | 5% or greater indirect ownership interest | 18% | 2012-12-27 |
| James Norman Estes Jr Tr Organization | 5% or greater indirect ownership interest | 6% | 2013-06-30 |
| Jennifer E Agee Family Dynasty Tr No 2 Organization | 5% or greater indirect ownership interest | 18% | 2012-12-27 |
| Jennifer Lee Estes Tr 031093 Organization | 5% or greater indirect ownership interest | 6% | 2013-06-30 |
| Regions Bank Organization | 5% or greater mortgage interest | — | 2015-09-11 |
| Cahaba River Health Realty, LLC Organization | 5% or greater security interest | — | 2016-08-01 |
| Regions Bank Organization | 5% or greater security interest | — | 2015-09-11 |
| Estes, James Individual | 5% or greater indirect ownership interest | 51% | 2011-09-15 |
| Holmes, Letchernique Individual | corporate director | — | 2022-01-03 |
| Patterson, Derek Individual | corporate director | — | 2022-01-03 |
| Rasco, Lynn Individual | corporate director | — | 2022-07-01 |
| Estes, James Individual | corporate officer | — | 2011-09-15 |
| Long, Phillip Individual | corporate officer | — | 2019-10-01 |
| Holmes, Letchernique Individual | operational/managerial control | — | 2022-01-03 |
| Patterson, Derek Individual | operational/managerial control | — | 2022-01-03 |
| Rasco, Lynn Individual | operational/managerial control | — | 2022-07-01 |
| Wheeler, John Individual | operational/managerial control | — | 2022-10-14 |
| Wheeler, John Individual | w-2 managing employee | — | 2022-10-14 |
What changed
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Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Aspire Physical Recovery Center At Cahaba River.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jefferson County.