Aspire Physical Recovery Center at Cahaba River

3070 Healthy Way · Vestavia, AL · 35243 · 2059777216

120 certified beds For profit - Limited Liability company Chain: Nhs Management

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Staffing hours comfortably above national benchmarks.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 70
Staffing 20% 80
Federal penalties 15% 73
Trend 10% 55
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.863.48 min · 4.1 strong
RN hours / resident-day0.860.55–0.75
Weekend hours / resident-day4.10≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)1 · $16,801

Inspection citations (17 in the current record)

  • Immediate jeopardy · J January 12, 2024 · found via complaint

    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.

    Corrected February 10, 2023 · Resident Rights

  • Potential for harm · D January 12, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 19, 2024 · Resident Rights

  • Potential for harm · D January 12, 2024 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected February 19, 2024 · Resident Rights

  • Potential for harm · D January 12, 2024 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected February 19, 2024 · Resident Rights

  • Potential for harm · D January 12, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 12, 2024 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 19, 2024 · Quality of Life and Care

  • Potential for harm · D January 12, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 19, 2024 · Pharmacy Service

  • Potential for harm · F January 12, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 19, 2024 · Nutrition and Dietary

  • Potential for harm · D September 19, 2019

    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.

    Corrected October 24, 2019 · Quality of Life and Care

  • Potential for harm · E September 19, 2019

    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.

    Corrected October 24, 2019 · Nutrition and Dietary

  • Potential for harm · D September 19, 2019

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected October 24, 2019 · Nutrition and Dietary

  • Potential for harm · F September 19, 2019

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 24, 2019 · Nutrition and Dietary

  • Potential for harm · F September 19, 2019

    Dispose of garbage and refuse properly.

    Corrected October 24, 2019 · Nutrition and Dietary

  • Potential for harm · D September 19, 2019

    Provide and implement an infection prevention and control program.

    Corrected October 24, 2019 · Infection Control

  • Potential for harm · D August 16, 2018

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected September 20, 2018 · Resident Rights

  • Potential for harm · F August 16, 2018

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 20, 2018 · Nutrition and Dietary

  • Potential for harm · E August 16, 2018

    Provide and implement an infection prevention and control program.

    Corrected September 20, 2018 · Infection Control

Federal penalties

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 015468 · certified since September 29, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.