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Aspire Physical Recovery Center of West Alabama

2400 Hospital Drive, Northport, AL 35476 · Tuscaloosa County · (205) 330-8412

75 certified beds, about 72 residents a day · For profit - Corporation · Medicare and Medicaid since 2016

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 015465 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 19, 2022, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 6 health citations since June 2018 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.25 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.

57.6% of nursing staff left within the year CMS measured (Alabama average 46.9%).

CMS links it to Nhs Management, an affiliated group of 43 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
0E
2F
Potential for minimal harm
0A
0B
1C
May 19, 2022Standard inspection · 0 citations
July 11, 2019Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 15, 2019
    Inspectors wroteBased on observations, interviews, the 2017 Food and Drug Administration (FDA) Food Code, and the facility's policies for Calibrating and Sanitizing Thermometers and Food Preparation Guidelines, the facility failed to: 1.) ensure an employee responsible for calibrating a thermometer was able to do it correctly; 2.) ensure china coffee cups ready for service were free of dark stains inside the cups; and 3.) ensure the plate lowerator were heating plates to the optimal temperature for service to residents. This had the potential to affect 55 of 55 residents receiving meals at the facility.
  2. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 15, 2019
    Inspectors wroteBased on observations, interviews, the facility policy titled, Garbage and Refuse, and a review of the Food and Drug Administration (FDA) 2017 Food Code, the facility failed to ensure an outdoor dumpster door was not left open and the lid to the outdoor grease refuse container was not bent in a manner that prevented the lid from fully closing. This was observed on one of two outdoor dumpsters and for one of one outdoor grease refuse container. This had the potential to affect 55 of 55 residents.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2019
    Inspectors wroteBased on observation, interviews, record review, and a facility policy titled, Person Centered Care Plans, the facility failed to ensure Resident Identifier (RI) #14 had a care plan for the use of a catheter from 6/26/19 to 7/10/19. This affected one of 16 sampled residents whose care plans were reviewed.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2019
    Inspectors wroteBased on medical record reviews, observations, interviews, and review of facility policies titled, Oxygen Administration, and Humidified Air Administration, the facility failed to ensure the oxygen tubing and humidifier bottles of Resident Identifier (RI) #21 and RI #28 were changed every seven days. The facility also failed to ensure the oxygen cannula of RI #21 and RI #28 were stored in a plastic bag when not in use. This affected RI #21 and RI #28, two of four sampled residents receiving oxygen.
  5. D
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2019
    Inspectors wroteBased on interview, document review and a review of a facility policy titled, Mandatory CEUs (Continuing Education Units), the facility failed to ensure Employee Identifier (EI) #5, a CNA (Certified Nursing Assistant), maintained 12 hours of CEU training per year. This deficient practice affected EI #5, one of 12 CNAs whose training records were reviewed for CEUs.
June 7, 2018Standard inspection · 1 citation
  1. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has June 18, 2018
    Inspectors wroteBased on observation, interview and review of the Guest Handbook, the facility failed to ensure residents were aware of the survey results and where they were located in the facility. The facility further failed to ensure signs were posted indicating where the survey results were located in the facility. This deficient practice had the potential to affect all 48 residents residing in the facility. Findings Include: A review of the Guest Handbook, pages 11 and 12 documented: .The resident has a right to .Examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect of the facility; . On 06/07/18 at 9:27 a.m., the surveyor observed both halls of the facility and there were no signs posted indicating where the results of the survey were located. [...]

Fire safety inspections

2 fire safety citations on file: 2 on June 7, 2018.

Every fire safety citation2 citations
  1. D
    Provide properly protected cooking facilities.
    K 324 · June 7, 2018 · Corrected (the home has a date of correction)
  2. D
    Have proper medical gas storage and administration areas.
    K 923 · June 7, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeAlabamaUnited States
All nursing staff (RN, LPN and aides)4.253.883.86
Registered nurses0.810.650.69
All nursing staff on weekends3.593.263.42
Nurse aides2.35
Licensed practical nurses1.09
Nursing staff turnover (share who left in a year)57.6%46.9%45.8%
Registered nurse turnover55.6%39.5%42.9%
Administrators who left0

CMS expects 3.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.51 on weekdays and 3.59 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.15 in April to June 2025 to 4.25 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.250.814.513.59 0.0%0 of 9072
Oct to Dec 20254.400.894.703.61 0.0%0 of 9268
Jul to Sep 20254.420.814.693.69 0.0%0 of 9268
Apr to Jun 20254.150.864.503.27 0.0%0 of 9172
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Alabama, Jan to Mar 20263.880.634.133.270.9%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Alabama

JobMedianMiddle halfEmployed
Alabama, all employers
CNAs (nursing assistants)$16.41$14.45 to $17.4925,250
LPNs and LVNs$27.42$23.15 to $29.7111,580
Registered nurses$37.06$30.53 to $40.0954,340
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeAlabamaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.412.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.02.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.83.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.62.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.312.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.95.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
21.821.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.524.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.211.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Aspire Physical Recovery Center of West Alabama's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (62.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

62.1% this home

Better than the national rate

US median of homes 51.5% · Alabama: 41 better, 10 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 461 eligible stays.

Potentially preventable readmissions

10.4% this home

No different from the national rate

US median of homes 10.7% · Alabama: 1 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 488 eligible stays.

Infections that led to a hospital stay

5.9% this home

No different from the national rate

US median of homes 7.1% · Alabama: 0 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 266 eligible stays.

Self-care and mobility at discharge

63.7% this home

Median of homes: Alabama50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 113 residents counted.

Falls with major injury

0.0% this home

Median of homes: Alabama0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 179 residents counted.

New or worsened pressure ulcers

1.2% this home

Median of homes: Alabama2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 179 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Alabama100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 123 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ASPIRE PHYSICAL RECOVERY CENTER OF WEST ALABAMA, LLC. CMS links this home to Nhs Management, a group of 43 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
West Alabama Health Properties LLC5% or greater direct ownership interestOrganization100%01/29/2015
Dch Holdings, Inc.5% or greater indirect ownership interestOrganization01/29/2015
James N Estes Jr Family Dynasty Tr No 25% or greater indirect ownership interestOrganization01/29/2015
James Norman Estes Jr Tr5% or greater indirect ownership interestOrganization01/29/2015
Jennifer E Agee Family Dynasty Tr No 25% or greater indirect ownership interestOrganization01/29/2015
Jennifer Lee Estes Tr 0310935% or greater indirect ownership interestOrganization01/29/2015
Northport Holding, LLC5% or greater indirect ownership interestOrganization01/29/2015
The Dch Healthcare Authority5% or greater indirect ownership interestOrganization01/29/2015
Estes, James5% or greater indirect ownership interestIndividual01/29/2015
Regions Bank5% or greater security interestOrganization06/30/2015
Shumaker, KeithW-2 managing employeeIndividual07/24/2023
Boyd, CaseyCorporate directorIndividual04/28/2023
Duffy, MarciaCorporate directorIndividual03/05/2014
Rasco, LynnCorporate directorIndividual07/01/2022
Estes, JamesCorporate officerIndividual03/03/2014
Long, PhillipCorporate officerIndividual10/01/2019
Boyd, CaseyOperational/managerial controlIndividual11/09/2020
Duffy, MarciaOperational/managerial controlIndividual03/05/2014
Rasco, LynnOperational/managerial controlIndividual07/01/2022
Shumaker, KeithOperational/managerial controlIndividual07/24/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 11, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 11, 2019: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 11, 2019: "Provide safe and appropriate respiratory care for a resident when needed."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on July 11, 2019: "Observe each nurse aide's job performance and give regular training."

Other nursing homes nearby

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Common questions

What is Aspire Physical Recovery Center of West Alabama's Medicare star rating?
CMS rates Aspire Physical Recovery Center of West Alabama 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Aspire Physical Recovery Center of West Alabama get at its last inspection?
0 health deficiencies at the standard inspection on May 19, 2022. The Alabama average is 4.
Has Aspire Physical Recovery Center of West Alabama been fined?
CMS lists no fines in the last three years.
Does Aspire Physical Recovery Center of West Alabama accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Aspire Physical Recovery Center of West Alabama?
CMS lists 20 owners and managers, and links the home to Nhs Management. Legal business name: ASPIRE PHYSICAL RECOVERY CENTER OF WEST ALABAMA, LLC.

Sources

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