Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (74% of admissions), and a typical private pay stay runs around 1 months.
Owned by John Wheeler, Aspire Physical Recovery Center at Cahaba River is a nursing home built around short-term rehabilitation and recovery in Vestavia Hills, Alabama. The 120-bed facility sits in a really walkable neighborhood where most daily errands can be done on foot, making it convenient for visiting families and residents to venture out when wanted. Medicare, Medicaid, and private pay are welcome, giving families lots of routes to cover post-acute rehabilitation and ongoing skilled nursing care.
The average stay length of 40 days reflects a robust focus on helping residents recover and return home after a hospital stay or major surgery. That short-stay profile shapes the entire approach: the facility emphasizes intensive rehabilitation services via specialized nursing, therapy, and a rapid recovery program, supported by on-site pharmacy services. Staffing levels underscore this dedication, with total nursing care averaging nearly 5 hours per resident day and nurse aide support at nearly 4 hours per resident day. Day-to-day living is boosted by amenities that support recovery and well-being. A full-service spa and health and beauty spa are present, and a professional chef prepares meals using fresh, healthy ingredients under a registered dietician’s guidance. The community also offers concierge services to help with daily needs, allowing residents and families to focus on the recovery process.
Aspire Physical Recovery Center at Cahaba River, LLC is administered by Maegan Estes Darby.
State average 2.9
Last Health inspection on Jan 2024
State average 10.4
State average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 17 citations resulted from standard inspections; and 8 of 17 came from combined inspections (standard and complaint).
State average: 0.7
State average: 0.2
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
6,864 contractor hours this quarter
| Certified Nursing Assistant | 66 | 0 | 66 | 19,840 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 27 | 0 | 27 | 7,917 | 92 | 100% | 9.2 |
| Registered Nurse | 30 | 0 | 30 | 6,841 | 92 | 100% | 8.6 |
| Nurse Aide in Training | 27 | 0 | 27 | 6,467 | 92 | 100% | 7.2 |
| Medication Aide/Technician | 24 | 0 | 24 | 5,646 | 92 | 100% | 8.5 |
| Speech Language Pathologist | 0 | 9 | 9 | 2,151 | 78 | 85% | 7.3 |
| Qualified Social Worker | 0 | 7 | 7 | 1,626 | 80 | 87% | 7.3 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,532 | 64 | 70% | 7.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 1,401 | 75 | 82% | 7.4 |
| RN Director of Nursing | 3 | 0 | 3 | 1,387 | 66 | 72% | 9.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 1,182 | 80 | 87% | 7.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 603 | 79 | 86% | 7.2 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 504 | 70 | 76% | 7.1 |
| Dietitian | 1 | 0 | 1 | 434 | 56 | 61% | 7.7 |
| Dental Services Staff | 1 | 0 | 1 | 421 | 59 | 64% | 7.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 170 | 26 | 28% | 6.5 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 110 | 23 | 25% | 4.8 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 12, 2024 · $17K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
25% of new residents, usually for short-term rehab.
74% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Aspire Physical Recovery Center at Cahaba River, LLC from 2018–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (74% of admissions), and a typical private pay stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Vestavia Hills's city center to Aspire Physical Recovery Center at Cahaba River, LLC's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the AL Dept. of Public Health (ADPH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Alabama average is: 53.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Palm Gardens Health and Rehabilitation, LLC | NH PC SNF | Mobile (South Crichton) | 100
Facility
100
AL AVG
90
Rank
#86 / 242 |
89.8%
Facility
89.8%
AL AVG
81.3
Rank
#36 / 104 | +10% | 4.27
Facility
4.27
AL AVG
4.37
Rank
#67 / 125 | +40% | -2% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 4
Facility
4
AL AVG
10.4
Rank
#15 / 124 | 4.0
Facility
4.0
AL AVG
3.5
Rank
#87 / 124 | - | 90 | - |
46
Facility
46
AL AVG
39
Rank
#150 / 382 | Jeanne Freeman | $10.6MFiscal year ending 06/2024
Facility
$10.6MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#50 / 108 | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#49 / 108 | 50.9%Fiscal year ending 06/2024
Facility
50.9%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#53 / 107 | 15403 | ||||
| Crowne Health Care of Springhill | NH RC SNF | Mobile (College Park) | 46
Facility
46
AL AVG
90
Rank
#192 / 242 |
39.1%
Facility
39.1%
AL AVG
81.3
Rank
#102 / 104 | -52% | 4.70
Facility
4.70
AL AVG
4.37
Rank
#35 / 125 | -3% | +8% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 3
Facility
3
AL AVG
10.4
Rank
#5 / 124 | 1.0
Facility
1.0
AL AVG
3.5
Rank
#1 / 124 | - | 18 | - |
49
Facility
49
AL AVG
39
Rank
#124 / 382 | Amber Detamore | $7.1MFiscal year ending 06/2024
Facility
$7.1MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#92 / 108 | $4.0MFiscal year ending 06/2024
Facility
$4.0MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#86 / 108 | 56.2%Fiscal year ending 06/2024
Facility
56.2%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#33 / 107 | 15426 | ||||
| Albertville Nursing Home | NH RC SNF | North Albertville | 159
Facility
159
AL AVG
90
Rank
#23 / 242 |
96.5%
Facility
96.5%
AL AVG
81.3
Rank
#6 / 104 | +19% | 5.28
Facility
5.28
AL AVG
4.37
Rank
#13 / 125 | -21% | +21% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 9
Facility
9
AL AVG
10.4
Rank
#52 / 124 | 3.0
Facility
3.0
AL AVG
3.5
Rank
#46 / 124 | - | 154 | - |
66
Facility
66
AL AVG
39
Rank
#33 / 382 | Terri Brown | $18.0MFiscal year ending 06/2024
Facility
$18.0MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#9 / 108 | $10.6MFiscal year ending 06/2024
Facility
$10.6MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#3 / 108 | 58.9%Fiscal year ending 06/2024
Facility
58.9%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#21 / 107 | 15163 | ||||
| Piedmont Health Care Center | NH AL MC SNF | Piedmont | 91
Facility
91
AL AVG
90
Rank
#100 / 242 |
92.3%
Facility
92.3%
AL AVG
81.3
Rank
#25 / 104 | +14% | 5.54
Facility
5.54
AL AVG
4.37
Rank
#8 / 125 | -49% | +27% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 125 | 3
Facility
3
AL AVG
10.4
Rank
#5 / 124 | 3.0
Facility
3.0
AL AVG
3.5
Rank
#46 / 124 | - | 84 | - |
61
Facility
61
AL AVG
39
Rank
#58 / 382 | Piedmont Health Care Center | $9.3MFiscal year ending 06/2024
Facility
$9.3MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#67 / 108 | $5.6MFiscal year ending 06/2024
Facility
$5.6MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#44 / 108 | 60.9%Fiscal year ending 06/2024
Facility
60.9%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#18 / 107 | 15194 | ||||
| Aspire Physical Recovery Center at Cahaba River, LLC | NH PC SNF | Vestavia Hills | 120
Facility
120
AL AVG
90
Rank
#62 / 242 |
94.9%
Facility
94.9%
AL AVG
81.3
Rank
#10 / 104 | +17% | 4.84
Facility
4.84
AL AVG
4.37
Rank
#31 / 125 | +36% | +11% | $16.8k
Facility
$16.8k
AL AVG
$59.8k
Rank
#108 / 125 | 17
Facility
17
AL AVG
10.4
Rank
#109 / 124 | 5.7
Facility
5.7
AL AVG
3.5
Rank
#113 / 124 | 1 | 114 | - |
73
Facility
73
AL AVG
39
Rank
#15 / 382 | John Wheeler | $15.5MFiscal year ending 06/2024
Facility
$15.5MFiscal year ending 06/2024
AL AVG
$11.3M
Rank
#19 / 108 | $8.0MFiscal year ending 06/2024
Facility
$8.0MFiscal year ending 06/2024
AL AVG
$5.7M
Rank
#20 / 108 | 51.6%Fiscal year ending 06/2024
Facility
51.6%Fiscal year ending 06/2024
AL AVG
53.1%
Rank
#51 / 107 | 15468 |
Aspire Physical Recovery Center at Cahaba River, LLC has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Aspire Physical Recovery Center at Cahaba River, LLC's occupancy is 95%.
No, Aspire Physical Recovery Center at Cahaba River, LLC has a no-pet policy.
Aspire Physical Recovery Center at Cahaba River, LLC is registered as a for-profit in AL.
Maegan Estes Darby is the administrator of Aspire Physical Recovery Center at Cahaba River, LLC.
Aspire Physical Recovery Center at Cahaba River, LLC has 120 beds.
Yes — there are 7 photos of Aspire Physical Recovery Center at Cahaba River, LLC in the photo gallery on this page.
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