Skilled nursing facility · CMS certification number 015468
ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER
VESTAVIA, Alabama · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,842,895 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $714,864 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,128,031 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,787,480 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,659,449 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$19,641 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,679,090 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,679,090 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 7,437 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,240 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 25,314 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 40,991 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 152 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 578 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 745 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 549.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446267, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,980,606 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,475,420 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,505,186 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,223,306 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,718,120 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,128,961 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,589,159 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,589,159 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,353 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 981 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 344.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 40.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1400787, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,439,476 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $973,066 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,466,410 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,282,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,816,398 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $286,455 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,529,943 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,529,943 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,722 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 902 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1369682, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,019,725 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,073,453 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,946,272 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,384,348 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,438,076 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $958,737 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,479,339 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,479,339 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,436 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 717 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 45.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337271, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,613,089 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,198,719 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,414,370 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,097,668 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,683,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $943,738 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,739,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,739,560 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,162 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 722 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307053, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,065,107 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,060,541 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,004,566 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,845,305 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,840,739 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $740,205 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,100,534 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,100,534 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,272 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 882 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 268.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278565, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,528,586 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,793,648 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,734,938 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,078,670 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,343,732 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,975 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,285,757 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,285,757 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,807 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 894 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 363.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 41.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251027, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,010,531 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,162,378 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,848,153 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,003,291 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,155,138 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $94,021 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,061,117 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,061,117 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,913 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 895 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 348.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 32.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249821, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 29 September 2016 to 30 June 2017 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,775,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $922,211 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,853,694 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,012,828 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,159,134 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $113,371 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,045,763 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,045,763 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 445 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 24.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182213, read from the public cost report file SNF10FY2016.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| NORTHPORT HOLDING OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/15/2011 |
| ESTES, JAMES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 51% | since 09/15/2011 |
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 18% | since 12/27/2012 |
| JAMES NORMAN ESTES JR TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 6% | since 06/30/2013 |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 18% | since 12/27/2012 |
| JENNIFER LEE ESTES TR 031093 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 6% | since 06/30/2013 |
| REGIONS BANK | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/11/2015 |
| CAHABA RIVER HEALTH REALTY, LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 08/01/2016 |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 09/11/2015 |
| HOLMES, LETCHERNIQUE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/03/2022 |
| PATTERSON, DEREK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/03/2022 |
| RASCO, LYNN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2022 |
| ESTES, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/15/2011 |
| LONG, PHILLIP | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2019 |
| HOLMES, LETCHERNIQUE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2022 |
| PATTERSON, DEREK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/03/2022 |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2022 |
| WHEELER, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/14/2022 |
| WHEELER, JOHN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/14/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER, LLC (enrollment ID O20160922000827).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| NORTHPORT HOLDING OPERATIONS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/15/2011 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18.25 | 12/27/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES NORMAN ESTES | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 51 | 9/15/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES NORMAN ESTES JR TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.25 | 6/30/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18.25 | 12/27/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER LEE ESTES TR 031093 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.25 | 6/30/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| REGIONS BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 9/11/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAHABA RIVER HEALTH REALTY, LLC | Organization | 5% OR GREATER SECURITY INTEREST | 0 | 8/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| REGIONS BANK | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 9/11/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| DEREK PATTERSON | Individual | CORPORATE DIRECTOR | 33 | 1/3/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LETCHERNIQUE HOLMES | Individual | CORPORATE DIRECTOR | 33 | 1/3/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LYNN S RASCO | Individual | CORPORATE DIRECTOR | 33 | 7/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES NORMAN ESTES | Individual | CORPORATE OFFICER | 100 | 9/15/2011 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PHILLIP CODY LONG | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DEREK PATTERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | 33 | 1/3/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN N. WHEELER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 10/14/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LETCHERNIQUE HOLMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | 33 | 1/3/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LYNN S RASCO | Individual | OPERATIONAL/MANAGERIAL CONTROL | 33 | 7/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BRANDON S. AGEE | Individual | OTHER | 49 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NHS MANAGEMENT LLC | Organization | OTHER | 0 | 8/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| PHILLIP CODY LONG | Individual | OTHER | 49 | 1/1/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN N. WHEELER | Individual | W-2 MANAGING EMPLOYEE | 100 | 10/14/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: LYNN S RASCO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LYNN S RASCO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JAMES NORMAN ESTES JR TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LYNN S RASCO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LYNN S RASCO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JAMES NORMAN ESTES JR TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2023: GLENN CUMMINGS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: GLENN CUMMINGS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ANITA H HELMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ANITA H HELMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOHN N. WHEELER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOHN N. WHEELER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LYNN S RASCO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LYNN S RASCO appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- 1 July 2026: LYNN S RASCO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LYNN S RASCO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JAMES NORMAN ESTES JR TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LYNN S RASCO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: LYNN S RASCO appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JAMES NORMAN ESTES JR TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 9 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 12 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 6 December 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 1 January 2023: GLENN CUMMINGS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: GLENN CUMMINGS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ANITA H HELMS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: ANITA H HELMS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOHN N. WHEELER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOHN N. WHEELER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LYNN S RASCO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: LYNN S RASCO appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 5 December 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 14 December 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 19 January 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 14 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 January 2024 | 12 January 2024 | 8 | 3 |
| 2 | 19 September 2019 | 19 September 2019 | 6 | 5 |
| 3 | 16 August 2018 | 16 August 2018 | 3 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 12 January 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 19 February 2024 |
| 12 January 2024 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Yes | Deficient, Provider has date of correction | 19 February 2024 |
| 12 January 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | 19 February 2024 |
| 12 January 2024 | Health | F 0578 | Resident Rights Deficiencies | 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. | J | Yes | Past Non-Compliance | 10 February 2023 |
| 12 January 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 19 February 2024 |
| 12 January 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 19 February 2024 |
| 12 January 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 19 February 2024 |
| 12 January 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Yes | Deficient, Provider has date of correction | 19 February 2024 |
| 19 September 2019 | Health | F 0693 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 24 October 2019 |
| 19 September 2019 | Health | F 0803 | Nutrition and Dietary Deficiencies | 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. | E | No | Deficient, Provider has date of correction | 24 October 2019 |
| 19 September 2019 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | 24 October 2019 |
| 19 September 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 24 October 2019 |
| 19 September 2019 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | 24 October 2019 |
| 19 September 2019 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 24 October 2019 |
| 16 August 2018 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 20 September 2018 |
| 16 August 2018 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 20 September 2018 |
| 16 August 2018 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 20 September 2018 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 12 January 2024 | Fine | $16,801 | 38010 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2016-09-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Jefferson |
| Telephone Number | 2059777216 |
| Chain Name | NHS MANAGEMENT |
| Chain ID | 372 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 113.9 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: LYNN S RASCO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Alabama at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 015468.