19.5% antipsychotic use — near the national average of 16.7%.
❌ Short-Stay Rehab
28.2% rehospitalization rate — above the national average of 23.9%. Ask about discharge planning and care coordination.
❌ Bedridden / Immobile Residents
12.4% pressure ulcer rate — above the national average of 5.1%. Ask about repositioning schedules and wound care staff.
⚠️ ️ Fall-Risk Residents
2.5% falls with major injury — near the national average.
Overall Rating 2022–2026
Total Nurse Hours/Day 2022–2026
Quality Measures vs National Average
Long-Stay Residents
Antipsychotic Medication Uselong-stay
19.5% +2.8% vs national
National avg: 16.7% | 4-quarter average (2024Q4–2025Q3)
Falls with Major Injurylong-stay
2.5% -0.7% vs national
National avg: 3.3% | 4-quarter average (2024Q4–2025Q3)
Pressure Ulcerslong-stay
12.4% +7.3% vs national
National avg: 5.1% | 4-quarter average (2024Q4–2025Q3)
Daily Activity Declinelong-stay
21.7% +6.8% vs national
National avg: 14.9% | 4-quarter average (2024Q4–2025Q3)
Walking/Mobility Worsenedlong-stay
19.7% +3.4% vs national
National avg: 16.3% | 4-quarter average (2024Q4–2025Q3)
Urinary Tract Infectionslong-stay
2.7% +1.0% vs national
National avg: 1.7% | 4-quarter average (2024Q4–2025Q3)
Residents with Depressive Symptomslong-stay
0.0% -11.4% vs national
National avg: 11.4% | 4-quarter average (2024Q4–2025Q3)
Physical Restraints Usedlong-stay
0.0% -0.1% vs national
National avg: 0.1% | 4-quarter average (2024Q4–2025Q3)
Residents Losing Too Much Weightlong-stay
5.1% -0.2% vs national
National avg: 5.4% | 4-quarter average (2024Q4–2025Q3)
Short-Stay / Rehab Residents
Rehospitalized After Admissionshort-stay
28.2% +4.3% vs national
National avg: 23.9% | 4-quarter average (2024Q4–2025Q3)
Emergency Dept. Visit Rateshort-stay
11.9% -0.1% vs national
National avg: 12.0% | 4-quarter average (2024Q4–2025Q3)
Quality Measure Trends (2022–2026)
Antipsychotic Medication Use % (lower = better)
Falls with Major Injury % (lower = better)
Pressure Ulcers % (lower = better)
Rehospitalization Rate % (lower = better)
Why does a facility with 1 CMS star sometimes have a higher composite score? CMS star ratings place hundreds of facilities into just 5 buckets. Our composite score uses the raw underlying data to rank facilities more precisely. A 1-star facility may have been penalized in health inspection while performing well in staffing and quality care. Read our methodology.
Current CMS Ratings (2026)
Overall Rating
★★★★★1 / 5
Health Inspection
★★★★★1 / 5
Staffing Rating
★★★★★4 / 5
Quality Measures (QM)
★★★★★3 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM) Rating
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightAspire Physical Recovery Center At Cahaba River currently provides 4 hours 59 minutes of total nurse staffing per resident per day, including 48 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover is high at 69.5%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing4 hours 59 minutes
Nurse Aide Hours3 hours 13 minutes
Licensed Practical Nurse (LPN) Hours58 minutes
Registered Nurse (RN) Hours48 minutes
Physical Therapist Hours4 minutes
National average total nurse staffing is approximately 3.9 hours per resident per day (CMS, March 2026).
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours4 hours 6 minutes
Weekend Registered Nurse (RN) Hours25 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
5-Year Compliance Record (2022–2026)
❌ Serious findings — see details below
Immediate Jeopardy citation in last 2 years. This means inspectors found conditions that posed an immediate threat to resident safety. Review the full inspection report at medicare.gov/care-compare.
Total citations (2022–2026)78
Citations causing actual harm (severity G+)2
Immediate jeopardy citations (most serious)2
Complaint-driven citations24
Abuse / neglect related citations0
Government fines (2022–2026)2
Total fines paid$33,602
Medicare/Medicaid payment denial days0
Severity A–C: minor | D–F: potential harm | G–I: actual harm | J–L: immediate jeopardy. Data covers 2022–2026.
Nationally, Aspire Physical Recovery Center At Cahaba River ranks 7607th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within AL, it ranks 106th out of 224 nursing homes. For 2026 staffing: total nurse hours rank #1,243 nationally and RN hours rank #3,707 nationally (#40 in AL).
Total Nurse Staffing — Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
AL State Rank
2022
4.11
#3,689 / 14,703
#57 / 224
2023
5.62
#509 / 14,703
#1 / 224
2024
4.56
#1,986 / 14,703
#31 / 224
2025
4.14
#3,769 / 14,703
#73 / 224
2026
4.99
#1,243 / 14,703
#7 / 224
Registered Nurse (RN) Hours — Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
AL State Rank
2022
0.75
#4,497 / 14,703
#47 / 224
2023
0.75
#3,938 / 14,703
#36 / 224
2024
0.71
#4,296 / 14,703
#47 / 224
2025
0.69
#4,953 / 14,703
#72 / 224
2026
0.79
#3,707 / 14,703
#40 / 224
Total Nurse Rank — National (lower = better)
Registered Nurse Rank — National (lower = better)
Frequently Asked Questions
Aspire Physical Recovery Center At Cahaba River is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2016-09-29. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (205) 977-7216 or your local Medicaid office to verify current eligibility.
Aspire Physical Recovery Center At Cahaba River holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1â ), Staffing (4â ), and Quality of Resident Care (3â ). Our independent composite quality score â which uses the raw underlying CMS numbers to break ties between similarly-rated facilities â is 71.5/100, placing it #7607 of 14703 facilities nationally and #106 of 224 in Alabama. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Aspire Physical Recovery Center At Cahaba River receives a reported average of 4 hours 59 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage â 48 minutes; Licensed Practical Nurse (LPN) â 58 minutes; Nurse Aide â 3 hours 13 minutes. On weekends, total nurse staffing is 4 hours 6 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 69.5%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $16,801. 8 substantiated complaints were recorded across the 5-year period â families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $16,801, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 58.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Aspire Physical Recovery Center At Cahaba River ranks 7607th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within AL, it ranks 106th out of 224 nursing homes. For 2026 staffing: total nurse hours rank #1,243 nationally and RN hours rank #3,707 nationally (#40 in AL). Our composite quality score of 71.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends â giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Vestavia, visit: https://nursinghomesnearme.org/alabama/vestavia/
📌 Straight-line distances only — does not account for roads or terrain. Source: CMS Provider Data Catalog, March 2026. ⚠ = approximate location (ZIP centroid geocoding).
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org using a proprietary methodology. Learn how rankings are calculated. Information may not reflect current facility conditions. Always verify at medicare.gov/care-compare before making care decisions.