Aspire Physical Recovery Center At Cahaba River

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 339 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 111 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.66 therapist hours per resident per day in 2026Q1 — more than 90% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 113.9 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.86 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.93 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.07 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.06 hrs/resident/day on weekends vs 5.18 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 1.07 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.

• Immediate jeopardy · J2024-01-12 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, Resident Identifier (RI) #264's medical record, FUNDAMENTALS OF NURSING NINTH EDITION, the facility's PROTOCOL FOR EMERGENT CARE, the facility policy titled Cardio Pulmonary Resuscitation (CPR), and a facility reported incident received by the Alabama State Survey Agency, the facility failed to honor the end-of-life wishes of RI #264, a resident with an Advanced Directive to withhold resuscitative measures in the event of cardiopulmonary cessation and an active physician's order for DNR (Do Not Resuscitate) code status. The DNR order directed staff to not initiate CPR when the resident stopped breathing and/or their heart stopped beating. During the evening shift on [DATE], RI #264 was found unresponsive with no pulse or respirations. Licensed Practical Nurse (LPN) #3 did not check RI #264's code status in accordance with the facility's protocol before she initiated CPR. As a result of initiating CPR and activating emergency medical services (EMS), facility staff performed chest compressions…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Past Non-Compliance
• Potential for harm · F2024-01-12 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, medical records, and the facility policy titled Food Preparation Guidelines, the facility failed to ensure food was served at an appetizing temperature. Specifically, on 01/11/2024 during the breakfast meal, the eggs were not served at an appetizing temperature. This had the potential to affect 108 of the 109 residents receiving the breakfast meal from the facility's kitchen. Findings include: The facility's policy for Food Preparation Guidelines, dated 08/10/2018, included the following: . PURPOSE: . Food should be palatable, attractive, and at the proper temperature, as determined by the type of food, to ensure resident/guest(s) satisfaction. STANDARD: . Food . should be served attractively at proper temperatures. RI #216 was admitted to the facility on [DATE]. A review of an admission Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 02/08/2023, revealed RI #216 had a Brief Interview for Mental Status (BIMS) score of 15 of 15 which indicated RI…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-12 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, residents' medical records, and the facility policy titled Federal Rights of Residents, the facility failed to ensure staff did not stand while feeding Resident Identifier (RI) #101 the lunch meal on 01/10/2024; and RI #91 the lunch meal on 01/11/2024. This deficient practice affected RI #101 and RI #91; two of four sampled residents observed being assisted with meals. Findings include: Review of a facility policy titled, Federal Rights of Residents, with an effective date of 03/01/2010, documented: . PURPOSE: All residents in long-term care facilities have rights guaranteed to them under Federal and State law. STANDARD: The resident has a right to a dignified existence . RI #101 was admitted to the facility on [DATE] and had diagnoses that included Metabolic Encephalopathy and Adult Failure to Thrive. RI #101's admission Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 12/28/2023, revealed RI #101 had a Brief Interview for Mental Status (BIMS)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-12 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and the facility policy titled, Person Centered Care Plan, the facility failed to ensure Resident Identifier (RI) #34 and his/her representative was informed of RI #34's quarterly care plan meetings scheduled for August and November of 2023. This affected RI #34, one of 27 residents sampled for the right to participate in care planning. Findings include: Review of a facility policy titled, Person Centered Care Plan, dated 08/15/2018, revealed the following: PURPOSE: Person centered plans of care are developed by the interdisciplinary team, to coordinate and communicate care approaches and goals of the resident/guest, consistent with the resident/guest (s) rights. STANDARD: . The interdisciplinary plan of care committee may consist of . Resident/Guest(s) family members, other representatives, as desired by the resident/guest . PROCESS: . II. Preparation for Care Plan Committee Meetings . C. The social service . should inform the resident/guest and families of the scheduled…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-12 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations, resident's medical record, and the facility policy titled, . Self-Administration of Medications, the facility failed to ensure Medical Assistant Certified (MAC) #11 and License Practical Nurse (LPN) #12 did not leave the room while Resident Identifier (RI) #54 received nebulizer treatments. RI #54 had not been assessed for the ability to self-administer medication. This deficient practice affected RI #54; one of three residents sampled for receiving nebulizer treatments. Finding include: A review of the facility's policy titled, . Self-Administration of Medications, with a reviewed date of 04/2020, documented: Policy Residents who desire to self-administer medications are permitted to do so if the facility's interdisciplinary team has determined that the practice would be safe for the resident and other residents of the facility. An order to self-administer must be given by the physician . 2. Facility staff will administer the resident's medication until the interdisciplinary…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-12 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations, residents' medical records, and the facility policy titled, Person Centered Care Plans, the facility failed to ensure Resident Identifier (RI) #54 and RI #314 had a care plan developed for the use of their oxygen. This deficient practice affected RI #54 and RI #314, two of 25 residents whose care plans were reviewed. Findings include: A review of a facility's policy titled, Person Centered Care Plans, with an effective date of 08/15/2018 documented: . PURPOSE: Person centered plans of care are developed by the interdisciplinary team, to coordinate and communicate care approaches and goals of the resident/guest . STANDARD: . the facility develops a comprehensive person centered plan of care for each resident/guest that includes measurable objective and timetables to meet a resident/guest(s) medical, nursing . needs that are identified in the comprehensive assessment . PROCESS: . d) Comprehensive Plan of Care-completed within 7 days of admission . 1) RI #54 was admitted to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observation, residents' medical records, and the facility policy titled, Oxygen Administration, the facility failed to ensure Resident Identifier (RI) #54's nebulizer mask was covered when not in use. The facility further failed to ensure RI #314's and RI #85's oxygen tubing was labeled/dated. This deficient practice affected RI #54, one of three residents reviewed for proper storage of respiratory supplies; and RI #314 and RI #85, two of three residents reviewed for respiratory care. Findings include: The facility's policy titled, Oxygen Administration, with an effective date of 12/08/2005, documented: . PURPOSE: To administer high purity oxygen for the treatment of certain disease or conditions . PROCESS . 11. Cannulas and masks should be changed weekly . 14. O2 cannula/mask should be stored in plastic bag when not in use . 1) RI #54 was admitted to the facility on [DATE] with a diagnosis of Chronic Obstructive Pulmonary Disease. RI #54's Physicians Orders dated 11/09/2023 documented: .…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-12 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on RI #215's medical record, interviews, facility pharmacy records titled CONSOLODATED DELIVERY SHEETS, and the facility policy titled, Ordering and Receiving Medications from Provider Pharmacy the facility failed to ensure Resident Identifier (RI) #215's Clonazepam was available for administration on 04/05/2023, 04/06/2023, 04/07/2023, and 04/11/2023. This deficient practice affected RI #215; one of three residents sampled for medication availability. Findings include: The facility policy titled, Ordering and Receiving Medications from Provider Pharmacy, dated 04/2020 revealed: Policy Medications and related products are received from the provider pharmacy on a timely basis. The facility maintains accurate records of medications order and receipt. RI #215 was admitted to the facility 04/05/2023 with a diagnosis of Vascular Dementia without Behaviors. A review of RI #215's discharge orders revealed: . date 04/05/2023 Scheduled Medications . Clonazepam (Klonopin) 0.5 mg (milligrams) oral Daily at bedtime . A review of RI #215's Medication Administration Record (MAR) for April…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2019-09-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and the 2017 Food and Drug Administration (FDA) Food Code, the facility failed to ensure: 1.) the dishwasher drain pipe did not extend into the floor drain by one inch, 2.) the table stand mixer's wire bowl guard did not have a white-yellow dried residue on the bottom wire when the cook used the mixer to make chocolate pudding for lunch on 9/17/19, and 3.) the Tuna Salad, Pasta Salad, and Oreo Fluff Parfait served for lunch on 9/17/19 were maintained at 41 degrees Fahrenheit (F) or lower during holding for service. This had the potential to affect 99 residents receiving meals from the kitchen, 99 of 100 residents. Findings include: 1.) The 2017 FDA Food Code included the following: . 5-402.11 Backflow Prevention. (A) . a direct connection may not exist between the SEWAGE system and a drain originating from EQUIPMENT in which FOOD, portable EQUIPMENT, or UTENSILS are placed. During the initial kitchen tour on 9/16/19 at 3:55 PM, the drain pipe from the dishwasher was observed to extend down into the floor drain and therefore below the level of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2019-09-19 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and the 2017 Food and Drug Administration (FDA) Food Code, the facility failed to ensure one of two dumpster's had the doors closed and further failed to ensure the outside refuse storage area was kept clean to discourage vermin. This had the potential to affect 100 out of 100 residents living in the facility. Findings include: The 2017 FDA Food Code included: . 5-501.15 Outside Receptacles. (A) Receptacles and waste handling units for REFUSE, . used with materials containing FOOD residue and used outside the FOOD ESTABLISHMENT shall . have tight-fitting lids, doors, or covers. (B) Receptacles and waste handling units for REFUSE, . shall be installed so that accumulation of debris and insect and rodent attraction and harborage are minimized and effective cleaning is facilitated around . the unit. 5-501.110 Storing Refuse, Recyclables, and Returnables. REFUSE, . shall be stored in receptacles or waste handling units so that they are inaccessible to insects and rodents. 5-501.113 Covering Receptacles. Receptacles and waste handling units for REFUSE, .…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2019-09-19 · tag F0803 — failed to meet residents' dietary needs — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, the facility's Cycle Menus policy, the facility's Menu Changes policy, the facility's Menu Diet Guide Sheet, and the facility's Menu Measurement Conversion Factors, the facility failed to ensure the planned lunch menus for the Pureed and the Mechanical Soft diets were followed on Tuesday, 9/17/2019. This had the potential to affect the eighteen residents receiving mechanically altered diets, eighteen of 99 residents receiving their meals from the kitchen and eighteen of 100 residents in the facility. Findings include: The facility's Cycle Menus policy, effective date 10/01/2005, included the following: . PURPOSE: To meet the nutritional needs of resident/guest(s), . standard menus are utilized. PROCESS: . c. Menus should have portions stated in ounces, and/or measurements. A helpful conversion factors chart is attached as an exhibit to this policy. g. Menus should include but are not limited to the following: * Two cups milk or equivalent daily * Six ounces meat, poultry, fish or protein equivalent daily * Four servings of fruits and vegetables .…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$16,801 in federal fines across 1 penalty.

• $16,801 — penalty dated 2024-01-12

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to NHS MANAGEMENT — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $10.4M paid to related parties — landlords or management companies under common ownership — equal to about 57% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AL