facebook tracking Four Oaks Health Care Center, Jonesborough TN: CMS Ratings
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Four Oaks Health Care Center

All states › Tennessee › Jonesborough › Four Oaks Health Care Center

1101 Persimmon Ridge Rd Jonesborough, TN 37659 · Washington County

(423) 753-8711

Accepts Medicare Accepts Medicaid 84 certified beds For profit

CMS certification number 445458 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Four Oaks Health Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Four Oaks Health Care Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Tennessee average of 3.1. Inspectors issued 8 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.39 hours per resident per day at Four Oaks Health Care Center, below the Tennessee median of 3.66 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.93 hours, 14% below its all-week average. 70% of nursing staff left within a year (Tennessee median 48.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.39 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.31 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.93 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 70% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 100% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds84
Residents per day 63 About 75% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 2002
Part of a chainAhava Healthcare
Legal business nameFOUR OAKS OPERATING GROUP LLC

Paying for care at Four Oaks Health Care Center: Medicare and Medicaid

Four Oaks Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 3, 2025 and found 2 deficiencies. In total, inspectors issued 8 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 8 citations at Four Oaks Health Care Center across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 8 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (3) and quality of life and care (2). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level E, February 23, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

December 3, 2025 · 2 citations

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Past Non-Compliance (Jun 6, 2025)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Dec 15, 2025)

March 5, 2025 · 1 citation · includes complaint inspection

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Infection control · Past Non-Compliance (Oct 7, 2024)

February 23, 2023 · 5 citations

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 16, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Mar 14, 2023)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Mar 16, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Mar 16, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Mar 20, 2023)

Questions to ask on a tour of Four Oaks Health Care Center

  1. CMS cited the home under its abuse and neglect rules on December 3, 2025. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Nursing staff turnover was 70% a year. How many of the staff come from agencies?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 1/5 5/5
August 2026 4/5 4/5 1/5 5/5
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Location

Hospitals near Four Oaks Health Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Lakebridge, a Waters Community Johnson City · 5.3 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 109 beds · Medicaid
The Waters of Johnson City Johnson City · 6.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 84 beds · Medicaid
Agape Rehabilitation & Nursing Center, a Waters Johnson City · 7.4 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 84 beds · Medicaid
Abundant Christian Living Community Rehabilitation Johnson City · 7.5 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 103 beds · Medicaid
Princeton Transitional Care & Assisted Living Johnson City · 7.9 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 47 beds

More nursing homes near Four Oaks Health Care Center ›   All nursing homes in Jonesborough ›

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Other Ahava Healthcare nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 16 Ahava Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/tennessee/jonesborough/four-oaks-health-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.