Nursing HomeInspections

Four Oaks Health Care Center

Nursing home in Jonesborough, TN

Medicare & Medicaid certified4★ overall (CMS)

Call (423) 753-8711Send a messageMap ↗

Public-record details

Address
1101 Persimmon Ridge Rd, Jonesborough, TN 37659
Phone
(423) 753-8711
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
445458
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
84
Average residents per day
60
Ownership
For-profit, corporation
Legal business name
Four Oaks Operating Group LLC
Chain
Ahava Healthcare (16 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445458. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 3, 2025. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 23, 2023 to Dec 3, 2025): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Dec 3, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Dec 3, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 5, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection · infection-control inspection		D
Potential for more than minimal harm, isolated
Sep 8, 2023Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 8, 2023Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 23, 2023Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 23, 2023Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 23, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 23, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 23, 2023Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.47 hours
Registered nurse (RN) time per resident per day
0.30 hours
Nurse aide time per resident per day
1.97 hours
Total nurse staffing on weekends
2.96 hours
Nursing staff turnover (yearly)
68%
RN turnover (yearly)
86%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.