Four Oaks Health Care Center
1101 Persimmon Ridge Rd · Jonesborough, TN · 37659 · 4237538711
84 certified beds For profit - Corporation Chain: Ahava Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (10 in the current record)
-
Potential for harm · D December 3, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 3, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 15, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 7, 2024 · Quality of Life and Care
-
Potential for harm · D September 8, 2023 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected September 28, 2023 · Resident Rights
-
Potential for harm · D September 8, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 29, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 23, 2023
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.
Corrected March 14, 2023 · Resident Rights
-
Potential for harm · D February 23, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 16, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D February 23, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 16, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D February 23, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2023 · Quality of Life and Care
-
Potential for harm · E February 23, 2023
Provide and implement an infection prevention and control program.
Corrected March 16, 2023 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445458 · certified since July 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.