nursing home in Jonesborough, TN
Four Oaks Health Care Center
1101 Persimmon Ridge Rd, Jonesborough, TN 37659 · (423) 753-8711
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Four Oaks Health Care Center at a glance
Four Oaks Health Care Center is a 84-bed for-profit nursing home in Jonesborough, Tennessee (Washington County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Tennessee average of 3.
Residents receive about 3.5 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (December 3, 2025) found 2 health citations. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 68.1% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 84
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ahava Healthcare
- Medicare-certified since
- July 1, 2002
- Resident/family council
- Resident
- County
- Washington County
- CMS Certification Number
- 445458
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.47 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.30 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.97 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.96 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 68.1% | 48.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 85.7% | 43.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 15 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 84 | 114 | 107 | |
| Average residents per day | 60 | 84 | 86 | |
| Occupancy | 71.2% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.6% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.7% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.9% | 16.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.2% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.2% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.3% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.5% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 28.5% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 17.7% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.1% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 89.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.7% | 79.8% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 3, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 30, 2025 |
| December 3, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 15, 2025 |
| December 3, 2025 Standard | Protect 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 Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected June 6, 2025 |
| March 5, 2025 Complaint · Infection control | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 7, 2024 |
| June 11, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 28, 2024 |
| October 26, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected November 25, 2023 |
| October 26, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected November 25, 2023 |
| October 26, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected November 25, 2023 |
| October 26, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected November 25, 2023 |
| September 8, 2023 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. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected September 28, 2023 |
| September 8, 2023 Complaint | Protect 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 Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 29, 2023 |
| February 23, 2023 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected March 16, 2023 |
| February 23, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected March 16, 2023 |
| February 23, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 16, 2023 |
| February 23, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected March 14, 2023 |
| February 23, 2023 Standard | Create 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 Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 16, 2023 |
| February 23, 2023 Standard | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 16, 2023 |
| February 23, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 20, 2023 |
| October 2, 2019 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected November 8, 2019 |
| October 2, 2019 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected November 8, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LABIN, SHIYA Individual | 5% or greater direct ownership interest | 8% | 04/28/2017 |
| MCE ASSOCIATES LLC Organization | 5% or greater direct ownership interest | 10% | 04/28/2017 |
| NEUMAN, BENJAMIN Individual | 5% or greater direct ownership interest | 10% | 04/28/2017 |
| NIEDERMAN, ANSHEL Individual | 5% or greater direct ownership interest | 30% | 04/28/2017 |
| EDWARDS, TAMMY Individual | adp of the snf | NOT APPLICABLE | 03/27/2025 |
| ROSENHEIN, BRIAN Individual | adp of the snf | NOT APPLICABLE | 04/07/2025 |
| NIEDERMAN, ANSHEL Individual | corporate officer | NOT APPLICABLE | 04/28/2017 |
| EISEN, MENASHE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/27/2025 |
| PHILIPSON, BENT Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/27/2025 |
| PHILIPSON, GABRIELLE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/27/2025 |
| PHILIPSON, RAQUEL Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/27/2025 |
| NIEDERMAN, ANSHEL Individual | managing control - governing body | NOT APPLICABLE | 06/01/2019 |
| EDWARDS, TAMMY Individual | operational/managerial control | NOT APPLICABLE | 06/13/2022 |
| ROSENHEIN, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 06/13/2022 |
Other nursing homes near Four Oaks Health Care Center
Lakebridge, A Waters Community, LLC
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★★★★★3AverageThe Waters of Johnson City, LLC
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★★★★★2Below averageAgape Rehabilitation & Nursing Center, A Waters Cm
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For-profit · 84 beds · Part of Infinity Healthcare Consulting
★★★★★4Above averageAbundant Christian Living Community Rehabilitation
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For-profit · 103 beds
★★★★★5Much above averagePrinceton Transitional Care & Assisted Living
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For-profit · 47 beds · Part of Signature Healthcare
- CMS high performer
★★★★★5Much above averageNhc Healthcare, Johnson City
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All nursing homes in Jonesborough, TN · Compare side by side
Frequently asked questions
What is Four Oaks Health Care Center's rating?
Four Oaks Health Care Center has 4 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Four Oaks Health Care Center receive?
Its most recent standard health inspection found 2 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Four Oaks Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Four Oaks Health Care Center?
It is for profit - corporation and part of Ahava Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Four Oaks Health Care Center and how do I contact it?
Four Oaks Health Care Center is at 1101 Persimmon Ridge Rd, Jonesborough, TN 37659. Phone: (423) 753-8711.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.