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FOUR OAKS HEALTH CARE CENTER

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FOUR OAKS HEALTH CARE CENTER is a for profit - corporation facility in JONESBOROUGH, TN with 84 certified beds and a 3-star overall CMS rating. The facility has 9 deficiency records on file.

1101 PERSIMMON RIDGE RD, JONESBOROUGH, TN 37659

Phone: 4237538711

Overall Rating

3/5

Health Inspection

4/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
445458
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
84
Residents
59
In Hospital
No
County
Washington
Last Inspection
Dec 3, 2025

Staffing Data

RN Hours
0.35 (nat'l avg: 0.68)
LPN Hours
1.14
CNA Hours
2.36
Total Nursing Hours
3.85 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
70.7%
RN Turnover
81.8%

What the CMS Record Reveals About FOUR OAKS HEALTH CARE CENTER

FOUR OAKS HEALTH CARE CENTER operates 84 certified beds in JONESBOROUGH, TN with approximately 59 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (1★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.85 total nursing hours per resident day (national average 3.89), with RN coverage at 0.35 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, FOUR OAKS HEALTH CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 70.7%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

D — Isolated - Minimal harm Mar 5, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2024

D — Isolated - Minimal harm Sep 8, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 29, 2023

D — Isolated - Minimal harm Sep 8, 2023 Tag: 0559

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Category: Resident Rights Deficiencies

Corrected: Sep 28, 2023

E — Pattern - Minimal harm Feb 23, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 16, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 20, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2023

D — Isolated - Minimal harm Feb 23, 2023 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Mar 14, 2023

D — Isolated - Minimal harm Oct 17, 2018 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 30, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 84.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 37.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 81.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for FOUR OAKS HEALTH CARE CENTER?
FOUR OAKS HEALTH CARE CENTER has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at FOUR OAKS HEALTH CARE CENTER?
FOUR OAKS HEALTH CARE CENTER reports 3.85 total nursing hours per resident day (national average: 3.89). RN hours are 0.35 per resident day (national average: 0.68). Nursing staff turnover is 70.7%.
How many beds does FOUR OAKS HEALTH CARE CENTER have?
FOUR OAKS HEALTH CARE CENTER has 84 certified beds with approximately 59 residents. The facility is located at 1101 PERSIMMON RIDGE RD, JONESBOROUGH, TN 37659.
Does FOUR OAKS HEALTH CARE CENTER have any deficiencies on record?
Yes, FOUR OAKS HEALTH CARE CENTER has 9 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has FOUR OAKS HEALTH CARE CENTER received any fines or penalties?
No, FOUR OAKS HEALTH CARE CENTER has no fines or penalties on record.
Who owns FOUR OAKS HEALTH CARE CENTER?
FOUR OAKS HEALTH CARE CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was FOUR OAKS HEALTH CARE CENTER last inspected?
The most recent health inspection for FOUR OAKS HEALTH CARE CENTER was on Dec 3, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for FOUR OAKS HEALTH CARE CENTER?
FOUR OAKS HEALTH CARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial