Nursing home
Four Oaks Health Care Center
1101 Persimmon Ridge Rd, Jonesborough, TN 37659 · Map
For profit - Corporation · Part of Ahava Healthcare (15 facilities) · 84 certified beds
Four Oaks Health Care Center is a Medicare-certified nursing home in Jonesborough, Tennessee. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.85 hours per resident per day, above the Tennessee average of 3.85. Its most recent inspection on Dec 3, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Four Oaks Health Care Center compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.85 | 3.85 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.35 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.36 | 2.15 | 2.34 | above avg |
| Nursing staff turnover | 70.7% | 48.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 5.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Four Oaks Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
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 · Dec 3, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 5, 2025 · Full report (PDF) - Potential for harm
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 · Sep 8, 2023 - Potential for harm
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 · Sep 8, 2023
Show all 10 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 23, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 23, 2023 - Potential for harm
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 · Feb 23, 2023 - Potential for harm
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 · Feb 23, 2023 - Potential for harm
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 · Feb 23, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1101 Persimmon Ridge Rd
Jonesborough, TN 37659 - CMS certification #
- 445458
- Ownership
- For profit - Corporation
- Certified beds
- 84
- Avg residents/day
- 58.9
- Provider type
- Medicare and Medicaid
- First certified
- 2002-07-01
- Chain
- Ahava Healthcare (15 facilities)
- Setting
- Urban
Part of Ahava Healthcare
Ahava Healthcare operates 15 nursing facilities across the United States. View all Ahava Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Four Oaks Health Care Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice, diabetes care, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Four Oaks Health Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite and Hospice Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
We’re committed to delivering exceptional, around-the-clock skilled nursing care tailored to each resident’s specific needs.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Respite and Hospice Care
(page, checked Oct 15, 2026) - Offers diabetes care.
Diabetes Management
(page, checked Oct 15, 2026) - Provides transportation.
Transportation Van
(page, checked Oct 12, 2026) - 3 meals a day.
Our dedicated dietary team is proud to offer an a la carte menu with delicious options served daily at breakfast, lunch, and dinner.
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Semi-Private Rooms
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Franklin Woods Community Hospital, Johnson City. 6.0 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Lakebridge, A Waters Community, LLC, Johnson City. 5.3 miles away, straight line.
- Nearest home health agency office
- Ballad Health Homecare, Johnson City. 6.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37659 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Tennessee Valley Dialysis Center, Johnson City, 5.3 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Johnson City, Johnson City, 6.1 miles away, straight line (CMS rating 2 of 5 stars)
Davita Tn Smokie Mountain Dialysis Pd, Johnson City, 6.3 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 37659.
Caris Healthcare, office in Johnson City, 7.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Amedisys Hospice, An Adventa Company, office in Elizabethton, 21.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Ballad Health Hospice, office in Bristol, 24.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Chess Medicine PLLC, Johnson City. 7.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively low, heat wave very low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Four Oaks Health Care Center a good nursing home?
CMS gives Four Oaks Health Care Center an overall rating of 3 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Four Oaks Health Care Center staffed?
Four Oaks Health Care Center reports 3.85 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Four Oaks Health Care Center had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Four Oaks Health Care Center have?
Four Oaks Health Care Center is certified for 84 beds.