Four Oaks Senior Living
Nursing Home · North Carolina, NC

Four Oaks Senior Living

Nursing Home · North Carolina, NC
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Four Oaks Senior Living accepts Medicaid.

Overview of Four Oaks Senior Living

Four Oaks Senior Living is a senior living facility located in Four Oaks, North Carolina. It offers assisted living, memory care, and secured living options for seniors. The community focuses on providing a supportive lifestyle that simplifies daily life while ensuring residents maintain their independence and dignity.
(919) 963-2011
Bed community size
96-bed community Rank #103 / 390Bed count — State benchmarkedThis home is ranked 103rd out of 390 homes in North Carolina. Shows this facility's certified or reported bed count compared to other North Carolina SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 53 / 100 Rank #127 / 572Walk Score — State benchmarkedThis home is ranked 127th out of 572 homes in North Carolina. Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Carolina SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
67%
Rank #160 / 264Occupancy rate — State benchmarkedThis home is ranked 160th out of 264 homes in North Carolina. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 264. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the North Carolina average: 76.4%
Occupied beds
64 / 96
Average occupied beds in North Carolina homes 85 beds

License Details

StatusActive
CountyJohnston
License NumberHAL-051-060

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

1 service
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Housekeeping
Transportation Services
Maintenance
Restaurant-Style Dining
Library
Entertainment Room
Outdoor Common Area
Specific ProgramsSecured Living.

Dining & Nutrition

Food DescriptionHealthy, balanced meals prepared to meet dietary needs while offering flavor, variety, and an enjoyable dining experience.

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Inspection History

In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.

Since 2015 · 11 years of data 88 deficiencies 29 inspections 0 penalties 27 inspections with deficiencies

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2015 vs. North Carolina state average
Overall vs. NC average 6 Worse Metrics worse than North Carolina average:
• Total deficiencies (91% above)
• Deficiencies per year (90% above)
• Deficiencies per inspection (36% above)
• Total inspections (38% above)
• Inspections with deficiencies (42% above)
• Inspection deficiency rate (3% above)
0 Better No metrics in this bucket.
Latest Inspection August 28, 2025 Follow Up

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNC Averagevs. NC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 8846 This facility has 91% more total deficiencies than a typical North Carolina nursing home (88 vs. NC avg 46).↑ 91% worse
Deficiencies per year Info Average deficiencies per year since 2015. 84.2 This facility has 90% more deficiencies per year than a typical North Carolina nursing home (8 vs. NC avg 4.2).↑ 90% worse
Deficiencies per inspection Info Average deficiencies per inspection. 32.2 This facility has 36% more deficiencies per inspection than a typical North Carolina nursing home (3 vs. NC avg 2.2).↑ 36% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNC Averagevs. NC Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 2921 This facility has 38% more total inspections than a typical North Carolina nursing home (29 vs. NC avg 21).↑ 38% worse
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 2719 This facility has 42% more inspections with deficiencies than a typical North Carolina nursing home (27 vs. NC avg 19).↑ 42% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 93%90% This facility has 3 percentage points higher inspection deficiency rate than a typical North Carolina nursing home (93% vs. NC avg 90%).↑ 3% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on August 28, 2025, identified deficiencies related to healthcare referrals and medication administration. Earlier inspections also noted recurring issues with medication errors, healthcare follow-up, and environmental hazards such as bed bugs and maintenance problems. Complaint investigations included a substantiated case in 2022 where staff failed to initiate CPR promptly, but most other complaints were unsubstantiated or related to routine deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with medication management and healthcare follow-up, with no clear pattern of sustained improvement or worsening over time.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
2 / 5

Based on the North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys measuring health inspections, staffing, and quality measures.

Ranked 106th (tied) of 138 homes in North Carolina See full North Carolina ranking
Division Of Health Service Rating
20/4

North Carolina average: 3 stars See full North Carolina ranking

Scores

DHSR Score
85.25 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

North Carolina average: 98 See full North Carolina ranking

Places of interest near Four Oaks Senior Living

Address 58.4 miles from city center Info Estimated distance in miles from Four Oaks's city center to Four Oaks Senior Living's address, calculated via Google Maps.

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Address

Financial Assistance for
Nursing Home in North Carolina

Four Oaks Senior Living is located in Four Oaks, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

Forgivable at $2,000/year; statewide via local partners.

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

Compare Nursing Home around North Carolina

The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

4 facilities compared · CMS & NC Dept. of Health data

Filter by care type
Carol Woods
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Chapel Hill (Carol Woods)119 76.7% 0%5.94 +239%+49%$073.5-23A+ 13 The Chapel Hill Residential Retirement Center, Inc.$46.7M$18.0M38.5%345199
Brookdale Carriage Club Providence
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Charlotte (Olde Providence North)77 71.5% -6%8.12 +78%+104%$0113.7-8A+ 12 Bkd Fm Holding Company LLC$7.1M$8.1M114.8%345482
Pineville Rehabilitation & Living Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Pineville (Lakeview Drive)106 68.3% -11%3.96 +39%0%$116.0k459.0384A+ 25 Ncnh Holdings LLC$12.1M$5.7M47%345415
Walnut Ridge
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Walnut Cove (Windmill Street)63 100.0% +31%3.12 -50%-22%$40.1k234.6363A+ 50 Nita Davis$12.9M$3.9M29.9%345089

Frequently Asked Questions about Four Oaks Senior Living

Is Four Oaks Senior Living in a walkable area?

Four Oaks Senior Living has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Four Oaks Senior Living?

According to NC state health department records, Four Oaks Senior Living's license number is HAL-051-060.

What is the occupancy rate at Four Oaks Senior Living?

Four Oaks Senior Living's occupancy is 67%.

What is the overall rating for Four Oaks Senior Living?

Four Oaks Senior Living received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

How many beds does Four Oaks Senior Living have?

Four Oaks Senior Living has 96 beds.

Are there photos of Four Oaks Senior Living?

Yes — there are 2 photos of Four Oaks Senior Living in the photo gallery on this page.

What is the address of Four Oaks Senior Living?

Four Oaks Senior Living is located at 565 Boyette Road Four Oaks, NC 27524.

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