Four Oaks Senior Living
Assisted Living, Memory Care & Respite Care · Four Oaks, NC

Four Oaks Senior Living

Assisted Living, Memory Care & Respite Care · Four Oaks, NC
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Four Oaks Senior Living accepts Medicaid.

Overview of Four Oaks Senior Living

Four Oaks Senior Living is a 96-bed community in Four Oaks, North Carolina, offering assisted living, memory care, and respite care at 565 Boyette Road. The neighborhood is moderately walkable, with a Walk Score of 53, meaning some errands can be handled on foot while most still call for a car.

The community currently houses 64 residents across its 96 beds, an occupancy rate of 67%. That leaves meaningful room available, which matters for families who need placement without a long wait. Staffing runs 24 hours a day, and respite care is available for families needing short-term coverage.

Memory care here operates under a named Secured Living program, which pairs the memory care designation with a protected physical environment. Residents have access to restaurant-style dining, a library, an entertainment room, and an outdoor common area. Housekeeping, maintenance, and transportation services are also provided.

State inspections have focused on medication management and environmental safety conditions rather than other areas of daily operation. These are categories that inspectors examine across adult care homes in North Carolina.

Four Oaks Senior Living accepts Medicaid, which shapes the planning picture for families weighing long-term coverage rather than private funds alone. The community fits older adults who need assisted living or memory care support in a larger shared setting, with room currently available and a secured option for residents whose cognition requires it.

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 96 Rank #76 / 368Bed count — State benchmarkedThis home is ranked 76th out of 368 homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #121 / 508Walk Score — State benchmarkedThis home is ranked 121st out of 508 homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
53 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #126 / 213Occupancy rate — State benchmarkedThis home is ranked 126th out of 213 homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 213. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
66.7% This home usually has availability
Similar to the North Carolina average: 69.5%
Occupied beds
64 / 96

About this community

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

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Housekeeping
Transportation
Dining
Library
Specific ProgramsSecured Living

Contact Four Oaks Senior Living

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 These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes.
88 deficiencies 14 inspections 0 penalties 27 inspections with deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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 3 Worse Metrics worse than North Carolina average:
• Total deficiencies (91% above)
• Deficiencies per inspection (26% above)
• Inspection deficiency rate (9% above)
1 Better Metrics better than North Carolina average:
• Inspections with deficiencies (26% below)

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 assisted living residence (88 vs. NC avg 46).↑ 91% worse
Deficiencies per inspection Info Average deficiencies per inspection. 6.35.01 This facility has 26% more deficiencies per inspection than a typical North Carolina assisted living residence (6.3 vs. NC avg 5.01).↑ 26% 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 inspections conducted at this facility. 1421 This facility has had 33% fewer total inspections than the North Carolina average (14 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 1419 This facility has 26% fewer inspections with deficiencies than a typical North Carolina assisted living residence (14 vs. NC avg 19).↓ 26% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 100%92% This facility has 8 percentage points higher inspection deficiency rate than a typical North Carolina assisted living residence (100% vs. NC avg 92%).↑ 8% worse

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
2/4

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 0.0 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.

Calculate Travel Distance to Four Oaks Senior Living

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Address

Compare Assisted Living around the area

Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Wilkesboro Assisted Living Center
AL
MC
NH
SNF
North Wilkesboro
102
Facility 102
NC AVG 70
Rank #64 / 368
No
61
Facility 61
NC AVG 35
Rank #59 / 508
70.6%
Facility 70.6%
NC AVG 69.5%
Rank #118 / 213
-
104.00/200
Facility 104.00/200
NC AVG 92.2
Rank #28 / 321
6
83%
Facility 83%
NC AVG 91.8%
Rank #40 / 333
-
Four Oaks Senior Living
AL
MC
RC
Four Oaks
96
Facility 96
NC AVG 70
Rank #76 / 368
No
53
Facility 53
NC AVG 35
Rank #121 / 508
66.7%
Facility 66.7%
NC AVG 69.5%
Rank #126 / 213
-
85.25/200
Facility 85.25/200
NC AVG 92.2
Rank #282 / 321
14
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Brookdale Reidsville
AL
MC
Reidsville
76
Facility 76
NC AVG 70
Rank #150 / 368
Yes
32
Facility 32
NC AVG 35
Rank #270 / 508
100.0%
Facility 100.0%
NC AVG 69.5%
Rank #1 / 213
-
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite
Walnut Ridge
AL
MC
NH
Walnut Cove
63
Facility 63
NC AVG 70
Rank #205 / 368
No
50
Facility 50
NC AVG 35
Rank #142 / 508
100.0%
Facility 100.0%
NC AVG 69.5%
Rank #1 / 213
A+
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
5
80%
Facility 80%
NC AVG 91.8%
Rank #33 / 333
Studio / Suite
Navion of Rocky Mount
AL
MC
Rocky Mount (Northgreen)
60
Facility 60
NC AVG 70
Rank #214 / 368
Yes
37
Facility 37
NC AVG 35
Rank #228 / 508
100.0%
Facility 100.0%
NC AVG 69.5%
Rank #1 / 213
-
100.00/200
Facility 100.00/200
NC AVG 92.2
Rank #136 / 321
9
89%
Facility 89%
NC AVG 91.8%
Rank #71 / 333
Suite

Rank badges are statewide: each community is ranked against every NC community we track that reports that metric, not just the 5 on this page. See how we rank facilities

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. Somewhat 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 66.7%.

Are pets allowed at Four Oaks Senior Living?

No, Four Oaks Senior Living has a no-pet policy.

How many beds does Four Oaks Senior Living have?

Four Oaks Senior Living has 96 beds.

Has Four Oaks Senior Living had any deficiencies?

Four Oaks Senior Living has had 88 reported deficiencies according to records from NC Dept. of Health and Human Services (NCDHHS).

Are there photos of Four Oaks Senior Living?

Yes — there is 1 photo of Four Oaks Senior Living in the photo gallery on this page.

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