Total health inspections
4
State average N/A
Last Health inspection on Mar 2025
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Four Oaks Health Care Center
Assisted Living Home
Four Oaks Health Care Center
Assisted Living Home
Four Oaks Healthcare Center is located in Jonesborough, Tennessee, and serves Washington County with skilled nursing care. The facility offers short-term rehab and long-term care services, focusing on personal and respectful care. Amenities include a therapy gym, beauty salon, and engaging activities.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
26
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
56.8%
Residents per day (avg)
66
Occupancy rate
56.8%
Residents per day (avg)
66
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term residence
Daily assistance
Occasional rehab needs
Breakdown by payment type
Medicare
17% of new residents, usually for short-term rehab.
Typical stay
19 days
Private pay
65% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
19% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Proprietary home
Corporation
Home revenue
$7.5M
Profit
$535.7K
Proprietary home
Corporation
Home revenue
$7,523,879.00
Profit
$535,678.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.0M
26-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy Rate
62%
Occupied Beds
16 of 26
Percentage of available beds currently in use by residents.
License Status
LicensedFacility Type
Nursing Home
License Date
July 1, 1992
Additional licensing details
License number:
00000292
CMS Certification Number:
445458
Accreditations:
2025 Center of Excellence for Wound Management, 2025 AHCA/NCAL Silver Achievement in Quality Award
Ownership & operating entity
Four Oaks Health Care Center is administrated by Tammy Lyn Edwards.
Owner name:
Four Oaks Operating Group, LLC
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Nursing, Rehab, Dining, Beauty Shop, Life Enrichment, Social
Pricing & Financial Information
Dining & Nutrition
Food Description
A la carte menu with delicious options served daily at breakfast, lunch, and dinner.
Meals Included
No
Meal Schedule
Breakfast 7:00 AM; Lunch 12:00 PM; Dinner 5:00 PM
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Latest inspection
Date:February 23, 2023
0 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
Compare Assisted Living around Usa
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Four Oaks Health Care Center
-40%
-6%
-16%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 37659
84
No
-
EDWRDS, TAMMY
61.5%
$6,231,208.00
$2,549,764.00
40.9%
66.40
3.3949
9
-40%-6%-16%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
4
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
Four Oaks Health Care Center
Type of care:
SNF
AL
Community:
TN 37659
Bed Count:
84
Pets Allowed:
No
Operator:
EDWRDS, TAMMY
CCN:
445458
Occupancy:
61.5%
Home Revenue:
$6,231,208.00
Payroll Costs:
$2,549,764.00
Payroll %:
40.9%
Avg Residents/Day:
66.40
Overall Rating:
Adj Nurse Hours:
3.3949
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
-6%
-6%
Occupancy vs State Avg:
-16%
-16%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near Four Oaks Health Care Center
0.0 miles from city center
Jonesborough, TN 37659
Calculate Travel Distance to Four Oaks Health Care Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
97
Total Staff
79
Employees
18
Contractors
25,213
Total Hours (Quarter)
33
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 8.6 | No |
| Licensed Practical Nurse | 15 | 9.6 | No |
| Certified Nursing Assistant | 40 | 8.8 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
70 staff
8.9hs shift avg
Physicians & Practitioners ⓘ
4 staff
7hs shift avg
Therapy Services ⓘ
14 staff
5.7hs shift avg
Activities & Recreation ⓘ
1 staff
6.3hs shift avg
Social Services ⓘ
3 staff
4.9hs shift avg
Dietary Services ⓘ
3 staff
7.1hs shift avg
Other Services ⓘ
1 staff
8.1hs shift avg
Contractor Analysis
6.5%
of total hours from contractors
1,633 contractor hours this quarter
Clinical Nurse Specialist: 2
Physical Therapy Aide: 3
Respiratory Therapy Technician: 3
Speech Language Pathologist: 1
Physical Therapy Assistant: 6
Qualified Social Worker: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 40 | 0 | 40 | 12,608 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 15 | 0 | 15 | 5,103 | 91 | 100% | 9.6 |
| Registered Nurse | 5 | 0 | 5 | 1,376 | 91 | 100% | 8.6 |
| RN Director of Nursing | 2 | 0 | 2 | 971 | 71 | 78% | 7.9 |
| Nurse Aide in Training | 8 | 0 | 8 | 626 | 29 | 32% | 8.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 592 | 66 | 73% | 9 |
| Mental Health Service Worker | 1 | 0 | 1 | 525 | 65 | 71% | 8.1 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Dietitian | 1 | 0 | 1 | 450 | 63 | 69% | 7.1 |
| Physical Therapy Aide | 0 | 3 | 3 | 449 | 71 | 78% | 5.4 |
| Speech Language Pathologist | 0 | 1 | 1 | 369 | 59 | 65% | 6.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 290 | 61 | 67% | 4.7 |
| Clinical Nurse Specialist | 1 | 2 | 3 | 276 | 42 | 46% | 6.4 |
| Nurse Practitioner | 1 | 0 | 1 | 273 | 36 | 40% | 7.6 |
| Physical Therapy Assistant | 0 | 6 | 6 | 272 | 67 | 74% | 3.5 |
| Qualified Social Worker | 0 | 3 | 3 | 250 | 51 | 56% | 4.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 217 | 31 | 34% | 7 |
| Qualified Activities Professional | 1 | 0 | 1 | 63 | 10 | 11% | 6.3 |
Health Inspection History
Inspections
Total health citations
9
Citations per inspection
2.25
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 9 citations resulted from standard inspections; and 3 of 9 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Mar 05, 2025
Corrected
Abuse/Neglect moderate citation
Sep 08, 2023
Corrected
Resident Rights moderate citation
Sep 08, 2023
Corrected
Infection Control moderate citation
Feb 23, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Part of: AHAVA HC
Resident Census by Payment Source
45
Total Residents
Medicare
6
(13.3%)
ⓘ
Medicaid
23
(51.1%)
ⓘ
Private Pay/Other
16
(35.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
22% better than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.0
33% better than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.4%
Percent of long-stay residents whose need for help with daily activities has increased
12.4%
23% better than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.1%
Percent of long-stay residents whose ability to move independently worsened
10.1%
54% better than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.7%
20% better than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
42% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.0%
Percent of long-stay high risk residents with pressure ulcers
7.0%
29% worse than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.1%
Percent of long-stay residents with a urinary tract infection
6.1%
197% worse than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.0%
Percent of long-stay residents who lose too much weight
9.0%
43% worse than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.3%
Percent of long-stay residents who have depressive symptoms
3.3%
70% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.2%
Percent of long-stay residents who received an antipsychotic medication
13.2%
20% better than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
5% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.0%
In line with State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
12% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.7%
In line with State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Four Oaks Health Care Center based on CMS SNF Cost Reports.
Occupancy Rate
56.8%
↓ 11.0pp vs 2022
Net Income
$535,678
↑ ~$425K vs 2022
Total Payroll
$2,943,984
↓ ~$182K vs 2022
Profit Margin
8.6%
↑ 7.0pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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