Occupancy rate
62%
14% lower than the state averagethe state average: 72%
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
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Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Four Oaks Health Care Center
Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Four Oaks Health Care Center
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$7.5M
Profit
$535.7K
Privately-owned community
Operated by a business 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
14% lower than the state averageOccupied beds
16 / 26
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000292
CMS Certification Number445458
Accreditations2025 Center of Excellence for Wound Management, 2025 AHCA/NCAL Silver Achievement in Quality Award
Four Oaks Health Care Center is administrated by Tammy Lyn Edwards.
Owner NameFour Oaks Operating Group, LLC
Rehabilitation Services
Short-Term Rehab
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
Therapy Gym And Wellness Program
Onsite Beauty Salon
Engaging Activities And Social Events
Beautiful Courtyard
Transportation Van
Specific ProgramsNursing, Rehab, Dining, Beauty Shop, Life Enrichment, Social
Food DescriptionA la carte menu with delicious options served daily at breakfast, lunch, and dinner.
Meals IncludedNo
Meal ScheduleBreakfast 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.
Tennessee average: 9 complaint visits
Latest inspection
Date
February 23, 2023
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Health Inspection History
Inspections
Total health inspections
4
State average N/A
Last Health inspection on Mar 2025
Total health citations
9
State average N/A
Citations per inspection
2.25
State average N/A
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 05, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 05, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 08, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 08, 2023
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 08, 2023
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 08, 2023
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 23, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
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.
Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
Four Oaks Health Care 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.
Jonesborough
84
No
-
-
Job Haines Home
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.
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.
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).
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.
Bloomfield
40
No
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
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.
Conroe
16
No
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
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.
Conroe
12
No
8
-
Anton’s Assisted Living
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.
Boerne
10
No
-
-
Places of interest near Four Oaks Health Care Center
0.0 miles from city center
1101 Persimmon Ridge Road, Jonesborough, TN 37659
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
97
Employees
79
Contractors
18
Staff to resident ratio
2.16:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
33
Average shift
8.4 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
25,213
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.5%
1,633 contractor hours this quarter
Physical Therapy Assistant: 6
Physical Therapy Aide: 3
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Clinical Nurse Specialist: 2
Speech Language Pathologist: 1
Staff by category
| 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 |
40 Certified Nursing Assistant
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
100%
2 RN Director of Nursing
% of Days
78%
8 Nurse Aide in Training
% of Days
32%
1 Occupational Therapy Aide
% of Days
73%
1 Mental Health Service Worker
% of Days
71%
1 Administrator
% of Days
69%
1 Dietitian
% of Days
69%
3 Physical Therapy Aide
% of Days
78%
1 Speech Language Pathologist
% of Days
65%
3 Respiratory Therapy Technician
% of Days
67%
3 Clinical Nurse Specialist
% of Days
46%
1 Nurse Practitioner
% of Days
40%
6 Physical Therapy Assistant
% of Days
74%
3 Qualified Social Worker
% of Days
56%
2 Other Dietary Services Staff
% of Days
34%
1 Qualified Activities Professional
% of Days
11%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
45 residents
Residents by payment source
Medicare
6 residents (13.3%)
Medicaid
23 residents (51.1%)
Private pay or other
16 residents (35.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
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