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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 21m per day | ▼ 43% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 8m per day | ▲ 5% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 22m per day | ▲ 10% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 3m per day | ▼ 9% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 60% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 25% State avg: 24m per day · National avg: 28m per day |
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
17% of new residents, usually for short-term rehab.
65% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #117 / 139Payroll — state benchmarkedThis home is ranked 117th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Tennessee average: 71.6%Four Oaks Health Care Center is administrated by Tammy Lyn Edwards.
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
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
State average N/A
Last Health inspection on Mar 2025
State average N/A
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.
In line with State averageState average: N/A
0
In line with State averageState average: N/A
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 05, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 08, 2023
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 08, 2023
Corrected
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.
0.0 miles from city center
Estimated distance in miles from Jonesborough's city center to Four Oaks Health Care Center's address, calculated via Google Maps.
Add your location
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with State averageState average ratio: 0:0
0% compared with State averageState average: 0 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Total hours from contractors
1,633 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
45Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.4%
23% better than State averageState average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
10.1%
54% better than State averageState average: 21.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
42% better than State averageState average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
7.0%
29% worse than State averageState average: 5.4%
Percent of long-stay residents with a urinary tract infection
6.1%
197% worse than State averageState average: 2.1%
Percent of long-stay residents who lose too much weight
9.0%
43% worse than State averageState average: 6.3%
Percent of long-stay residents who have depressive symptoms
3.3%
70% better than State averageState average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
13.2%
20% better than State averageState average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
5% better than State averageState average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.1%
In line with State averageState average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.71
8% worse than State averageState average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.08
31% better than State averageState average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
79.0%
In line with State averageState average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
12% better than State averageState average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.7%
In line with State averageState average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.4%
14% worse than State averageState average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.3%
26% better than State averageState average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.4%
21% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
47.5%
6% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| 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 (Bloomfield Avenue) | 40 | No | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| 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 | 26 | No | - | - |
| 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 (Alden Bridge) | 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 (Alden Bridge) | 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 | - | - |
Historical financial and operational data for Four Oaks Health Care Center based on CMS SNF Cost Reports.
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