Four Oaks Health Care Center
Strong Medicare quality ratings; families often praise warm, attentive nursing staff. Still worth an in-person visit.
based on 81 Google reviews
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What this means for your family
While Four Oaks has a dedicated therapy team and active life enrichment programs, the recent, recurring reports of neglect and hygiene issues are significant red flags. We strongly advise families to conduct unannounced visits during weekends or evening shifts to observe staffing levels and resident care firsthand before making a decision.
Google Reviews
Google Reviews
81 reviews on Google“Four Oaks Health Care Center receives highly polarized feedback, with many reviewers praising the staff's warmth and the facility's family-like atmosphere, while others report severe concerns regarding basic hygiene and neglect. Families should be aware of recurring reports of residents being left soiled for extended periods and inconsistent communication from administrative staff. While some visitors find the facility clean and well-managed, others describe it as overcrowded and lacking in basic amenities like hot water.”
Quality Themes
Tap a score for detailsStrengths
- Warm, attentive nursing staff
- Engaging life enrichment and activity programs
- Strong rehabilitation therapy team
- Homelike, family-oriented environment
Concerns
- Residents left soiled for extended periods (mentioned by 3 reviewers)
- Understaffing and slow response times to call buttons (mentioned by 2 reviewers)
- Poor communication from administrative and admissions staff (mentioned by 2 reviewers)
- Unsanitary conditions and hygiene issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 81 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has a very active life enrichment program; could you walk me through what a typical week of activities looks like for a new resident?
- 2Given the current staffing levels, what is your facility's protocol for ensuring timely responses to call buttons, especially during overnight or weekend shifts?
- 3We want to ensure our loved one stays comfortable; what is your specific process for monitoring hygiene and ensuring residents are assisted promptly with their personal care needs?
- 4I see that the leadership team is quite active in responding to family feedback online; how do you maintain that same level of open communication once a resident has moved in?
- 5With the rehabilitation team being a noted strength here, how do you coordinate between the therapy staff and the nursing team to ensure a resident's progress is consistent?
- 6What steps are currently being taken to address the recent state inspection findings to ensure the facility maintains a high standard of cleanliness and care?
Personalized based on this facility's data
Key Review Excerpts
“My sister had been at other facilities. This one was the most helpful. They listened to my concerns and made changes as needed.”
“Since being here, that light has returned. She is now eating, participating in”
“My father was placed in Four Oaks by hospice for five days of respite care... In those five days, they failed to feed him multiple times, and they soiled his clothing with food when they did feed him because they didn't use a bib we provided.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering inspections at Four Oaks, with 8 of 20 deficiencies stemming from these reports. The facility struggles most with fire safety (smoke doors, cooking facilities), resident protection from abuse and neglect, and care planning. While most issues appear corrected, the recurring pattern of complaint-driven deficiencies suggests ongoing quality concerns families should investigate carefully.
Dec 3, 2025Routine3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Mar 5, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 11, 2024Complaint1
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Oct 26, 2023Complaint4
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Sep 8, 2023Complaint2
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 23, 2023Routine7
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Ownership & Operations
Who Operates This Facility
Four Oaks Health Care Center
for profit
Chain Affiliation
Ahava Healthcare
16 facilities nationwide
Chain avg rating: 2.5/5 · Rank 5 of 15
Ownership & Management
Owners
Mfi Healthcare Tn II LLC
Owner · Organization
Mce Associates LLC
Owner (parent company) · Organization
Eisen, Menashe
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Philipson, Bent
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Philipson, Gabrielle
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Philipson, Raquel
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
81 reviews from families & visitors
Official Website
Visit fouroaksctr.com
Medicare data downloads
Original nursing home datasets
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