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Nursing HomeMedicaid

Four Oaks Health Care Center

Strong Medicare quality ratings; families often praise warm, attentive nursing staff. Still worth an in-person visit.

1101 Persimmon Ridge Rd, Jonesborough, TN 3765984 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 81 Google reviews

5
4
3
2
1
Four Oaks Health Care Center Nursing Home in Jonesborough, TN — Street View
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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 details
Food7.0Staff6.0Clean5.0Activities8.0MedsN/AMemory8.0Comms4.0Value3.0

Strengths

  • 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

2343.7'18(3)4.21.0'20(2)4.54.7'23(13)3.34.2'25(18)3.7'26(6)

Distribution · 81 analyzed

5
57
4
5
3
0
2
3
1
16

How They Respond to Reviews

73%response rate

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.

Long-term resident's family · 2023★★★★★

Since being here, that light has returned. She is now eating, participating in

Memory care family member · 2025★★★★★

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.

Short-term respite family member · 2025☆☆☆☆
Source: 81 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
37%
Registered nurses for medical care
Total Nursing
3.59hrs
88%
All nurses + aides combined
Staff Turnover
70%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility33.1%
Worse than Avg
Here
33.1%
US
19.5%
TN
31.9%
Washington
19.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.3%
TN
18.5%
Washington
15.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
12.1%
TN
12.9%
Washington
6.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
93.4%
TN
89.5%
Washington
94.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.4%
TN
16.9%
Washington
16.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
14.4%
TN
14.6%
Washington
14.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.7%
Better than Avg
Here
92.7%
US
81.8%
TN
79.4%
Washington
83.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.7%
Better than Avg
Here
81.7%
US
79.7%
TN
79.8%
Washington
79.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TN
1.6%
Washington
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (5.9)
8 complaint-triggered

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, 2025Routine
3
0600Potential for harm · IsolatedResolved (past non-compliance)

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Mar 5, 2025Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

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, 2024Complaint
1
0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Oct 26, 2023Complaint
4
0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Sep 8, 2023Complaint
2
0559Potential for harm · IsolatedCorrected

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.

0600Potential for harm · IsolatedCorrected

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, 2023Routine
7
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

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.

0655Potential for harm · IsolatedCorrected

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

0657Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Four Oaks Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Ahava Healthcare

Chain Size

16 facilities nationwide

Chain avg rating: 2.5/5 · Rank 5 of 15

Ownership & Management

Owners

Mfi Healthcare Tn II LLC

Owner · Organization

100%

Mce Associates LLC

Owner (parent company) · Organization

10%

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

Niederman, AnshelManaging Control - Governing BodyNiederman, AnshelOfficer / DirectorEdwards, TammyManagerRosenhein, BrianManagerEdwards, TammyAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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