Four Oaks Health Care Center
Jonesborough, TN · Medicare and Medicaid-certified nursing home (CCN 445458) · 84 certified beds
Health inspection: 4 · Quality measures: 5 · Staffing: 1
Federal fines: none on current record
Phone: (423) 753-8711 · Verify on Medicare Care Compare ↗
Four Oaks Health Care Center has a CMS overall rating of 4 out of 5 stars, above the Tennessee state average of 3.0. Its health inspection rating is 4 stars, but its staffing rating is only 1 star.
Four Oaks Health Care Center reports total nurse staffing of about 3.47 hours per resident per day, with only 0.30 RN hours per resident per day, and nursing staff turnover of 68.1%. Its CMS staffing star rating is 1 out of 5.
Four Oaks Health Care Center has no federal fines on record, with $0.00 in total fines and no payment denials reported by CMS. There is no abuse icon flag and no Special Focus Facility designation noted in the available data.
About this facility
Four Oaks Health Care Center is a for-profit nursing home in Jonesborough, Washington County, Tennessee, certified for 84 beds with an average of 59.8 residents. The facility accepts both Medicare and Medicaid and has been certified since July 2002.
According to CMS Care Compare, Four Oaks holds an overall star rating of 4 out of 5, which is above the Tennessee state average of 3.0. Its health inspection rating is 4 stars, its quality measure (QM) rating is 5 stars, but its staffing rating is only 1 star. Total nurse staffing is reported at 3.47 hours per resident per day, with registered nurse (RN) time at 0.30 hours per resident per day. Nursing staff turnover is reported at 68.1%.
On the penalty record, CMS reports zero federal fines on file, totaling $0.00, and no payment denials — no federal fines on record for this facility. There is no abuse icon flagged and no Special Focus Facility designation noted in the data provided.
Four Oaks is part of the Ahava Healthcare chain, which operates 16 facilities nationally with a chain average CMS rating of 2.4 stars, below this facility's own rating. There has been no change in ownership in the past 12 months, so current ratings reflect the current operator.
Source: CMS Medicare Care Compare data set, as provided.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Four Oaks Health Care Center has a CMS overall rating of 4 out of 5 stars, which is above the Tennessee state average of 3.0.
Does this facility accept Medicare, Medicaid, or both?
Yes, Four Oaks accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.47 hours per resident per day, with only 0.30 RN hours per resident per day, and turnover is 68.1%; the staffing star rating is 1 out of 5.
Does this facility have federal fines or penalties on record?
No, CMS reports zero fines, $0.00 in total fines, and no payment denials — no federal fines on record.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No abuse icon or Special Focus Facility designation is noted in the data provided for this facility.
How large is this facility and how many residents live there?
Four Oaks is certified for 84 beds and has an average daily census of 59.8 residents.
Who owns this facility — and is it part of a chain?
Four Oaks is a for-profit corporation and part of the Ahava Healthcare chain, which operates 16 facilities nationally with an average CMS rating of 2.4 stars.
How long has this facility been Medicare/Medicaid certified?
Four Oaks has been certified since July 1, 2002.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus three component ratings — health inspections (4 stars here), staffing (1 star), and quality measures (5 stars) — which combine into the overall score.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the provided CMS data; contact the facility at 423-753-8711 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 423-753-8711 to arrange a visit and verify current conditions on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current inspection, staffing, and quality data at https://www.medicare.gov/care-compare/details/nursing-home/445458?state=TN.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.