Nursing Home Alerts

Four Oaks Health Care Center

1101 Persimmon Ridge Rd, Jonesborough, TN 37659

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Four Oaks Health Care Center is a nursing home in Jonesborough, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  2. CMS update of March 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  3. CMS update of February 25, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  4. Health inspection on December 3, 2025

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on June 6, 2025.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on December 15, 2025.

    See this home on CMS Care Compare

  5. Fire safety inspection on December 3, 2025

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on December 30, 2025.

      CMS has cited this home for K0363 2 times since 2023.

    See this home on CMS Care Compare

  6. CMS update of November 20, 2025

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  7. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 3.7 to 3.2 hours per resident per day.

  8. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  9. Health inspection on March 5, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on October 7, 2024.

      CMS has cited this home for F0689 2 times since 2023.

    See this home on CMS Care Compare

  10. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Staffing

      Total nurse staffing reported to CMS went from 3.4 to 3.1 hours per resident per day.

  11. CMS update of October 30, 2024

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  12. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  13. Fire safety inspection on June 11, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation K0511. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on June 28, 2024.

    See this home on CMS Care Compare

  14. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  15. CMS update of March 28, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

    • Ownership

      CMS lists this home under a new chain.

  16. CMS update of February 29, 2024

    • Ownership

      CMS lists this home under a new chain.

  17. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5.

  18. Fire safety inspection on October 26, 2023

    4 citations

    CMS lists this as a complaint inspection.

    Show the 4 citations
    • Citation K0363. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on November 25, 2023.

    • Citation K0211. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on November 25, 2023.

    • Citation K0741. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on November 25, 2023.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on November 25, 2023.

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  19. Health inspection on February 23, 2023

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations
    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 16, 2023.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 14, 2023.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on March 16, 2023.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on March 16, 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 20, 2023.

    See this home on CMS Care Compare

  20. Fire safety inspection on February 23, 2023

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on March 16, 2023.

      CMS has cited this home for K0324 2 times since 2019.

    • Citation K0781. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have restrictions on the use of portable space heaters.

      CMS lists it as corrected on March 16, 2023.

    See this home on CMS Care Compare

  21. Fire safety inspection on October 2, 2019

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on November 8, 2019.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on November 8, 2019.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(423) 753-8711
Last standard health inspection
December 3, 2025 (11 months ago)
Certified beds
84
Residents per day, on average
63.3
Ownership type
For profit - Corporation
Legal business name
Four Oaks Operating Group LLC
Chain
Ahava Healthcare
Takes part in
Medicare and Medicaid

Fewer health citations than the Tennessee average (8 vs 14).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Show 1 more
  • ROSENHEIN, BRIANOperational/managerial control · not applicable · since 06/13/2022

Questions

When was Four Oaks Health Care Center last inspected?

CMS lists December 3, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Four Oaks Health Care Center have?

CMS lists 8 health citations since February 23, 2023. CMS also calls these deficiencies.

Has Four Oaks Health Care Center been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Four Oaks Health Care Center?

Its CMS overall star rating is 4 of 5.

Is Four Oaks Health Care Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.