Tennessee ›Jonesborough

Four Oaks Health Care Center

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1101 Persimmon Ridge Rd, Jonesborough, TN 37659 (opens Google Maps) · Washington County · (423) 753-8711· 84 certified beds · avg 60 residents/day · certified since Jul 1, 2002 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: AHAVA HEALTHCARE (16 facilities, chain avg rating 2.4★)

4/5
Health inspection rating (on-site)
inspected Dec 3, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.37
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. F-0600

  2. D · Potential for more than minimal harm, isolated

    The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. F-0644

  3. D · Potential for more than minimal harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

View all 10 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Dec 3, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600
Dec 3, 2025D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Mar 5, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint · F-0559
Sep 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Feb 23, 2023E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Feb 23, 2023D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Feb 23, 2023D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Feb 23, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Feb 23, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 7
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202370E
202530D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.37
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.29
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.87
Tennessee average: 3.15
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTennessee avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.373.623.95bottom 40% in Tennessee; bottom 30% in the U.S.
Registered Nurse hours0.290.570.69bottom 9% in Tennessee; bottom 9% in the U.S.
Weekend total nurse staffing2.873.153.50bottom 38% in Tennessee; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)0.230.390.48bottom 20% in Tennessee; bottom 18% in the U.S.
Total nursing staff turnover (%)68.148.945.8bottom 6% in Tennessee; bottom 7% in the U.S.
RN turnover (%)85.743.242.9bottom 3% in Tennessee; bottom 3% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.47, RN 0.30, weekend 2.96.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.47 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Four Oaks Health Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Labin, ShiyaIndividual5% or Greater Direct Ownership Interest8%04/28/2017
McE Associates LLCOrganization5% or Greater Direct Ownership Interest10%04/28/2017
Neuman, BenjaminIndividual5% or Greater Direct Ownership Interest10%04/28/2017
Niederman, AnshelIndividual5% or Greater Direct Ownership Interest30%04/28/2017
Edwards, TammyIndividualOperational/Managerial ControlNOT APPLICABLE06/13/2022
Edwards, TammyIndividualADP of the SNFNOT APPLICABLE03/27/2025
Eisen, MenasheIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/27/2025
Niederman, AnshelIndividualManaging Control - Governing BodyNOT APPLICABLE06/01/2019
Niederman, AnshelIndividualCorporate OfficerNOT APPLICABLE04/28/2017
Philipson, BentIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/27/2025
Philipson, GabrielleIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/27/2025
Philipson, RaquelIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/27/2025
Rosenhein, BrianIndividualOperational/Managerial ControlNOT APPLICABLE06/13/2022
Rosenhein, BrianIndividualADP of the SNFNOT APPLICABLE04/07/2025

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Ahava Healthcare — 16 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 15 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you handle room assignments and roommate requests, and do residents get advance written notice before any move?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
  • "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 68% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 23 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Lakebridge, a Waters Community, LLC5.3 miJohnson City, TN★★★☆☆4/5
The Waters of Johnson City, LLC6.1 miJohnson City, TN★★☆☆☆3/5
Agape Rehabilitation & Nursing Center, a Waters CM7.4 miJohnson City, TN★★★★☆4/5
Abundant Christian Living Community Rehabilitation7.5 miJohnson City, TN★★★★★5/5
Princeton Transitional Care & Assisted Living7.9 miJohnson City, TN★★★★★5/5
NHC Healthcare, Johnson City8.0 miJohnson City, TN★★★★★5/5
Life Care Center of Gray8.4 miGray, TN★☆☆☆☆1/5
Christian Care Center of Unicoi County11.7 miErwin, TN★★★★☆4/5
Center on Aging and Health11.8 miErwin, TN★★★☆☆3/5
Erwin Health Care Center11.9 miErwin, TN★★☆☆☆2/5
Durham-Hensley Health and Rehabilitation11.9 miChuckey, TN★★★★☆4/5
Greystone Health Care Center13.6 miBlountville, TN★☆☆☆☆1/5

Compare this facility with the 3 closest →

All facilities in Jonesborough →

Facility data as of CMS processing date 2026-08-01. CCN 445458.

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