# Four Oaks Health Care Center

Four Oaks Health Care Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Jonesborough, TN, CMS Certification Number 445458, with 84 certified beds and about 63 residents per day. CMS rates it 4/5 overall (health inspections 4/5, staffing 1/5, quality measures 5/5).

## Key facts
- Status: Active CMS certification
- Address: 1101 Persimmon Ridge Rd, Jonesborough, TN 37659 (Washington County)
- Ownership type: For profit - Corporation

- Operator (legal business name): [Four Oaks Operating Group LLC](https://carefield.site/operator/op-four-oaks-operating-group-llc)
- CMS chain: [Ahava Healthcare](https://carefield.site/chain/cms-chain-17) — 16 facilities

- Phone: 4237538711
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445458

## Inspection record
9 inspections in the CMS window (latest 2025-12-03); 18 citations (8 health, 10 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2025-12-03 — [K-0363](https://carefield.site/deficiency/cms-k0363) Install corridor and hallway doors that block smoke. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-03 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance
- 2025-12-03 — [F-0644](https://carefield.site/deficiency/cms-f0644) Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-03-05 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey
- 2024-06-11 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2023-10-26 — [K-0211](https://carefield.site/deficiency/cms-k0211) Keep aisles, corridors, and exits free of obstruction in case of emergency. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2023-10-26 — [K-0363](https://carefield.site/deficiency/cms-k0363) Install corridor and hallway doors that block smoke. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2023-10-26 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2023-10-26 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2023-02-23 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-02-23 — [K-0781](https://carefield.site/deficiency/cms-k0781) Have restrictions on the use of portable space heaters. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-02-23 — [F-0578](https://carefield.site/deficiency/cms-f0578) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-02-23 — [F-0655](https://carefield.site/deficiency/cms-f0655) Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-02-23 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-02-23 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-02-23 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2019-10-02 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2019-10-02 — [K-0921](https://carefield.site/deficiency/cms-k0921) Ensure that testing and maintenance of electrical equipment is performed. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.38842 (state avg 3.81924, US 3.90085)
- RN: 0.30718
- Nursing staff turnover: 70%

## Owners and managers of record (CMS disclosures)
- Anshel Niederman — Direct owner, 30%, since 2017-04-28
- [Mce Associates LLC](https://carefield.site/owner/org-mce-associates-llc) — Direct owner, 10%, since 2017-04-28
- Benjamin Neuman — Direct owner, 10%, since 2017-04-28
- Shiya Labin — Direct owner, 8%, since 2017-04-28
- Anshel Niederman — Operational / managerial control, since 2019-06-01
- Tammy Edwards — Operational / managerial control, since 2022-06-13
- Brian Rosenhein — Operational / managerial control, since 2022-06-13

## Nearby nursing homes
- [Lakebridge, a Waters Community, LLC](https://carefield.site/facility/cms-445358) — 8.6 km, CMS overall 3/5
- [The Waters of Johnson City, LLC](https://carefield.site/facility/cms-445487) — 9.8 km, CMS overall 2/5
- [Agape Rehabilitation & Nursing Center, a Waters Cm](https://carefield.site/facility/cms-445162) — 11.9 km, CMS overall 3/5
- [Abundant Christian Living Community Rehabilitation](https://carefield.site/facility/cms-445483) — 12.1 km, CMS overall 5/5
- [Princeton Transitional Care & Assisted Living](https://carefield.site/facility/cms-445356) — 12.8 km, CMS overall 5/5
- [Nhc Healthcare, Johnson City](https://carefield.site/facility/cms-445024) — 12.9 km, CMS overall 5/5
- [Christian Care Center of Unicoi County](https://carefield.site/facility/cms-445077) — 18.8 km, CMS overall 4/5
- [Center on Aging and Health](https://carefield.site/facility/cms-445424) — 18.9 km, CMS overall 3/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445458&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445458&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445458&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445458&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445458&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445458&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-445458 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.