Home / Tennessee / Jonesborough
1101 Persimmon Ridge Rd, Jonesborough, TN 37659 · Washington County · (423) 753-8711
84 certified beds, about 60 residents a day · For profit - Corporation · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445458 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 3, 2025, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 10 health citations since October 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.
68.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Ahava Healthcare, an affiliated group of 16 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Inspectors wroteBased on review of facility policy, review of medical records, review of facility investigation documentation, and interviews, the facility failed to protect the residents' right to be free from physical abuse by a staff member for 1 resident (Resident #21) of 15 residents reviewed for abuse. The facility was cited at Past Non-Compliance for F-600. Non-compliance began on 6/1/2025 and ended on 6/6/2025. The facility is not required to submit a Plan of Correction for F-600.
Inspectors wroteBased on review of facility policy, review of medical records, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASARR) timely after a new mental health diagnosis was added for 1 resident (Resident #9) of 5 residents reviewed for PASARR.
Inspectors wroteBased on facility policy review, medical record review, facility investigation documentation review, and interview, the facility failed to protect the residents' right to be free from accidents related to an elopement for 1 resident (Resident #6) of 6 residents reviewed for accidents. F689 was cited as past noncompliance and the facility is not required to submit a Plan of Correction.
Inspectors wroteBased on facility policy review, medical record review, facility documentation, and interview the facility failed to promptly notify family of a room change and of the resident's transportation to a cancelled appointment for 1 Resident (Resident #2) of 5 residents reviewed for resident rights.
Inspectors wroteBased on facility policy review, medical record review, facility investigation, and interview the facility failed to prevent abuse for 1 Resident (Resident #3) of 5 residents reviewed for abuse.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to maintain infection control for 2 residents (Resident #33 and Resident #41) in contact isolation, failed to maintain infection control for 1 resident (Resident #96) with a foley catheter, and failed to maintain infection control during the medication administration for 1 resident (Resident #28) of 16 residents reviewed.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to determine on admission if the resident had formulated an advance directive or to determine whether the resident wished to formulate an advance directive for 2 residents (Resident #13 and Resident #30) of 16 residents reviewed for advanced directives.
Inspectors wroteBased on medical record review and interview, the facility failed to develop a baseline care plan to address the care and treatment of an indwelling catheter for one resident (Resident #96) of 16 residents reviewed for baseline care plans.
Inspectors wroteBased on medical record review and interview the facility failed to revise a care plan to include changes in the plan of care for two residents (Resident #33 and Resident #41) for contact precautions of 16 residents reviewed for transmission precautions.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to implement a fall intervention to prevent a fall for 1 resident (Resident #3) of 3 residents reviewed for accidents.
10 fire safety citations on file: 1 on December 3, 2025, 1 on June 11, 2024, 4 on October 26, 2023, 2 on February 23, 2023, 2 on October 2, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 3.80 | 3.86 |
| Registered nurses | 0.30 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.96 | 3.31 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 1.20 | ||
| Nursing staff turnover (share who left in a year) | 68.1% | 48.9% | 45.8% |
| Registered nurse turnover | 85.7% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.95 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.68 on weekdays and 2.96 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.47 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.47 | 0.30 | 3.68 | 2.96 | 0.1% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.59 | 0.28 | 3.79 | 3.10 | 0.0% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.85 | 0.35 | 4.05 | 3.34 | 0.0% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.51 | 0.32 | 3.70 | 3.05 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.2 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.3 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.9 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.7 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.5 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Four Oaks Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.5% this home
No different from the national rate
US median of homes 51.5% · Tennessee: 62 better, 16 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 28 eligible stays.
10.5% this home
No different from the national rate
US median of homes 10.7% · Tennessee: 1 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 52 eligible stays.
7.0% this home
No different from the national rate
US median of homes 7.1% · Tennessee: 2 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 29 eligible stays.
52.8% this home
Median of homes: Tennessee58.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 36 residents counted.
0.0% this home
Median of homes: Tennessee0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 46 residents counted.
0.0% this home
Median of homes: Tennessee1.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 46 residents counted.
95.5% this home
Median of homes: Tennessee98.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 22 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: FOUR OAKS OPERATING GROUP LLC. CMS links this home to Ahava Healthcare, a group of 16 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mce Associates LLC | 5% or greater direct ownership interest | Organization | 10% | 04/28/2017 |
| Labin, Shiya | 5% or greater direct ownership interest | Individual | 8% | 04/28/2017 |
| Neuman, Benjamin | 5% or greater direct ownership interest | Individual | 10% | 04/28/2017 |
| Niederman, Anshel | 5% or greater direct ownership interest | Individual | 30% | 04/28/2017 |
| Niederman, Anshel | Managing control - governing body | Individual | 06/01/2019 | |
| Niederman, Anshel | Corporate officer | Individual | 04/28/2017 | |
| Edwards, Tammy | Operational/managerial control | Individual | 06/13/2022 | |
| Rosenhein, Brian | Operational/managerial control | Individual | 06/13/2022 | |
| Eisen, Menashe | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/27/2025 | |
| Philipson, Bent | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/27/2025 | |
| Philipson, Gabrielle | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/27/2025 | |
| Philipson, Raquel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/27/2025 | |
| Edwards, Tammy | Adp of the SNF | Individual | 03/27/2025 | |
| Rosenhein, Brian | Adp of the SNF | Individual | 04/07/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.