Nursing homeActive
Four Oaks Health Care Center
1101 Persimmon Ridge Rd, Jonesborough, TN 37659423753871184 certified beds · 60 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2019
Deficiencies
10
● 0● 10● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-12-03
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-03 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-03-05 | Infection control | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-08 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-02-23 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2019-10-02 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 445458-20251203-F600
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 445458-20251203-F644
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-07Record 445458-20250305-F689
F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 445458-20230908-F559
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 445458-20230908-F600
F578Honor 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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-14Record 445458-20230223-F578
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-16Record 445458-20230223-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-16Record 445458-20230223-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-20Record 445458-20230223-F689
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-16Record 445458-20230223-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.30
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.47
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours2.96
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover68%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover86%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.7% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 6.9% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.2% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 5.2% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.1% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 28.5% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Labin, Shiya Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | — | — |
| Mce Associates LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Neuman, Benjamin Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | — | — |
| Niederman, Anshel Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | — | — |
| Edwards, Tammy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rosenhein, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Edwards, Tammy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eisen, Menashe Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Niederman, Anshel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Niederman, Anshel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Philipson, Bent Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Philipson, Gabrielle Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Philipson, Raquel Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rosenhein, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Ahava Healthcare — 16 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for Washington.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lakebridge, A Waters Community, LLC Johnson City | 5.3 mi | 2023-07-25 | 000 |
| The Waters Of Johnson City, LLC Johnson City | 6.1 mi | 2025-02-25 | 0100 |
| Life Care Center Of Gray Gray | 8.4 mi | 2024-06-20 | 084 |
| Agape Rehabilitation & Nursing Center, A Waters Cm Johnson City | 7.4 mi | 2026-05-19 | 070 |
| Abundant Christian Living Community Rehabilitation Johnson City | 7.5 mi | 2024-07-09 | 020 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |