Four Oaks Health Care Center: Staffing, Turnover, and Inspection Record
Four Oaks Health Care Center is a 84-bed for-profit nursing home in Jonesborough, Tennessee, part of Ahava Healthcare. In the CMS August 2026 release it reported 1.97 nurse aide hours per resident per day, 7% below the Tennessee average of 2.12, and 68.1% nursing staff turnover (Tennessee average 48.9%).
Four Oaks Health Care Center
1101 Persimmon Ridge RdJonesborough, TN 37659
Washington County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Four Oaks Health Care Center, nurse aides logged 1.97 hours per resident per day, 7% below the Tennessee average. With about 60 residents a day, that works out to roughly 118 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.97 | 2.12 | 2.32 |
| Licensed practical nurses | 1.20 | 1.09 | 0.86 |
| Registered nurses | 0.30 | 0.60 | 0.69 |
| All nursing staff | 3.47 | 3.80 | 3.86 |
| All nursing staff, weekends | 2.96 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
68.1% of nursing staff at Four Oaks Health Care Center left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 85.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 3, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Tennessee average 4.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Four Oaks Health Care Center holds 4 of 5 overall; the Tennessee average is 3.0.
About Four Oaks Health Care Center
- Ownership: For profit - Corporation
- Chain: Ahava Healthcare, 16 homes
- Legal name: Four Oaks Operating Group LLC
- Medicare and Medicaid certified since: Jul 1, 2002
- Councils: resident council
- Area: urban
Nursing homes near Four Oaks Health Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Lakebridge, a Waters Community, LLC Johnson City | 5.3 | 109 | 1.89 | 3.26 | 41.8% | 3 | None |
| The Waters of Johnson City, LLC Johnson City | 6.1 | 84 | 1.90 | 3.26 | 57.3% | 2 | None |
| Agape Rehabilitation & Nursing Center, a Waters CM Johnson City | 7.4 | 84 | 1.78 | 3.18 | 54.4% | 4 | None |
| Abundant Christian Living Community Rehabilitation Johnson City | 7.5 | 103 | 1.77 | 3.16 | 42.4% | 5 | None |
| Princeton Transitional Care & Assisted Living Johnson City | 7.9 | 47 | 2.04 | 4.79 | 52.2% | 5 | None |
| NHC Healthcare, Johnson City Johnson City | 8.0 | 167 | 2.47 | 3.89 | 28.9% | 5 | None |
| Life Care Center of Gray Gray | 8.4 | 133 | 1.88 | 3.40 | 33.3% | 1 | $10,039 |
| Christian Care Center of Unicoi County Erwin | 11.7 | 50 | 2.23 | 4.37 | 29.2% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.