Four Oaks Health Care Center
1101 PERSIMMON RIDGE RD, Jonesborough, TN 37659
Jonesborough, Tennessee · CMS verdict
Four Oaks Health Care Center's CMS overall star rating stands at 2 of 5, below the Tennessee state average (3.0) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Four Oaks Health Care Center in Jonesborough, Tennessee holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 51 of 100 (grade F). The 84-bed facility operates where a semi-private nursing-home room in Tennessee runs a median of $9,429 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 51 is built
Each segment is a dimension's weighted points toward the score, summing to 51.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Four Oaks Health Care Center's overall quality rating at 2 out of 5 stars, a composite of three sub-ratings: health inspection (3/5), staffing (1/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Jonesborough, Tennessee, this facility operates 84 certified beds with an average daily census of roughly 59 residents - an occupancy rate of about 70%. The facility is classified under for profit - individual ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 70% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (9 total). CMS has levied no enforcement penalties over the equivalent window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Four Oaks Health Care Center compares to Tennessee
CMS five-star sub-ratings (0–5) for this facility against the Tennessee facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Tennessee state average. Higher is better on all four CMS measures.
Where Four Oaks Health Care Center ranks in Tennessee
Among the 298 CMS-rated nursing homes in Tennessee, Four Oaks Health Care Center’s 2-star overall rating is higher than 20% of them. The bars show how all Tennessee homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
60 Tennessee homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 84 |
| Residents | 59 |
| Ownership | For profit - Individual |
| County | Washington |
| Penalties | 0 |
| Deficiencies | 9 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Four Oaks Health Care Center? ▾
CMS rates Four Oaks Health Care Center at 2 out of 5 stars overall. The three sub-ratings behind that number: health inspection 3/5, staffing 1/5, quality measures 4/5.
How much does a nursing home cost per month in Tennessee? ▾
In Tennessee, a semi-private nursing home room runs a median $9,429/month ($113,150/year) per the CareScout 2025 survey; private rooms average $10,038/month.
What services does Four Oaks Health Care Center offer? ▾
Four Oaks Health Care Center is a skilled nursing facility with 84 beds with approximately 59 current residents. It operates under for profit - individual ownership. The facility has recorded 9 deficiencies and 0 penalties in CMS inspections.
Does Four Oaks Health Care Center have any deficiencies or penalties? ▾
Four Oaks Health Care Center has multiple deficiencies (9 total) and 0 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in Tennessee? ▾
In Tennessee, alternatives include assisted living ($5,845/mo), home health aides ($5,911/mo), and adult day care ($1,733/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Tennessee elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 445458.
Read our methodology - how this data is sourced, computed, and verified.