Nursing home report
JONESBOROUGH, TN · Medicare-certified · 84 beds
Four Oaks Health Care Center in Jonesborough, TN has an overall 4-star rating, with strong health inspections and quality measures but a 1-star staffing rating. Reported nurse staffing is 3.47 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Health inspections
Staffing
3.471 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.471.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2023 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, potential for harm.
F-Tag 600 — 42 CFR §483.12 — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited December 2025 — isolated incident, potential for harm.
F-Tag 644 — 42 CFR §483.20 — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, potential for harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to respect the resident’s right to choose a roommate or spouse and to give written notice before changing the room arrangement. Cited September 2023 — isolated incident, potential for harm.
F-Tag 559 — 42 CFR §483.10 — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Now operated by Four Oaks Operating Group LLC, previously Integrity Healthcare of Jonesborough, LLC.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
