Federal inspection record · CMS data as of October 1, 2026
Four Oaks Health Care Center
1101 Persimmon Ridge Rd, Jonesborough, TN · (423) 753-8711
- Certified beds
- 84
- Residents per day
- 63
- Ownership
- For-Profit
- Chain
- Ahava Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2002
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Four Oaks Health Care Center carries 13 inspection points. That is fewer than 77% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning3D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Honor 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.
Inspection history
2025-12-03
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2023-02-23
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2019-10-02
0 health deficiencies · 7 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 23 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 70% of nursing staff and 100% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.3 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 0.9 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 95.9% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 100.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.9 pts better | 0.0% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts worse | 7.6% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6 pts better | 25.7% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.1 pts better | 5.9% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.7 pts better | 6.7% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts better | 6.9% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinenceAbout the same | 19.0% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 1.1% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts better | 89.1% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.8 pts worse | 16.1% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2 pts worse | 77.2% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.4 pts better | 11.2% | 22.6% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Niederman, Anshel | 5% Or Greater Direct Ownership Interest · Individual | 30% | 16 facilities |
| Mce Associates LLC | 5% Or Greater Direct Ownership Interest · Organization | 10% | 3 facilities |
| Neuman, Benjamin | 5% Or Greater Direct Ownership Interest · Individual | 10% | 7 facilities |
| Labin, Shiya | 5% Or Greater Direct Ownership Interest · Individual | 8% | 7 facilities |
| Edwards, Tammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Edwards, Tammy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Eisen, Menashe | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 18 facilities |
| Niederman, Anshel | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Niederman, Anshel | Corporate Officer · Individual | 0% | 16 facilities |
| Philipson, Bent | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 31 facilities |
| Philipson, Gabrielle | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 23 facilities |
| Philipson, Raquel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 22 facilities |
| Rosenhein, Brian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rosenhein, Brian | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- D
Install corridor and hallway doors that block smoke.
- F
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Provide properly protected cooking facilities.
Miscellaneous2D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems2F
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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