Four Oaks Health Care Center
1101 Persimmon Ridge Rd, Jonesborough, TN, 37659
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Ahava Healthcare
- Certified beds
- 84 · avg 59 residents/day
- Total nursing staff turnover
- 70.1% — higher than most Tennessee nursing homesTennessee avg: 48.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 80% — higher than most Tennessee nursing homesTennessee avg: 43.0% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Tennessee averageTennessee avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Infection control citations
- 1
Medicare certification
- CMS Certification Number
- 445458
- Certified beds
- 84 beds · avg 59 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Four Oaks Operating Group Llc
- Chain affiliation
- Ahava Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Ahava Healthcare chain — 16 facilities across 4 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (10 on record)
- Brian j Rosenhein
Adp of The Snf · since 2025
- Tammy Edwards
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Anshel Niederman
Managing Control - Governing Body · since 2019
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 10)
- D0644·Dec 3, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0600·Dec 3, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0689·Mar 5, 2025ComplaintInfection control
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0600·Sep 8, 2023Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0559·Sep 8, 2023Complaint
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- E0880·Feb 23, 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0689·Feb 23, 2023
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0657·Feb 23, 2023
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Dec 3, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Four Oaks Health Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.