Four Oaks Health Care Center
Jonesborough, Washington County, Tennessee · CCN 445458 · For-profit (Corporation) · part of Ahava Healthcare (16 facilities, chain average 2.4 stars)
CMS rates Four Oaks Health Care Center 4 of 5 overall as of August 2026. 84 certified beds, 60 residents a day on average. 10 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.47095 hours per resident per day |
|---|---|
| Registered nurses | 0.30034 hours per resident per day |
| Weekend total | 2.95531 hours per resident per day |
| Nursing staff turnover | 68.1% (registered nurses 85.7%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-06-06 |
| 2025-12-03 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-15 |
| 2025-03-05 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-10-07 |
| 2023-09-08 complaint survey |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · tag F0559 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-28 |
| 2023-09-08 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2023-02-23 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-03-16 |
| 2023-02-23 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-14 |
| 2023-02-23 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-16 |
| 2023-02-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-16 |
| 2023-02-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-20 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Mce Associates LLC Organization | 5% or greater direct ownership interest | 10% | 2017-04-28 |
| Labin, Shiya Individual | 5% or greater direct ownership interest | 8% | 2017-04-28 |
| Neuman, Benjamin Individual | 5% or greater direct ownership interest | 10% | 2017-04-28 |
| Niederman, Anshel Individual | 5% or greater direct ownership interest | 30% | 2017-04-28 |
| Edwards, Tammy Individual | adp of the snf | — | 2025-03-27 |
| Rosenhein, Brian Individual | adp of the snf | — | 2025-04-07 |
| Niederman, Anshel Individual | corporate officer | — | 2017-04-28 |
| Eisen, Menashe Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-27 |
| Philipson, Bent Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-27 |
| Philipson, Gabrielle Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-27 |
| Philipson, Raquel Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-27 |
| Niederman, Anshel Individual | managing control - governing body | — | 2019-06-01 |
| Edwards, Tammy Individual | operational/managerial control | — | 2022-06-13 |
| Rosenhein, Brian Individual | operational/managerial control | — | 2022-06-13 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Four Oaks Health Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Washington County.