Four Oaks Health Care Center
1101 Persimmon Ridge Rd, Jonesborough, TN 37659


Four Oaks Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445458. The address is 1101 Persimmon Ridge Rd, Jonesborough, TN 37659. The zip code is 37659. The phone number is 4237538711.


Four Oaks Health Care Center · 1101 Persimmon Ridge Rd, Jonesborough, TN 37659

Federal Provider Number 445458
Provider Name FOUR OAKS HEALTH CARE CENTER
Address 1101 PERSIMMON RIDGE RD
JONESBOROUGH, TN 37659
Phone Number 4237538711
SSA County Code 890
County Name Washington
Ownership Type For profit - Corporation
Certified Beds 84
Certified Beds Residents 75
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name INTEGRITY HEALTHCARE OF JONESBOROUGH, LLC
Date First Approved to Provide Medicare Medicaid Services 07/01/2002
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.392
Reported LPN Staffing Hours per Resident per Day 0.97533
Reported RN Staffing Hours per Resident per Day 0.788
Reported Licensed Staffing Hours per Resident per Day 1.76333
Reported Total Nurse Staffing Hours per Resident per Day 4.15533
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06267
Expected CNA Staffing Hours per Resident per Day 2.63934
Expected LPN Staffing Hours per Resident per Day 0.66221
Expected RN Staffing Hours per Resident per Day 1.03815
Expected Total Nurse Staffing Hours per Resident per Day 4.3397
Adjusted CNA Staffing Hours per Resident per Day 2.22376
Adjusted LPN Staffing Hours per Resident per Day 1.22245
Adjusted RN Staffing Hours per Resident per Day 0.56716
Adjusted Total Nurse Staffing Hours per Resident per Day 3.85965
Cycle 1 Standard Survey Health Date 10/12/2016
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 10/14/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 07/15/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 13.333
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Four Oaks Health Care Center

Owner Name Role Association Date
GOODMAN, LORI (Individual) MANAGING EMPLOYEE since 11/03/2014
GRACE HEALTHCARE, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 05/01/2006
HOLCOMBE, MICHELLE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/18/2015
IRREVOCABLE FAMILY TRUST AGREEMENT OF GEORGIA B O'BRIEN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
since 12/31/2010
IRREVOCABLE FAMILY TRUST AGREEMENT OFJOHN P O'BRIEN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
since 12/31/2010
IRREVOCABLE GRANTOR TRUST AGREEMENT OF JOHN J SHEEHAN, JR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
since 12/31/2009
IRREVOCABLE GRANTOR TRUST AGREEMENT OF MARGARET PHILLIPS SHEEHAN (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
since 12/31/2009
J-M INVESTMENTS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 12/31/2009
O'BRIEN INVESTMENTS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 12/31/2010
OBRIEN, JOHN (Individual) OFFICER since 05/01/2006
TAYLOR, CRAIG (Individual) OPERATIONAL/MANAGERIAL CONTROL since 05/01/2014

TN · Nursing Home

Benchmark Healthcare of Puryear Inc 220 College Street, Puryear, TN 38251
Ave Maria Home 2805 Charles Bryan Rd, Bartlett, TN 38134
Allenbrooke Nursing and Rehabilitation Center 3933 Allenbrooke Cove, Memphis, TN 38118
Golden Livingcenter - Brandywood 555 E Bledsoe, Gallatin, TN 37066
Life Care Center of Hickory Woods 4200 Murfreesboro Pike, Antioch, TN 37013
Life Care Center of Morristown 501 West Economy Road, Morristown, TN 37814
Nhc Place Sumner 140 Thorne Boulevard, Gallatin, TN 37066
Briarwood Community Living Ctr 41 Hospital Drive, Po Box 1067, Lexington, TN 38351
Signature Healthcare of Greeneville 106 Holt Court, Greeneville, TN 37743
The Waters of Union City, LLC 1105 Sunswept Dr, Union City, TN 38261
Life Care Center of Jefferson City 336 West Old Andrew Johnson Hwy, Jefferson City, TN 37760
Westwood Health Care and Rehabilitation Center 524 West Main Street, Decaturville, TN 38329
Shannondale Health Care Center 7424 Middlebrook Pike, Knoxville, TN 37909
Mt Juliet Health Care Center 2650 North Mt Juliet Road, Mount Juliet, TN 37122
Woodbury Health and Rehabilitation Center 119 West High Street, Woodbury, TN 37190
Wharton Nursing Home 878-880 West Main Street, Pleasant Hill, TN 38578
Perry County Nursing Home 127 E Brooklyn Avenue, Linden, TN 37096
Hancock Manor Nursing Home 1423 Main Street, Sneedville, TN 37869
Soddy-daisy Health Care Center 701 Sequoyah Road, Soddy-daisy, TN 37379
Church Hill Care & Rehab Ctr 701 West Main Blvd, Church Hill, TN 37642
Greenhills Health and Rehabilitation Center 3939 Hillsboro Circle, Nashville, TN 37215
Signature Healthcare of Erin 278 Rocky Hollow Road, Erin, TN 37061
Nashville Community Care & Rehabilitation At Borde 1414 County Hospital Rd, Nashville, TN 37218
Harbert Hills Academy N H 3575 Lonesome Pine Road, Savannah, TN 38372
Northside Health Care Nursing and Rehabilitation C 202 East Mtcs Road, Murfreesboro, TN 37130
Spring City Care and Rehabilitation Center 331 Hinch Street, Spring City, TN 37381
Erwin Health Care Center 100 Stalling Lane, Erwin, TN 37650
Nhc Healthcare, Franklin 216 Fairground St, Franklin, TN 37064
Life Care Center of Blount County 1965 Stewart Lane, Louisville, TN 37777
Kirby Pines Manor 3535 Kirby Road, Memphis, TN 38115
Parkway Health and Rehabilitation Center 200 South Parkway West, Memphis, TN 38109
Union City Nursing and Rehabilitation Center Inc 1630 E Reelfoot Ave, Union City, TN 38261
The Health Center At Richland Place 504 Elmington Avenue, Nashville, TN 37205
The Meadows 8044 Coley Davis Road, Nashville, TN 37221
Poplar Oaks Rehabilitation and Healthcare Ctr LLC 490 West Poplar Avenue, Collierville, TN 38017
Life Care Center of Hixson 5798 Hixson Home Place, Hixson, TN 37343
Savannah Health Care and Rehabilitation Center, In 1645 Florence Rd, Savannah, TN 38372
Starr Regional Health & Rehabilitation 886 Hwy 411 North, Etowah, TN 37331
Cumberland Village Genesis Healthcare 136 Davis Lane, Lafollette, TN 37766
Laurelbrook Sanitarium 114 Campus Drive, Dayton, TN 37321