Four Oaks Health Care Center is the lone facility we found in Jonesborough, Tennessee. Featuring an overall grade of C, this looks like a middle of the pack facility. At the end of the day, this nursing home looks like a good fit for most people. One of the best aspects of this facility's profile is its exemplary inspection score, which you can find in the next section.
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Four Oaks Health Care Center
- Nursing Home
Updated Nov 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Individual
- Offers Hospice
- Offers Respite Care
- Offers Inpatient Rehab
- Offers Outpatient Rehab
Specialized Services
- Personal Care
- Transportation
- Dialysis Transportation
- Speech Therapy
- IV Antibiotic Therapy
- Palliative Care
- Wound Care
- Occupational Therapy
- Tracheotomy Care
- Mental Health
- Diabetes Management
- Physical Therapy
- Nutritional Counseling
- Laboratory
- Recreational Therapy
- Pain Management
- Bariatric Care
- Colostomy Care
- Orthopedic Rehabilitation
- Catheter Care
- Total Parenteral Nutrition
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Registered Staff Hours
Facility Inspections
While this facility's overall grade was not bad, it really fared well in the area of inspections. In fact, we awarded it a grade of A for that category, which is one of our highest scores. Inspection ratings weigh several factors, including deficiencies and substantiated complaints. You can learn more about each of these factors by obtaining copies of nursing homes' inspection reports. Although this place had some deficiencies on its government inspection report, none of them were severe based on CMS' scale. A couple of minor deficiencies should not stop you from considering a nursing home.
Nurse Quality
One of the other reasons we rated this nursing home so highly is that it earned a very impressive nursing score. In fact, nursing turned out to be its second best category grade. In that category, we gave this facility an B-. Our nursing score is based on quite a few factors, but the main consideration is the level of nurse hours per patient per week. This nursing home averages just 0.4 hours of nursing care per resident per day. This is a very low figure. Finally, we also looked at some nursing quality measures. While this facility got dinged a bit for its nursing hours per resident, it actually excelled in some of these quality metrics. With less than five percent of its residents sustaining pressure ulcers, it performed well in this statistic. This is typically an indicator of quality nursing care. Pressure ulcers can generally be prevented by offering better nursing care, such as employing a protocol of turning a resident more often.
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Short-term Care Quality
This nursing home's third best area was short-term care. In that category, we gave this nursing home a C. In crafting these short-term care grades, we look at the facility's skilled nursing services, including those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. Our goal is to devise a tool for sizing up the rehabilitation services of different facilities. We found that this place was below average in the two key staffing areas we looked at. The facility offered fewer registered nurse and physical therapist hours per resident than most other facilities. The final metric we looked at in this area is the number of patients that ultimately returned home from the facility. We found that just 4.7 percent of this facility's patients returned home.
Long-term Care Quality
The final category we scored is long-term care, which ended up being a weak link for this nursing home. We awarded this nursing home a D for our long-term care category. Nursing homes that receive this type of grade in this category may not provide the type of consistent around the clock care that some other nursing homes provide. After assessing the volume of care provided by aids and other staff, we then analyzed the nursing home's vaccination statistics. Candidly, we were a bit alarmed this facility vaccinated 82.77778 percent of its patients against pneumonia, which is significantly below what we were hoping for. To our surprise, this facility was actually able to limit hospitalizations. With only 0.02 hospitalizations per one thousand long-term resident days, this facility had less hospitalizations than many nursing homes. This is its best score in this category.
Rating Over Time
Compared to national and state averages across all facilities.
Four Oaks Health Care Center Quality Metrics
Minimizes Pressure Ulcers
In Four Oaks Health Care Center, 11.49% of Patients had Pressure Ulcers
This indicates the percentage of residents that sustained a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are routinely caused by residents staying in one position for too long. Better nursing care limits the number of pressure ulcers sustained by residents in a nursing home.
Minimizes Serious Falls
In Four Oaks Health Care Center, 3.33% of Patients had Serious Falls
This indicates the percent of patients who suffered from a major fall. Falls leading to severe injuries are often associated with lower quality nursing care. More supervision can limit the percentage of residents in a nursing home who sustain major falls.
Minimizes Urinary Tract Infections
In Four Oaks Health Care Center, 1.13% of Patients had UTIs
This datapoint tells you the percent of long-term residents who had UTI's. Although more infections may reflect poorly on a nursing home's nursing care, it can be problematic to compare different facilities due to nursing homes having reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Four Oaks Health Care Center, 19.28% of Patients use Anti-Psychotic Medication
This tells you the percent of residents given antipsychotic medications. While antipsychotic drugs may be vital to many residents, it is important to confirm these drugs are being used only where medically required. In some situations, high levels of antipsychotic drug use may indicate that a facility is using these drugs to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Four Oaks Health Care Center, 38.26% of Patients use Anti-Anxiety Medication
This indicates the percent of patients given antianxiety drugs. Antianxiety medications are administered to residents experiencing anxiety or depression.
Managing Depression Among Residents
In Four Oaks Health Care Center, 8.54% of Patients
This indicates the percent of patients exhibiting symptoms of depression. Higher levels of depression could be a sign worse patient care.
Appropriate Vaccine Usage
In Four Oaks Health Care Center, 90.33% of Patients
This metric measures the percentage of long-term patients who received the flu and pneumonia vaccines.
Residents Maintain Autonomy
In Four Oaks Health Care Center, 10.27% of Patients
This datapoint is a measure of the percentage of long-term care residents that required more assistance with activities of daily living over time. ADL's include activities such as taking medications and taking a bath. Many would argue this is a reasonable measure of a resident's well-being.
Ability to Keep Residents Mobile
In Four Oaks Health Care Center, 15.71% of Residents
This is the percentage of patients that retained mobility levels over time. Optimizing mobility can be a good sign for residents' well-being.
Hospitalizations
In Four Oaks Health Care Center, 0.02 Hospitalizations per 1,000 resident days
This metric measures the number of hospitalizations per thousand days of patient care.
Short-term Care: Rehospitalizations
In Four Oaks Health Care Center, 15.71% of Residents Rehospitalized
This indicates the number of times residents are rehospitalized per 1,000 days of short-term care.
Short-term Care: ER Visits
In Four Oaks Health Care Center, 14.88% of Patients
This datapoint is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Four Oaks Health Care Center, 91.06% of Resident
This metric measures the percentage of short-term stay residents who saw functional improvements, such as enhanced ability to perform activities of daily living. Some believe this is a reasonable measure of a facility's rehabilitation performance.
Nearby Hospitals
- Johnson City Medical CenterAcute Care Hospitals 5.98 miles away400 N State of Franklin Rd Johnson City Tennessee 37604Voluntary non-profit - Private(423) 431-6111
- Franklin Woods Community HospitalAcute Care Hospitals 6.07 miles away300 Med Tech Parkway Johnson City Tennessee 37604Voluntary non-profit - Private(423) 302-1120
- Unicoi County HospitalAcute Care Hospitals 11.89 miles away2030 Temple Hill Road Erwin Tennessee 37650Voluntary non-profit - Private(423) 743-3141
- Sycamore Shoals HospitalAcute Care Hospitals 14 miles away1501 West Elk Avenue Elizabethton Tennessee 37643Voluntary non-profit - Private(423) 542-1300
- Indian Path Community HospitalAcute Care Hospitals 18.1 miles away2000 Brookside Dr Kingsport Tennessee 37660Voluntary non-profit - Private(423) 431-1941
- Holston Valley Medical CenterAcute Care Hospitals 18.49 miles away130 West Ravine Road Kingsport Tennessee 37662Voluntary non-profit - Private(423) 224-4000
- Greeneville Community HospitalAcute Care Hospitals 18.59 miles away1420 Tusculum Boulevard Greeneville Tennessee 37745Voluntary non-profit - Private(423) 639-3151
Nearby Dialysis
- Davita Tennessee Valley Dial Cntr5.34 miles away107 Woodlawn Dr Suite 100 Johnson City Tennessee 37604CMS Rating: 3 stars Dialysis Stations: 16 (423) 926-2976
- Fmc Johnson City6.18 miles away100 Technology Lane Johnson City Tennessee 37604Dialysis Stations: 17 (423) 929-7181
- Tn Smokie Mountain Dialysis6.43 miles away2320 Knob Creek Road Suite 408 Johnson City Tennessee 37604Dialysis Stations: 2 (423) 232-1969
- Fmc Elizabethton14.22 miles away1210 Militia Court Elizabethton Tennessee 37643Dialysis Stations: 13 (423) 542-8208
- Fmc Eastern Tennessee16.91 miles away180 Serral Drive Greeneville Tennessee 37745Dialysis Stations: 19 (423) 638-1201
- Fmc Kingsport18 miles away2002 Brookside Drive Suite 101 Kingsport Tennessee 37660CMS Rating: 2 stars Dialysis Stations: 23 (423) 245-6464
- Sandlin Dialysis, LLC18.25 miles away110 Heritage Court Greeneville Tennessee 37743Dialysis Stations: 12 (423) 639-2110
- Fmc West Kingsport19.39 miles away3600 Netherland Inn Road Kingsport Tennessee 37660CMS Rating: 3 stars Dialysis Stations: 18 (423) 230-0461