Four Oaks Health Care Center
1101 Persimmon Ridge Rd, Jonesborough TN 37659 · (423) 753-8711 · 90.71% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Four Oaks Health Care Center is located in Jonesborough, Tennessee. We awarded it an overall grade of B-, which is a middle of the pack score. Based on our analysis, this place ought to meet the needs of many people. This facility is better in some categories than others, but it didn't have any poor grades in any of the major categories. More information about these categories can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 84 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to being a respectable facility overall, this facility really excelled in the category of inspections, where it received an A+. Few nursing homes performed better in this category. Inspection scores take several factors into consideration, including deficiencies and substantiated complaints. You can find more information about each of these factors by obtaining copies of nursing homes' inspection reports. While this facility had a few minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are found in categories G, H, I, J, K and L. This means the inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A couple minor dings aren't something to panic about.
Long-term Care Quality
This facility also received an impressive long-term care score. In fact, we awarded it a grade of B+ in this category, which happens to be one of our more favorable scores. Long-term care grades of this caliber generally require both 24/7 care from nurses and aids, as well as quality routine healthcare services. On top of looking at the volume of care provided by aids and other staff, we analyzed the number of residents vaccinated for pneumonia. This facility vaccinated 100 percent of its residents, which is an impressive figure. Pneumonia tragically can be a dangerous illness for nursing home residents so we strongly prefer when a nursing home does not roll the dice on this issue. The last statistic we assessed was the nursing home's hospitalization rate. We found that this facility had 2.05 hospitalizations per 1,000 long-term resident days.
Nurse Quality
The next highest grade we gave this nursing home in any area came in the category of nursing, where we gave it a grade of C. Our nursing score looks at the facility's level of nurse staffing. We look at both the levels of training of those nurses as well as the quantity of hours spent with residents. This facility provides 3.3 hours of nursing care per patient each day. This is a much lower figure than we were hoping for. Finally, our nursing scores also factor in some quality-focused measures. We especially like to look at the percentage of patients who experienced pressure ulcers and major falls. These metrics are decent indicators of the quality of nursing care, since better care tends to reduce these problems.
Short-term Care Quality
Our next category is short-term care, in which we gave this nursing home a C in that area. In computing our short-term care grades, we scrutinize the nursing home's levels of highly skilled nursing services, which includes registered nurses, physical therapists occupational therapists and other highly skilled individuals. This rating is frequently a meaningful assessment of a nursing home's ability to rehabilitate patients. We were pleased to find that this nursing home employs both registered nurses and physical therapists. The same can't be said for all nursing homes. Lastly, we looked at the number of patients who were able to return to the community from this facility. We found that 40.2 percent of this facility's patients returned home. At most facilities, closer to half of their residents are able to return home so this is below average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Four Oaks Health Care Center Quality Metrics
Minimizes Pressure Ulcers
This datapoint gauges the percentage of long-term residents who suffer from new or worsened pressure ulcers . We bake this statistic into both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percent of long-term patients which have sustained a fall leading to serious injury. This is one of the statistics we use in computing nursing scores.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients that sustained a urinary tract infection. Urinary tract infections are considered to be a barometer of the quality of nursing care at a nursing home. UTI's are routinely linked to poor nursing care. However, this datapoint may also be skewed for certain facilities due to inconsistent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric is a measure of the percentage of long-term patients which are administered antipsychotic drugs. Excessive reliance on these medications may mean a nursing home is using these drugs to subdue residents in situations where such medications are not medically required. Nevertheless, some nursing homes may need to rely on these medications due to having more residents suffering from Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This datapoint is a measure of the percentage of long-term care residents receiving antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is a measure of the percent of long-term care patients exhibiting signs of depression. Some argue this is a measure of patient quality of life.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of patients that received the flu and pneumonia vaccines. Higher vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percentage of residents who needed more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with ADL's may indicate erosion of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percentage of long-term stay residents who remained mobile levels. Some experts believe that mobility is important for patients mental and physical health.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of rehospitalizations per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric tracks the number of emergency room visits per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This metric measures the percentage of short-term stay patients who experienced functional improvements.
Percentage of Resident
Higher is Better