Four Oaks Health Care Center

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.

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.

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.

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.

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.