Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Four Oaks Health Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and ADL dependence was physically abused by a housekeeping aide after the aide reported the resident grabbed her buttocks. The aide admitted she intentionally backhanded the resident across the face, and the resident did not report the incident. Facility interviews and records confirmed the staff member’s account and the resident’s lack of injury, resulting in a deficiency for failure to protect the resident from abuse.
Failure to Resubmit PASARR After New Mental Health Diagnosis: The facility failed to submit a new PASARR for a resident after a new mental health dx of paranoid schizophrenia was added. The resident had prior PASARR approval, a PASRR care plan, and later an active schizophrenia dx on the MDS, but the record showed no new PASARR was submitted when the resident’s mental status changed. The ADM and DON stated the need for referral to the State Designated Agency was not identified until the record review.
A resident with a history of traumatic brain injury and moderate cognitive impairment eloped from the facility by breaking a window lock. Despite being at risk for elopement and having expressed a desire to leave, the facility's preventive measures were insufficient. The resident left a note indicating their intention to leave, consistent with prior discussions about discharge.
Failure to Protect Resident from Staff Physical Abuse
Penalty
Summary
The facility failed to protect a resident’s right to be free from physical abuse by a staff member. Resident #21 had diagnoses including difficulty in walking, chronic kidney disease stage 4, and lack of coordination, and a quarterly MDS assessment showed a BIMS score of 3, indicating severe cognitive impairment. The resident required partial to moderate assistance with toileting hygiene, personal hygiene, and transfers, and the care plan noted impaired cognitive function and the need for assistance with ADLs. According to the facility’s investigation documentation, a housekeeping aide reported that while cleaning the resident’s room, the resident grabbed her buttocks and she responded by backhanding him across the face with the back of her hand. The aide stated she meant to strike him and confirmed contact with the resident’s face. The resident did not report being struck and a skin assessment found no redness or signs of injury. The facility’s incident report documented that the aide reported the resident had grabbed her and that she reacted by turning and backhanding him across the face. The facility’s investigation also documented that the administrator was notified, the aide was suspended pending investigation, and the resident was interviewed and assessed. The administrator confirmed the aide’s account and stated the resident denied that anything occurred. During later interviews, the RN supervisor and administrator both recalled the allegation and confirmed the aide reported the resident had grabbed her and that she smacked him in response. The report identified this as a deficiency for failure to protect the resident from physical abuse by staff.
Failure to Resubmit PASARR After New Mental Health Diagnosis
Penalty
Summary
The facility failed to resubmit a PASARR timely after a new mental health diagnosis was added for Resident #9. Review of the medical record showed the resident was admitted with diagnoses including Anxiety Disorder, Lack of Coordination, and Muscle Weakness, and later received a new diagnosis of Paranoid Schizophrenia on 4/21/2024. The record also showed an approved PASARR Level II screen dated 5/16/2023, which stated that if there were changes in physical or mental health, the nursing home must submit a new screening. Review of the comprehensive care plan revision on 4/23/2024 showed the resident had a care plan for PASRR, and an annual MDS dated 1/3/2025 showed an active diagnosis of Schizophrenia. However, the medical record did not show that a new PASARR had been submitted after the new mental health diagnosis was added. During record review and interview on 12/3/2025 at 7:55 AM, the Administrator and DON stated the facility had not identified the need to refer Resident #9 to the State Designated Agency for a new PASARR after the diagnosis of Paranoid Schizophrenia was added until that date, and confirmed the facility failed to follow its policy for referral after the new mental health diagnosis.
Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to protect a resident's right to be free from accidents related to an elopement. The resident, who had a history of traumatic brain injury and moderate cognitive impairment, was at risk for elopement as noted in their care plan. Despite this, the resident managed to break the lock on their bedroom window and exit the facility without supervision. The resident had previously expressed a desire to leave the facility and had discussed plans for living arrangements outside the facility with the Social Services Director. The resident's care plan included measures to prevent elopement, such as providing distractions and structured activities, but these measures were not sufficient to prevent the resident from leaving. The incident occurred when staff became aware that the resident was missing from their room. The resident left a note indicating their intention to leave, which was consistent with previous discussions about discharge. The facility's failure to ensure the resident's safety and prevent elopement resulted in a deficiency citation.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 69 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Jonesborough
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakebridge, A Waters Community, Llc | 5.3 mi | ★★★★★ | 0 | 0 |
| The Waters Of Johnson City, Llc | 6.1 mi | ★★★★★ | 0 | 0 |
| Agape Rehabilitation & Nursing Center, A Waters Cm | 7.4 mi | ★★★★★ | 0 | 0 |
| Abundant Christian Living Community Rehabilitation | 7.5 mi | ★★★★★ | 0 | 0 |
| Princeton Transitional Care & Assisted Living | 7.9 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.