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Four Oaks Health Care Center

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About Four Oaks Health Care Center

General Information

Legal Business NameIntegrity Healthcare Of Jonesborough, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 2002 (14 years)
Capacity84
Residents78
Percent Occupied93%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Four Oaks Health Care Center

Four Oaks Health Care Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Tennessee Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 14, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmComplaint+InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmComplaint+InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmHealth InspectionProvide written records when a resident is transferred or discharged.
DFewPotential for HarmHealth InspectionProvide timely notification to the resident before transfer or discharge.
DFewPotential for HarmHealth InspectionPermit residents to remain in the facility and not be transferred or discharged without adequate reason.

October 13, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

June 22, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

July 15, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

July 13, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Four Oaks Health Care Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 60min
2hr 40min
ReportedExpected
CNA
55min
35min
ReportedExpected
LPN
30min
55min
ReportedExpected
RN
3hr 25min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
94.3%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
92.4%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
53.2%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
23.7%
17.9%
19.4%
21.2%
Q1 2015Q2 2015Q3 2015TN
Received an Antipsychotic Medication
10.3%
6.6%
3.1%
16.7%
Q1 2015Q2 2015Q3 2015TN
Need for Help with ADLs has Increased
10.7%
13.9%
9.1%
6.0%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
4.8%
8.8%
5.8%
8.9%
Q1 2015Q2 2015Q3 2015TN
Lose Too Much Weight
7.7%
5.3%
3.5%
5.4%
Q1 2015Q2 2015Q3 2015TN
High Risk Residents With Pressure Ulcers
1.7%
1.5%
1.4%
2.9%
Q1 2015Q2 2015Q3 2015TN
Have Depressive Symptoms
8.1%
20.6%
15.9%
6.2%
Q1 2015Q2 2015Q3 2015TN
With a Urinary Tract Infection
4.8%
7.1%
7.1%
3.4%
Q1 2015Q2 2015Q3 2015TN
Experiencing One or More Falls with Major Injury
0.0%
3.6%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015TN
With a Catheter Inserted and Left in Their Bladder
1.6%
1.4%
2.9%
2.1%
Q1 2015Q2 2015Q3 2015TN
Were Physically Restrained

Quality Measures for Short Stay Residents

98.6%
100.0%
100.0%
81.2%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
98.6%
98.6%
98.6%
81.3%
Q1 2015Q2 2015Q3 2015TN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
19.6%
26.5%
22.0%
14.8%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
2.6%
7.1%
0.0%
2.3%
Q1 2015Q2 2015Q3 2015TN
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015TN
With Pressure Ulcers That Are New or Worsened