State assisted-living licensing record · North Carolina DHSR · record as pulled October 1, 2026· Not the federal nursing home survey

Four Oaks Senior Living

565 Boyette Road, Four Oaks, NC 27524 · Johnston County · 96 licensed beds

DHSR facility ID 921218 · licence HAL-051-060 · licensed through December 31, 2026

The licence

Licensed by DHSR · Adult care home · managed by Four Oaks Opco Holdings, LLC

Licence details, as listed by DHSR
Licensed as
Adult care home
Licence
HAL-051-060
Licence expires
December 31, 2026
37
Citations on file
Since October 2023
6
DHSR visits
3 routine inspections
19
Life safety and building
Life safety · physical plant · emergency

Position within North Carolina

37 citations — more than 96% of the 568 licensed assisted living facilities in North Carolina. Compared only within North Carolina: a citation from DHSR means what it means in North Carolina, and there is no national assisted living record to compare to. Counted over 3 years, which holds two or three routine inspections. How this is calculated

Not in this record

Severity, the regulation text, the surveyor's narrative, the star rating, and penalties. DHSR assigns no severity on these statements; the plan of correction is the facility's own text and is not republished, and the star rating and the penalties DHSR lists on the same page are not republished. What is here is unusual among states: DHSR's Construction Section inspects the building and its fire safety itself and posts those statements per home, so this record carries a real life safety section. Family care homes, two to six beds, are also licensed by DHSR and are not included.

Get an email about Four Oaks Senior Living

One email when it happens, from the DHSR record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

Life safety and building citations

The citations about the building itself — fire and life safety, physical plant and emergency management. Usually the maintenance side’s to fix.

  • D079 Housekeeping and FurnishingsJune 20, 2025
  • D105 Other RequirementsJune 20, 2025
  • D079 Housekeeping and FurnishingsMarch 27, 2025
  • D105 Other RequirementsMarch 27, 2025
  • D108 Other RequirementsMarch 27, 2025
  • D113 Other RequirementsMarch 27, 2025
  • C101 Existing Licensed Fac- No less than '71 RulesJanuary 25, 2024
  • C111 Must Have Current San. & Fire Safety ReportsJanuary 25, 2024
  • C154 Entrances/Exits-Wanderer AlarmsJanuary 25, 2024
  • C160 Outside Premises-Clean, SafeJanuary 25, 2024
  • C164 Housekeeping and Furnishings-Clean, RepairedJanuary 25, 2024
  • C166 Housekeeping-Maintained Free of HazardsJanuary 25, 2024
  • C175 Bedroom Furnishings-Clean Towel, Towel BarJanuary 25, 2024
  • C185 Fire Safety-Rehearsals on Each ShiftJanuary 25, 2024
  • C189 Building Equipment Maintained Safe, OperatingJanuary 25, 2024
  • C199 Exhaust VentilationJanuary 25, 2024
  • D079 Housekeeping and FurnishingsDecember 1, 2023
  • D106 Other RequirementsDecember 1, 2023
  • D113 Other RequirementsDecember 1, 2023

How that compares

Citations on file over 3 years

Compared with the median licensed assisted living facility in North Carolina. Within-state only.

This facility37North Carolina median6
Citations on file over 3 years, compared
MeasureCitations
This facility37
Median facility in North Carolina6

Visit history

Citations at each DHSR visit
112023-12102024-0122024-0272025-0342025-0632025-08
Citations at each DHSR visit
VisitTypeCitations
December 1, 2023annual inspection, complaint investigation11
January 25, 2024Construction Section building and fire safety inspection10
February 8, 2024follow-up2
March 27, 2025annual inspection, follow-up7
June 20, 2025follow-up4
August 28, 2025complaint investigation, follow-up3

What the citations cover

Citations by category (TagProof's grouping)
  • Physical plant 16
  • Resident care 10
  • Medication 8
  • Life safety 3
Citations by category
CategoryCitations
Physical plant16
Resident care10
Medication8
Life safety3

Every visit on file since October 2023

As published by DHSR, newest first, including visits that cited nothing. The wording is DHSR’s own.

August 28, 2025 — complaint investigation, follow-up, 3 citations

Citations from the complaint investigation, follow-up on August 28, 2025
TagWhat DHSR checks
D273Health Care
D358Medication Administration
D367Medication Administration

June 20, 2025 — follow-up, 4 citations

Citations from the follow-up on June 20, 2025
TagWhat DHSR checks
D079Housekeeping and Furnishings
D105Other Requirements
D358Medication Administration
D367Medication Administration

March 27, 2025 — annual inspection, follow-up, 7 citations

Citations from the annual inspection, follow-up on March 27, 2025
TagWhat DHSR checks
D079Housekeeping and Furnishings
D105Other Requirements
D108Other Requirements
D113Other Requirements
D310Nutrition and Food Service
D358Medication Administration
D367Medication Administration

February 8, 2024 — follow-up, 2 citations

Citations from the follow-up on February 8, 2024
TagWhat DHSR checks
D273Health Care
D276(3-4) Health Care

January 25, 2024 — Construction Section building and fire safety inspection, 10 citations

Citations from the Construction Section building and fire safety inspection on January 25, 2024
TagWhat DHSR checks
C101Existing Licensed Fac- No less than '71 Rules
C111Must Have Current San. & Fire Safety Reports
C154Entrances/Exits-Wanderer Alarms
C160Outside Premises-Clean, Safe
C164Housekeeping and Furnishings-Clean, Repaired
C166Housekeeping-Maintained Free of Hazards
C175Bedroom Furnishings-Clean Towel, Towel Bar
C185Fire Safety-Rehearsals on Each Shift
C189Building Equipment Maintained Safe, Operating
C199Exhaust Ventilation

December 1, 2023 — annual inspection, complaint investigation, 11 citations

Citations from the annual inspection, complaint investigation on December 1, 2023
TagWhat DHSR checks
D079Housekeeping and Furnishings
D106Other Requirements
D113Other Requirements
D255Resident Assessment
D269Personal Care and Supervision
D270Personal Care and Supervision
D273Health Care
D315(a & b) Activities Program
D358Medication Administration
D367Medication Administration
D461Special Care Unit Building Requirements

DHSR also holds 12 older citations for this facility from before October 2023, outside the 3-year window these pages use. They are on the state’s own record.

Reflects the DHSR record as pulled October 1, 2026. A recent visit may not appear yet. This is the North Carolina state licensing record; it is not the federal nursing home survey and the two are never combined.