Pricing ranges from
    $4,643 – 6,035/month

    Four Oaks Senior Living

    565 Boyette Rd, Four Oaks, NC, 27524
    3.0 · 21 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    1.0

    Neglectful memory care unsafe expensive

    I chose this place because it's beautiful and convenient and the assisted-living staff were wonderful at first, but my overall experience has been awful. Memory care became neglectful and unsafe - missed meds and baths, bedsores, bruises and falls, stolen belongings, filthy rooms, broken call buttons, little activity, and staff who sleep or don't answer. Communication and management are terrible: unreachable for days, poor hospital follow-up, billing/Medicaid concerns, telemedicine replacing doctors, no weekend staff, and my formal complaint was ignored - I'm seeking a new placement. A few compassionate employees (Michelle and three others) tried hard, but for memory care this is expensive and not recommended.

    Pricing

    $4,643+/moSemi-privateAssisted Living
    $5,571+/mo1 BedroomAssisted Living
    $6,035+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.00 · 21 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.2
    • Staff

      2.2
    • Meals

      3.0
    • Amenities

      4.0
    • Value

      1.5

    Pros

    • Caring and compassionate individual staff members
    • Supportive office and nursing staff noted by some families
    • Assisted living unit praised for friendly staff
    • Memory care unit has staff loved by some families
    • New memory care coordinator receiving positive feedback
    • Clean, well-maintained grounds
    • Private and semi-private rooms available
    • Initially clean and well-trained staff reported by some reviewers
    • Diverse activities offered
    • Convenient location
    • Some residents treated with dignity and respect
    • Several reviewers highly recommend the facility
    • Specific staff members (e.g., Michelle) called out as patient and helpful

    Cons

    • Significant inconsistencies between assisted living and memory care quality
    • Reports of uncaring, neglectful, or uneducated staff in memory care
    • Call buttons reportedly broken or not responded to
    • Injuries and falls reported without family notification
    • Staff allegedly sleeping on shift
    • Multiple reports of residents being hurt repeatedly
    • Belongings reported missing or alleged theft by staff
    • Safety violations and negative media coverage mentioned
    • Poor follow-up after hospital assessments and during transitions
    • Staff frequently unreachable for days at a time
    • Admissions refused based on independence or mobility
    • Medicaid billing concerns and billing irregularities reported
    • Empty beds despite care needs or staffing concerns
    • Discrepancy between care pledge on website and actual practice
    • Unresponsive staff and poor communication with families
    • Unclean rooms with reports of feces, urine odor, and filthy bathrooms
    • Bedsores and reports residents not being bathed
    • Medication mismanagement, missing medications, and errors
    • Mistreatment or disrespect of patients and families
    • Named management issues and alleged mismanagement by specific staff
    • Infrequent hospice cleaning and poor hospice coordination
    • Poor overall management, cutting corners, and staffing shortages
    • Overcrowded memory care unit and lack of stimulation
    • Use of telemedicine in place of regular doctor visits and limited weekend staff
    • Formal complaints filed by families and multiple families seeking new placements
    • Expensive relative to perceived quality and poor value for some families
    • Dirty, sticky floors and generally poor cleanliness in some cases

    Summary review

    Overall sentiment across the reviews is highly mixed, with sharp contrasts between positive experiences in assisted living and many troubling reports focused on memory care. Several families praise individual staff members, supportive office and nursing staff, clean grounds, private/semi-private rooms, and a range of activities. There are multiple accounts of staff who are compassionate and treat residents with dignity, and in a number of cases reviewers explicitly recommend the facility. A new memory care coordinator and specific employees have received positive mention, suggesting pockets of good leadership and caregiving.

    However, a large portion of reviews document serious problems, especially in the memory care unit. Recurring themes include neglect, poor hygiene, and safety failures: residents allegedly not bathed, rooms left filthy with feces or urine odor, bedsores, and falls where families were not notified. Several reviewers report medication mismanagement or missing medications and items alleged stolen by staff. There are alarming allegations of staff sleeping while on duty and broken or unresponsive call buttons, which together create a perception of unsafe and inconsistent care. These are not isolated complaints but are repeated across multiple summaries, indicating a pattern rather than single incidents.

    Staffing and management issues are a dominant thread. Many reviews describe a decline in staff quality over time, high turnover, and poorly trained or inexperienced employees replacing previously attentive staff. Families frequently report poor communication: staff being unreachable for days, inadequate follow-up after hospital assessments, and formal complaints having to be filed. Specific administrative concerns such as Medicaid billing questions, discrepancy between the facility's care pledge and actual practice, and reports of empty beds raise trust and transparency issues. The use of telemedicine in place of in-person physician visits and lack of weekend coverage were mentioned as examples of cost-cutting or reduced medical oversight.

    Facility condition and operations show a split picture. Multiple reviewers describe the building and grounds as attractive and well-maintained, and several residents enjoy activities and private rooms. Conversely, other reviewers report unacceptable cleanliness in resident rooms and bathrooms, sticky floors, urine odor, and overcrowded memory care spaces with little stimulation. This suggests inconsistent housekeeping and variable standards between units or shifts.

    Safety and regulatory concerns are significant in the feedback. Allegations include safety violations, repeated injuries without notification, and negative media coverage related to the memory care unit. Families report moving loved ones out or actively seeking new placements after experiencing neglect or theft. At the same time, some families report positive hospice coordination and staff who go out of their way to help, indicating that outcomes may depend heavily on which staff and leadership are present.

    In summary, the reviews paint a facility with real strengths in certain areas—friendly and compassionate staff members, attractive grounds, and supportive pockets of clinical staff—but also chronic and serious weaknesses, particularly in memory care, management, staffing consistency, communication, safety, and cleanliness. Prospective residents and families should weigh the positive testimonials against the recurring, severe complaints. Key questions to ask when evaluating this facility would include current staffing ratios in memory care, staff turnover, the status of call button and safety systems, specific hygiene and medication protocols, how incidents are communicated to families, and evidence of corrective actions taken in response to formal complaints.

    Location

    Map showing location of Four Oaks Senior Living

    About Four Oaks Senior Living

    Four Oaks Senior Living is dedicated to supporting seniors in living their best and most fulfilling lives. At the heart of Four Oaks is a commitment to providing the highest quality of memory care and assisted living services, tailored to meet each resident’s unique needs. The care team at Four Oaks is deeply compassionate and referred to as a team of heroes, tirelessly and selflessly working to ensure that every member of the community feels genuinely cared for, respected, and loved. This individualized approach shapes the superior care for which Four Oaks is known, fostering an environment where residents not only feel safe and secure but also valued and supported.

    The community at Four Oaks Senior Living is designed to feel like one big family, nurturing a sense of belonging and togetherness. Residents and staff develop close bonds, creating a warm atmosphere where everyone looks after one another. Four Oaks goes above and beyond in addressing the personal, emotional, and physical well-being of each resident, recognizing the importance of holistic care that encompasses every aspect of life. The focus is not only on assisting with daily needs but also on ensuring that residents find purpose, comfort, and happiness each day.

    Four Oaks Senior Living places a strong emphasis on holistic well-being, with a keen understanding of how vital diet and nutrition are in a vibrant senior living community. Meals and nutritional programs are thoughtfully planned, recognizing that a well-balanced diet is crucial for maintaining physical health and energy. Attention is also given to non-pharmacological approaches for chronic pain management, with the integration of physical therapy, rehabilitation, and a holistic perspective aimed at improving independence and overall well-being.

    Empowering seniors is central to the philosophy at Four Oaks. The community inspires residents to embrace independence and thrive, offering the support and encouragement needed to live life on their terms. Practical and creative programs are woven into daily living, and special efforts are made to make occasions—even holidays—memorable and joyful for residents, highlighting thoughtful traditions and curated selections of meaningful gifts. Through their tireless dedication and sincere passion for care, the team at Four Oaks Senior Living creates an unmatched environment where seniors are empowered, comfortable, and truly at home.

    About ALG Senior

    Four Oaks Senior Living is managed by ALG Senior.

    ALG Senior, originally founded as Affinity Living Group in 1996 by Charles Trefzger, stands as one of the most significant senior living providers in the United States. Headquartered in Hickory, North Carolina, the company has grown from its humble beginnings to become the tenth largest provider of assisted living nationwide, the seventh largest provider of Alzheimer's and memory care services, and the largest senior housing operator in the southeastern United States. The company operates approximately 58-66 communities throughout the southeastern United States, with a primary geographic concentration in North Carolina, South Carolina, Virginia, Georgia, and Alabama.

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