nursing home in Byrdstown, TN
Pickett Care and Rehabilitation Center
129 Hillcrest Drive, Byrdstown, TN 38549 · (931) 277-0023
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pickett Care and Rehabilitation Center at a glance
Pickett Care and Rehabilitation Center is a 69-bed for-profit nursing home in Byrdstown, Tennessee (Pickett County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Tennessee average of 3.
Residents receive about 3.8 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (June 17, 2026) found 3 health citations. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 31.5% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 69
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Signature Healthcare
- Medicare-certified since
- April 1, 1997
- Resident/family council
- Resident
- County
- Pickett County
- CMS Certification Number
- 445390
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.78 hrs | 3.80 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.10 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.04 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 31.5% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 14.3% | 43.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 17 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 69 | 114 | 107 | |
| Average residents per day | 56 | 84 | 86 | |
| Occupancy | 81.2% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.5% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.2% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 20% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.8% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.8% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.6% | 6.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 8.9% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.9% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20.1% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99% | 89.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.7% | 1.7% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 17, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 30, 2026 |
| June 17, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | D Potential harm, isolated | Corrected June 30, 2026 |
| June 17, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 30, 2026 |
| June 17, 2026 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected June 30, 2026 |
| June 17, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 30, 2026 |
| April 9, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | E Potential harm, pattern | Corrected May 22, 2025 |
| April 9, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected May 22, 2025 |
| April 9, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 9, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 9, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 9, 2025 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 9, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 9, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 14, 2025 |
| April 9, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected May 14, 2025 |
| February 12, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 27, 2025 |
| February 12, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected April 12, 2024 |
| November 17, 2021 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 10, 2021 |
| November 17, 2021 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 10, 2021 |
| November 17, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 10, 2021 |
| November 17, 2021 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected December 10, 2021 |
| November 17, 2021 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 10, 2021 |
| November 17, 2021 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 10, 2021 |
| November 17, 2021 Standard | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | D Potential harm, isolated | Corrected December 10, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LP CR HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 11/01/2007 |
| AGEMO HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 10/01/2016 |
| JJLA LLC Organization | 5% or greater indirect ownership interest | — | 11/01/2007 |
| LPSNF II LLC Organization | 5% or greater indirect ownership interest | — | 10/01/2016 |
| STEIER III, ELMER Individual | 5% or greater indirect ownership interest | — | 11/01/2007 |
| WHEATEN LLC Organization | 5% or greater indirect ownership interest | — | 11/01/2007 |
| HARRISON, JOHN Individual | corporate officer | NOT APPLICABLE | 11/01/2007 |
| SIGNATURE HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 11/01/2007 |
| FOSTER, NOAH Individual | w-2 managing employee | NOT APPLICABLE | 05/23/2023 |
Other nursing homes near Pickett Care and Rehabilitation Center
Clinton County Care and Rehabilitation Center
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For-profit · 52 beds · Part of Signature Healthcare
★★★★★4Above averageSignature Healthcare of Fentress County
208 Duncan St North, Jamestown, TN 38556 · 14.4 mi
For-profit · 140 beds · Part of Signature Healthcare
★★★★★2Below averageOverton County Health and Rehab Center
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Government · 125 beds
★★★★★4Above averageCumberland Valley Nursing & Rehabilitation Center
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For-profit · 84 beds · Part of Bluegrass Health Ky
★★★★★1Much below averageCelina Health and Rehabilitation Center
120 Pitcock Lane, Celina, TN 38551 · 20.6 mi
For-profit · 78 beds · Part of Twin Rivers Health & Rehabilitation
★★★★★4Above averageMountain Ridge Health and Rehabilitation
1901 West Highway 90, Monticello, KY 42633 · 20.8 mi
For-profit · 59 beds · Part of Simcha Hyman & Naftali Zanziper
★★★★★1Much below average
Frequently asked questions
What is Pickett Care and Rehabilitation Center's rating?
Pickett Care and Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Pickett Care and Rehabilitation Center receive?
Its most recent standard health inspection found 3 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Pickett Care and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pickett Care and Rehabilitation Center?
It is for profit - limited liability company and part of Signature Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pickett Care and Rehabilitation Center and how do I contact it?
Pickett Care and Rehabilitation Center is at 129 Hillcrest Drive, Byrdstown, TN 38549. Phone: (931) 277-0023.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.