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Pickett Care and Rehabilitation Center

All states › Tennessee › Byrdstown › Pickett Care and Rehabilitation Center

129 Hillcrest Drive Byrdstown, TN 38549 · Pickett County

(931) 277-0023

Accepts Medicare Accepts Medicaid 69 certified beds For profit

CMS certification number 445390 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Pickett Care and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Pickett Care and Rehabilitation Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Tennessee average of 3.1. Inspectors issued 18 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.97 hours per resident per day at Pickett Care and Rehabilitation Center, above the Tennessee median of 3.66 (US median: 3.72). About 0.59 of those hours are from registered nurses. On weekends it falls to 3.02 hours, 24% below its all-week average. Ask how weekends are staffed. 35.8% of nursing staff left within a year (Tennessee median 48.7%). That is lower than most homes in Tennessee, a sign of a steadier team.

Nursing care per resident per day 3.97 hours
Above the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.59 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.02 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 35.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 42.9% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds69
Residents per day 55 About 80% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceApril 1997
Part of a chainSignature Healthcare
Legal business nameLP BYRDSTOWN LLC

Paying for care at Pickett Care and Rehabilitation Center: Medicare and Medicaid

Pickett Care and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on June 17, 2026 and found 3 deficiencies. In total, inspectors issued 18 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 18 citations at Pickett Care and Rehabilitation Center across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 18 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were infection control (3) and pharmacy service (3). The most serious was cited under the CMS rule to "provide appropriate foot care" (tag F0687, level D, June 17, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

June 17, 2026 · 3 citations

DProvide appropriate foot care.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0687 · Deficient, Provider has date of correction (Jun 30, 2026)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 30, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 30, 2026)

April 9, 2025 · 6 citations

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 14, 2025)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (May 14, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 14, 2025)

DDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (May 14, 2025)

DConduct 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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (May 14, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 14, 2025)

February 12, 2025 · 2 citations · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Feb 27, 2025)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Apr 12, 2024)

November 17, 2021 · 7 citations

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Dec 10, 2021)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Dec 10, 2021)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Dec 10, 2021)

DEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0711 · Deficient, Provider has date of correction (Dec 10, 2021)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 10, 2021)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 10, 2021)

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Dec 10, 2021)

Questions to ask on a tour of Pickett Care and Rehabilitation Center

  1. CMS cited the home under its abuse and neglect rules on February 12, 2025. How are staff trained, and how are concerns reported?
  2. Weekend staffing is 24% below the all-week average. Who is on duty on Saturday nights?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 4/5 4/5
August 2026 3/5 3/5 4/5 4/5
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Location

Hospitals near Pickett Care and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Signature Healthcare of Fentress County Jamestown · 14.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 140 beds · Medicaid
Overton County Health and Rehab Center Livingston · 16.9 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 125 beds · Medicaid
Celina Health and Rehabilitation Center Celina · 20.6 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 78 beds · Medicaid
Standing Stone Care and Rehab Monterey · 30.0 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 115 beds · Medicaid
Signature Healthcare of Putnam County Cookeville · 32.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 175 beds · Medicaid

More nursing homes near Pickett Care and Rehabilitation Center ›   All nursing homes in Byrdstown ›

Compare Pickett Care and Rehabilitation Center with the 3 closest homes side by side ›

Other Signature Healthcare nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Signature Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/tennessee/byrdstown/pickett-care-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.