All states › Tennessee › Byrdstown › Pickett Care and Rehabilitation Center
129 Hillcrest Drive Byrdstown, TN 38549 · Pickett County
CMS certification number 445390 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
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.
DProvide and implement an infection prevention and control program.
April 9, 2025 · 6 citations
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
DDispose of garbage and refuse properly.
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.
DProvide and implement an infection prevention and control program.
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.
DProtect each resident from the wrongful use of the resident's belongings or money.
November 17, 2021 · 7 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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.
DProvide and implement an infection prevention and control program.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Questions to ask on a tour of Pickett Care and Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on February 12, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 24% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
- 8.7 mi
-
16.8 mi
Livingston Regional Hospital LivingstonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 54m for patients treated and sent home
-
20.3 mi
Cumberland County Hospital BurkesvilleEmergency roomMedian ER visit 1h 33m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Signature Healthcare nursing homes in Tennessee
- Princeton Transitional Care & Assisted Living · Johnson City · 5 stars
- Signature Healthcare of Memphis · Memphis · 5 stars
- Signature Healthcare of Rockwood Rehab & Wellness · Rockwood · 5 stars
- Standing Stone Care and Rehab · Monterey · 5 stars
- Mountain City Care & Rehabilitation Center · Mountain City · 5 stars
- Signature Healthcare of Rogersville · Rogersville · 5 stars
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.