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Nursing HomeMedicaid

Pickett Care and Rehabilitation Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

129 Hillcrest Drive, Byrdstown, TN 3854969 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 39 Google reviews

5
4
3
2
1
Pickett Care and Rehabilitation Center Nursing Home in Byrdstown, TN — Street View
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What this means for your family

This facility is highly regarded for its cleanliness and compassionate day-to-day care. However, because there are serious allegations regarding neglect and discharge policies, we strongly recommend that you conduct an unannounced visit and ask specifically about their protocols for monitoring hygiene and their criteria for resident discharge.

Google Reviews

Google Reviews

39 reviews on Google
Pickett Care and Rehabilitation Center receives overwhelmingly positive feedback regarding its cleanliness and the compassion of its staff, with many families noting a warm, homelike environment. However, there are serious, isolated reports of neglect, including allegations of residents being left in soiled conditions and concerns regarding the facility's discharge practices for residents with frequent hospitalizations.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean10.0Activities9.0MedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Compassionate and attentive nursing staff
  • Active life enrichment and activity programs
  • Positive, homelike atmosphere

Concerns

  • Allegations of resident neglect and poor hygiene care (mentioned by 2 reviewers)
  • Concerns regarding discharge practices for residents with frequent hospitalizations (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'18(1)'21(6)'23(5)'25(8)'26(3)

Distribution · 41 analyzed

5
36
4
1
3
0
2
0
1
4

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a very high response rate to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With 69 residents, how does your team ensure that every individual receives consistent, personalized attention regarding their daily hygiene and personal care needs?
  • 3Could you walk me through your process for coordinating care when a resident needs to be transferred to a hospital, and how you ensure a smooth transition back to the facility?
  • 4I see your activity program is highly praised; could you share some examples of the most popular life enrichment activities currently offered to residents?
  • 5Given your current CMS staffing rating, what steps are you taking to ensure consistent supervision and support for residents throughout all shifts?
  • 6How do you proactively address and monitor resident health to prevent the types of complications that might lead to frequent hospitalizations?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff provide exceptional care—attentive, patient, and always willing to take the extra step to ensure residents feel safe, supported, and respected.

Visitor/Family member · 2025★★★★★

I had moved him from another facility to pickett because I wasn’t pleased with the care he was receiving and it was the best thing I could have ever done for him.

Long-term resident's family · 2026☆☆☆☆

This facility has been my Mother’s home for 3 years. She has been satisfied here. The staff is very friendly and caring.concerns are resolved quickly.

Long-term resident's family · 2025★★★★★
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
75%
Registered nurses for medical care
Total Nursing
3.54hrs
86%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.3%
TN
18.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
15.5%
TN
16.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.6%
Mixed vs Avgs
Here
21.6%
US
19.5%
TN
31.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
93.4%
TN
89.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
14.4%
TN
14.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
12.1%
TN
12.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
TN
79.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
81.8%
TN
79.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.7%
Worse than Avg
Here
3.7%
US
1.6%
TN
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Above state avg (5.9)
2 complaint-triggered

Pickett Care has 22 deficiencies across 4 surveys with 2 complaint-triggered cases where families reported concerns about resident rights and financial protection. The most recurring issues involve care planning and assessment problems, infection control, and medication labeling. While all deficiencies have correction dates, persistent problems with care planning and infection control appear across multiple surveys, suggesting ongoing challenges in these critical areas.

Apr 9, 2025Routine
9
0039Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0838Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Feb 12, 2025Complaint
2
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Nov 17, 2021Routine
7
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0711Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Aug 14, 2019Routine
4
0656Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pickett Care and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 36 of 70

Ownership & Management

Owners

Lp Cr Holdings LLC

Owner · Organization

100%

Agemo Holdings LLC

Owner (parent company) · Organization

Jjla LLC

Owner (parent company) · Organization

Lpsnf II LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Foster, NoahW-2 Managing EmployeeHarrison, JohnOfficer / DirectorSignature Healthcare LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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