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Pickett Care and Rehabilitation Center
129 Hillcrest Drive, Byrdstown, TN 38549 (opens Google Maps) · Pickett County · (931) 277-0023· 69 certified beds · avg 56 residents/day · certified since Apr 1, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
3/5
Health inspection rating (on-site)
inspected Apr 9, 2025
2
Serious findings on record
most recent Aug 14, 2019
$0
Fines, last 3 years
3.98
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Aug 14, 2019 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
▲ Actual harm, isolated · Aug 14, 2019 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 19, 2019 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Aug 14, 2019 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Actual harm, isolated · Aug 14, 2019 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 19, 2019 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. F-0644
The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. F-0761
View all 17 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838 |
| Apr 9, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Feb 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Feb 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
| Nov 17, 2021 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Nov 17, 2021 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Nov 17, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Nov 17, 2021 | D · Potential for more than minimal harm, isolated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · F-0711 |
| Nov 17, 2021 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Nov 17, 2021 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Nov 17, 2021 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Aug 14, 2019 | ▲ G · Actual harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Aug 14, 2019 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
All citationsSerious citations (G–L)
2019
All citations: 2
Serious citations (G–L): 2
2021
All citations: 7
Serious citations (G–L): 0
2025
All citations: 8
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 2 | G ▲ |
| 2021 | 7 | 0 | D |
| 2025 | 8 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.98
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.60
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.20
Tennessee average: 3.15
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.98 | 3.62 | 3.95 | top 21% in Tennessee; top 40% in the U.S. |
| Registered Nurse hours | 0.60 | 0.57 | 0.69 | top 34% in Tennessee; top 48% in the U.S. |
| Weekend total nurse staffing | 3.20 | 3.15 | 3.50 | top 36% in Tennessee; bottom 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.39 | 0.48 | top 39% in Tennessee; top 49% in the U.S. |
| Total nursing staff turnover (%) | 31.5 | 48.9 | 45.8 | top 9% in Tennessee; top 17% in the U.S. |
| RN turnover (%) | 14.3 | 43.2 | 42.9 | top 4% in Tennessee; top 7% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.78, RN 0.57, weekend 3.04.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.78 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pickett Care and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 |
| LP CR Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 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 |
| Foster, Noah | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/23/2023 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
| Signature Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2007 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Signature Healthcare — 67 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Princeton Transitional Care & Assisted Living — Johnson City, TN · overall 5/5
- Signature Health of Portland Rehab & Wellness Cent — Portland, TN · overall 1/5
- Signature Healthcare of Clarksville — Clarksville, TN · overall 2/5
- Signature Healthcare of Cleveland — Cleveland, TN · overall 3/5
- Signature Healthcare of Elizabethton Rehab & Welln — Elizabethton, TN · overall 5/5
- Signature Healthcare of Erin — Erin, TN · overall 1/5
- Signature Healthcare of Fentress County — Jamestown, TN · overall 2/5
- Signature Healthcare of Greeneville — Greeneville, TN · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 66 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can I see where garbage is stored and how often it's removed?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Clinton County Care and Rehabilitation Center | 8.4 mi | Albany, KY | ★★★★☆ | 4/5 | |
| Signature Healthcare of Fentress County | 14.4 mi | Jamestown, TN | ★★☆☆☆ | 2/5 | |
| Overton County Health and Rehab Center | 16.9 mi | Livingston, TN | ★★★★☆ | 4/5 | |
| Cumberland Valley Nursing & Rehabilitation Center | 19.8 mi | Burkesville, KY | ★☆☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 445390.
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