Pickett Care and Rehabilitation Center
129 Hillcrest Drive · Byrdstown, TN · 38549 · 9318643162
69 certified beds For profit - Limited Liability company Chain: Signature Healthcare Part of a CCRC
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Potential for harm · D April 9, 2025
Ensure each resident receives an accurate assessment.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2025
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.
Corrected May 14, 2025 · Pharmacy Service
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Potential for harm · D April 9, 2025
Dispose of garbage and refuse properly.
Corrected May 14, 2025 · Nutrition and Dietary
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Potential for harm · D April 9, 2025
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.
Corrected May 14, 2025 · Administration
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Potential for harm · D April 9, 2025
Provide and implement an infection prevention and control program.
Corrected May 14, 2025 · Infection Control
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Potential for harm · D February 12, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 27, 2025 · Resident Rights
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Potential for harm · D February 12, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 10, 2021 · Resident Rights
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Potential for harm · D November 17, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 10, 2021 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 10, 2021 · Quality of Life and Care
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Potential for harm · D November 17, 2021
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected December 10, 2021 · Nursing and Physician Services
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Potential for harm · D November 17, 2021
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.
Corrected December 10, 2021 · Pharmacy Service
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Potential for harm · D November 17, 2021
Provide and implement an infection prevention and control program.
Corrected December 10, 2021 · Infection Control
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Potential for harm · D November 17, 2021
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 10, 2021 · Environmental
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Actual harm · G August 14, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 19, 2019 · Resident Assessment and Care Planning
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Actual harm · G August 14, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 19, 2019 · Quality of Life and Care
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445390 · certified since April 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.