How many deficiencies did Pickett Care and Rehabilitation Center get at its last inspection?

3 health deficiencies at the standard inspection on June 17, 2026. The Tennessee average is 4.4.

Has Pickett Care and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Pickett Care and Rehabilitation Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Pickett Care and Rehabilitation Center?

CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP BYRDSTOWN LLC.

Pickett Care and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on June 17, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 18 health citations since November 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.78 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

31.5% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

711/21

202/25

604/25

306/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

18D

Potential for minimal harm

June 17, 2026Standard inspection · 3 citations

D

Provide appropriate foot care.

F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026

Inspectors wroteBased on facility policy review, medical record review, observation, and interviews, the facility failed to provide foot care to one resident (Resident #41) of 4 residents reviewed for foot care.
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026

Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to properly store and secure medications for 2 residents (Resident #51 and Resident #18) of 14 residents reviewed for medication storage. Review of the facility's policy titled Medication Storage, dated 1/2025, revealed .the medication supply shall be accessible only to licensed nursing personal, pharmacy personnel, or staff members lawfully authorized to administer medications .this may include such containers as medication carts, medication rooms, medication cabinets . Review of the medical record revealed Resident #51 was admitted to the facility on [DATE] with diagnoses including Hemiplegia and Hemiparesis, and Anxiety Disorder. [...]
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026

Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to follow infection control practices for 1 resident (Resident #13) of 3 residents reviewed.

April 9, 2025Standard inspection · 6 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 14, 2025

Inspectors wroteBased on Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual review, medical record review, and interviews the facility failed to ensure MDS assessments were accurately coded for 1 resident (Resident #37) of 16 residents reviewed for MDS assessments.
D

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

F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 14, 2025

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASSR) timely after a new mental health diagnosis was added for 1 resident (Resident #5) of 7 residents reviewed for PASSR.
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 14, 2025

Inspectors wroteBased on facility policy review, observations, and interviews the facility failed to label and store 1 prefilled insulin syringe on 1 medication cart of 2 medication carts observed for medication storage.
D

Dispose of garbage and refuse properly.

F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 14, 2025

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure garbage and refuse were properly contained in 1 of 2 dumpsters.
D

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.

F838 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 14, 2025

Inspectors wroteBased medical record review, facility assessment review, and interview the facility failed to ensure the facility assessment was accurate to include residents with a diagnosis of PTSD.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 14, 2025

Inspectors wroteBased on facility policy review, medical record reviews, observations, and interviews, the facility failed to wear appropriate Personal Protective Equipment (PPE) when in the room for 3 residents (Resident #9, #2, and #57) of 16 residents reviewed for Infection Control.

February 12, 2025Complaint inspection · 2 citations

D

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

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 27, 2025

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to provide timely notification to the Power of Attorney and/or resident representative for 1 Resident (Resident #2) of a significant change in condition of 3 residents reviewed for notification, when Resident #2 had a significant mental status change which required a onetime injection of an antipsychotic medication.
D

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

F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on facility policy review, facility investigation review, medical record review, and interview, the facility failed to prevent misappropriation of property for 1 resident (Resident #9) of 6 residents reviewed for misappropriation of resident property. The facility was cited at F-602 at a Scope and Severity of D and was cited as past non-compliance. Noncompliance began on 4/10/2024, was corrected and ended on 4/12/2024. The facility is not required to submit a Plan of Correction for F-602.

November 17, 2021Standard inspection · 7 citations

D

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021

Inspectors wroteBased on facility policy review, medical record review, and interview the facility improperly placed 1 of 2 (Resident #9) sampled residents on droplet transmission based precautions.
D

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

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021

Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to revise 1 of 31 (Resident #62) sampled residents for comprehensive care plans.
D

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

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021

Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to label and date nebulizer tubing and store a nebulizer mask in a safe and sanitary manner for 1 of 12 (Resident #50) sampled residents reviewed receiving respiratory treatments.
D

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

F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021

Inspectors wroteBased on medical record review and interview the facility failed to have an order for a Do Not Attempt Resuscitation POST (Physician Orders for Scope of Treatment) form for 1 of 31 (Resident #9) sampled residents reviewed.
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021

Inspectors wroteBased on facility policy review, observation and interview, the facility failed to dispose of expired medications and biological's in the medication room and on 1 of 3 medication carts observed.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021

Inspectors wroteBased on facility policy review, observation and interview, the facility failed to provide a sanitary environment to help prevent transmission of infection for 14 of 15 residents meal trays observed during the noon meal on 11/15/2021.
D

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

F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2021

Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to provide a sanitary and comfortable environment 1 of 60 (Resident #49) sampled residents reviewed.

Fire safety inspections

5 fire safety citations on file: 2 on June 17, 2026, 3 on April 9, 2025.

Every fire safety citation5 citations

F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 17, 2026 · Corrected (the home has a date of correction)
D
Conduct testing and exercise requirements.

E 39 · June 17, 2026 · Corrected (the home has a date of correction)
E
Conduct testing and exercise requirements.

E 39 · April 9, 2025 · Corrected (the home has a date of correction)
D
Address subsistence needs for staff and patients.

E 15 · April 9, 2025 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 9, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Tennessee	United States
All nursing staff (RN, LPN and aides)	3.78	3.80	3.86
Registered nurses	0.57	0.60	0.69
All nursing staff on weekends	3.04	3.31	3.42
Nurse aides	2.10
Licensed practical nurses	1.10
Nursing staff turnover (share who left in a year)	31.5%	48.9%	45.8%
Registered nurse turnover	14.3%	43.2%	42.9%
Administrators who left	0

CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.08 on weekdays and 3.04 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.69 in April to June 2025 to 3.78 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.78	0.57	4.08	3.04	0.0%	0 of 90	56
Oct to Dec 2025	3.54	0.56	3.79	2.89	0.0%	0 of 92	57
Jul to Sep 2025	3.79	0.60	4.10	2.99	0.0%	0 of 92	52
Apr to Jun 2025	3.69	0.66	3.98	2.95	0.0%	0 of 91	54
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Tennessee, Jan to Mar 2026	3.75	0.56	3.95	3.27	4.0%	0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Tennessee

Job	Median	Middle half	Employed
Tennessee, all employers
CNAs (nursing assistants)	$18.27	$17.09 to $19.66	27,040
LPNs and LVNs	$28.31	$23.64 to $30.12	20,830
Registered nurses	$39.18	$36.28 to $45.79	72,200
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Tennessee	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	5.8	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.3	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.5	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.7	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	4.8	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.2	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	20.0	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	21.6	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.6	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.7	1.6	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pickett Care and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

54.6% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 77 eligible stays.

Potentially preventable readmissions

9.7% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 83 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 45 eligible stays.

Self-care and mobility at discharge

51.3% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 39 residents counted.

Falls with major injury

0.0% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 51 residents counted.

New or worsened pressure ulcers

1.6% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 51 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 16 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LP BYRDSTOWN LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

Name	Role	Type	Share	Since
LP Cr Holdings LLC	5% or greater direct ownership interest	Organization	100%	11/01/2007
Agemo Holdings LLC	5% or greater indirect ownership interest	Organization		10/01/2016
Jjla LLC	5% or greater indirect ownership interest	Organization		11/01/2007
Lpsnf II LLC	5% or greater indirect ownership interest	Organization		10/01/2016
Wheaten LLC	5% or greater indirect ownership interest	Organization		11/01/2007
Steier III, Elmer	5% or greater indirect ownership interest	Individual		11/01/2007
Foster, Noah	W-2 managing employee	Individual		05/23/2023
Harrison, John	Corporate officer	Individual		11/01/2007
Signature Healthcare LLC	Operational/managerial control	Organization		11/01/2007

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 17, 2026: "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."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on June 17, 2026: "Provide and implement an infection prevention and control program."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 9, 2025: "Ensure each resident receives an accurate assessment."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 17, 2026: "Provide appropriate foot care."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.04 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Clinton County Care and Rehabilitation Center
Albany, 8.4 mi · 4 of 5 stars · 8 citations
Signature Healthcare of Fentress County
Jamestown, 14.4 mi · 2 of 5 stars · 23 citations
Overton County Health and Rehab Center
Livingston, 16.9 mi · 4 of 5 stars · 5 citations
Cumberland Valley Nursing & Rehabilitation Center
Burkesville, 19.8 mi · 1 of 5 stars · 7 citations
Celina Health and Rehabilitation Center
Celina, 20.6 mi · 4 of 5 stars · 7 citations
Mountain Ridge Health and Rehabilitation
Monticello, 20.8 mi · 1 of 5 stars · 19 citations

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Pickett Care and Rehabilitation Center's Medicare star rating?: CMS rates Pickett Care and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pickett Care and Rehabilitation Center get at its last inspection?: 3 health deficiencies at the standard inspection on June 17, 2026. The Tennessee average is 4.4.
Has Pickett Care and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Pickett Care and Rehabilitation Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Pickett Care and Rehabilitation Center?: CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP BYRDSTOWN LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.