PICKETT CARE AND REHABILITATION CENTER in Byrdstown, TN has a 3-star overall rating, with 3-star health inspection, staffing, and quality ratings. It reported 3.54 nursing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations included care planning, accident hazard/supervision, and resident assessment issues.
Last inspection: April 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5408.
Staffing detail
Registered nurses
0.56
Licensed practical nurses
1.13
Nurse aides
1.85
Weekend nursing
2.89
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
37.5%11.4%Improving
Residents with a fall causing major injury
4%2%Improving
Residents with pressure ulcers (bedsores)
10.4%4.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.3%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14%0%Improving
Residents whose ability to walk got worse
9.2%0%Improving
Long-stay residents on antianxiety or sleep medication
21.7%22%No change
Short-stay residents newly given an antipsychotic
3.4%4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.8%20%Improving
Residents with depressive symptoms
0%8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
95.1%97.9%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2019 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited April 2025 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited April 2025 — isolated incident, potential for harm.
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F-Tag 644 — 42 CFR §483.20 — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited April 2025 — isolated incident, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
57.2 residents on an average day (83% of 69 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.