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Nursing homeFAID #11925

Pickett Care and Rehabilitation Center

129 HILLCREST DRIVE, BYRDSTOWN, TN, 38549
(931) 277-0023
69 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
69
CMS facility ID
445390
Care type
Nursing home
County
Pickett
Facility name
Pickett Care and Rehabilitation Center
Street address
129 HILLCREST DRIVE
City / state / ZIP
Byrdstown, TN 38549
Phone
(931) 277-0023

About this facility — Pickett Care and Rehabilitation Center

Pickett Care and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Byrdstown, Tennessee. It is licensed for 69 beds — below the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 1 senior care facility in Byrdstown and 303 skilled nursing facilities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Pickett Care and Rehabilitation Center 22 times across 7 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Signature Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Lp Cr Holdings Llc
Direct owner — 100% stake — since 2007
Agemo Holdings Llc
Indirect owner — since 2016
Foster, Noah
Managing employee — since 2023
Harrison, John
Officer — since 2007
Jjla Llc
Indirect owner — since 2007
Lpsnf Ii Llc
Indirect owner — since 2016
Signature Healthcare Llc
Operational control — since 2007
Steier Iii, Elmer
Indirect owner — since 2007
Wheaten Llc
Indirect owner — since 2007

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1997-04-01
CMS overall rating
3 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-04-09
Nurse staffing
3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$373 per day (≈ $11,340/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 12% Medicare · 14% private/other
Occupancy
83% (fiscal year 2023)
Vs. state median
2% above the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds
69
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-04-09Health inspection6 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-05-14
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-14
F-0761
D · No harm found
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 2025-05-14
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2025-05-14
F-0838
D · No harm found
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 2025-05-14
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-14
2025-02-12Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-27
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-04-12
4 earlier / fire-safety inspections (14 citations)
2021-11-17Health inspection7 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-12-10
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-12-10
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-12-10
F-0711
D · No harm found
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2021-12-10
F-0761
D · No harm found
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 2021-12-10
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2021-12-10
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-12-10
2019-08-14Health inspection2 citations
F-0656
G · Actual harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-11-19
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-11-19
2025-04-09Fire-safety inspection3 citations
E-0015
D · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-05-22
E-0039
E · No harm found
Conduct testing and exercise requirements.
Corrected 2025-05-22
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-14
2019-08-14Fire-safety inspection2 citations
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-09-15
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2019-09-15
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 445390.

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 22 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered