Facility type
Nursing Home
Status
Licensed
Licensed
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Assisted Living Home
Pickett Care and Rehabilitation Center
Pickett Care and Rehabilitation Center is located in Byrdstown, TN. It offers a variety of clinical services, rehabilitation, and life enrichment programs to enhance the quality of life for its residents. The facility is committed to providing personalized care and support to meet the needs of each individual.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
69
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
83.2%
Residents per day (avg)
54
Occupancy rate
83.2%
Residents per day (avg)
54
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
41% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
42% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
17% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$8.2M
Operating loss
-$35.2K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$8,240,984.00
Operating loss
$-35,164.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.3M
69-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
License details
Issuance
July 1, 1992
Additional licensing details
License number:
00000202
CMS Certification Number:
445390
Ownership & operating entity
Pickett Care and Rehabilitation Center is administrated by Noah Foster.
Owner name:
LP Byrdstown, LLC
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
Short-Term Rehab
Amenities & Lifestyle
Programs & Activities
Specific Programs
Clinical Services, Rehabilitation, Care Navigation, Life Enrichment
Religious Services
Yes
Volunteer Programs
Yes
Operating Hours
Monday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM
Dining & Nutrition
Food Description
Restaurant Style Dining
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Tennessee average: 9 complaint visits
Latest inspection
Date:November 17, 2021
0 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
Health Inspection History
Inspections
Total health inspections
4
State average N/A
Last Health inspection on Apr 2025
Total health citations
17
State average N/A
Citations per inspection
4.25
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 17 citations resulted from standard inspections; and 2 of 17 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
2
2
In line with State averageState average: N/A
0 critical citations
2 serious citations
15 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 09, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 09, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 09, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 09, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 09, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 09, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 09, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 09, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Pickett Care and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Byrdstown
69
No
-
-
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Bloomfield
40
No
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
16
No
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
12
No
8
-
Anton’s Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Boerne
10
No
-
-
Places of interest near Pickett Care and Rehabilitation Center
0.0 miles from city center
129 Hillcrest Drive, Byrdstown, TN 38549-2326
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
102
Employees
99
Contractors
3
Staff to resident ratio
1.73:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
30
Average shift
8.1 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
22,112
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.3%
66 contractor hours this quarter
Registered Nurse: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 37 | 0 | 37 | 8,725 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 18 | 0 | 18 | 3,759 | 91 | 100% | 8.7 |
| Registered Nurse | 6 | 1 | 7 | 2,087 | 91 | 100% | 10.3 |
| RN Director of Nursing | 4 | 0 | 4 | 1,674 | 74 | 81% | 8.2 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 940 | 65 | 71% | 7.6 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 592 | 65 | 71% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 541 | 68 | 75% | 7.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 521 | 79 | 87% | 6.2 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 519 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 516 | 61 | 67% | 8.5 |
| Physical Therapy Assistant | 4 | 0 | 4 | 438 | 61 | 67% | 7 |
| Medication Aide/Technician | 2 | 0 | 2 | 361 | 35 | 38% | 9.5 |
| Qualified Social Worker | 3 | 0 | 3 | 301 | 60 | 66% | 5 |
| Physical Therapy Aide | 1 | 0 | 1 | 289 | 58 | 64% | 5 |
| Nurse Aide in Training | 1 | 0 | 1 | 214 | 20 | 22% | 10.7 |
| Speech Language Pathologist | 2 | 0 | 2 | 52 | 14 | 15% | 3.5 |
| Medical Director | 0 | 1 | 1 | 36 | 35 | 38% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 6 | 7% | 4.8 |
37 Certified Nursing Assistant
% of Days
100%
18 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
81%
4 Respiratory Therapy Technician
% of Days
71%
7 Clinical Nurse Specialist
% of Days
71%
1 Nurse Practitioner
% of Days
75%
6 Other Dietary Services Staff
% of Days
87%
1 Administrator
% of Days
71%
1 Mental Health Service Worker
% of Days
71%
1 Dietitian
% of Days
67%
4 Physical Therapy Assistant
% of Days
67%
2 Medication Aide/Technician
% of Days
38%
3 Qualified Social Worker
% of Days
66%
1 Physical Therapy Aide
% of Days
64%
1 Nurse Aide in Training
% of Days
22%
2 Speech Language Pathologist
% of Days
15%
1 Medical Director
% of Days
38%
1 Occupational Therapy Assistant
% of Days
7%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
59 residents
Residents by payment source
Medicare
3 residents (5.1%)
Medicaid
46 residents (78%)
Private pay or other
10 residents (16.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
36% better than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
29% better than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.0%
Percent of long-stay residents whose need for help with daily activities has increased
9.0%
44% better than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
9.7%
Percent of long-stay residents whose ability to move independently worsened
9.7%
55% better than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.9%
11% worse than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
16% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
17% worse than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.6%
Percent of long-stay residents who lose too much weight
5.6%
11% better than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.4%
Percent of long-stay residents who have depressive symptoms
4.4%
60% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.2%
Percent of long-stay residents who received an antipsychotic medication
28.2%
71% worse than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
11% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
21% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
73% worse than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
25% better than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Pickett Care and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
83.2%
↑ 2.4pp vs 2022
Net Income
-$35,164
↑ ~$239K vs 2022
Total Payroll
$2,775,774
↑ ~$290K vs 2022
Profit Margin
-0.5%
↑ 3.4pp vs 2022
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