Pickett Care and Rehabilitation Center

Nursing Home, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Byrdstown, TN

CMS overall rating

129 Hillcrest Drive, Byrdstown, TN 38549-2326 View map

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Pickett Care and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Pickett Care and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Pickett Care and Rehabilitation Center

Pickett Care and Rehabilitation Center is a nursing home operated by owner Noah Foster in Byrdstown, Tennessee, a small rural town in the Cumberland Plateau region. Serving the community for 33 years, it operates as a 69-bed community set up to provide skilled nursing care, rehabilitation, and short-term recovery services to residents transitioning from hospital care or managing ongoing medical needs. Accepted are Medicare, Medicaid, and private pay, offering families numerous options to fund short-term rehabilitation stays and longer-term care. The average stay length of 125 days mirrors a resident mix of those healing from acute illness or surgery and those settling into ongoing care. With 57 of its 69 beds occupied, the home currently maintains an 83 percent occupancy rate.

Clinical care is a core focus. Total nursing care averages 3 hours 43 minutes per resident day, backed by registered nurses, licensed practical nurses, and certified nurse aides. The facility offers rehabilitation services and respite care, making it a grounded choice for families managing recovery timelines or seeking momentary placement while arrangements are sorted out. A care navigation program helps guide residents and families through the complexity of moving between care settings. The home is well-equipped with on-site medical services, including a 24-hour pharmacy and daily access to podiatry, dental care, and optometry. Such services lessen the friction of coordinating outside appointments and offer convenience for residents and visiting family. The facility provides complimentary transportation to physician appointments, especially valuable in a car-dependent setting where Byrdstown’s Walk Score of 14 means most errands demand a vehicle. Daily living includes restaurant-style dining with an annual Hall of Fame Café event to mark the calendar, private rooms for those wanting privacy, facility-wide Wi-Fi, and television service in every room. Occupants can partake in a volunteer program, enjoy multi-denominational religious services led by a full-time chaplain, and count on 24-hour visitation and bereavement accommodations for family members during hardship. For grooming and personal care, the center also operates a beauty shop on site.

Facility Direct Line (931) 864-3162

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Tennessee state averages

Total nursing care / resident

3h 43m per day

This facility Tennessee avg (3h 38m per day)

vs Tennessee avg

+3%

3 of 6 metrics below state avg

Standout metric Physical Therapist is +108% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	34m per day	▼ 9% State avg: 37m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 8m per day	▲ 4% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 51m per day	▼ 14% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 54m per day	▼ 14% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	10m per day	▲ 108% State avg: 5m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	27m per day	▲ 12% State avg: 24m per day · National avg: 28m per day

Capacity and availability

125 days

69-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

34 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 14 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

83%

Higher than the Tennessee average: 71.6%

Occupied beds

57 / 69

Average occupied beds in Tennessee homes 82 beds

Facility TypeNursing Home

IssuanceJuly 1, 1992

ExpirationMay 28, 2027

License Number00000202

CMS Certification Number445390

Pickett Care and Rehabilitation Center is administered by Noah Foster.

Owner NameLP Byrdstown, LLC

Rehabilitation Services

Respite Care

Short-Term Rehab

Pets not allowed

Complimentary Transportation For Physician Appointments

24-Hour Pharmacy

Tvs And Satellite/Cable In Every Room

Annual Hall Of Fame Café Event

Quality Of Life Program

Full Time Chaplain

Multi-Denominational Weekly Religious Services

Facility-Wide Wifi™

Onsite Podiatry

Dental And Optometry Services

Restaurant Style Dining

Facility Van

Beauty Shop

Private Rooms Available

Volunteer Program

24-Hour Visitation

Bereavement Accommodations

Religious Services

Volunteer Program

Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Inspections since 2019

Total health inspections 4

State average 3.5

Last Health inspection on Apr 2025

Total health citations

State average 15.4

Citations per inspection

4.25

State average 4.39

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 7 years)

Critical health citations

100% better than State average

State average: 1.1

Serious health citations

233% worse than State average

State average: 0.6

0 critical citations State average: 1.1

2 serious citations State average: 0.6

15 moderate citations State average: 13.7

0 minor citations State average: 0.1

Citations history (last 7 years)

Administration moderate citation Apr 09, 2025

Corrected

Infection Control moderate citation Apr 09, 2025

Corrected

Nutrition moderate citation Apr 09, 2025

Corrected

Pharmacy moderate citation Apr 09, 2025

Corrected

Total staff 96

Employees 92

Contractors 4

Staff to resident ratio 1.63 : 1

7% fewer staff per resident than Tennessee average

Avg staff/day 30

Average shift 8.3 hours

0% compared with Tennessee average

Total staff hours (quarter) 22,833

Nursing staff breakdown

10.8 hours

8.3 hours

8.7 hours

Contractor staffing

72 contractor hours this quarter

Occupational Therapy Assistant: 3 Medical Director: 1

Staff by category


Certified Nursing Assistant	36	0	36	9,312	92	100%	8.7
Licensed Practical Nurse	19	0	19	4,314	92	100%	8.3
Registered Nurse	6	0	6	1,929	91	99%	10.8
RN Director of Nursing	4	0	4	1,630	69	75%	8.1
Respiratory Therapy Technician	3	0	3	913	67	73%	7.9
Other Dietary Services Staff	4	0	4	627	82	89%	6.6
Clinical Nurse Specialist	4	0	4	544	62	67%	7.4
Physical Therapy Assistant	3	0	3	510	64	70%	7.3
Dietitian	1	0	1	500	64	70%	7.8
Nurse Practitioner	1	0	1	490	61	66%	8
Administrator	1	0	1	488	61	66%	8
Mental Health Service Worker	1	0	1	472	61	66%	7.7
Medication Aide/Technician	2	0	2	357	35	38%	8.9
Qualified Social Worker	2	0	2	325	63	68%	5
Physical Therapy Aide	1	0	1	266	52	57%	5.1
Nurse Aide in Training	1	0	1	57	6	7%	9.4
Medical Director	0	1	1	36	49	53%	0.7
Occupational Therapy Assistant	0	3	3	36	8	9%	3.6
Speech Language Pathologist	3	0	3	31	11	12%	2.8

36 Certified Nursing Assistant

% of Days 100%

19 Licensed Practical Nurse

% of Days 100%

6 Registered Nurse

% of Days 99%

4 RN Director of Nursing

% of Days 75%

3 Respiratory Therapy Technician

% of Days 73%

4 Other Dietary Services Staff

% of Days 89%

4 Clinical Nurse Specialist

% of Days 67%

3 Physical Therapy Assistant

% of Days 70%

1 Dietitian

% of Days 70%

1 Nurse Practitioner

% of Days 66%

1 Administrator

% of Days 66%

1 Mental Health Service Worker

% of Days 66%

2 Medication Aide/Technician

% of Days 38%

2 Qualified Social Worker

% of Days 68%

1 Physical Therapy Aide

% of Days 57%

1 Nurse Aide in Training

% of Days 7%

1 Medical Director

% of Days 53%

3 Occupational Therapy Assistant

% of Days 9%

3 Speech Language Pathologist

% of Days 12%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.8

36% better than Tennessee average

Tennessee average: 10.5

Functional decline score 13.9

29% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures

Above average Tennessee avg: 3.7

Need for Help with Daily Activities Increased 9.0%

44% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened 9.7%

55% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence 22.9%

11% worse than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury 3.1%

16% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers 6.4%

17% worse than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection 0.0%

100% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight 5.6%

11% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms 4.4%

60% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use 28.2%

71% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine 99.5%

11% better than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine 100.0%

6% better than Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days 2.56

62% worse than Tennessee average

Tennessee average: 1.58

ED visits per 1,000 days 2.47

57% worse than Tennessee average

Tennessee average: 1.57

Short-stay resident measures

Above average Tennessee avg: 3.4

Pneumococcal Vaccine 96.1%

21% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase 2.9%

73% worse than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine 100.0%

25% better than Tennessee average

Tennessee average: 79.8%

Re-hospitalized after SNF stay 15.4%

31% better than Tennessee average

Tennessee average: 22.2%

Emergency department visits 15.9%

42% worse than Tennessee average

Tennessee average: 11.2%

Falls with major injury 0.0%

100% better than Tennessee average

Tennessee average: 0.8%

Ability to care for self at discharge 45.5%

15% worse than Tennessee average

Tennessee average: 53.7%

Successful return to home or community 54.6%

8% better than Tennessee average

Tennessee average: 50.6%

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

Total residents 59

Medicare

5.1% of residents

Medicaid

78% of residents

Private pay or other

16.9% of residents

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.

Financial Trends

Historical financial and operational data for Pickett Care and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 83.2% ↑ 2.4pp vs 2022

Net Patient Income -$442.4K ↑ ~$38.7K vs 2022

Payroll Costs $2.8M ↑ ~$291.3K vs 2022

Operating Margin -6.7% ↑ 1.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	93.8%	94.3%	91.5%	92.4%	89.4%	83.2%	80.2%	79.9%	72.5%	69.7%	72.2%	80.8%	83.2%
Beds	69	69	69	69	69	69	69	69	69	69	69	69	69
Net Income	$426,208	$341,575	$604,763	$443,765	$405,953	$40,970	$127,671	$95,042	-$639,447	-$304,426	-$280,646	-$274,203	-$35,164
Gross Revenue	$5,758,430	$6,587,125	$7,693,388	$8,199,973	$7,836,614	$7,021,440	$7,117,913	$7,282,502	$6,372,349	$6,258,164	$6,374,408	$7,097,530	$7,833,701
Operating Expenses	$5,099,295	$5,377,632	$5,268,285	$5,747,752	$5,688,878	$5,573,022	$5,635,612	$5,818,586	$5,460,860	$5,562,299	$6,049,844	$6,508,255	$7,050,522
Net Patient Income	$426,060	$344,108	$609,992	$449,199	$408,358	$37,508	$120,251	-$173,556	-$644,011	-$546,661	-$586,629	-$481,184	-$442,447
Net Patient Revenue	$5,525,355	$5,721,740	$5,878,277	$6,196,951	$6,097,236	$5,610,530	$5,755,863	$5,645,030	$4,816,849	$5,015,638	$5,463,215	$6,027,071	$6,608,075
Payroll Costs	$2,609,594	$2,825,692	$3,057,387	$2,550,059	$2,582,144	$2,642,921	$2,495,897	$2,517,353	$2,209,771	$2,090,881	$2,171,112	$2,483,848	$2,775,124
Operating Margin %	7.7%	6.0%	10.4%	7.3%	6.7%	0.7%	2.1%	-3.1%	-13.4%	-10.9%	-10.7%	-8.0%	-6.7%
Medicare %	23.9%	22.6%	25.5%	24.2%	23.3%	24.5%	28.1%	25.1%	17.9%	18.6%	19.9%	13.0%	11.9%
Medicaid %	70.7%	69.4%	60.7%	61.9%	64.6%	63.6%	55.8%	58.4%	65.5%	70.0%	69.1%	74.7%	74.0%
Private %	5.4%	8.1%	13.8%	13.9%	12.1%	11.9%	16.0%	16.5%	16.7%	11.4%	11.0%	12.3%	14.1%
Net Patient Revenue/Day	$234	$240	$255	$266	$271	$267	$285	$280	$264	$285	$300	$296	$315
Cost/Day	$216	$226	$229	$247	$253	$265	$279	$289	$299	$316	$333	$320	$336
Avg Length of Stay	142.4 days	153.6 days	133.2 days	140.2 days	123.8 days	97.3 days	101.5 days	102.7 days	98.7 days	87.1 days	96.7 days	145.3 days	124.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.6M

Net patient income

-$442.4K

For-profit Operated by a single business entity.

Net patient revenue

$6.6M

Net patient income

-$442.4K

Other income

$407.3K

Payroll costs

$2.8M 42% of net patient revenue

Other operating costs

$4.3M

Total costs

$7.1M

TYPE OF STAY

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.

New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 41%

Private pay 42%

Medicaid 17%

Coverage residents most often leave under.

Medicare 27%

Private pay 40%

Medicaid 33%

0.0 miles from city center Estimated distance in miles from Byrdstown's city center to Pickett Care and Rehabilitation Center's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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NHC HealthCare Johnson City	NH HC HOS SNF	Johnson City	10 Facility 10 TN AVG 88 Rank #425 / 425	100.0% Facility 100.0% TN AVG 71.5 Rank #1 / 272	+40%	3.27 Facility 3.27 TN AVG 3.63 Rank #106 / 177	-8%	-10%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	3 Facility 3 TN AVG 15.4 Rank #10 / 181	1.5 Facility 1.5 TN AVG 4.4 Rank #5 / 181	-	10	-	2 Facility 2 TN AVG 34 Rank #505 / 551	Howard Nason Jr.	$19.1MFiscal year ending 12/2023 Facility $19.1MFiscal year ending 12/2023 TN AVG $11.5M Rank #21 / 181	$10.6MFiscal year ending 12/2023 Facility $10.6MFiscal year ending 12/2023 TN AVG $4.6M Rank #21 / 181	55.7%Fiscal year ending 12/2023 Facility 55.7%Fiscal year ending 12/2023 TN AVG 41% Rank #72 / 181	445024
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Abundant Christian Living Community Assisted Living Center	NH AL IL MC SNF	Johnson City	24 Facility 24 TN AVG 88 Rank #415 / 425	75.0% Facility 75.0% TN AVG 71.5 Rank #139 / 272	+5%	2.35 Facility 2.35 TN AVG 3.63 Rank #177 / 177	-23%	-35%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	6 Facility 6 TN AVG 15.4 Rank #25 / 181	2.0 Facility 2.0 TN AVG 4.4 Rank #12 / 181	-	18	-	2 Facility 2 TN AVG 34 Rank #505 / 551	Tyler Colbaugh	$10.8MFiscal year ending 12/2023 Facility $10.8MFiscal year ending 12/2023 TN AVG $11.5M Rank #65 / 181	$5.2MFiscal year ending 12/2023 Facility $5.2MFiscal year ending 12/2023 TN AVG $4.6M Rank #65 / 181	48.3%Fiscal year ending 12/2023 Facility 48.3%Fiscal year ending 12/2023 TN AVG 41% Rank #99 / 181	445483
Pickett Care and Rehabilitation Center	NH MC PC RC SNF	Byrdstown (Middle Tennessee)	69 Facility 69 TN AVG 88 Rank #258 / 425	82.9% Facility 82.9% TN AVG 71.5 Rank #85 / 272	+16%	3.72 Facility 3.72 TN AVG 3.63 Rank #55 / 177	-28%	+3%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	17 Facility 17 TN AVG 15.4 Rank #110 / 181	4.3 Facility 4.3 TN AVG 4.4 Rank #93 / 181	2	57	-	14 Facility 14 TN AVG 34 Rank #424 / 551	Noah Foster	$6.6MFiscal year ending 12/2023 Facility $6.6MFiscal year ending 12/2023 TN AVG $11.5M Rank #150 / 181	$2.8MFiscal year ending 12/2023 Facility $2.8MFiscal year ending 12/2023 TN AVG $4.6M Rank #169 / 181	42%Fiscal year ending 12/2023 Facility 42%Fiscal year ending 12/2023 TN AVG 41% Rank #160 / 181	445390

Nursing Home Explorer

What neighborhood is Pickett Care and Rehabilitation Center in?

Pickett Care and Rehabilitation Center is in the Middle Tennessee neighborhood of Byrdstown.

Who is the owner of Pickett Care and Rehabilitation Center?

Pickett Care and Rehabilitation Center is legally operated by LP Byrdstown, LLC, and administered by Noah Foster.

Is Pickett Care and Rehabilitation Center in a walkable area?

Pickett Care and Rehabilitation Center has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Pickett Care and Rehabilitation Center?

According to TN state health department records, Pickett Care and Rehabilitation Center's license number is 00000202.

When does Pickett Care and Rehabilitation Center's license expire?

According to TN state health department records, Pickett Care and Rehabilitation Center's license expires on May 28, 2027.

What is the occupancy rate at Pickett Care and Rehabilitation Center?

Pickett Care and Rehabilitation Center's occupancy is 83%.

How long has Pickett Care and Rehabilitation Center been in business?

Pickett Care and Rehabilitation Center has been operating for approximately 34 years, based on available licensing and registration records.

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Pickett Care and Rehabilitation Center

Overview of Pickett Care and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Pickett Care and Rehabilitation Center

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

36 Certified Nursing Assistant

19 Licensed Practical Nurse

6 Registered Nurse

4 RN Director of Nursing

3 Respiratory Therapy Technician

4 Other Dietary Services Staff

4 Clinical Nurse Specialist

3 Physical Therapy Assistant

1 Dietitian

1 Nurse Practitioner

1 Administrator

1 Mental Health Service Worker

2 Medication Aide/Technician

2 Qualified Social Worker

1 Physical Therapy Aide

1 Nurse Aide in Training

1 Medical Director

3 Occupational Therapy Assistant

3 Speech Language Pathologist

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Pickett Care and Rehabilitation Center

Calculate Travel Distance to Pickett Care and Rehabilitation Center

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