Pickett Care and Rehabilitation Center
Byrdstown, Tennessee · CCN 445390
13 surveys since 2009. The first finding at harm level was recorded in 2019.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 42
- Surveys
- 13
- Harm or worse
- 6
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 69
- Ownership
- For profit - Limited Liability company
- Chain
- SIGNATURE HEALTHCARE
- County
- Pickett · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=18, floor 20).
Last survey on record
Jun 17, 2026
145 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.78 | 3.49 |
| Registered-nurse hours per resident day | 0.57 | — |
| Annual nurse turnover | 31.5% | 52.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G210.0% | H— | I— |
| No harm, potential for more than minimal | D1890.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7613×
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.
- F8803×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6021×
Protect each resident from the wrongful use of the resident's belongings or money.
In the surveyor’s words
From the most serious findings on record at Pickett Care and Rehabilitation Center, in the surveyor’s own words.
- No harm, potential for more than minimal, isolatedF687Jun 17, 2026
Based 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. The findings include: Review of the facility's policy titled Nail Grooming, dated 7/24/2018, revealed .nursing staff will provide observation and care of nails for all residents daily and as necessary .care of toenails will be performed by a licensed nurse or podiatrist . Review of the medical record revealed Resident #41 was admitted to the facility on [DATE] with diagnoses including Acute Kidney Failure, Dysphagia, and Difficulty in Walking. […]
- No harm, potential for more than minimal, isolatedF761Jun 17, 2026
Based 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 . […]
- No harm, potential for more than minimal, isolatedF880Jun 17, 2026
Based 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. The findings include: Review of the facility's policy titled, Transmission Based Precautions, dated 1/31/2025, revealed .Transmission-Based Precautions [TBP] are initiated when a resident develops signs and symptoms of an infection or has laboratory confirmed infection .is at risk for transmitting the infection to another resident .meets criteria .has risk factors that increase the likelihood of transmission .may include .uncontained secretions .cognitive deficits that restrict or interfere with the residents ability to maintain precautions .The signage informs the staff of the type of CDC… […]
- No harm, potential for more than minimal, isolatedF641Apr 9, 2025
Based 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. The findings include: Review of the MDS 3.0 RAI Manual, revised 3/18/2025, revealed .SECTION I .The items in this section are intended to code diseases that have a direct relationship to the resident's current functional status, cognitive status, mood or behavior status, medical treatments, nursing monitoring, or risk of death. […]
- No harm, potential for more than minimal, isolatedF644Apr 9, 2025
Based 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. The findings include: Review of the facility's policy titled, Pre-Admission Screening and Resident Review (PASSR), revised 9/15/2023, revealed .PASSR is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care. […]
Read 24 findings in full →The most serious and the most recent: 24 of 42 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 17, 2026Standard3 findings
- Apr 9, 2025Standard6 findings
- Feb 12, 2025Complaint2 findings
- Nov 17, 2021Standard7 findings
- Jul 1, 2020Complaint4 findings · 4 harm
- Aug 14, 2019Standard2 findings · 2 harm
- Oct 9, 2018Complaint1 finding
- Sep 12, 2018Standard4 findings
Show the 5 earlier surveys
- Jul 26, 2017Standard2 findings
- Jul 14, 2016Standard4 findings
- Jul 8, 2015Standard5 findings
- Feb 25, 2013—1 finding
- Mar 4, 2009—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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