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B
Good

PICKETT CARE AND REHABILITATION CENTER

129 HILLCREST DRIVE · BYRDSTOWN, TN 38549

9318643162 · For profit - Limited Liability company

69 beds52.1 residents78 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PICKETT CARE AND REHABILITATION CENTER receives an overall staffing grade of B (Good). With 3.7919 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5971 HPRD, below the recommended 0.75. It is 0.10 HPRD below the national average.

Weekend staffing drops significantly — dropping 27.09% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.5971 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 27.09% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.7919hrs/resident/day▼ 0.10
CMS benchmark: 3.48
RN HPRD
0.5971hrs/resident/day▼ 0.09
Recommended: 0.75
Weekend Drop-off
27.09%
4.1063 weekday → 2.9938 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.883hrs/resident/day
Direct care aides
LPN HPRD
1.2405hrs/resident/day
Licensed practical nurses
Consistency
0.5657std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pickett County Average+0.00 HPRD
3.79
03.79 HPRD
vs. Tennessee State Average-0.08 HPRD
3.87
03.79 HPRD
vs. National Average-0.10 HPRD
3.90
03.79 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PICKETT CARE AND REHABILITATION CENTER ★
BYRDSTOWN · This facility
—
B
3.79190.5971★★★☆☆
SIGNATURE HEALTHCARE OF FENTRESS COUNTY
JAMESTOWN
14.4 mi
C
3.61120.4698★★☆☆☆
OVERTON COUNTY HEALTH AND REHAB CENTER
LIVINGSTON
16.9 mi
D
3.9230.3045★★★★☆
STANDING STONE CARE AND REHAB
MONTEREY
30 mi
B
3.48440.7135★★★★☆
MABRY HEALTH CARE
GAINESBORO
30.6 mi
D
3.46190.3319★★★☆☆
SIGNATURE HEALTHCARE OF PUTNAM COUNTY
COOKEVILLE
31.9 mi
C
3.54540.4496★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
17
Total Deficiencies
$0
Fines Assessed
Apr 9, 2025Health
6 deficiencies cited
▼
Feb 12, 2025Health
2 deficiencies cited
▼
Nov 17, 2021Health
7 deficiencies cited
▼
Aug 14, 2019Health
2 deficiencies cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.