Pickett Care And Rehabilitation Center

Name: Pickett Care And Rehabilitation Center: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Byrdstown, Pickett County, Tennessee · CCN 445390 · For-profit (LLC) · part of Signature Healthcare (67 facilities, chain average 3.1 stars)

CMS rates Pickett Care And Rehabilitation Center 3 of 5 overall as of August 2026. 69 certified beds, 56 residents a day on average. 17 citations on record from the current inspection cycles, 2 involving actual harm; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★★★☆☆ 3 of 5
Health inspections	★★★☆☆ 3 of 5
Staffing	★★★★☆ 4 of 5
Quality measures	★★★★☆ 4 of 5
Quality: long-stay / short-stay	4 / 3 of 5

Staffing

Total nurse staffing	3.77886 hours per resident per day
Registered nurses	0.57252 hours per resident per day
Weekend total	3.04058 hours per resident per day
Nursing staff turnover	31.5% (registered nurses 14.3%)
Administrators who left	0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2025-04-09	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-14
2025-04-09	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-14
2025-04-09	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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-14
2025-04-09	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-14
2025-04-09	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. Administration Deficiencies · tag F0838	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-14
2025-04-09	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-14
2025-02-12 complaint survey	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-02-27
2025-02-12 complaint survey	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602	D No actual harm, with potential for more than minimal harm; isolated	Past Non-Compliance 2024-04-12
2021-11-17	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-12-10
2021-11-17	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-12-10
2021-11-17	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-12-10
2021-11-17	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · tag F0711	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-12-10
2021-11-17	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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-12-10
2021-11-17	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-12-10
2021-11-17	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-12-10
2019-08-14	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2019-11-19
2019-08-14	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2019-11-19

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Lp Cr Holdings LLC Organization	5% or greater direct ownership interest	100%	2007-11-01
Agemo Holdings LLC Organization	5% or greater indirect ownership interest	—	2016-10-01
Jjla LLC Organization	5% or greater indirect ownership interest	—	2007-11-01
Lpsnf II LLC Organization	5% or greater indirect ownership interest	—	2016-10-01
Wheaten LLC Organization	5% or greater indirect ownership interest	—	2007-11-01
Signature Healthcare LLC Organization	operational/managerial control	—	2007-11-01
Steier III, Elmer Individual	5% or greater indirect ownership interest	—	2007-11-01
Harrison, John Individual	corporate officer	—	2007-11-01
Foster, Noah Individual	w-2 managing employee	—	2023-05-23

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Pickett Care And Rehabilitation Center.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pickett County.