Pickett Care and Rehabilitation Center

    129 Hillcrest Dr, Byrdstown, TN 38549
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Clean caring staff excellent rehab

    I've had a very positive experience here - the building is clean, home-like, and well-maintained with great rehab and therapy close to home. The staff are compassionate, knowledgeable, and treat residents like family, always smiling and going above and beyond; leadership and teamwork create a warm, community feel with plenty of activities. It's a welcoming, family-oriented place with excellent care and only minor room to improve.

    Current/former resident
    Sep 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.61·(44)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.5
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      4.6

    Pros

    • Compassionate, attentive nursing staff
    • Engaged, cheerful caregiving aides
    • Strong rehabilitative and therapy services
    • Effective CNA training and staff education
    • Clean, well‑maintained facility and rooms
    • Home‑like, family‑oriented atmosphere
    • Active social and engagement programs
    • Responsive frontline staff and quick issue resolution
    • Nutritious and well‑regarded meals
    • Cohesive leadership and team culture

    Cons

    • Medication‑administration and clinical oversight gaps
    • Discharge‑planning and care‑transition deficiencies
    • Wound‑care and skin‑integrity management gaps
    • Insufficient behavioral oversight and resident substance‑use monitoring
    • Variable staff conduct and professionalism
    • Inconsistent quality‑control across shifts or units
    • Variable administrative responsiveness to complaints and regulatory concerns

    Summary of reviews

    Overall impression: Reviews present a facility with strong interpersonal strengths and clear operational variability. Many families and students praise the staff culture—describing compassionate nurses, engaged aides, effective CNA instruction, and an atmosphere that feels home‑like and family oriented. Therapy and rehabilitation services are highlighted as a local option for post‑acute care, and multiple comments describe a clean, well‑maintained building with active social programming and satisfying meals.

    Care quality and clinical concerns: While many accounts emphasize high‑quality, attentive daily care, there are explicit clinical concerns raised alongside the positives. These concerns center on medication administration and clinical oversight, wound‑care management, and gaps in discharge planning and care transitions (for example, continuity of oxygen and wound management after discharge). Some reviewers describe situations that resulted in hospitalization or regulatory complaints; taken together these point to uneven clinical processes rather than uniformly reliable care. Prospective families should ask about the facility's medication reconciliation, wound‑care protocols, and discharge coordination when evaluating placement.

    Staff, dining, activities, and facilities: The dominant themes on the positive side are a personable, welcoming staff and a strong training culture (including well‑regarded CNA classes). Residents are described as engaged in activities, and reviewers frequently note warm interactions between staff and elders. Dining receives favorable mentions and rooms/common areas are characterized as clean and well maintained. The facility’s rehabilitative offerings and approachable therapy staff are repeatedly cited as practical advantages for short‑term rehab stays or skill rebuilding.

    Management and notable patterns: Management and administrative responsiveness are described inconsistently. Several reviews point to cohesive, supportive leadership and teams that go above and beyond; others describe slow or inadequate responses to complaints, and at least one reviewer raised concerns about resident substance use and limited corrective action. There are also indications of variability in staff conduct and quality control across shifts or units — a pattern that can produce very different experiences depending on timing and assignment. For decision‑making, families should balance the facility’s evident strengths in staff compassion, training, and environment with documented operational weaknesses. Recommended due diligence includes direct questions about clinical oversight, behavioral monitoring policies, incident escalation procedures, and recent corrective actions or quality‑improvement initiatives.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Pickett Care and Rehabilitation Center

    Pickett Care and Rehabilitation Center is located at 129 Hillcrest Dr, Byrdstown, TN, 38549.

    About Pickett Care and Rehabilitation Center

    Pickett Care and Rehabilitation Center sits in a quiet neighborhood of Byrdstown, Tennessee, close to Dale Hollow Lake, and offers 69 beds for seniors needing different levels of help, whether short-term respite care, rehabilitation, or long-term skilled nursing care, so you'll probably find it's small enough for staff to know the residents' needs but still has room for specialized help and activities. Managed by Signature Healthcare since 2007, this for-profit facility says it gives the warmth and comfort of a home and has a family-based organizational culture, focusing on treating everyone with dignity and respect. Staff follow a resident-centered approach, planning each person's care based on individual needs, wants, and even religious or cultural backgrounds, which shows up through their care navigation and quality of life programs, and they even offer interfaith spirituality activities for those interested. The center's membership in the Eden Alternative Registry and the Eden Registry's recognition means they try to do more than just standard care, moving toward person-directed support so people can keep their independence and sense of self as much as possible.

    Pickett Care reports an average of 54 residents each day and employs nurses with a turnover rate lower than the state average, and those nurses are around for 3.81 hours per resident each day, which is almost at the Tennessee average, and that should help with getting more personal attention. The place is a member of the Tennessee Health Care Association and TNCAL and offers CNA training programs, so some staff may be learning on the job but others have experience and qualifications. Pickett also tries to keep patients active and involved with life enrichment programs, and their rehabilitation services support both physical and emotional health, making sure not to overlook folks' spiritual needs or cultural backgrounds.

    Recent inspection history does show some trouble though-fifteen total deficiencies show up in their reports, including infection control, protecting residents' belongings, and keeping families informed, but state inspectors said no actual harm occurred, and management seems aware that changes need to be made to meet federal standards. The most recent standard inspection happened more than two years ago, even though these are usually supposed to happen every 9 to 15 months, and the record shows complaints, with two deficiencies found from a February 2025 complaint. Owners include several holding companies and private individuals, so the organization is not locally owned.

    People looking for care at Pickett Care and Rehabilitation Center will find a small community with a range of services, a staff-to-resident ratio that helps with personal care, and a push towards resident-focused care plans, but inspection history and ongoing management mean it's wise to check for the latest reports and think carefully about the environment.

    People often ask...

    Pickett Care and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    There are 10 photos of Pickett Care and Rehabilitation Center on Mirador.

    The full address for this community is 129 Hillcrest Dr, Byrdstown, TN 38549.

    No, Pickett Care and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Pickett Care and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Pickett Care and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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