Pickett Care and Rehabilitation Center

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

    Warm Home-like Facility Caring Staff

    I had a very positive experience at this warm, home-like facility - the staff are caring, knowledgeable, and treat residents like family. The building and rehab/therapy areas are clean and well-maintained, activities keep residents engaged, and the team consistently goes above and beyond (Julie Ann Arron's CNA teaching was clear and helpful). I highly recommend this community; it's welcoming with strong leadership and teamwork, with just a bit of room to keep improving.

    Current/former resident
    Jul 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

    4.70·(43)

    Overall rating

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

      4.4
    • Staff

      4.6
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      4.7

    Pros

    • Compassionate, attentive nursing and care staff
    • Strong family communication and involvement
    • Engaging activities and community involvement
    • Clean, well‑maintained, homelike environment
    • On‑site rehabilitation and therapy services
    • Robust staff teamwork and training programs
    • Quality dining and meal service
    • Welcoming, friendly staff–resident interactions
    • Active CNA instruction and staff development

    Cons

    • Variability in staff conduct and responsiveness
    • Gaps in administrative responsiveness and leadership consistency
    • Resident substance‑use and behavior‑management challenges
    • Inconsistent personal‑care and incontinence‑care practices
    • Instances of regulatory complaints with uneven follow‑up
    • Admission and retention policy inconsistencies

    Summary of reviews

    Overall impression: Reviews convey a facility that delivers strong person‑centered care for many residents — notably through compassionate nursing and caregiving, a cohesive team culture, and a homelike atmosphere. Multiple accounts praise attentive nursing, engaged CNAs and therapists, effective family communication, an active calendar of activities, and on‑site rehabilitation services. The building and common areas are frequently described as clean and well maintained, and dining receives positive remarks.

    Care and staff: Care quality is a clear strength in many narratives. Reviewers commonly highlight staff who go beyond assigned duties, consistent teamwork among nursing and therapy staff, and personnel who build close, family‑style relationships with residents. There is also evidence of investment in staff development — for example, on‑site CNA classes and well‑regarded instructors — which supports clinical skill and retention. That said, there is variability: a number of reviewers described incidents of poor conduct, delays in responsiveness, or personal‑care lapses. Those accounts point to uneven performance across shifts or individual caregivers rather than a uniformly poor standard.

    Dining and activities: Meal service and the activities program are frequently noted as positive contributors to residents’ quality of life. Reviewers describe enjoyable meals, varied programming, and community engagement that supports socialization. Therapy and rehabilitation services are positioned as accessible and convenient, which families cited as a practical advantage.

    Facilities and cleanliness: Many comments emphasize a clean, comfortable, and well‑kept environment with a homelike feel. This appears to be a consistent selling point. However, isolated sanitation and personal‑care concerns were raised, suggesting that cleanliness and routine personal‑care practices may be uneven in specific areas or times and warrant direct inquiry during a visit.

    Management and notable patterns: Leadership receives mixed feedback. Several reviewers commend strong leadership and a family‑oriented culture under specific administrators, while others described slower or insufficient managerial follow‑through in response to serious issues. A limited number of reviews referenced regulatory complaints and concerns about follow‑up; these accounts, along with mentions of resident substance‑use and behavioral challenges, indicate areas where policy enforcement, incident response, and behavior‑management protocols may need reinforcement. Admission and retention decisions were also characterized as inconsistent by some families, which can affect continuity of care.

    Guidance for prospective families: The facility demonstrates clear strengths in compassionate caregiving, activities, therapy, and overall environment. Prospective residents and families should tour the unit, observe multiple shifts if possible, ask about staffing ratios and training, request recent state survey and complaint history, inquire about behavior‑management and medication‑management protocols, and discuss how the administration follows up on family concerns. Doing so will help confirm whether the facility’s strong elements align with a particular resident’s needs and whether the noted inconsistencies have been addressed.

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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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