CMS Verified · Updated March 2026
Barfield Health Care
83.3
Score /100
5.0★
CMS Overall
4.0★
Health Inspection
5.0★
Quality Care
3.0★
Staffing
#729
National Rank
#729
of 14703 nationally
National Rank
#1
of 5 in county
County Rank
#1
of 2 in ZIP 35976
ZIP Rank
Facility
Barfield Health Care
Address
22444 Highway 431, Guntersville, AL 35976
Phone
Care Offered
- Long-Term Care
- Rehab / Short-Term
Medicare & Medicaid
- Accepts Medicare
- Accepts Medicaid
Facility Details
- 113 Certified Beds
- Ownership: For profit – Corporation
- Resident Council: Both
- Auto Sprinklers: Yes
- Network: REHAB SELECT
Quick Verdict
Overall Quality
✅ Excellent (5★) overall
Health Inspection
✅ Above Average (4★) health inspection
Staffing
⚠️ Average (3★) staffing
Quality of Care
✅ Excellent (5★) quality of care
Compliance
✅ No fines in 5 years
5-Year Trend
➡️ Stable over 5 years
Composite Quality Score
83.3
/ 100
Composite Quality Score
Built from 5 components using official CMS data. How it’s calculated →
Safety & Inspections (35 pts)
34.9 / 35
34.9 / 35
Quality of Care (25 pts)
25.0 / 25
25.0 / 25
Nurse Staffing (20 pts)
10.7 / 20
10.7 / 20
Compliance History (15 pts)
14.8 / 15
14.8 / 15
Staff Stability (10 pts)
4.3 / 10
4.3 / 10
Improvement Trend (+5 pts)
2.5 / 5
2.5 / 5
Is This Facility Right For Your Loved One?
⚠️ Dementia / Alzheimer’s
13.7% antipsychotic use — near the national average of 16.7%.
✅ Short-Stay Rehab
Only 19.1% of short-stay residents are rehospitalized — well below the national average of 23.9%. Good choice for post-surgery or post-hospital recovery.
⚠️ Bedridden / Immobile Residents
5.5% pressure ulcer rate — near the national average.
❌ ️ Fall-Risk Residents
4.9% falls with major injury — above the national average of 3.3%. Ask about fall assessment protocols.
Overall Rating 2022–2026
Total Nurse Hours/Day 2022–2026
Quality Measures vs National Average
Long-Stay Residents
Antipsychotic Medication Uselong-stay
13.7%
-3.0% vs national
-3.0% vs national
National avg: 16.7% | 4-quarter average (2024Q4–2025Q3)
Falls with Major Injurylong-stay
4.9%
+1.6% vs national
+1.6% vs national
National avg: 3.3% | 4-quarter average (2024Q4–2025Q3)
Pressure Ulcerslong-stay
5.5%
+0.4% vs national
+0.4% vs national
National avg: 5.1% | 4-quarter average (2024Q4–2025Q3)
Daily Activity Declinelong-stay
13.3%
-1.6% vs national
-1.6% vs national
National avg: 14.9% | 4-quarter average (2024Q4–2025Q3)
Walking/Mobility Worsenedlong-stay
12.7%
-3.7% vs national
-3.7% vs national
National avg: 16.3% | 4-quarter average (2024Q4–2025Q3)
Urinary Tract Infectionslong-stay
2.0%
+0.3% vs national
+0.3% vs national
National avg: 1.7% | 4-quarter average (2024Q4–2025Q3)
Residents with Depressive Symptomslong-stay
0.6%
-10.7% vs national
-10.7% vs national
National avg: 11.4% | 4-quarter average (2024Q4–2025Q3)
Physical Restraints Usedlong-stay
0.0%
-0.1% vs national
-0.1% vs national
National avg: 0.1% | 4-quarter average (2024Q4–2025Q3)
Residents Losing Too Much Weightlong-stay
6.0%
+0.7% vs national
+0.7% vs national
National avg: 5.4% | 4-quarter average (2024Q4–2025Q3)
Short-Stay / Rehab Residents
Rehospitalized After Admissionshort-stay
19.1%
-4.8% vs national
-4.8% vs national
National avg: 23.9% | 4-quarter average (2024Q4–2025Q3)
Emergency Dept. Visit Rateshort-stay
8.8%
-3.2% vs national
-3.2% vs national
National avg: 12.0% | 4-quarter average (2024Q4–2025Q3)
Quality Measure Trends (2022–2026)
Antipsychotic Medication Use % (lower = better)
Falls with Major Injury % (lower = better)
Pressure Ulcers % (lower = better)
Rehospitalization Rate % (lower = better)
Why does a facility with 1 CMS star sometimes have a higher composite score? CMS star ratings place hundreds of facilities into just 5 buckets. Our composite score uses the raw underlying data to rank facilities more precisely. A 1-star facility may have been penalized in health inspection while performing well in staffing and quality care. Read our methodology.
Current CMS Ratings (2026)
Overall Rating
★★★★★5 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★3 / 5
Quality Measures (QM)
★★★★★5 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM) Rating
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightBarfield Health Care currently provides 4 hours 38 minutes of total nurse staffing per resident per day, including 21 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). RN hours per resident have declined from 40 min/day (2022) to 21 min/day (2026) â a trend families should be aware of. Total nursing staff turnover is high at 57.3%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing4 hours 38 minutes
Nurse Aide Hours3 hours 20 minutes
Licensed Practical Nurse (LPN) Hours57 minutes
Registered Nurse (RN) Hours21 minutes
Physical Therapist Hours0 minutes
National average total nurse staffing is approximately 3.9 hours per resident per day (CMS, March 2026).
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 41 minutes
Weekend Registered Nurse (RN) Hours12 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
5-Year Compliance Record (2022–2026)
✅ No fines or serious findings in 5 years
Total citations (2022–2026)15
Citations causing actual harm (severity G+)0
Immediate jeopardy citations (most serious)0
Complaint-driven citations3
Abuse / neglect related citations5
Government fines (2022–2026)0
Total fines paid$0
Medicare/Medicaid payment denial days0
Severity A–C: minor | D–F: potential harm | G–I: actual harm | J–L: immediate jeopardy. Data covers 2022–2026.
Annual Trends
Government Fines ($) Per Year
Substantiated Complaints Per Year
Composite Quality Rankings
#729
of 14,703
National
Top 5%
Nationally, Barfield Health Care ranks 938th out of 14,703 facilities (composite score: 87.7/100), placing it in the top 10% nationwide. Within AL, it ranks 9th out of 224 nursing homes. In Guntersville, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #1,963 nationally and RN hours rank #11,829 nationally (#212 in AL).
How are these rankings calculated? →
Total Nurse Staffing — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | 3.59 | #7,170 / 14,703 | #115 / 224 |
| 2023 | 3.70 | #6,167 / 14,703 | #122 / 224 |
| 2024 | 3.89 | #4,914 / 14,703 | #107 / 224 |
| 2025 | 4.12 | #3,912 / 14,703 | #76 / 224 |
| 2026 | 4.64 | #1,963 / 14,703 | #25 / 224 |
Registered Nurse (RN) Hours — Year-by-Year National and State Ranks
| Year | Hours/Day | National Rank | AL State Rank |
|---|---|---|---|
| 2022 | 0.66 | #5,798 / 14,703 | #71 / 224 |
| 2023 | 0.46 | #8,966 / 14,703 | #142 / 224 |
| 2024 | 0.50 | #8,298 / 14,703 | #136 / 224 |
| 2025 | 0.66 | #5,345 / 14,703 | #82 / 224 |
| 2026 | 0.35 | #11,829 / 14,703 | #212 / 224 |
Total Nurse Rank — National (lower = better)
Registered Nurse Rank — National (lower = better)
Frequently Asked Questions
Barfield Health Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1979-02-20. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (256) 582-3112 or your local Medicaid office to verify current eligibility.
Barfield Health Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (4â
), Staffing (3â
), and Quality of Resident Care (5â
). Our independent composite quality score â which uses the raw underlying CMS numbers to break ties between similarly-rated facilities â is 87.7/100, placing it #938 of 14703 facilities nationally and #9 of 224 in Alabama. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Barfield Health Care receives a reported average of 4 hours 38 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage â 21 minutes; Licensed Practical Nurse (LPN) â 57 minutes; Nurse Aide â 3 hours 20 minutes. On weekends, total nurse staffing is 3 hours 41 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 57.3%. Families are encouraged to ask about current staffing schedules during their facility visit.
Barfield Health Care has received zero fines across all five years of available data (2022â2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 6.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Barfield Health Care ranks 938th out of 14,703 facilities (composite score: 87.7/100), placing it in the top 10% nationwide. Within AL, it ranks 9th out of 224 nursing homes. In Guntersville, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #1,963 nationally and RN hours rank #11,829 nationally (#212 in AL). Our composite quality score of 87.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends â giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Guntersville, visit: https://nursinghomesnearme.org/alabama/guntersville/
Contact and Location
ADR
Address
22444 HIGHWAY 431, Guntersville, AL 35976
Get directions on Google Maps
TEL
Phone
LLC
Legal Name
BARFIELD HEALTH CARE ACQUISITION CORPORATION
MAP
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Facility Details
| Certified Beds | 113 |
| Avg Residents / Day | 108 (96% occupancy) |
| Ownership Type | For profit – Corporation |
| Provider Type | Medicare and Medicaid |
| County | Marshall County, AL |
| City | Guntersville, AL |
| ZIP Code | 35976 |
| Approved Since | February 20, 1979 |
| Resident Council | ✅ Yes |
| Auto Sprinklers | ✅ All areas |
| Ownership Changed | No |
| CMS Certification # | 015225 |
| Last Inspection | April 16, 2021 |
| CMS Data Updated | March 1, 2026 |
10 Closest Nursing Homes
The 10 nearest CMS-certified nursing homes to this facility, measured in straight-line distance. Use this to compare alternatives in the area.
📌 Straight-line distances only — does not account for roads or terrain. Source: CMS Provider Data Catalog, March 2026. ⚠ = approximate location (ZIP centroid geocoding).
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org using a proprietary methodology. Learn how rankings are calculated. Information may not reflect current facility conditions. Always verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare · March 2026 ·
Ranked among 14703 U.S. facilities ·
Ranking Methodology ·
NursingHomesNearMe.org
Ranked among 14703 U.S. facilities ·
Ranking Methodology ·
NursingHomesNearMe.org