Alabama › Marshall County › Guntersville
Barfield Health Care
22444 Highway 431, Guntersville, AL 35976
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 113 beds, Barfield Health Care serves Guntersville in Marshall County, Alabama and has taken Medicare and Medicaid residents since 1979.
CMS gives it 5 of 5 stars overall, above the Alabama median of 3; the health inspection rating is 4, staffing 3 and quality measures 5.
Inspectors recorded 3 health deficiencies across the three most recent survey cycles (2, 0, 1 by cycle, most recent first), none at the actual-harm level. That is 2.7 per 100 beds, fewer than the state median of 7.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.3 hours per resident per day (0.4 RN), close to the Alabama median of 3.9; nursing staff turnover is 57.1%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Marshall Co. median | Alabama median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 3 | 9 | 9 | 28.7 |
| Citations per 100 beds | 2.7 | 5.7 | 7.7 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.3 | 3.9 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 57.1% | 51.8% | 46.7% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 224 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Alabama average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2021, 31 Oct 2019.
Severity mix: D ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Apr 2021 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 5 Mar 2021 |
| 16 Apr 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 May 2021 |
| 7 Sep 2018 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 12 Oct 2018 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Alabama average. Turnover: nursing staff 57.1%, RNs 73.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Alabama median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.8% | 11.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.7% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.0% | 11.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | 20.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Barfield Health Care Acquisition Corporation. Chain: Rehab Select (5 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Schmidt Wallace Healthcare Management Company Inc | Operational/managerial control | NOT APPLICABLE | 07/01/2018 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Schmidt Wallace Healthcare Management Company Inc | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Marshall County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Albertville Nursing Home | Albertville | 159 | 5 | 4 | 5 | 9 | 5.7 | — | 21 Nov 2019 |
| Marshall Manor Nursing Home | Guntersville | 91 | 3 | 3 | 3 | 3 | 3.3 | — | 23 Jun 2023 |
| Diversicare of Arab | Arab | 87 | 2 | 2 | 3 | 10 | 11.5 | — | 15 Apr 2021 |
| Diversicare of Boaz | Boaz | 100 | 2 | 2 | 4 | 11 | 11.0 | — | 4 Jul 2025 |
All 5 facilities in Marshall County
Questions and answers
How many deficiencies has Barfield Health Care been cited for?
3 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Alabama median is 9 per facility.
Has Barfield Health Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Barfield Health Care compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Alabama median of 3.9 and a national average of 3.9.
Who operates Barfield Health Care?
It is part of the Rehab Select chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Schmidt Wallace Healthcare Management Company Inc. Individual owners and managers are not listed on this site.
When was Barfield Health Care last inspected?
The most recent survey or investigation in the CMS record is dated 16 Apr 2021; the most recent standard health survey was 16 Apr 2021.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.