Nursing home · Top rated by CMS
Barfield Health Care
22444 Highway 431, Guntersville, AL 35976 · Map
For profit - Corporation · Part of Rehab Select (5 facilities) · 113 certified beds
Barfield Health Care is a Medicare-certified nursing home in Guntersville, Alabama. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.64 hours per resident per day, above the Alabama average of 3.91. Its most recent inspection on Apr 16, 2021 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Barfield Health Care compares
This facility vs. the Alabama and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Alabama avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.64 | 3.91 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.35 | 0.64 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.34 | 2.50 | 2.34 | above avg |
| Nursing staff turnover | 57.3% | 48.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 2.0 | 3.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Barfield Health Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 16, 2021 - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 16, 2021 - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Sep 7, 2018
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 22444 Highway 431
Guntersville, AL 35976 - CMS certification #
- 015225
- Ownership
- For profit - Corporation
- Certified beds
- 113
- Avg residents/day
- 108.8
- Provider type
- Medicare and Medicaid
- First certified
- 1979-02-20
- Chain
- Rehab Select (5 facilities)
- Setting
- Rural
Part of Rehab Select
Rehab Select operates 5 nursing facilities across the United States. View all Rehab Select facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Barfield Health Care using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Marshall Medical Centers, Boaz. 15.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Marshall Manor Nursing Home, Guntersville. 7.9 miles away, straight line.
- Nearest home health agency office
- Medical Centers Homecare, Albertville. 11.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 5.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 35976 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc Albertville, Albertville, 8.9 miles away, straight line (CMS rating 3 of 5 stars)
Davita Boaz Dialysis, Boaz, 14.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 18 Medicare hospices tell CMS they serve ZIP code 35976.
Shepherd'S Cove Hospice, office in Albertville, 10.8 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice Family Care, office in Huntsville, 17.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Southerncare New Beacon Scottsboro, office in Scottsboro, 21.4 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- American Family Care, LLC, Huntsville. 23.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Barfield Health Care a good nursing home?
CMS gives Barfield Health Care an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Barfield Health Care staffed?
Barfield Health Care reports 4.64 total nurse hours per resident per day, compared with the Alabama average of 3.91.
Has Barfield Health Care had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Barfield Health Care have?
Barfield Health Care is certified for 113 beds.