All states › Alabama › Guntersville › Barfield Health Care
22444 Highway 431 Guntersville, AL 35976 · Marshall County
All 2 nursing homes in Guntersville, AL (2 take Medicaid)
CMS certification number 015225 · See this home on Medicare Care Compare
Is Barfield Health Care a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Barfield Health Care as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Alabama average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.80 hours per resident per day at Barfield Health Care, above the Alabama median of 3.90 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 3.56 hours, 26% below its all-week average. Ask how weekends are staffed. 57.4% of nursing staff left within a year (Alabama median 46.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Barfield Health Care: Medicare and Medicaid
Barfield Health Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Alabama's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 16, 2021 and found 2 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 3 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 3 citations at Barfield Health Care across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 3 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (1) and infection control (1). The most serious was cited under the CMS rule to "protect each resident from the wrongful use of the resident's belongings or money" (tag F0602, level D, April 16, 2021). 1 citation was under CMS's abuse, neglect and exploitation rules.
April 16, 2021 · 2 citations
DProtect each resident from the wrongful use of the resident's belongings or money.
DProvide and implement an infection prevention and control program.
September 7, 2018 · 1 citation
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Questions to ask on a tour of Barfield Health Care
- CMS cited the home under its abuse and neglect rules on April 16, 2021. How are staff trained, and how are concerns reported?
- Weekend staffing is 26% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 57.4% a year. How many of the staff come from agencies?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 4/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 3/5 | 5/5 |
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Location
Hospitals near Barfield Health Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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15.1 mi
Marshall Medical Center South BoazEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 23m for patients treated and sent home
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20.6 mi
Highlands Medical Center ScottsboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 56m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Rehab Select nursing homes in Alabama
- Albertville Nursing Home · Albertville · 3 stars
- Shelby Ridge Nursing Home · Alabaster · 3 stars
- Talladega Healthcare Center · Talladega · 3 stars
- Hillview Terrace · Montgomery · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Rehab Select nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.