Barfield Health Care
22444 Highway 431, Guntersville, AL 35976 · Marshall County · (256) 582-3112
113 certified beds, about 109 residents a day · For profit - Corporation · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015225 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2021, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 3 health citations since September 2018 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.29 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
57.1% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Rehab Select, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.
April 16, 2021Standard inspection · 2 citations
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interviews, review of the facility's policy titled, Abuse Prevention, the facility's investigation file, and Resident Identifier (RI) #48 and RI #56's medical record, the facility failed to ensure Employee Identifier (EI) #4, a Registered Nurse (RN) did not take for personal use and without the residents' permission narcotic pain medication which belonged to RI #48 and RI #56, two of four residents reviewed for narcotic pain medication.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, medical record review, and review of facility policy titled, CAPILLARY BLOOD SAMPLING, the facility failed to ensure Employee Identifier (EI) #3, a Licensed Practical Nurse (LPN), wore gloves when she performed a fingerstick blood sugar (FSBS) on Resident Identifier (RI) #62, one of two residents observed for medication administration.
October 31, 2019Standard inspection · 0 citations
September 7, 2018Standard inspection · 1 citation
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interviews, medical record review, and a review of the facility's policy titled, Incontinence Care - ., the facility failed to ensure staff separated and thoroughly cleaned Resident Identifier (RI) #19's perineal area. This affected RI #19, one of one resident observed during incontinent care. RI #19 is a resident identified by the facility as having a history of Urinary Tract Infections ( UTIs). Findings Include: A review of the facility's policy titled, Incontinence Care - . dated 8/1/17, revealed the following: .PURPOSE: Good incontinence care helps prevent infection, irritation, and skin breakdown . RI #19 was admitted to the facility on [DATE], with diagnoses to include Constipation, Unspecified Urinary and Hypothyroidism. [...]
Fire safety inspections
8 fire safety citations on file: 3 on October 31, 2019, 5 on September 7, 2018.
Every fire safety citation8 citations
- D Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Ensure proper usage of power strips and extension cords.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.29 | 3.88 | 3.86 |
| Registered nurses | 0.40 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.21 | 3.26 | 3.42 |
| Nurse aides | 2.99 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | 57.1% | 46.9% | 45.8% |
| Registered nurse turnover | 73.7% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.31 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.73 on weekdays and 3.21 on weekends, 32% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.22 in April to June 2025 to 4.29 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.29 | 0.40 | 4.73 | 3.21 | 0.0% | 0 of 90 | 109 |
| Oct to Dec 2025 | 4.46 | 0.31 | 4.81 | 3.57 | 0.0% | 0 of 92 | 110 |
| Jul to Sep 2025 | 4.64 | 0.35 | 5.02 | 3.68 | 0.0% | 0 of 92 | 109 |
| Apr to Jun 2025 | 4.22 | 0.49 | 4.58 | 3.32 | 0.0% | 0 of 91 | 109 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.8 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.0 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.6 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.0 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.3 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.2 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.7 | 1.8 |
Owners and operators
Legal business name: BARFIELD HEALTH CARE ACQUISITION CORPORATION. CMS links this home to Rehab Select, a group of 5 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Schmidt, Christopher | Direct ownership interest | Individual | 07/01/2018 | |
| Schmidt, Christopher | Managing control - governing body | Individual | 07/01/2018 | |
| Stephenson, Tammy | Managing control - governing body | Individual | 07/01/2018 | |
| Schmidt, Christopher | Corporate director | Individual | 07/01/2018 | |
| Stephenson, Tammy | Corporate director | Individual | 07/01/2018 | |
| Schmidt, Christopher | Corporate officer | Individual | 07/01/2018 | |
| Stephenson, Tammy | Corporate officer | Individual | 07/01/2018 | |
| Schmidt Wallace Healthcare Management Company Inc | Operational/managerial control | Organization | 07/01/2018 | |
| Calhoun, Gary | Operational/managerial control | Individual | 03/01/2021 | |
| Coker, Kylie | Operational/managerial control | Individual | 01/01/2021 | |
| Kelley, Julia | Operational/managerial control | Individual | 10/01/2021 | |
| Schmidt, Christopher | Operational/managerial control | Individual | 07/01/2018 | |
| Stephenson, Tammy | Operational/managerial control | Individual | 07/01/2018 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 06/01/2023 | |
| Schmidt Wallace Healthcare Management Company Inc | Adp of the SNF | Organization | 04/09/2025 | |
| Calhoun, Gary | Adp of the SNF | Individual | 03/01/2021 | |
| Coker, Kylie | Adp of the SNF | Individual | 01/01/2021 | |
| Kelley, Julia | Adp of the SNF | Individual | 10/01/2021 | |
| Schmidt, Christopher | Adp of the SNF | Individual | 07/01/2018 | |
| Stephenson, Tammy | Adp of the SNF | Individual | 07/01/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 16, 2021: "Protect each resident from the wrongful use of the resident's belongings or money."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 16, 2021: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on September 7, 2018: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Marshall Manor Nursing Home Guntersville, 7.9 mi · 3 of 5 stars · 3 citations
- Albertville Nursing Home Albertville, 11.5 mi · 5 of 5 stars · 9 citations
- Diversicare of Arab Arab, 15.2 mi · 2 of 5 stars · 10 citations
- Diversicare of Boaz Boaz, 15.2 mi · 2 of 5 stars · 11 citations
- South Hampton Nursing & Rehabilitation Center Owens Cross Roads, 15.7 mi · 3 of 5 stars · 7 citations
- Crossville Health and Rehabilitation, LLC Crossville, 18 mi · 5 of 5 stars · 12 citations
- Highlands Health and Rehab Scottsboro, 20.5 mi · 5 of 5 stars · 6 citations
- Cloverdale Rehabilitation and Wellness Scottsboro, 20.7 mi · 4 of 5 stars · 5 citations
Alabama contacts for a concern about a nursing home
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.
Common questions
- What is Barfield Health Care's Medicare star rating?
- CMS rates Barfield Health Care 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Barfield Health Care get at its last inspection?
- 2 health deficiencies at the standard inspection on April 16, 2021. The Alabama average is 4.
- Has Barfield Health Care been fined?
- CMS lists no fines in the last three years.
- Does Barfield Health Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Barfield Health Care?
- CMS lists 20 owners and managers, and links the home to Rehab Select. Legal business name: BARFIELD HEALTH CARE ACQUISITION CORPORATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.