Barfield Health Care
22444 HIGHWAY 431, Guntersville, AL 35976
Guntersville, Alabama · CMS verdict
Barfield Health Care reflects above-average quality on the federal five-star scale, above the Alabama state average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Barfield Health Care in Guntersville, Alabama holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 79 of 100 (grade C). Its CMS inspection record lists a limited number of deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 79 is built
Each segment is a dimension's weighted points toward the score, summing to 79.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Barfield Health Care's lighter CMS deficiency book
Quality ratings
On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to Alabama.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Guntersville, Alabama. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 96% occupancy, this facility is running near full capacity, worth confirming current bed availability directly before visiting.
Same-ownership peers
Within Alabama, Barfield Health Care is one of 138 for profit - corporation nursing homes CMS rates. Its 5-star overall rating sits above the for profit - corporation-segment average of 3.1 stars, ahead of roughly 80% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented a limited number of deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. A handful of documented findings is common even among well-run facilities; the F-tag scope and severity codes on the full report distinguish isolated paperwork issues from resident-harm findings.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Barfield Health Care's upper-tercile stars compare to Alabama
CMS five-star sub-ratings (0–5) for this facility against the Alabama facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Alabama state average. Higher is better on all four CMS measures.
Where Barfield Health Care ranks in Alabama
Among the 223 CMS-rated nursing homes in Alabama, Barfield Health Care’s 5-star overall rating is higher than 82% of them. The bars show how all Alabama homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
40 Alabama homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 113 |
| Residents | 109 |
| Ownership | For profit - Corporation |
| County | Marshall |
| Penalties | 0 |
| Deficiencies | 3 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Barfield Health Care? ▾
5 out of 5 stars is Barfield Health Care's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the Alabama average.
How much does a nursing home cost per month in Alabama? ▾
The median cost for a semi-private nursing home room in Alabama is $8,334 per month ($100,010 annually). A private room averages $8,787 per month. Costs are from the CareScout 2025 survey.
What services does Barfield Health Care offer? ▾
Barfield Health Care is a skilled nursing facility. CMS Care Compare does not list individual services or therapies, so ask the facility directly which it provides. Its bed capacity, census, and ownership type are in the Facility details table on this page.
Does Barfield Health Care have any deficiencies or penalties? ▾
Barfield Health Care has few deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. Small counts like this show up even at strong facilities; ask the facility directly what each finding involved and how it was resolved.
What are the alternatives to a nursing home in Alabama? ▾
In Alabama, alternatives include assisted living ($4,425/mo), home health aides ($5,148/mo), and adult day care ($1,246/mo).
Keep reading
Also see the Alabama elder-care overview and highest-rated states. Provider ID: 015225.
Read our methodology - how this data is sourced, computed, and verified.