Barfield Health Care: Staffing, Turnover, and Inspection Record
Barfield Health Care is a 113-bed for-profit nursing home in Guntersville, Alabama, part of Rehab Select. In the CMS August 2026 release it reported 2.99 nurse aide hours per resident per day, 22% above the Alabama average of 2.44, and 57.1% nursing staff turnover (Alabama average 46.9%).
Barfield Health Care
22444 Highway 431Guntersville, AL 35976
Marshall County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Barfield Health Care, nurse aides logged 2.99 hours per resident per day, 22% above the Alabama average. With about 109 residents a day, that works out to roughly 326 aide hours a day, or about 41 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 25% below the all-days figure.
| Hours per resident per day | This home | Alabama avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.99 | 2.44 | 2.32 |
| Licensed practical nurses | 0.90 | 0.79 | 0.86 |
| Registered nurses | 0.40 | 0.65 | 0.69 |
| All nursing staff | 4.29 | 3.88 | 3.86 |
| All nursing staff, weekends | 3.21 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.1% of nursing staff at Barfield Health Care left over the year CMS measured, against a Alabama average of 46.9% and a US average of 45.8%. Registered nurse turnover was 73.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 16, 2021. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Alabama average 4.0). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Barfield Health Care holds 5 of 5 overall; the Alabama average is 3.0.
About Barfield Health Care
- Ownership: For profit - Corporation
- Chain: Rehab Select, 5 homes
- Legal name: Barfield Health Care Acquisition Corporation
- Medicare and Medicaid certified since: Feb 20, 1979
- Councils: resident and family councils
- Area: rural
Nursing homes near Barfield Health Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Marshall Manor Nursing Home Guntersville | 7.9 | 91 | 2.72 | 4.28 | 57.8% | 3 | None |
| Albertville Nursing Home Albertville | 11.5 | 159 | 3.70 | 5.22 | 46.0% | 5 | None |
| Diversicare of Arab Arab | 15.2 | 87 | 1.97 | 2.97 | 41.2% | 2 | None |
| Diversicare of Boaz Boaz | 15.2 | 100 | 1.70 | 2.96 | 51.8% | 2 | None |
| South Hampton Nursing & Rehabilitation Center Owens Cross Roads | 15.7 | 81 | 2.45 | 4.00 | 55.1% | 3 | None |
| Crossville Health and Rehabilitation, LLC Crossville | 18.0 | 143 | 2.55 | 3.78 | 46.8% | 5 | None |
| Highlands Health and Rehab Scottsboro | 20.5 | 50 | 2.79 | 4.80 | — | 5 | None |
| Cloverdale Rehabilitation and Wellness Scottsboro | 20.7 | 141 | 2.58 | 4.02 | 36.4% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.