79/100
Above average
Barfield Health Care
22444 Highway 431, Guntersville, AL 35976
- Certified beds
- 113
- Occupancy
- 97%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Weekend staffing drops 25%
Care hours fall sharply on Saturdays and Sundays compared with weekdays.
Last inspection was more than 2 years ago
Ratings here are based on older survey data than at most facilities.
Our read on Barfield Health Care
Barfield Health Care runs about 4.29 nurse hours per resident per day, roughly 11% above the national average, and its quality measure rating sits at the top of the federal scale. Those are real strengths. But weekends run about a quarter thinner than weekdays, and staff turnover hits 57.1% against a national 45.8%, that's a lot of churn for a building this size, and thin weekend coverage is where problems tend to surface. The inspection record shows three deficiencies, none at harm level but one abuse-related, and the last full inspection was April 2021, so that picture is over four years old. For-profit corporate ownership, 113 beds. Worth asking how they hold staffing steady on Saturdays and Sundays.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
19/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.97 total nurse hours per resident per day (national median 3.77)
- →0.4 RN hours per resident per day
- →Weekend staffing drops 25% against weekdays
Staff stability
5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →57% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: April 16, 2021 (5 years ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of REHAB SELECT, which operates 5 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Barfield Health Care
What is the ElderGrade for Barfield Health Care? +
Barfield Health Care holds an ElderGrade of B (79 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Barfield Health Care? +
Residents receive an average of 4.29 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Barfield Health Care been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Barfield Health Care accept Medicaid? +
Yes, Barfield Health Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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