See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Top Rated

Barfield Health Care

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

22444 Highway 431, Guntersville, AL 35976113 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 19 Google reviews

5
4
3
2
1
Barfield Health Care Nursing Home in Guntersville, AL — Street View
Street View

Watch Barfield Health Care

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

What this means for your family

While Barfield Health Care has historically been praised for its compassionate staff and effective rehab services, recent reports from 2026 suggest a decline in care standards and responsiveness. When touring, we strongly recommend asking about current staffing ratios and how the facility ensures call lights are answered promptly, especially during off-hours.

Google Reviews

Google Reviews

19 reviews on Google
Barfield Health Care receives high praise for its compassionate staff and clean, welcoming environment, particularly from families of long-term residents and rehab patients. However, recent reviews from 2026 indicate significant concerns regarding staff negligence, administrative culture, and responsiveness to resident needs. Prospective families should weigh the facility's strong reputation for care against these recent reports of declining service quality.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Effective post-acute rehabilitation services
  • Welcoming and homely atmosphere

Concerns

  • Negligent care and slow response to call lights (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'20(1)'22(2)'24(3)'26(5)

Distribution · 20 analyzed

5
15
4
0
3
0
2
0
1
5

How They Respond to Reviews

58%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given that your facility maintains a 5-star CMS rating, what specific protocols do you have in place to ensure that call lights are answered promptly and residents feel their needs are addressed immediately?
  • 2I noticed your staffing rating is a 3/5; could you explain how you manage staffing levels to ensure consistent, high-quality care for all 113 residents?
  • 3It is great to see that you actively engage with families online; how does that open communication style translate to your day-to-day interactions with families here at the facility?
  • 4Since your rehab services are highly regarded, what does the transition look like for a resident moving from a post-acute rehabilitation program into long-term care?
  • 5What kind of daily activities or social programs do you offer to help residents feel at home and maintain a sense of community within the facility?
  • 6With two state violations reported in the last year, what specific steps or training improvements have you implemented to address those concerns and prevent future issues?

Personalized based on this facility's data


Key Review Excerpts

I am so grateful to the Barfield staff for the love and care they gave to my Mother and our family over the 18 months that she was there.

Long-term resident's family · 2024★★★★★

These are some of the kindest and most hardworking individuals we've encountered during our two-month journey (3rd rehab facility).

Rehab patient family member · 2024★★★★★

Staff is negligent. Admins are bullies and no body wants to help residents when call lights are on.

Family member · 2026☆☆☆☆
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
41%
Registered nurses for medical care
Total Nursing
4.46hrs
OK
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
74%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
19.4%
AL
13.3%
Marshall
21.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
AL
1.4%
Marshall
7.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility12.2%
Better than Avg
Here
12.2%
US
15.4%
AL
21.4%
Marshall
17.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
15.3%
AL
13.3%
Marshall
16.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
AL
91.7%
Marshall
96.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.1%
Mixed vs Avgs
Here
22.1%
US
19.5%
AL
24.7%
Marshall
24.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.6%
Better than Avg
Here
92.6%
US
81.8%
AL
84.8%
Marshall
83.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.9%
Better than Avg
Here
88.9%
US
79.7%
AL
80.3%
Marshall
82.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
AL
2.0%
Marshall
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Near state avg (3.9)

Barfield Health Care has 11 federal deficiencies across 3 surveys, with recurring issues in fire safety systems, electrical safety, and hallway obstructions. The facility also had problems with infection control and protecting residents' belongings. All deficiencies have correction dates from the provider, suggesting the facility addressed identified issues, though fire safety problems appeared in multiple surveys.

Apr 16, 2021Routine
2
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 31, 2019Routine
3
0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Sep 7, 2018Routine
6
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Barfield Health Care

Organization Type

for profit

Chain Affiliation

Chain Name

Rehab Select

Chain Size

5 facilities nationwide

Chain avg rating: 3.0/5 · Rank 1 of 5 (Best)

Ownership & Management

Owners

Schmidt, Christopher

Owner

Key personnel

Schmidt, ChristopherManaging Control - Governing BodyStephenson, TammyManaging Control - Governing BodySchmidt, ChristopherOfficer / DirectorStephenson, TammyOfficer / DirectorSchmidt, ChristopherOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Nearby Alternatives

Call