BARFIELD HEALTH CARE
22444 HIGHWAY 431, GUNTERSVILLE, AL, 35976 · 2565823112
Nursing HomeMedicare CertifiedMedicaid Certified
5.0
★★★★★
Overall Rating
Health Inspection
4.0
Staffing
3.0
Quality Measures
5.0
113
Licensed Beds
3.0
Staffing Rating
Barfield Health Care earned an overall 5-star rating from CMS, which is the highest possible score and puts it well above most nursing homes nationwide. That overall rating is built from three separate scores, and it's worth knowing what each one tells you. The 4-star health inspection rating means state inspectors found very few issues during their visits, and any citations that did come up were relatively minor. The 3-star staffing rating lands right at the national average, meaning the number of nursing hours residents receive each day is comparable to what you'd find at a typical facility, not exceptional but not a concern either. The 5-star quality measures rating is the standout here, reflecting that residents at Barfield consistently show strong health outcomes across 15 clinical indicators, things like rates of falls, pressure sores, hospital readmissions, and how well residents maintain their physical functioning.
The way CMS combines these three pieces is not a simple average, so a strong quality measures score can significantly lift the overall rating, which is exactly what you see here. For families, that 5-star quality outcome is genuinely meaningful because it reflects real-world results for residents living in the facility day to day. The staffing score being average is something to keep in mind and worth asking about during a tour, but the overall picture at Barfield is quite positive.
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Questions to ask when visiting
1. How many residents does each certified nursing assistant typically care for during the day shift and the overnight shift?
2. What percentage of your nursing staff are permanent employees versus agency or temporary workers, and how often do residents see the same faces week to week?
3. Can you walk me through exactly what happens if a resident falls or has a medical emergency in the middle of the night?
4. How do you handle a situation where a resident tells you they are in pain but cannot clearly communicate where the pain is coming from?
5. What does a typical Tuesday look like for a resident who has limited mobility and does not have family visiting that day?
6. If I have a concern about my loved one's care, who do I contact first, and what is the usual timeline before I get a real response?
For more guidance on evaluating facilities, see our guide to [questions to ask when choosing a Florida nursing home](/blog/questions-to-ask-before-choosing-a-nursing-home-in-florida).
About CMS Star Ratings
CMS assigns 1–5 star ratings to Medicare and Medicaid-certified nursing homes based on three domains: health inspections, staffing levels, and quality measures. The overall rating is a weighted composite.
A 5-star overall rating does not guarantee excellence in every domain — inspect each sub-rating independently. Data is updated quarterly.
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Data sourced from CMS Care Compare. Last updated via nightly pipeline.