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D
Poor

BARFIELD HEALTH CARE

22444 HIGHWAY 431 · GUNTERSVILLE, AL 35976

2565823112 · For profit - Corporation

113 beds108.8 residents185 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BARFIELD HEALTH CARE receives an overall staffing grade of D (Poor). With 4.6397 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3531 HPRD, below the recommended 0.75. It is 0.74 HPRD above the national average.

Weekend staffing drops significantly — dropping 26.77% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.3531 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 26.77% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.6397hrs/resident/day▲ 0.74
CMS benchmark: 3.48
RN HPRD
0.3531hrs/resident/day▼ 0.33
Recommended: 0.75
Weekend Drop-off
26.77%
5.0193 weekday → 3.6759 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4307hrs/resident/day
Direct care aides
LPN HPRD
0.9429hrs/resident/day
Licensed practical nurses
Consistency
0.6966std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Marshall County Average+0.52 HPRD
4.12
04.64 HPRD
vs. Alabama State Average+0.72 HPRD
3.92
04.64 HPRD
vs. National Average+0.74 HPRD
3.90
04.64 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BARFIELD HEALTH CARE ★
GUNTERSVILLE · This facility
—
D
4.63970.3531★★★★★
MARSHALL MANOR NURSING HOME
GUNTERSVILLE
7.9 mi
B
4.39820.6428★★★☆☆
ALBERTVILLE NURSING HOME
ALBERTVILLE
11.5 mi
B
5.09350.6348★★★★☆
DIVERSICARE OF ARAB
ARAB
15.1 mi
C
3.2880.6469★★★☆☆
DIVERSICARE OF BOAZ
BOAZ
15.2 mi
C
3.1660.851★★☆☆☆
CROSSVILLE HEALTH AND REHABILITATION, LLC
CROSSVILLE
18 mi
B
3.66670.5697★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
3
Total Deficiencies
$0
Fines Assessed
Apr 16, 2021Health
2 deficiencies cited
▼
Sep 7, 2018Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.