Barfield Health Care
22444 Highway 431, Guntersville, AL 35976 · Marshall County · 113 certified beds · avg 109 residents/day · certified since Feb 20, 1979
Part of chain: REHAB SELECT (5 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (3)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 16, 2021 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Apr 16, 2021 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 7, 2018 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 1 | 0 | D |
| 2021 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.97 | 4.43 | 3.95 | top 20% in Alabama; top 14% in the U.S. |
| Registered Nurse hours | 0.46 | 0.74 | 0.69 | bottom 8% in Alabama; bottom 32% in the U.S. |
| Weekend total nurse staffing | 3.72 | 3.73 | 3.50 | top 48% in Alabama; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.36 | 0.48 | bottom 15% in Alabama; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 57.1 | 46.9 | 45.8 | bottom 19% in Alabama; bottom 21% in the U.S. |
| RN turnover (%) | 73.7 | 39.5 | 42.9 | bottom 6% in Alabama; bottom 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.29, RN 0.40, weekend 3.21. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Schmidt, Christopher | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/01/2018 |
| Calhoun, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2021 |
| Calhoun, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2021 |
| Coker, Kylie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Coker, Kylie | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Kelley, Julia | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
| Kelley, Julia | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2021 |
| Schmidt Wallace Healthcare Management Company INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Schmidt Wallace Healthcare Management Company INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Schmidt, Christopher | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2018 |
| Schmidt, Christopher | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Schmidt, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2018 |
| Schmidt, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Schmidt, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2018 |
| Stephenson, Tammy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2018 |
| Stephenson, Tammy | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Stephenson, Tammy | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2018 |
| Stephenson, Tammy | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2018 |
| Stephenson, Tammy | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Marshall Manor Nursing Home | 7.9 mi | Guntersville, AL | ★★★☆☆ | 3/5 | |
| Albertville Nursing Home | 11.5 mi | Albertville, AL | ★★★★★ | 4/5 | |
| Diversicare of Arab | 15.2 mi | Arab, AL | ★★☆☆☆ | 2/5 | |
| Diversicare of Boaz | 15.2 mi | Boaz, AL | ★★☆☆☆ | 2/5 | |
| South Hampton Nursing & Rehabilitation Center | 15.7 mi | Owens Cross Roads, AL | ★★★☆☆ | 3/5 | |
| Crossville Health and Rehabilitation, LLC | 18.0 mi | Crossville, AL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
All facilities in Guntersville →
Facility data as of CMS processing date 2026-08-01. CCN 015225.