Lauderdale Christian Nursing Home
Nursing Home & Skilled Nursing · Killen, AL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Lauderdale Christian Nursing Home

Nursing Home & Skilled Nursing · Killen, AL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Lauderdale Christian Nursing Home accepts Medicaid and Medicare.

Overview of Lauderdale Christian Nursing Home

Lauderdale Christian Nursing Home is a small nursing home owned by James Comer in Killen, Alabama. With 58 beds operating at full capacity, it offers care for post-acute rehabilitation and ongoing skilled nursing needs. Total nursing care averages roughly 4 hours and 58 minutes per resident day, supported by registered nurses adding 45 minutes of direct care daily, nurse aides providing 2 hours and 56 minutes, and licensed practical nurses contributing 38 minutes. This staffing reflects a commitment to hands-on care with physician oversight. The facility is Medicare and Medicaid certified, making it attainable to residents with either coverage.

On staff is a licensed social worker to help navigate care planning and psychosocial needs. Rehabilitation services exist through contracted therapy providers, and the home offers quarterly care plan conferences to keep families and care teams aligned on resident goals. Providing on-site oversight is a medical doctor to decrease the need for outside physician visits. Daily life features structured, Activity Director-led activities, an exercise program, and a certified dietary manager who directs meal preparation. The community has a chaplain who leads Sunday worship services, which reflects the facility’s faith-based character. To maintain the facility’s operations, housekeeping and laundry support are handled internally.

Inspection history has mixed results. The facility’s compliance record includes some medication administration and record-keeping worries in recent years, paired with older deficiencies in food storage and dietary practices. These findings highlight areas where careful attention to clinical and operational standards is active. Given the inspection themes, families touring the home may find it helpful to ask how the facility ensures medication accuracy and completes documentation. The home’s location on County Road 394 in Killen has a Walk Score of 33, so most visits and errands will require a vehicle, but some nearby services are walkable.

The rural setting of Lauderdale Christian Nursing Home may captivate families who value a quieter environment for recovery and care.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 36.0% Above AL avg. ▲ 36.0% Above AL avg.AL average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 41.1% Above AL avg. ▲ 41.1% Above AL avg.AL average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 15.3% Below AL avg. ▼ 15.3% Below AL avg.AL average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 34.3% Above AL avg. ▲ 34.3% Above AL avg.AL average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Alabama state averages

Total nursing care / resident Info This home is ranked 20th out of 126 homes in Alabama for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 58m per day
Rank #20 / 126Nurse hours — State benchmarkedThis home is ranked 20th out of 126 homes in Alabama for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Alabama average, with a ranking across 126 Alabama facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Alabama avg (4h 22m per day)
vs Alabama avg
+14%

2 of 6 metrics below state avg

Standout metric Nurse Aide is +18% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 44m per day ▲ 17% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 36m per day ▼ 24% State avg: 47m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 57m per day ▲ 18% State avg: 2h 30m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 47m per day ▲ 15% State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day ▼ 57% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 24m per day ▲ 7% State avg: 22m per day · National avg: 28m per day
Bed community size
58-bed community Rank #162 / 241Bed count — State benchmarkedThis home is ranked 162nd out of 241 homes in Alabama for bed count. Shows this facility's certified or reported bed count compared to other Alabama facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 33 / 100 Rank #227 / 417Walk Score — State benchmarkedThis home is ranked 227th out of 417 homes in Alabama for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Alabama facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
100%
Rank #1 / 108Occupancy rate — State benchmarkedThis home is ranked 1st out of 108 homes in Alabama for occupancy. Shows this facility's occupancy rate versus the Alabama average, with its Statewide rank out of 108. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Alabama average: 80.8%
Occupied beds
58 / 58
Average occupied beds in Alabama homes 97 beds

License Details

Facility TypeNursing Home
StatusRegular
CountyLauderdale
CMS Certification Number015361

Ownership & Operating Entity

Lauderdale Christian Nursing Home is administered by Annette Parker.

Profit StatusNonprofit

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Anette Parker, Administrator (per BBB, record updated Jul 2026)

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Doctor on Staff

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

58 Bed Facility
Medicare / Medicaid Certified
Contracted Therapy Services
Surveyed Annually
Quarterly Care Plan Conferences
Medical Doctor Oversight
Licensed Social Worker
Specific ProgramsSunday worship service, Activity Director, Exercise program, Behavior Management, Certified Dietary manager, Housekeeping / Laundry
Religious Services

Contact Lauderdale Christian Nursing Home

Inspection History

In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.

Since 2018 · 8 years of data 4 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Alabama state average
Overall vs. AL average 0 Worse No metrics in this bucket. 1 Better Metrics better than Alabama average:
• Total deficiencies (76% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityAL Averagevs. AL Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 417 This facility has 76% fewer total deficiencies than a typical Alabama nursing home (4 vs. AL avg 17).↓ 76% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • September 20, 2023 complaint investigation substantiated that a Licensed Practical Nurse repeatedly failed to administer ordered morphine doses and falsified medication records, leading to staff termination.
  • The facility terminated the responsible nurse and implemented staff education and monitoring as corrective actions after the September 20, 2023 substantiated complaint.
  • Prior inspections in 2018 and 2019 found minor food safety and hygiene deficiencies, including expired food storage and incomplete hair net use during meal service.

Health Inspection History

Inspections since 2018
Total health inspections 3

State average 2.9


Last Health inspection on Sep 2023

Total health citations
3 Rank #5 / 126Health citations — State benchmarkedThis home is ranked 5th out of 126 homes in Alabama for health citations. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 126 AL facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 10.4

Citations per inspection
1 Rank #1 / 126Citations per inspection — State benchmarkedThis home is ranked 1st out of 126 homes in Alabama for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 126 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 3.46


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

2 of 3 citations resulted from standard inspections; and 1 of 3 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 8 years)
Critical health citations
0
100% better than State average

State average: 0.7


Serious health citations
0
100% better than State average

State average: 0.2

0 critical citations State average: 0.7

0 serious citations State average: 0.2

3 moderate citations State average: 9.1

0 minor citations State average: 0.4
Citations history (last 8 years)
Care Planning moderate citation Sep 20, 2023
Corrected

Nutrition moderate citation Jul 25, 2019
Corrected

Nutrition moderate citation Jun 20, 2018
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 98
Employees 92
Contractors 6
Staff to resident ratio 1.75 : 1
12% more staff per resident than Alabama average
Alabama average ratio: 1.56 : 1 Alabama average ratio: 1.56 : 1See full Alabama ranking
Avg staff/day 44
Average shift 7.2 hours
9% worse than Alabama average
Alabama average: 7.9 hours Alabama average shift: 7.9 hoursSee full Alabama ranking
Total staff hours (quarter) 29,034

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 10 LPN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 55 CNA Staff are full-time employees. No contractors work on this role. 55
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.9%

251 contractor hours this quarter

Medical Director: 1 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5505515,12892100%7
Physical Therapist120124,71292100%7.2
Licensed Practical Nurse100103,06892100%8.1
Registered Nurse8082,76192100%7.5
Other Dietary Services Staff3031,1378188%8.1
Administrator1015286672%8
Clinical Nurse Specialist1015286672%8
Nurse Practitioner1015046368%8
Mental Health Service Worker1014175459%7.7
Medical Director011742426%3.1
Respiratory Therapy Technician011732628%2.8
Occupational Therapy Aide0113878%5.4
Occupational Therapy Assistant0113655%7.2
Physical Therapy Assistant011302426%1.2
Qualified Social Worker011111%1
55 Certified Nursing Assistant
% of Days 100%
12 Physical Therapist
% of Days 100%
10 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
3 Other Dietary Services Staff
% of Days 88%
1 Administrator
% of Days 72%
1 Clinical Nurse Specialist
% of Days 72%
1 Nurse Practitioner
% of Days 68%
1 Mental Health Service Worker
% of Days 59%
1 Medical Director
% of Days 26%
1 Respiratory Therapy Technician
% of Days 28%
1 Occupational Therapy Aide
% of Days 8%
1 Occupational Therapy Assistant
% of Days 5%
1 Physical Therapy Assistant
% of Days 26%
1 Qualified Social Worker
% of Days 1%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.0
35% worse than Alabama average

Alabama average: 8.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.8
64% worse than Alabama average

Alabama average: 14.5

Long-stay resident measures
Average Alabama avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 25.0%
80% worse than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 26.3%
63% worse than Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.3%
49% worse than Alabama average

Alabama average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.9%
72% better than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
In line with Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 5.6%
104% worse than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.9%
65% better than Alabama average

Alabama average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.9%
380% worse than Alabama average

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.5%
10% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.2%
6% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.6%
In line with Alabama average

Alabama average: 94.8%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.32
34% better than Alabama average

Alabama average: 2.00

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.47
74% better than Alabama average

Alabama average: 1.79

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 59.1%
29% worse than Alabama average

Alabama average: 83.7%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 56
Medicaid
39
69.6% of residents
Private pay or other
17
30.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Places of interest near Lauderdale Christian Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Killen's city center to Lauderdale Christian Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Lauderdale Christian Nursing Home

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Address

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15361

Frequently Asked Questions about Lauderdale Christian Nursing Home

Is Lauderdale Christian Nursing Home in a walkable area?

Lauderdale Christian Nursing Home has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Lauderdale Christian Nursing Home?

Lauderdale Christian Nursing Home's occupancy is 100%.

Are pets allowed at Lauderdale Christian Nursing Home?

No, Lauderdale Christian Nursing Home has a no-pet policy.

Does Lauderdale Christian Nursing Home operate as a for-profit or non-profit?

Lauderdale Christian Nursing Home is registered as a non-profit in AL.

Who is the administrator of Lauderdale Christian Nursing Home?

Annette Parker is the administrator of Lauderdale Christian Nursing Home.

How many beds does Lauderdale Christian Nursing Home have?

Lauderdale Christian Nursing Home has 58 beds.

Are there photos of Lauderdale Christian Nursing Home?

Yes — there are 7 photos of Lauderdale Christian Nursing Home in the photo gallery on this page.

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