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Lauderdale Christian Nursing Home

2019 County Road 394, Killen, AL 35645 · Lauderdale County · (256) 757-2103

58 certified beds, about 55 residents a day · Non profit - Church related · Medicare and Medicaid since 1970

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 015361 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 20, 2023, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).

None of its 3 health citations since June 2018 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.54 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.82 of those hours.

43.8% of nursing staff left within the year CMS measured (Alabama average 46.9%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
0E
2F
Potential for minimal harm
0A
0B
0C
September 20, 2023Standard inspection, Complaint inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review, interviews, the Alabama Department of Public Health Online Incident Reporting System, review of a facility investigative file, and review of a facility policy titled Medication Administration, the facility failed to ensure Employee Identifier (EI) #3 Licensed Practical Nurse (LPN), administered morphine pain medication to Resident Identifier (RI) #1 as ordered by physician. This was cited as a result of the investigation of complaint/report number AL00043318 and had the potential to affect RI #1, one of three sampled residents who received the pain medication, morphine at the facility.
July 25, 2019Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 9, 2019
    Inspectors wroteBased on observations, interviews, and a facility policy titled, Dietary Employee Personal Hygiene, the facility failed to ensure a dietary cook wore a hair net to completely cover all hair on her head while serving residents' food for the supper meal on the tray line in the kitchen area. This had a potential to affect all fifty-eight residents in the facility receiving meals from the kitchen. Findings Include: A review of a facility policy titled, : Dietary Employee Personal Hygiene, with a revised date of March 22, 2017, revealed . Policy Explanation and Compliance Guidelines: . 4. Hair Restraints . c. All hairs . must be completely covered by restraint. On 7/22/2019 at 4:42 p.m., the surveyor observed EI#1, a dietary cook, while serving residents' food on the trayline in the kitchen area for the supper meal. [...]
June 20, 2018Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 5, 2018
    Inspectors wroteBased on observation, interview, and review of a facility policy titled LABELING, DATING AND STORAGE OF FOODS, the facility failed to ensure 17 four ounce yogurts were not stored past the manufacturer's use by date of 06/09/2018. This had the potential to affect forty-eight of forty-eight residents receiving meals in the facility. Findings Include: A review of the facility policy titled LABELING, DATING AND STORAGE OF FOODS with a revised date of 03/22/2017 documented: Purpose: To ensure food is stored in a manner to prevent food-borne illness . 2. Food with expiration dates are used prior to the date on the package . On 06/18/18 at 04:35 p.m. during the initial kitchen tour, the surveyor observed the following items in the walk in cooler in an opened cardboard box stamped with a manufacture's use by date of 06/09/2018: 1. [...]

Fire safety inspections

13 fire safety citations on file: 8 on September 20, 2023, 5 on July 25, 2019.

Every fire safety citation13 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · September 20, 2023 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · September 20, 2023 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 20, 2023 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 20, 2023 · Corrected (the home has a date of correction)
  5. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 20, 2023 · Corrected (the home has a date of correction)
  6. D
    Install an approved automatic sprinkler system.
    K 351 · September 20, 2023 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 20, 2023 · Corrected (the home has a date of correction)
  8. D
    Install corridor and hallway doors that block smoke.
    K 363 · September 20, 2023 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 25, 2019 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 25, 2019 · Corrected (the home has a date of correction)
  11. D
    Provide properly protected cooking facilities.
    K 324 · July 25, 2019 · Corrected (the home has a date of correction)
  12. D
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · July 25, 2019 · Corrected (the home has a date of correction)
  13. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 25, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeAlabamaUnited States
All nursing staff (RN, LPN and aides)4.543.883.86
Registered nurses0.820.650.69
All nursing staff on weekends3.853.263.42
Nurse aides3.10
Licensed practical nurses0.62
Nursing staff turnover (share who left in a year)43.8%46.9%45.8%
Registered nurse turnover27.3%39.5%42.9%
Administrators who left0

CMS expects 3.30 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.82 on weekdays and 3.85 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.57 in April to June 2025 to 4.54 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.540.824.823.85 0.0%0 of 9055
Oct to Dec 20254.290.744.483.79 0.0%0 of 9256
Jul to Sep 20254.320.764.643.50 0.0%0 of 9256
Apr to Jun 20254.570.905.033.42 0.0%0 of 9155
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Alabama, Jan to Mar 20263.880.634.133.270.9%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeAlabamaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.912.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.10.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
8.22.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.73.33.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.412.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.05.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.921.215.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.82.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.71.8

Owners and operators

Legal business name: LAUDERDALE CHRISTIAN NURSING HOME.

NameRoleTypeShareSince
Morrow, TimothyW-2 managing employeeIndividual10/01/2002
Comer, JamesCorporate directorIndividual05/01/2020
Harper, WillieCorporate directorIndividual05/01/2019
Keeton, JadeCorporate directorIndividual05/01/2020
Malone, GoldieCorporate directorIndividual05/01/2020
Pettus, DannyCorporate directorIndividual05/01/2019
Powell, HubertCorporate directorIndividual05/01/2020
Roberts, RobbieCorporate directorIndividual05/01/2019
Stanford, JoeCorporate directorIndividual05/17/2010
Allen, GregCorporate officerIndividual05/01/2020
Dickerson, OtisCorporate officerIndividual05/01/2021
Pettus, KayCorporate officerIndividual05/01/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 25, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 20, 2023: "Ensure services provided by the nursing facility meet professional standards of quality."

Other nursing homes nearby

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Common questions

What is Lauderdale Christian Nursing Home's Medicare star rating?
CMS rates Lauderdale Christian Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lauderdale Christian Nursing Home get at its last inspection?
1 health deficiency at the standard inspection on September 20, 2023. The Alabama average is 4.
Has Lauderdale Christian Nursing Home been fined?
CMS lists no fines in the last three years.
Does Lauderdale Christian Nursing Home accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Lauderdale Christian Nursing Home?
CMS lists 12 owners and managers. Legal business name: LAUDERDALE CHRISTIAN NURSING HOME.

Sources

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