Louisiana › Lafayette County › Lafayette
Cornerstone At the Ranch
103 West Martial Ave, Lafayette, LA 70506
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cornerstone At the Ranch, in Lafayette, Louisiana, is certified for 148 beds under for-profit, corporation ownership and belongs to the Paramount Healthcare Consultants chain.
CMS gives it 1 of 5 stars overall, below the Louisiana median of 2; the health inspection rating is 2, staffing 1 and quality measures 3.
Inspectors recorded 56 health deficiencies across the three most recent survey cycles (8, 23, 25 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 37.8 per 100 beds, more than the state median of 18.8.
CMS lists 3 penalties in the period covered: fines totalling $97K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.1 RN), close to the Louisiana median of 3.6.
Compared with county, state and nation
| Measure | This facility | Lafayette Co. median | Louisiana median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 56 | 33 | 21 | 28.7 |
| Citations per 100 beds | 37.8 | 24.9 | 18.8 | 26.8 |
| Total nurse hours per resident day | 3.3 | 4.1 | 3.6 | 3.9 |
| RN hours per resident day | 0.1 | 0.2 | 0.2 | 0.7 |
| Nursing staff turnover | — | 62.7% | 47.0% | 45.8% |
| Fines listed | $97,417 | $14,518 | $0 | — |
County and state figures are medians across facilities (10 in the county, 265 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Louisiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jul 2025, 10 Jul 2024.
Severity mix: G ×1 D ×34 E ×16 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 22 Aug 2025 |
| 30 Jul 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 22 Aug 2025 |
| 30 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 22 Aug 2025 |
| 30 Jul 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard survey | 22 Aug 2025 |
| 30 Jul 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 22 Aug 2025 |
| 30 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Aug 2025 |
| 30 Jul 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 22 Aug 2025 |
| 30 Jul 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 22 Aug 2025 |
| 16 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 25 Jul 2025 |
| 16 Jun 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 25 Jul 2025 |
| 6 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 30 Nov 2024 |
| 6 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 30 Nov 2024 |
| 24 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 9 Oct 2024 |
| 27 Aug 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 27 Sep 2024 |
| 27 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 27 Sep 2024 |
| 27 Aug 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 27 Sep 2024 |
| 27 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 27 Sep 2024 |
| 10 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 16 Aug 2024 |
| 10 Jul 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 16 Aug 2024 |
| 10 Jul 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 16 Aug 2024 |
| 10 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 16 Aug 2024 |
| 8 May 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 14 Jun 2024 |
| 7 Dec 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Jan 2024 |
| 28 Jun 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 21 Aug 2023 |
| 28 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 21 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Jul 2025 | Payment denial | — | 4 days |
| 30 Jul 2025 | Fine | $60,418 | |
| 7 Dec 2023 | Fine | $36,999 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Louisiana average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Louisiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.9% | 17.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 2.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.3% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.8% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.7% | 21.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Dsrm Lafayette Opco Llc. Chain: Paramount Healthcare Consultants (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dsrm Propco Lafayette, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 04/01/2020 |
| Dsrm Propco Lafayette, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2020 |
| Paramount Healthcare Consultants, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2020 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lafayette County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Amelia Manor Nursing Home | Lafayette | 151 | 4 | 4 | 3 | 25 | 16.6 | — | 8 Apr 2026 |
| Courtyard Manor Nurse Care Center & Assisted Liv | Lafayette | 92 | 4 | 4 | 2 | 21 | 22.8 | $22K | 7 Jan 2026 |
| Camelot of Broussard | Broussard | 148 | 3 | 3 | 2 | 42 | 28.4 | $21K | 15 Apr 2026 |
| Louisiana Extended Care Hospital of Lafayette | Lafayette | 28 | 3 | 2 | 3 | 15 | 53.6 | — | 25 Feb 2026 |
| Lady of the Oaks Retirement Manor | Lafayette | 137 | 2 | 3 | 1 | 21 | 15.3 | — | 19 May 2026 |
| Camelot Rehabilitation At Magnolia Park | Lafayette | 160 | 1 | 2 | 1 | 33 | 20.6 | — | 4 Mar 2026 |
| Evangeline Oaks Guest House | Carencro | 190 | 1 | 1 | 1 | 57 | 30.0 | — | 3 Jun 2026 |
| Maison De Lafayette | Lafayette | 189 | 1 | 2 | 1 | 47 | 24.9 | $15K | 16 Dec 2025 |
All 10 facilities in Lafayette County
Questions and answers
How many deficiencies has Cornerstone At the Ranch been cited for?
56 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Louisiana median is 21 per facility.
Has Cornerstone At the Ranch been fined?
Yes. CMS lists fines totalling $97K in the period covered, plus 1 payment denial.
How does staffing at Cornerstone At the Ranch compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Louisiana median of 3.6 and a national average of 3.9.
Who operates Cornerstone At the Ranch?
It is part of the Paramount Healthcare Consultants chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Cornerstone At the Ranch last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jul 2025; the most recent standard health survey was 30 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.