nursing home in Lafayette, LA

Cornerstone at the Ranch

103 West Martial Ave, Lafayette, LA 70506 · (337) 981-5335

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Cornerstone at the Ranch at a glance

Cornerstone at the Ranch is a 148-bed for-profit nursing home in Lafayette, Louisiana (Lafayette County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Louisiana average of 2.6.

Residents receive about 3.3 hours of nursing care per day (0.1 of them from registered nurses), worse than the state average of 3.8 hours.

Its most recent standard health inspection (July 30, 2025) found 8 health citations. The Louisiana average is 6.4.

Federal regulators fined it 2 times in the past three years, totaling $97,417.

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
148
Certified for
Medicare and Medicaid
Chain / affiliated entity
Paramount Healthcare Consultants
Medicare-certified since
December 6, 2002
Resident/family council
Resident
County
Lafayette County
CMS Certification Number
195565

Ratings

MeasureThis facilityLouisiana avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.6 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.9 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.4 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 52.2 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 52.5 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)4 / 52 / 53.3 / 5Better

Staffing

This facility3.33 hrsLouisiana average3.76 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Louisiana and U.S. averages
MeasureThis facilityLouisiana avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.33 hrs3.76 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.14 hrs0.31 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.93 hrs2.27 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.95 hrs3.21 hrs3.42 hrsWorse

Inspections

This facility8Louisiana average6U.S. average9
Health citations in the most recent inspection: this facility vs. Louisiana and U.S. averages
MeasureThis facilityLouisiana avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)869Better
Citations from complaint investigations (latest cycle) (lower is better)023Better
Weighted health inspection score ⓘ (lower is better)8865.480.6Worse

Penalties

This facility2Louisiana average1U.S. average1
Fines in the past 3 years: this facility vs. Louisiana and U.S. averages
MeasureThis facilityLouisiana avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$97,417$46,795$30,972Worse
All federal penalties in the past 3 years (lower is better)311Worse

Size

MeasureThis facilityLouisiana avg.U.S. avg.vs. U.S.
Certified beds148122107
Average residents per day799186
Occupancy53%74.1%80.9%

Long-stay residents

This facility5.6%Louisiana average3.5%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Louisiana and U.S. averages
MeasureThis facilityLouisiana avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.6%3.5%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)7.8%5.6%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)13.7%22.7%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.4%2.1%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%1.2%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)25.9%17.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)31.3%17.9%14.1%Worse
Long-stay residents who lose too much weight (lower is better)6.7%5.2%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)0.4%2.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.2%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)14.6%23.2%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)9.3%15.8%19%Better
Long-stay residents given a flu vaccine (higher is better)86.4%94.9%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)61.8%93.4%93.6%Worse

Short-stay residents

This facility0.6%Louisiana average3.1%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Louisiana and U.S. averages
MeasureThis facilityLouisiana avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.6%3.1%1.6%Better
Short-stay residents given a flu vaccine (higher is better)32.7%76.3%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)53.2%85.9%82%Worse

Inspection citations

State inspectors cited this home for 56 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
July 30, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected September 1, 2025
July 30, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected September 1, 2025
July 30, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected August 22, 2025
July 30, 2025
Standard
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
E
Potential harm, pattern
Corrected August 22, 2025
July 30, 2025
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
E
Potential harm, pattern
Corrected August 22, 2025
July 30, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected August 22, 2025
July 30, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected August 22, 2025
July 30, 2025
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
D
Potential harm, isolated
Corrected August 22, 2025
July 30, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected August 22, 2025
July 30, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected August 22, 2025
June 16, 2025
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 25, 2025
June 16, 2025
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected July 25, 2025
November 6, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 30, 2024
November 6, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected November 30, 2024
September 24, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected October 9, 2024
August 27, 2024
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
D
Potential harm, isolated
Corrected September 27, 2024
August 27, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected September 27, 2024
August 27, 2024
Complaint
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.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected September 27, 2024
August 27, 2024
Complaint
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected September 27, 2024
July 10, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Fire safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
D
Potential harm, isolated
Corrected October 8, 2024
July 10, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected August 16, 2024
July 10, 2024
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
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.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected August 16, 2024
July 10, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected August 16, 2024
May 8, 2024
Complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
D
Potential harm, isolated
Corrected June 14, 2024
December 7, 2023
Complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Tag F0882
F
Potential harm, widespread
Corrected January 21, 2024
December 7, 2023
Complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
F
Potential harm, widespread
Corrected January 21, 2024
December 7, 2023
Complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
F
Potential harm, widespread
Corrected January 21, 2024
December 7, 2023
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected January 21, 2024
December 7, 2023
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected January 21, 2024
December 7, 2023
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected January 21, 2024
December 7, 2023
Complaint
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.
Resident Rights Deficiencies · Tag F0585
D
Potential harm, isolated
Corrected January 21, 2024
June 28, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected August 12, 2023
June 28, 2023
Fire safety
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912
D
Potential harm, isolated
Corrected August 12, 2023
June 28, 2023
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
D
Potential harm, isolated
Corrected August 12, 2023
June 28, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected August 12, 2023
June 28, 2023
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected August 21, 2023
June 28, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected August 21, 2023
June 28, 2023
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Tag F0577
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected August 21, 2023
June 28, 2023
Standard
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.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected August 21, 2023
June 28, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected August 21, 2023
June 28, 2023
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected August 21, 2023
June 28, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected August 21, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 3 federal penalties in the past three years, including $97,417 in fines.

DatePenaltyAmount / length
July 30, 2025Payment Denial4 days from August 28, 2025
July 30, 2025Fine$60,418
December 7, 2023Fine$36,999

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
MYRICK, FRED
Individual
5% or greater direct ownership interest50%08/01/2019
SMITH, DAWNE
Individual
5% or greater direct ownership interest50%08/01/2019
DSRM PROPCO LAFAYETTE, LLC
Organization
5% or greater mortgage interestNOT APPLICABLE04/01/2020
DSRM PROPCO LAFAYETTE, LLC
Organization
adp of the snfNOT APPLICABLE04/01/2020
MYRICK, FRED
Individual
adp of the snfNOT APPLICABLE08/01/2019
PARAMOUNT HEALTHCARE CONSULTANTS, LLC
Organization
adp of the snfNOT APPLICABLE04/01/2020
RAMIREZ ASTACIO, CESAR
Individual
adp of the snfNOT APPLICABLE07/05/2023
SMITH, DAWNE
Individual
adp of the snfNOT APPLICABLE08/01/2019
WALTERS, CINDY
Individual
adp of the snfNOT APPLICABLE05/20/2024
WALTERS, CINDY
Individual
operational/managerial controlNOT APPLICABLE05/20/2024

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Frequently asked questions

What is Cornerstone at the Ranch's rating?

Cornerstone at the Ranch has 1 out of 5 stars on the CMS overall star rating. The average for Louisiana nursing homes is 2.6 stars.

How many inspection citations did Cornerstone at the Ranch receive?

Its most recent standard health inspection found 8 citations, compared with a Louisiana average of 6.4. Every citation is listed on this page with its severity.

Does Cornerstone at the Ranch accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Cornerstone at the Ranch?

It is for profit - corporation and part of Paramount Healthcare Consultants. The ownership section on this page lists the owners and managers reported to CMS.

Where is Cornerstone at the Ranch and how do I contact it?

Cornerstone at the Ranch is at 103 West Martial Ave, Lafayette, LA 70506. Phone: (337) 981-5335.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.