Cornerstone at the Ranch
103 West Martial Ave, Lafayette, LA 70506 · (337) 981-5335 · CMS certification number 195565
Cornerstone at the Ranch is a 148-bed for-profit nursing home in Lafayette, Louisiana, certified for Medicare and Medicaid since 2002. CMS rates it 1 out of 5 stars overall. Its last three inspection cycles produced 46 health citations, 1 of them at the level CMS classes as actual harm or immediate jeopardy.
CMS star ratings
| Overall | ★★★★★ |
|---|---|
| Health inspections | ★★★★★ |
| Staffing | ★★★★★ |
| Quality measures | ★★★★★ |
How it compares
| This facility | Louisiana average | |
|---|---|---|
| Health citations, most recent inspection cycle | 7 | 6.2 |
| Nurse staffing hours per resident per day | 3.83 | 3.82 |
| Nursing staff turnover | — | 47.1% |
| Overall star rating | 1 | 2.6 |
Facility details
| Ownership | For profit - Limited Liability company |
|---|---|
| Chain | Paramount Healthcare Consultants (14 facilities) |
| Certified beds | 148 (about 77 residents a day) |
| County | Lafayette |
| Last standard inspection | August 5, 2026 |
Inspection history
46 citations from 9 inspections, 21 of them from complaint inspections. Newest first; select an inspection to see its citations.
August 5, 2026 7 citations · standard, complaint inspection Potential harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Potential for more than minimal harm (pattern) Nutrition and Dietary Complaint
Tag F0812 · severity code E · corrected Sep 10, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Potential for more than minimal harm (pattern) Pharmacy Service
Tag F0755 · severity code E · corrected Sep 10, 2026
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (isolated) Infection Control
Tag F0880 · severity code D · corrected Sep 10, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Potential for more than minimal harm (isolated) Nutrition and Dietary
Tag F0803 · severity code D · corrected Sep 10, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0695 · severity code D · corrected Sep 10, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0686 · severity code D · corrected Sep 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0656 · severity code D · corrected Sep 10, 2026
July 30, 2025 8 citations · standard inspection Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to residents (isolated) Quality of Life and Care
Tag F0686 · severity code G · corrected Aug 22, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Potential for more than minimal harm (pattern) Freedom from Abuse, Neglect, and Exploitation
Tag F0605 · severity code E · corrected Aug 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning
Tag F0656 · severity code E · corrected Aug 22, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Potential for more than minimal harm (pattern) Administration
Tag F0865 · severity code E · corrected Aug 22, 2025
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.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0578 · severity code D · corrected Aug 22, 2025
Ensure each resident receives an accurate assessment.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0641 · severity code D · corrected Aug 22, 2025
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.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0761 · severity code D · corrected Aug 22, 2025
Dispose of garbage and refuse properly.
Potential for more than minimal harm (isolated) Nutrition and Dietary
Tag F0814 · severity code D · corrected Aug 22, 2025
June 16, 2025 2 citations · complaint inspection Potential harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Potential for more than minimal harm (pattern) Nutrition and Dietary Complaint
Tag F0812 · severity code E · corrected Jul 25, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Potential for more than minimal harm (isolated) Environmental Complaint
Tag F0921 · severity code D · corrected Jul 25, 2025
November 6, 2024 2 citations · complaint inspection Potential harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0842 · severity code D · corrected Nov 30, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Potential for more than minimal harm (isolated) Resident Rights Complaint
Tag F0580 · severity code D · corrected Nov 30, 2024
September 24, 2024 1 citation · complaint inspection Potential harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0842 · severity code D · corrected Oct 9, 2024
August 27, 2024 4 citations · complaint inspection Potential harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Potential for more than minimal harm (isolated) Nursing and Physician Services Complaint
Tag F0725 · severity code D · corrected Sep 27, 2024
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (isolated) Infection Control Complaint
Tag F0880 · severity code D · corrected Sep 27, 2024
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.
Potential for more than minimal harm (isolated) Nursing and Physician Services Complaint
Tag F0726 · severity code D · corrected Sep 27, 2024
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.
Potential for more than minimal harm (isolated) Resident Rights Complaint
Tag F0584 · severity code D · corrected Sep 27, 2024
July 10, 2024 14 citations · standard, complaint inspection Potential harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning
Tag F0656 · severity code E · corrected Aug 16, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0695 · severity code D · corrected Aug 16, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0550 · severity code D · corrected Aug 16, 2024
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.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0584 · severity code D · corrected Aug 16, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0655 · severity code D · corrected Aug 16, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0697 · severity code D · corrected Aug 16, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Potential for more than minimal harm (isolated) Nursing and Physician Services Complaint
Tag F0725 · severity code D · corrected Aug 16, 2024
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.
Potential for more than minimal harm (isolated) Nursing and Physician Services
Tag F0726 · severity code D · corrected Aug 16, 2024
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.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0761 · severity code D · corrected Aug 16, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Potential for more than minimal harm (isolated) Nutrition and Dietary
Tag F0806 · severity code D · corrected Aug 16, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0842 · severity code D · corrected Aug 16, 2024
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.
Potential for more than minimal harm (isolated) Administration
Tag F0849 · severity code D · corrected Aug 16, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Potential for more than minimal harm (isolated) Environmental
Tag F0919 · severity code D · corrected Aug 16, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Potential for more than minimal harm (isolated) Environmental Complaint
Tag F0921 · severity code D · corrected Aug 16, 2024
May 8, 2024 1 citation · complaint inspection Potential harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Potential for more than minimal harm (isolated) Quality of Life and Care Complaint
Tag F0744 · severity code D · corrected Jun 14, 2024
December 7, 2023 7 citations · complaint inspection Potential harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Potential for more than minimal harm (widespread) Administration Complaint
Tag F0835 · severity code F · corrected Jan 21, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Potential for more than minimal harm (widespread) Infection Control Complaint
Tag F0883 · severity code F · corrected Jan 21, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Potential for more than minimal harm (widespread) Infection Control Complaint
Tag F0882 · severity code F · corrected Jan 21, 2024
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (isolated) Infection Control Complaint
Tag F0880 · severity code D · corrected Jan 21, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0656 · severity code D · corrected Jan 21, 2024
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.
Potential for more than minimal harm (isolated) Resident Rights Complaint
Tag F0585 · severity code D · corrected Jan 21, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Potential for more than minimal harm (isolated) Resident Rights Complaint
Tag F0580 · severity code D · corrected Jan 21, 2024
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| Jul 30, 2025 | Fine | $60,418 |
| Jul 30, 2025 | Payment Denial | 4 days of denied Medicare payment |
| Dec 7, 2023 | Fine | $36,999 |
Covers roughly the last three years, as CMS publishes them.
Nursing home negligence lawyers in Lafayette
Lawbamba lists 5 nursing home negligence lawyers with an office in Lafayette, Louisiana, the practice area that deals with the nursing home inspection records on this page. These 4 come first in that listing (how the order is set).
Matched by practice area and office location only. These lawyers are not connected to the records on this page and have not reviewed or endorsed it.
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Source: the Centers for Medicare & Medicaid Services (CMS) nursing home data published on data.cms.gov and Medicare's Care Compare, updated on Lawbamba November 12, 2026. Citations come from state health inspections, standard and complaint-driven, over each facility's last three inspection cycles. A citation describes what inspectors found on the inspection date; facilities can dispute citations, and most are corrected afterwards. Star ratings, fines and the abuse icon are CMS's own.
Lawbamba is not affiliated with CMS or any nursing home, and this page is general information, not legal advice. Report a concern about a nursing home to your state survey agency or long-term care ombudsman.