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.

46Health citations, last 3 inspection cycles
1At actual harm or immediate jeopardy level
1In CMS's abuse, neglect and exploitation category
$97,417Federal fines (2) + 1 payment denial

CMS star ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality measures★★★★★

How it compares

This facilityLouisiana averageUS average
Health citations, most recent inspection cycle76.29.2
Nurse staffing hours per resident per day3.833.823.90
Nursing staff turnover—47.1%45.3%
Overall star rating12.63.0

Facility details

OwnershipFor profit - Limited Liability company
ChainParamount Healthcare Consultants (14 facilities)
Certified beds148 (about 77 residents a day)
CountyLafayette
Last standard inspectionAugust 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

DateTypeAmount / length
Jul 30, 2025Fine $60,418
Jul 30, 2025Payment Denial 4 days of denied Medicare payment
Dec 7, 2023Fine $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).

Louis Burgess
Law Offices Of L. Clayton Burgess
Nursing Home Negligence, Criminal Defense, Medical Malpractice
Lafayette · 5.0★ from 1 review
Mark Artall
Mark G Artall, A Professional Law Corporation
Nursing Home Negligence, Construction, Criminal Defense
Lafayette · 3.9★ from 15 reviews
Michael Daiy
Michael G Daiy, Aplc
Nursing Home Negligence, Admiralty & Maritime, Aviation & Aerospace
Lafayette
Joseph R. Joy
Joseph R. Joy & Associates
Nursing Home Negligence, Admiralty & Maritime, Aviation & Aerospace
Lafayette

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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Other nursing homes in Lafayette

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.