Lafayette Parish, Louisiana · Nursing home
Cornerstone at the Ranch
1 of 5 overall from CMS
103 West Martial Ave, Lafayette, LA 70506
At a glance
- Overall rating 1 of 5 Below the state average of 2.6
- Nurse time per resident, per day 3.33 hours Below the state average of 3.76
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 56 1 at the harm level or above
- Fines in 3 years $97,417 2 fines
- Certified beds in use 53.0% of 148 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Cornerstone at the Ranch is a 148-bed nursing home in Lafayette, Louisiana (Lafayette Parish). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.33 nurse staffing hours per resident per day, below the Louisiana average of 3.76. CMS lists 2 fines totaling $97,417 in the past three years.
- Certified beds
- 148
- Residents per day (average)
- 78.5
- Certified since
- 2002 (24 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Paramount Healthcare Consultants (14 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Cornerstone at the Ranch
Chosen from this home's public data.
- CMS lists 2 fines totaling $97,417 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 8 health deficiencies in the latest inspection cycle (the standard inspection on Jul 30, 2025 plus complaint and infection-control inspections); the Louisiana average is 6.4. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.95 hours per resident on weekends against 3.33 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Louisiana average 2.6
- Health inspections 2 of 5 Louisiana average 2.9
- Staffing 1 of 5 Louisiana average 2.4
- Quality measures 3 of 5 Louisiana average 2.2
The vertical line marks the Louisiana average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.33 h Louisiana average 3.76
- Nurse aides 1.93 h Louisiana average 2.27
- Licensed practical nurses 1.25 h Louisiana average 1.17
- Registered nurses 0.14 h Louisiana average 0.31
- All staff, weekends 2.95 h Louisiana average 3.21
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the Louisiana average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- Louisiana average47.6%
- Registered nurse turnoverNot reported
- Louisiana average41.6%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Louisiana and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Louisiana | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 25.9% | 17.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.7% | 5.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.4% | 2.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.4% | 2.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.6% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 61.8% | 93.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 31.3% | 17.9% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.6% | 23.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.4% | 94.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 7.8% | 5.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.3% | 15.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.7% | 22.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 3.96 | 2.56 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.21 | 2.74 | 1.78 |
Short-stay residents
| Measure | This home | Louisiana | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 53.2% | 85.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% | 3.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 32.7% | 76.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% | 28.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.6% | 14.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 56 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 20 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 30, 2025: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 30, 2025 | 8 | 2 |
| Jul 10, 2024 | 19 | 6 |
| Jun 28, 2023 | 29 | 4 |
Louisiana homes averaged 6.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (56)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 22, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Aug 22, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Aug 22, 2025)
-
EPotential for more than minimal harm, pattern
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 22, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 22, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jul 25, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jul 25, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Nov 30, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 30, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 9, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Sep 27, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Sep 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Sep 27, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · Deficient, Provider has date of correction (Aug 16, 2024)
Showing the 30 most recent of 56.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 30, 2025 | Fine | $60,418 |
| Jul 30, 2025 | Payment Denial | 4 days |
| Dec 7, 2023 | Fine | $36,999 |
Louisiana homes averaged 0.9 fines and $46,795 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Louisiana
- Size61 of 265 by certified beds
- Louisiana average residents per day90.7
- ChainParamount Healthcare Consultants
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Lafayette8
- Homes in Lafayette Parish10
Common questions
What is the CMS star rating for Cornerstone at the Ranch?
Cornerstone at the Ranch has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 3.
How many beds does Cornerstone at the Ranch have?
Cornerstone at the Ranch has 148 certified beds. It averages 78.5 residents per day, about 53.0% of its certified beds.
How much nursing care do residents get at Cornerstone at the Ranch?
The home reports 3.33 hours of nurse staffing per resident per day, including 0.14 hours from registered nurses. The Louisiana average is 3.76 hours and 0.31 hours from registered nurses.
Has Cornerstone at the Ranch been fined?
Yes. CMS lists 2 fines totaling $97,417 in the past three years. It also lists 1 payment denial.
Does Cornerstone at the Ranch accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Maison de Lafayette 189beds 88.0%in use 3.57nurse hours a day
- 3 of 5 Louisiana Extended Care Hospital of Lafayette 28beds 57.9%in use 6.05nurse hours a day
- 1 of 5 Camelot Rehabilitation at Magnolia Park 160beds 78.5%in use 4.06nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Lafayette Parish
Who to call in Louisiana
These offices serve residents of every nursing home in Louisiana.
- Long-term care ombudsman Louisiana Long-Term Care Ombudsman Program 866-632-0922 (Toll-free (State Office). State Office direct line (225) 342-9723. Regional ombudsman coordinators are listed on the same page.) An advocate for residents and their families.
- File a complaint about a nursing home Louisiana Department of Health, Health Standards Section (nursing home complaints) 888-810-1819 (Nursing home line. Complaints can also be sent by email to HSSComplaints@la.gov.) The state agency that inspects nursing homes.
Louisiana staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 195565. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.