Nursing HomeInspections

Cornerstone at the Ranch

Nursing home in Lafayette, LA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
103 West Martial Ave, Lafayette, LA 70506
Phone
(337) 981-5335
Listed under
For-profit
Medicare CCN
195565
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
148
Average residents per day
77
Ownership
For-profit, limited Liability company
Legal business name
Dsrm Lafayette Opco LLC
Chain
Paramount Healthcare Consultants (14 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 6, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 195565. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 5, 2026. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 7, 2023 to Aug 5, 2026): 21 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 5, 2026Develop 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
D
Potential for more than minimal harm, isolated
Aug 5, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 5, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 5, 2026Ensure 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.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Aug 5, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Aug 5, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
E
Potential for more than minimal harm, pattern
Aug 5, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 30, 2025Honor 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…
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 30, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 30, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jul 30, 2025Dispose of garbage and refuse properly.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 30, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 46. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $97,417 and 1 denial of Medicare payment for new admissions in the last three years.

Jul 30, 2025Fine: $60,418
Jul 30, 2025Payment denial for 4 days from Aug 28, 2025
Dec 7, 2023Fine: $36,999

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.83 hours
Registered nurse (RN) time per resident per day
0.18 hours
Nurse aide time per resident per day
2.37 hours
Total nurse staffing on weekends
3.39 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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