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Medicare-certifiedSkilled Nursing

Cornerstone at the Ranch

Lafayette, LouisianaMedicare inspection record
(337) 981-5335

About Cornerstone at the Ranch

Cornerstone at the Ranch brings together experienced medical care and compassionate support for patients in Lafayette, Louisiana who need skilled nursing and rehabilitation services. Our team focuses on helping residents regain strength and independence through personalized treatment plans and attentive daily care.

Community at a glance

Capacity

148 residents

Location

Lafayette, LA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

103 West Martial Ave, Lafayette, Louisiana 70506

(337) 981-5335

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on July 30, 2025, state inspectors cited 8 health deficiencies (the Louisiana average is 6.4).

Nurses and nurse aides spend 3 hours 20 minutes with each resident a day, below the Louisiana average of 3 hours 46 minutes.

Medicare fined Cornerstone at the Ranch 2 times in the last three years, $97,417 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 20 minutesBelow the Louisiana average
Registered nurse time per resident, per day9 minutesBelow the Louisiana average

Inspections

39 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 30, 2025 · Standard inspection · 8 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Aug 22, 2025
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Aug 22, 2025
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected 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.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Aug 22, 2025
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 22, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 22, 2025

June 16, 2025 · Complaint investigation · 2 citations

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 25, 2025
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Jul 25, 2025
November 6, 2024 · Complaint investigation · 2 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 30, 2024
September 24, 2024 · Complaint investigation · 1 citation+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 9, 2024
August 27, 2024 · Complaint investigation · 4 citations+
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 27, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Sep 27, 2024
July 10, 2024 · Standard inspection · 14 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Aug 16, 2024
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Aug 16, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Aug 16, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 16, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 16, 2024
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Aug 16, 2024
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Aug 16, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Aug 16, 2024
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 16, 2024
May 8, 2024 · Complaint investigation · 1 citation+
  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 14, 2024
December 7, 2023 · Complaint investigation · 7 citations+
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected Jan 21, 2024
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Jan 21, 2024
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 21, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 21, 2024

Fines and payment denials

2 fines totaling $97,417 and 1 Medicare payment denial in the last three years.

  • July 30, 2025Fine: $60,418
  • July 30, 2025Payment denial, 4 days
  • December 7, 2023Fine: $36,999

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Dsrm Lafayette Opco LLC
Medicare-certified beds
148
Average residents per day
79
Accepts
Medicare and Medicaid
First certified
December 6, 2002
Part of a chain
Paramount Healthcare Consultants, 14 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
195565

Location

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103 West Martial AveLafayette, LA 70506

12 other communities within 10 miles

Senior living near Lafayette

Questions about Cornerstone at the Ranch

How did Cornerstone at the Ranch do on its last inspection?+

State inspectors visited on July 30, 2025 and cited 8 health deficiencies. The Louisiana average is 6.4.

How much nursing care does each resident get at Cornerstone at the Ranch?+

Nurses and aides spend 3 hours 20 minutes with each resident per day, including 9 minutes from registered nurses.

Has Cornerstone at the Ranch been fined by Medicare?+

Yes. Medicare fined Cornerstone at the Ranch 2 times in the last three years, totaling $97,417.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Lafayette Skilled Nursing in Louisiana Skilled Nursing guide Information last updated October 2026