ElderGrade
D

52.7/100

Below average

Cornerstone At The Ranch

103 West Martial Ave, Lafayette, LA 70506

CMS 1/5 stars #6 of 10 in Lafayette County (337) 981-5335
Certified beds
148
Occupancy
53%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $97,417 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

18.2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -7.8 for 39 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.88 total nurse hours per resident per day (national median 3.77)
  • 0.14 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $97,417 in federal fines across 2 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.33 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.14 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.95 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 56 citations

Last standard health inspection: July 30, 2025 (1 year ago).

G Jul 30, 2025 F0686

Quality of Life and Care Deficiencies

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

Actual harm to a resident

E Jul 30, 2025 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

E Jul 30, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

E Jul 30, 2025 F0865

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

No actual harm, potential for more than minimal harm

D Jul 30, 2025 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Jul 30, 2025 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Jul 30, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Jul 30, 2025 F0814

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PARAMOUNT HEALTHCARE CONSULTANTS, which operates 14 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
DSRM PROPCO LAFAYETTE, LLC Organization 5% OR GREATER MORTGAGE INTEREST
WALTERS, CINDY Individual OPERATIONAL/MANAGERIAL CONTROL
DSRM PROPCO LAFAYETTE, LLC Organization ADP OF THE SNF
PARAMOUNT HEALTHCARE CONSULTANTS, LLC Organization ADP OF THE SNF
MYRICK, FRED Individual ADP OF THE SNF
RAMIREZ ASTACIO, CESAR Individual ADP OF THE SNF
SMITH, DAWNE Individual ADP OF THE SNF
WALTERS, CINDY Individual ADP OF THE SNF
MYRICK, FRED Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
SMITH, DAWNE Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Cornerstone At The Ranch

What is the ElderGrade for Cornerstone At The Ranch? +

Cornerstone At The Ranch holds an ElderGrade of D (52.7 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Cornerstone At The Ranch? +

Residents receive an average of 3.33 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Cornerstone At The Ranch been cited for harming residents? +

Yes. 1 of the 56 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Cornerstone At The Ranch accept Medicaid? +

Yes, Cornerstone At The Ranch is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.