Quick answers
- Where is Cornerstone at the Ranch?
- 103 West Martial Ave, Lafayette, LA 70506, in Lafayette Parish, Louisiana.
- What is the phone number of Cornerstone at the Ranch?
- (337) 981-5335, as listed by Medicare (CMS).
- What is the Medicare star rating of Cornerstone at the Ranch?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Cornerstone at the Ranch been fined?
- Medicare lists 2 fines totaling $97,417 and 1 payment denial.
- What did inspectors find at Cornerstone at the Ranch?
- In its last three inspection cycles (December 7, 2023 to August 5, 2026), Medicare lists 46 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 7, 2023 to August 5, 2026), Cornerstone at the Ranch had 46 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $97,417 in total (2 fines, the latest on July 30, 2025) and had 1 Medicare payment denial. Nurse staffing is 3.83 hours per resident per day; the Louisiana average is 3.82 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: August 5, 2026 — 7 health citations
Inspections in this cycle: August 5, 2026 (complaint investigation); August 5, 2026 (standard health inspection).
Show 7 citations (levels A to F, no actual harm)
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0803 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: July 30, 2025 — 12 health citations
Inspections in this cycle: November 6, 2024 (complaint investigation); June 16, 2025 (complaint investigation); July 30, 2025 (standard health inspection).
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 11 less serious citations (levels A to F)
F0605 Level E
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0865 Level E
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0578 Level D
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0761 Level D
“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.”
F0814 Level D
“Dispose of garbage and refuse properly.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Earlier cycle: July 10, 2024 — 27 health citations
Inspections in this cycle: December 7, 2023 (complaint investigation); May 8, 2024 (complaint investigation); July 10, 2024 (complaint investigation); July 10, 2024 (standard health inspection); August 27, 2024 (complaint investigation); September 24, 2024 (complaint investigation).
Show 27 citations (levels A to F, no actual harm)
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0883 Level F
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0584 Level D
“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.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0726 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0584 Level D
“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.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0726 Level D
“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.”
F0761 Level D
“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.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0849 Level D
“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.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0744 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0585 Level D
“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.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (8)
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0345 Level D
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0345 Level D
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0916 Level D
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
Fines and payment denials
Total fines over about the last three years: $97,417 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 30, 2025 | Fine | $60,418 |
| July 30, 2025 | Payment denial | from August 28, 2025, 4 days |
| December 7, 2023 | Fine | $36,999 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Louisiana | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.18 | 0.31 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.29 | 1.18 | 0.86 |
| Nurse aide hours per resident per day | 2.37 | 2.32 | 2.35 |
| Total nurse staff hours per resident per day | 3.83 | 3.82 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.39 | 3.24 | 3.43 |
| RN hours per resident per day on the weekend | 0.12 | 0.21 | 0.48 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 14 nursing homes: Paramount Healthcare Consultants.
Legal business name: DSRM Lafayette Opco LLC.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Myrick, Fred | Direct owner | 50% | August 1, 2019 |
| Smith, Dawne | Direct owner | 50% | August 1, 2019 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 148 |
| Average residents per day | 77.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Paramount Healthcare Consultants |
| Legal business name | DSRM Lafayette Opco LLC |
| First approved by Medicare/Medicaid | 2002-12-06 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 103 West Martial Ave, Lafayette, LA 70506 |
| Parish | Lafayette Parish |
| State | Louisiana |
| Phone | (337) 981‑5335 |
| CMS Certification Number | 195565 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Maison de Lafayette1.0 mi · Lafayette, LA · 1 of 5 stars
- Louisiana Extended Care Hospital of Lafayette3.2 mi · Lafayette, LA · 3 of 5 stars
- Camelot Rehabilitation at Magnolia Park3.6 mi · Lafayette, LA · 1 of 5 stars
- Lady of the Oaks Retirement Manor4.0 mi · Lafayette, LA · 2 of 5 stars
- Camelot of Broussard4.1 mi · Broussard, LA · 3 of 5 stars
Nearest hospital emergency rooms
- Our Lady of Lourdes Regional Medical Center, Inc1.2 mi · Lafayette, LA · Acute Care Hospital
- Ochsner Lafayette General Medical Center2.9 mi · Lafayette, LA · Acute Care Hospital
- Ochsner University Hospital and Clinics3.6 mi · Lafayette, LA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13