All states › Louisiana › Lafayette › Cornerstone at the Ranch
103 West Martial Ave Lafayette, LA 70506 · Lafayette County
All 8 nursing homes in Lafayette, LA (7 take Medicaid)
CMS certification number 195565 · See this home on Medicare Care Compare
Is Cornerstone at the Ranch a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Cornerstone at the Ranch as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Louisiana average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.83 hours per resident per day at Cornerstone at the Ranch, above the Louisiana median of 3.73 (US median: 3.72). About 0.18 of those hours are from registered nurses. On weekends it falls to 3.39 hours, 12% below its all-week average.
About this nursing home
Paying for care at Cornerstone at the Ranch: Medicare and Medicaid
Cornerstone at the Ranch is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Louisiana's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 5, 2026 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 46 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 46 citations at Cornerstone at the Ranch across 9 inspection dates, 21 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 30, 2025. The most common areas cited were resident assessment and care planning (9) and resident rights (7). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, July 30, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 5, 2026 · 7 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DProvide and implement an infection prevention and control program.
July 30, 2025 · 8 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EHave a plan that describes the process for conducting QAPI and QAA activities.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DEnsure 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.
DDispose of garbage and refuse properly.
June 16, 2025 · 2 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
November 6, 2024 · 2 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 24, 2024 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 27, 2024 · 4 citations · includes complaint inspection
DHonor 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.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide and implement an infection prevention and control program.
July 10, 2024 · 14 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor 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.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
May 8, 2024 · 1 citation · includes complaint inspection
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
December 7, 2023 · 7 citations · includes complaint inspection
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
FDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Cornerstone at the Ranch
- Inspectors cited the home at the actual-harm level on July 30, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 30, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The home averages about 52% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $97,417 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 30, 2025 | Fine | $60,418 |
| Jul 30, 2025 | Payment Denial | 4 days of payments denied |
| Dec 7, 2023 | Fine | $36,999 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
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Location
Hospitals near Cornerstone at the Ranch
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.1 mi
-
1.2 mi
Our Lady of Lourdes Regional Medical Center, INC LafayetteEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 20m for patients treated and sent home
- 1.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Cornerstone at the Ranch › All nursing homes in Lafayette ›
Compare Cornerstone at the Ranch with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Amelia Manor Nursing Home · Lafayette · 4 stars · 5.8 mi
- Pelican Pointe Healthcare and Rehabilitation · Maurice · 4 stars · 6.4 mi
- Courtyard Manor Nurse Care Center & Assisted Liv · Lafayette · 4 stars · 8.0 mi
- Louisiana Extended Care Hospital of Lafayette · Lafayette · 3 stars · 3.2 mi
Other Paramount Healthcare Consultants nursing homes in Louisiana
- Rayville Nursing and Rehabilitation · Rayville · 4 stars
- Princeton Place-Ruston · Ruston · 4 stars
- Delta Grande Skilled Nursing and Rehabilitation · Monroe · 4 stars
- Leslie Lakes Retirement Center · Arcadia · 4 stars
- Savoy Care Center · Mamou · 3 stars
- Legrand Healthcare and Rehabilitation Center · Bastrop · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 14 Paramount Healthcare Consultants nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.