Cornerstone at the Ranch
103 West Martial Ave · Lafayette, LA · 70506 · 3379815335
148 certified beds For profit - Corporation Chain: Paramount Healthcare Consultants
Why this verdict
- Federal penalties on record: $60,418 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
$60,418 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.13 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.13 | 0.55–0.75 |
| Weekend hours / resident-day | 3.37 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $97,417 |
Inspection citations (56 in the current record)
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Actual harm · G July 30, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 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.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · E July 30, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 30, 2025
Ensure each resident receives an accurate assessment.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 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.
Corrected August 22, 2025 · Pharmacy Service
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Potential for harm · D July 30, 2025
Dispose of garbage and refuse properly.
Corrected August 22, 2025 · Nutrition and Dietary
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Potential for harm · E July 30, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected August 22, 2025 · Administration
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Potential for harm · E June 16, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 25, 2025 · Nutrition and Dietary
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Potential for harm · D June 16, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 25, 2025 · Environmental
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Potential for harm · D November 6, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 30, 2024 · Resident Rights
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Potential for harm · D November 6, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 24, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 27, 2024 · found via complaint
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.
Corrected September 27, 2024 · Resident Rights
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Potential for harm · D August 27, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 27, 2024 · Nursing and Physician Services
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Potential for harm · D August 27, 2024 · found via complaint
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.
Corrected September 27, 2024 · Nursing and Physician Services
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Potential for harm · D August 27, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 27, 2024 · Infection Control
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Potential for harm · D July 10, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 16, 2024 · Resident Rights
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Potential for harm · D July 10, 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.
Corrected August 16, 2024 · Resident Rights
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Potential for harm · D July 10, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 10, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 16, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 16, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 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.
Corrected August 16, 2024 · Nursing and Physician Services
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Potential for harm · D July 10, 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.
Corrected August 16, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 30, 2025 | Fine | $60,418 |
| July 30, 2025 | Payment Denial | 4 days |
| December 7, 2023 | Fine | $36,999 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 195565 · certified since December 6, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.