Lafayette, LA · less than 1 mile away
Cornerstone at the Ranch
⌖ Lafayette, LA · Lafayette County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds148
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Cornerstone at the Ranch
Cornerstone at the Ranch is a 148-bed for-profit nursing home in Lafayette, LA. Medicare rates it 1 out of 5 stars overall (much below average); the average in Louisiana is 2.6. At its last full inspection (Jul 2025), inspectors found 8 problems, more than the Louisiana average of 6.4. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 20 min a day with each resident, less than the Louisiana average of 3 hr 45 min. Medicare fined it $97,417 in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameCornerstone At The Ranch
LocationLafayette County, Louisiana
Phone(337) 981-5335
Address103 West Martial Ave, Lafayette, LA 70506 · Lafayette County
CMS provider number195565
Ownership typeFor-profit (corporation)
Operating companyParamount Healthcare Consultants · 14 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceDecember 6, 2002 (23 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
5 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Things to ask about
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- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jul 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Fines and penalties2 fines totaling $97,417; 1 Medicare payment denialFederal penalties from the last three years, most recently in Jul 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection8 (Jul 2025)Louisiana average: 6.4. Most citations are minor and corrected within weeks.Worse than state average
- Nurse staffing per resident3 hr 20 min a dayLouisiana average: 3 hr 45 minWorse than state average
- Registered nurse time per resident9 min a dayLouisiana average: 19 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Louisiana average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital26.0%State average: 28.0%About average
- Needed an emergency room visit15.6%State average: 14.8%About average
- Newly given antipsychotic drugs0.6%State average: 3.1%Better than average
Physical therapist time: about 2 minutes per resident a day. That is less than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury5.6%State average: 3.5%Worse than average
- Pressure sores (bedsores)7.8%State average: 5.6%Worse than average
- Given antipsychotic drugs13.7%State average: 22.7%Better than average
- Hospital stays per 1,000 resident days4.0State average: 2.6Worse than average
Source: Medicare (CMS) quality measures, compared with the Louisiana average. Lower is better for every rate shown.
Who pays, and how full it is
Residents’ care here is paid by a mix of Medicaid, Medicare and private pay. In Louisiana, Medicaid pays for 73% of resident days at a typical home.
- 39% Medicaid
- 17% Medicare
- 44% Private pay, insurance and other
Beds in use, on average50%Louisiana typical: 75%
Cost of care per resident day$296Louisiana typical: $284
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 4 stars in January 2019. It has ranged from 1 to 4 stars and changed 10 times.
Overall rating1★
Health inspections2★
Staffing1★
Quality of care3★
Nurse hours per resident per day3.3
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 4 | 4 | 2 | 4.2 |
| Jan 2020 | 4 | 4 | 4 | 2 | 6.6 |
| Jan 2021 | 2 | 3 | 3 | 1 | 4.5 |
| Jan 2022 | 2 | 3 | 1 | 2 | 3.5 |
| Jan 2023 | 1 | 1 | 1 | 1 | 3.7 |
| Jan 2024 | 1 | 1 | 2 | 2 | 3.8 |
| Feb 2025 | 1 | 1 | 2 | 3 | 4.0 |
| Feb 2026 | 1 | 2 | 1 | 3 | – |
| Sep 2026 | 1 | 2 | 1 | 3 | 3.3 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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