The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Cornerstone at the Ranch
Lafayette, LA · Medicare-certified · 148 beds
Needs attention
For-profitChain member
1 of 5 overall
Cornerstone at the Ranch in Lafayette, LA has a 1-star overall rating, with especially weak staffing (1 star) and a nurse staffing level of 3.88 hours per resident per day, below the federal benchmark of 4.1. It also has a recent federal penalty, $59,378 in fines over the last 24 months, a 2-star health inspection rating, and cited issues with pressure ulcer care, administration, and infection prevention.
Facility ratings
Health inspections
Staffing
3.8807 hrs/resident/day
Quality measures
Last inspection: July 30, 2025Penalties, last 24 months: $59,378recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8807.
Staffing detail
- Registered nurses
- 0.13
- Licensed practical nurses
- 1.29
- Nurse aides
- 2.46
- Weekend nursing
- 3.37
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.7%Worsening
Residents with a fall causing major injury
4.8%Worsening
Residents with pressure ulcers (bedsores)
5.3%Worsening
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
5.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
29.5%Worsening
Residents whose ability to walk got worse
38.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
14.9%Improving
Short-stay residents newly given an antipsychotic
0.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.1%Improving
Residents with depressive symptoms
0.4%Worsening
Long-stay residents given the seasonal flu vaccine
86.4%Steady
Long-stay residents given the pneumonia vaccine
79.9%Worsening
Short-stay residents given the seasonal flu vaccine
32.7%Steady
Short-stay residents given the pneumonia vaccine
80%Worsening
What the inspectors found
The home failed to run its operations effectively and efficiently using its available resources. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $59,378 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $96,377 in total fines · 1 payment denial.
- 4 days
Medicare/Medicaid payment denial
Jul 30, 2025
- $59,378
Federal fine
Jul 30, 2025
- $36,999
Federal fine
Dec 7, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PARAMOUNT HEALTHCARE CONSULTANTS · 14 homes · 2.4 stars avg
- Occupancy
- 78.6 residents on an average day (53% of 148 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.