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
Data as of July 1, 2026
1 of 5 overall
Cornerstone at the Ranch in Lafayette, LA has an overall rating of 1 out of 5 stars, with very low staffing (1 star) and nurse staffing below the federal benchmark at 3.33 hours per resident per day versus 4.1. It also has a recent federal penalty and $60,418 in fines over the last 24 months, with health inspection at 2 stars and quality measures at 3 stars.
Facility ratings
Health inspections
Staffing
3.3316 hrs/resident/day
Quality measures
Last inspection: July 30, 2025Penalties, last 24 months: $60,418recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3316.
Staffing detail
- Registered nurses
- 0.14
- Licensed practical nurses
- 1.25
- Nurse aides
- 1.93
- Weekend nursing
- 2.95
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.5%16.7%Worsening
Residents with a fall causing major injury
4.8%6.5%Worsening
Residents with pressure ulcers (bedsores)
4.1%12.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.1%8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.4%14%Improving
Residents whose ability to walk got worse
—42.2%—
Long-stay residents on antianxiety or sleep medication
14.3%18.9%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.6%5.2%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—86.4%—
Long-stay residents given the pneumonia vaccine
100%25.8%Worsening
Short-stay residents given the seasonal flu vaccine
—32.7%—
Short-stay residents given the pneumonia vaccine
100%7.4%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
- PENALTY
A federal fine of $60,418 was recorded.
- 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 · $97,417 in total fines · 1 payment denial.
- 4 days
Medicare/Medicaid payment denial
Jul 30, 2025
- $60,418
Federal fine
Jul 30, 2025
- $36,999
Federal fine
Dec 7, 2023
Operator & ownership
Recent ownership change · Aug 1, 2019
Now operated by Dsrm Lafayette Opco LLC, previously Bethany Mhs Health Care Center.
- Ownership
- For profit - Corporation
- Chain
- Part of PARAMOUNT HEALTHCARE CONSULTANTS · 14 homes · 2.4 stars avg
- Occupancy
- 78.5 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.