Nursing homeFAID #5280
Cornerstone At the Ranch
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare
Photo via Google · Cornerstone at the Ranch Bethany Rehabilitation
Public record summary
What we can show you for free.
Bed capacity
148
CMS facility ID
195565
Care type
Nursing home
County
Lafayette
Facility name
Cornerstone At the Ranch
Street address
103 WEST MARTIAL AVE
City / state / ZIP
Lafayette, LA 70506
Phone
(337) 981-5335
Website
About this facility — Cornerstone At the Ranch
Cornerstone At the Ranch is a Medicare/Medicaid-certified skilled nursing facility in Lafayette, Louisiana. It is licensed for 148 beds — above the median for skilled nursing facilities in Louisiana (122 beds).
It is one of 22 senior care facilities in Lafayette and 266 skilled nursing facilities across Louisiana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Cornerstone At the Ranch 68 times across 13 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $97,417 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Paramount Healthcare Consultants
Ownership type
For profit - Corporation
Registered owners & officers
Myrick, Fred
Direct owner · Additional disclosable party — 50% stake — since 2019
Smith, Dawne
Direct owner · Additional disclosable party — 50% stake — since 2019
Dsrm Propco Lafayette, Llc
Mortgage holder · Additional disclosable party — since 2020
Paramount Healthcare Consultants, Llc
Additional disclosable party — since 2020
Ramirez Astacio, Cesar
Additional disclosable party — since 2023
Walters, Cindy
Operational control · Additional disclosable party — since 2024
Regulatory standing
Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2002-12-06
CMS overall rating
1 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
$97,417 total
Last standard inspection
2025-07-30
Nurse staffing
3.3 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$294 per day (≈ $8,940/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
39% Medicaid · 20% Medicare · 42% private/other
Occupancy
57% (fiscal year 2023)
Vs. state median
14% above the LA median of $258/day — full state cost breakdown
Services & coverage
Licensed beds
148
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2025-07-30Health inspection8 citations
F-0578
D · No harm found
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 2025-08-22
F-0605
E · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-22
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-08-22
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-22
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-22
F-0761
D · No harm found
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 2025-08-22
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2025-08-22
F-0865
E · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-08-22
2025-06-16Health inspectionComplaint-triggered2 citations
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-25
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-25
10 earlier / fire-safety inspections (58 citations)
2024-11-06Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-30
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-30
2024-09-24Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-09
2024-08-27Health inspectionComplaint-triggered4 citations
F-0584
D · No harm foundFrom a 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 2024-09-27
F-0725
D · No harm foundFrom a 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 2024-09-27
F-0726
D · No harm foundFrom a 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 2024-09-27
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-09-27
2024-07-10Health inspectionComplaint-triggered14 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-16
F-0584
D · No harm found
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 2024-08-16
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-16
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-16
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-16
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-08-16
F-0725
D · No harm foundFrom a 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 2024-08-16
F-0726
D · No harm found
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 2024-08-16
F-0761
D · No harm found
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 2024-08-16
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-08-16
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-16
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-08-16
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-08-16
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-08-16
2024-05-08Health inspectionComplaint-triggered1 citation
F-0744
D · No harm foundFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-06-14
2023-12-07Health inspectionComplaint-triggered7 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-21
F-0585
D · No harm foundFrom a complaint
Honor 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.
Corrected 2024-01-21
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-21
F-0835
F · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-01-21
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-01-21
F-0882
F · No harm foundFrom a complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-01-21
F-0883
F · No harm foundFrom a complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-01-21
2023-06-28Health inspection17 citations
F-0554
E · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-08-21
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-08-21
F-0577
E · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-08-21
F-0578
E · No harm found
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 2023-08-21
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-08-21
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-21
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-21
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-21
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-21
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-08-21
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-21
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-08-21
F-0726
D · No harm found
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 2023-08-21
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-21
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-08-21
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-21
F-0947
E · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-08-21
2025-07-30Fire-safety inspection2 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-01
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-01
2024-07-10Fire-safety inspection6 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-16
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-08-16
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-16
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-10-08
K-0916
D · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-08-16
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-16
2023-06-28Fire-safety inspection4 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-12
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-08-12
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-12
K-0912
D · No harm found
Have power receptacles that are properly grounded.
Corrected 2023-08-12
Federal penalties
2025-07-30Fine$60,418
2023-12-07Fine$36,999
2025-07-30Medicare payment denial — 4 days
Total fines$97,417
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 195565.
Visitor reviews
What people say on Google.
3.3★★★★★35 ratings on Google
★★John Winn · 2026-02-05 · via Google“My mother has been in the bethany rehab side. The nursing staff is friendly but sometimes takes to long like over 45 minutes to get back to my mother. The are are understaffed as far as nursing and cna staff. However she loves the physical therapy people. If you visit a lot. Then they seem to take care of you family members more than when your now around as much”
★★★★Renee Granger · 2026-03-02 · via Google“I have had good experience dealing with staff and business office for my mom. When i have any issues, it is taken care of. Staff is considerate and caring.”
★★★★★Melissa Hebert · 2025-04-01 · via Google“My mom has been a resident here for 5 years and the staff takes such loving care of her. She has become part of the Cornerstone family. The staff is knowledgeable and very friendly to the residents and as a family member, they have always been friendly and welcoming to me. The nursing staff is excellent. They address my concerns and have a genuine sense of urgency when needed. I couldn’t ask fo…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 68 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered