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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Cornerstone at the Ranch is a 148-bed nursing home located on West Martial Avenue in Lafayette, Louisiana. The facility handles funding through common paths like Medicare, Medicaid, and private payments. The surrounding neighborhood is highly walkable, allowing visitors and family members to complete everyday errands easily on foot.
Residents stay for an average of 250 days, an operational timeline that divides the facility’s focus between short-term post-hospital rehabilitation and continuous long-term care. To monitor daily medical needs, the 24-hour floor staff provides an average of 4 hours and 20 minutes of total nursing care per resident each day, with nurse aides supplying 3 hours and 20 minutes of that direct support. On the regulatory side, previous state inspections have noted some recurring operational themes regarding food safety protocols, documentation practices, and general building housekeeping.
The campus provides physical therapy programs, an in-house beauty salon, a courtyard area, and dedicated transitional apartments. The clinical team focuses on functional recovery tracks to help residents return home after an illness or surgery.
Families evaluating local care facilities can tour the physical property to observe the current living environment firsthand. The administration team can help check specific insurance plan details, answer questions about recent state inspection corrections, or confirm current bed availability.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 51st out of 182 homes in Louisiana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 8m per day | ▼ 58% State avg: 19m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 17m per day | ▲ 9% State avg: 1h 11m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 28m per day | ▲ 5% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 22m per day | ▲ 3% State avg: 3h 16m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 30% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 6m per day | ▼ 51% State avg: 13m per day · National avg: 29m per day |
Lower than the Louisiana average: 71.8%In Louisiana, the Department of Health, Health Standards Section performs unannounced onsite surveys to verify that healthcare providers meet both state licensing and federal safety rules.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Louisiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | LA Average | vs. LA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 66 | 32 | This facility has 106% more total deficiencies than a typical Louisiana nursing home (66 vs. LA avg 32).↑ 106% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 22 | 10.7 | This facility has 106% more deficiencies per year than a typical Louisiana nursing home (22 vs. LA avg 10.7).↑ 106% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Louisiana average 6.5
Last Health inspection on Jul 2025
Louisiana average 25.7
Louisiana average 3.95
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
36 of 60 citations resulted from standard inspections; 21 of 60 resulted from complaint investigations; and 3 of 60 came from combined inspections (standard and complaint).
100% better than Louisiana averageLouisiana average: 1.1
100% worse than Louisiana averageLouisiana average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
50% more staff per resident than Louisiana average
11% better than Louisiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
7 total: 4 full-time employees and 3 contractors.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
39 total: 25 full-time employees and 14 contractors.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
90 total: 50 full-time employees and 40 contractors.
90
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,347 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 40 | 90 | 17,782 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 25 | 14 | 39 | 8,260 | 92 | 100% | 9.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,068 | 66 | 72% | 7.8 |
| Qualified Social Worker | 0 | 3 | 3 | 1,040 | 67 | 73% | 7.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 679 | 67 | 73% | 7.1 |
| Speech Language Pathologist | 0 | 4 | 4 | 554 | 60 | 65% | 6.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 534 | 62 | 67% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 521 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 471 | 57 | 62% | 8.3 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Registered Nurse | 4 | 3 | 7 | 432 | 53 | 58% | 7.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 325 | 47 | 51% | 6.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 254 | 35 | 38% | 7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 56 | 9 | 10% | 6.2 |
| Medical Director | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 5 | 5% | 4 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
25% higher than Louisiana averageLouisiana average: $103K
In line with Louisiana averageLouisiana average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
226% more payment denials than Louisiana averageLouisiana average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 30, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 30, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 7, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
19.6
67% worse than Louisiana averageLouisiana average: 11.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.1
62% worse than Louisiana averageLouisiana average: 20.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
39.8%
94% worse than Louisiana averageLouisiana average: 20.5%
Percent of long-stay residents whose ability to move independently worsened
47.2%
101% worse than Louisiana averageLouisiana average: 23.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.3%
28% better than Louisiana averageLouisiana average: 17.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
19% worse than Louisiana averageLouisiana average: 3.5%
Percent of long-stay high risk residents with pressure ulcers
4.2%
34% better than Louisiana averageLouisiana average: 6.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Louisiana averageLouisiana average: 2.7%
Percent of long-stay residents who lose too much weight
2.7%
47% better than Louisiana averageLouisiana average: 5.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Louisiana averageLouisiana average: 1.6%
Percent of long-stay residents who received an antipsychotic medication
20.1%
In line with Louisiana averageLouisiana average: 20.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Louisiana averageLouisiana average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
9% worse than Louisiana averageLouisiana average: 94.9%
Number of hospitalizations per 1,000 long-stay resident days.
5.15
97% worse than Louisiana averageLouisiana average: 2.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.34
57% worse than Louisiana averageLouisiana average: 2.77
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
21% better than Louisiana averageLouisiana average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Louisiana averageLouisiana average: 3.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.7%
57% worse than Louisiana averageLouisiana average: 76.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.0%
In line with Louisiana averageLouisiana average: 27.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.6%
27% worse than Louisiana averageLouisiana average: 14.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Louisiana averageLouisiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
79.4%
48% better than Louisiana averageLouisiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.2%
19% better than Louisiana averageLouisiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
71% of new residents, usually for short-term rehab.
24% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Cornerstone at the Ranch based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #82 / 186Payroll — State benchmarkedThis home is ranked 82nd out of 186 homes in Louisiana. Shows total annual staff payroll benchmarked to the Louisiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
4.3 miles from city center
Estimated distance in miles from Lafayette's city center to Cornerstone at the Ranch's address, calculated via Google Maps.
Add your location
Cornerstone at the Ranch is located in Lafayette, Louisiana.
Here are the financial assistance programs available to residents in Louisiana.
The information below is reported by the Louisiana Department of Health, Health Standards Section.
| Courtyard Retirement & Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lafayette | 92
Facility
92
LA AVG
113
Rank
#185 / 262 |
90.2%
Facility
90.2%
LA AVG
71.8%
Rank
#27 / 194 | +26% | 3.85
Facility
3.85
LA AVG
4.14
Rank
#91 / 182 | -40% | -7% | $22.4k
Facility
$22.4k
LA AVG
$107.9k
Rank
#106 / 187 | 29
Facility
29
LA AVG
25.7
Rank
#127 / 187 | 4.8
Facility
4.8
LA AVG
3.9
Rank
#140 / 187 | 1 | 83 | A+ |
44
Facility
44
LA AVG
37
Rank
#137 / 368 | Sarver Family LLC | $7.3M
Facility
$7.3M
LA AVG
$9.6M
Rank
#142 / 186 | $4.0M
Facility
$4.0M
LA AVG
$3.9M
Rank
#130 / 186 | 54.1%
Facility
54.1%
LA AVG
42%
Rank
#62 / 186 | 195606 | ||||
| Amelia Manor Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lafayette (Lafayette Parish) | 151
Facility
151
LA AVG
113
Rank
#45 / 262 |
58.3%
Facility
58.3%
LA AVG
71.8%
Rank
#147 / 194 | -19% | 4.41
Facility
4.41
LA AVG
4.14
Rank
#38 / 182 | -19% | +6% | $0
Facility
$0
LA AVG
$107.9k
Rank
#1 / 187 | 29
Facility
29
LA AVG
25.7
Rank
#127 / 187 | 3.6
Facility
3.6
LA AVG
3.9
Rank
#81 / 187 | - | 85 | - |
24
Facility
24
LA AVG
37
Rank
#258 / 368 | Amelia Manor, Inc | $8.4M
Facility
$8.4M
LA AVG
$9.6M
Rank
#128 / 186 | $4.7M
Facility
$4.7M
LA AVG
$3.9M
Rank
#93 / 186 | 56%
Facility
56%
LA AVG
42%
Rank
#51 / 186 | 195469 | ||||
| Cornerstone at the Ranch |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lafayette (Lafayette Parish) | 148
Facility
148
LA AVG
113
Rank
#55 / 262 |
49.3%
Facility
49.3%
LA AVG
71.8%
Rank
#172 / 194 | -31% | 4.33
Facility
4.33
LA AVG
4.14
Rank
#51 / 182 | -8% | +5% | $96.4k
Facility
$96.4k
LA AVG
$107.9k
Rank
#152 / 187 | 60
Facility
60
LA AVG
25.7
Rank
#180 / 187 | 5.0
Facility
5.0
LA AVG
3.9
Rank
#147 / 187 | 1 | 79 | - |
70
Facility
70
LA AVG
37
Rank
#33 / 368 | Danny E Jarvis | $9.6M
Facility
$9.6M
LA AVG
$9.6M
Rank
#94 / 186 | $5.0M
Facility
$5.0M
LA AVG
$3.9M
Rank
#82 / 186 | 51.9%
Facility
51.9%
LA AVG
42%
Rank
#72 / 186 | 195565 | ||||
| Camelot Rehabilitation At Magnolia Park |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lafayette | 160
Facility
160
LA AVG
113
Rank
#31 / 262 |
81.5%
Facility
81.5%
LA AVG
71.8%
Rank
#54 / 194 | +14% | 3.32
Facility
3.32
LA AVG
4.14
Rank
#149 / 182 | -94% | -20% | $0
Facility
$0
LA AVG
$107.9k
Rank
#112 / 187 | 50
Facility
50
LA AVG
25.7
Rank
#169 / 187 | 7.1
Facility
7.1
LA AVG
3.9
Rank
#184 / 187 | 3 | 128 | - |
54
Facility
54
LA AVG
37
Rank
#80 / 368 | Stephanie Marriott | $16.0M
Facility
$16.0M
LA AVG
$9.6M
Rank
#24 / 186 | $6.6M
Facility
$6.6M
LA AVG
$3.9M
Rank
#29 / 186 | 41.2%
Facility
41.2%
LA AVG
42%
Rank
#131 / 186 | 195573 | ||||
| Maison De Lafayette |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lafayette | 189
Facility
189
LA AVG
113
Rank
#13 / 262 |
85.5%
Facility
85.5%
LA AVG
71.8%
Rank
#39 / 194 | +19% | 3.84
Facility
3.84
LA AVG
4.14
Rank
#105 / 182 | -94% | -7% | $25.8k
Facility
$25.8k
LA AVG
$107.9k
Rank
#107 / 187 | 47
Facility
47
LA AVG
25.7
Rank
#163 / 187 | 4.3
Facility
4.3
LA AVG
3.9
Rank
#119 / 187 | 2 | 168 | - |
65
Facility
65
LA AVG
37
Rank
#50 / 368 | William Mcpherson | $16.3M
Facility
$16.3M
LA AVG
$9.6M
Rank
#22 / 186 | $6.8M
Facility
$6.8M
LA AVG
$3.9M
Rank
#26 / 186 | 41.5%
Facility
41.5%
LA AVG
42%
Rank
#130 / 186 | 195365 |
Cornerstone at the Ranch is in the Lafayette Parish neighborhood of Lafayette.
The legal owner and operator of Cornerstone at the Ranch is Dsrm Lafayette Opco Llc.
Cornerstone at the Ranch has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Cornerstone at the Ranch's occupancy is 49%.
Cornerstone at the Ranch is registered as a for-profit in LA.
Cornerstone at the Ranch received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Cornerstone at the Ranch has 148 beds.
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