CCN 195565 · Lafayette County, Louisiana
Cornerstone at the Ranch
103 West Martial Ave, Lafayette, LA 70506
Cornerstone at the Ranch is a 148-bed for-profit nursing home in Lafayette, Louisiana, first certified for Medicare or Medicaid in 2002. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 78.5 residents a day, about 53% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 148
- Average residents per day
- 78.5 (53.0% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Dsrm Lafayette Opco LLC
- Certified since
- Dec 6, 2002
- Chain or affiliated group
- Paramount Healthcare Consultants (14 facilities, chain average 2.4 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Louisiana median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 89 at 1, 45 at 2, 51 at 3, 53 at 4, 26 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.33 | 3.63 | 3.68 |
| RN hours per resident per day | 0.14 | 0.25 | 0.58 |
| Weekend nurse hours per resident per day | 2.95 | ||
| Nursing staff turnover | not reported | 46.9% | 44.9% |
| Occupancy (residents / beds) | 53.0% | 77.1% | 85.7% |
| Fines reported by CMS | 2 totaling $97,417 | ||
| Health deficiencies, latest standard survey | 8 (Jul 30, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Cornerstone at the Ranch does not meet it today: overall rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Myrick, FredIndividual | Direct Ownership Interest | 50% | 08/01/2019 |
| Smith, DawneIndividual | Direct Ownership Interest | 50% | 08/01/2019 |
| Dsrm Propco Lafayette, LLCOrganization | Mortgage Interest | n/a | 04/01/2020 |
| Walters, CindyIndividual | Operational / Managerial Control | n/a | 05/20/2024 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Dsrm Propco Lafayette, LLC.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 1, 2019 | Dsrm Lafayette Opco LLC | Bethany Mhs Health Care Center |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.