Cedar Haven Operations LLC DBA Lake Forrest Health
180 Log Road, Smithfield, RI 02917 · Providence County · 133 certified beds · avg 97 residents/day · certified since Nov 1, 1977
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Nov 25, 2025 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 23, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 25, 2025 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 23, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 17, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 24, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 24, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 24, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Jun 4, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Jul 4, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (42)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 25, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 2, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 2, 2026 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 2, 2026 | E · Potential for harm, repeated | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. |
| Jan 2, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 2, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 2, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 2, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 2, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Jan 2, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Nov 25, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Nov 25, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Nov 25, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 25, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Mar 11, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Dec 31, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Dec 31, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 10, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Oct 10, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 10, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 22, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 22, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Jul 17, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 24, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 24, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| Jun 4, 2024 | ▲ H · Actual harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 1, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Oct 19, 2023 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Oct 19, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 19, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 19, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Oct 19, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Sep 7, 2023 | F · Potential for harm, facility-wide | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 23, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | F |
| 2024 | 15 | 3 | J ▲ |
| 2025 | 7 | 2 | J ▲ |
| 2026 | 10 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $112,473, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 25, 2025 | Fine | $14,901 |
| May 1, 2024 | Fine | $89,642 |
| May 1, 2024 | Payment Denial | 50 days from Jul 18, 2024 |
| Aug 23, 2023 | Fine | $7,930 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Rhode Island avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.81 | 3.88 | 3.95 | top 41% in Rhode Island; top 48% in the U.S. |
| Registered Nurse hours | 0.86 | 0.80 | 0.69 | top 38% in Rhode Island; top 23% in the U.S. |
| Weekend total nurse staffing | 3.47 | 3.48 | 3.50 | top 39% in Rhode Island; top 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.55 | 0.48 | bottom 33% in Rhode Island; top 44% in the U.S. |
| Total nursing staff turnover (%) | 46.9 | 40.6 | 45.8 | bottom 23% in Rhode Island; bottom 45% in the U.S. |
| RN turnover (%) | 35.7 | 37.9 | 42.9 | bottom 48% in Rhode Island; top 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.26, RN 0.74, weekend 2.98. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Esri Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | 20% | 06/01/2025 |
| Lake Valley Operations Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2025 |
| Yarmush, Yehuda | Individual | 5% or Greater Indirect Ownership Interest | 80% | 06/01/2025 |
| Aponte, Sandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Bibeault, Pamela | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Centralized Business Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Derienzo, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Esri Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Heller, Shlomo | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Lake Forest Health & Rehabilitation Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Lake Valley Operations Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Lake Valley Realty Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Lake Valley Ri Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Lake Valley Ri Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Majekodunmi, Akindele | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Majekodunmi, Akindele | Individual | ADP of the SNF | NOT APPLICABLE | 07/08/2025 |
| McAlpine, Ulysses | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| McAlpine, Ulysses | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Nussbaum, Ephraim | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Stillwater Assisted Living and Skilled Nursing Com | 2.4 mi | Greenville, RI | ★★★★☆ | 4/5 | |
| Greenville Operations Ri LLC DBA Greenville Skille | 2.5 mi | Greenville, RI | ★☆☆☆☆ | 1/5 | SFF |
| Heritage Hills Nursing & Rehabilitation Center | 4.8 mi | Smithfield, RI | ★★☆☆☆ | 1/5 | |
| Holiday Operator, LLC DBA Holiday Rehabilitation a | 5.2 mi | Manville, RI | ★★☆☆☆ | 2/5 | |
| Lincolnwood Rehabilitation and Healthcare Center | 5.3 mi | North Providence, RI | ★★☆☆☆ | 2/5 | |
| Cherry Hill Manor | 6.3 mi | Johnston, RI | ★★★★★ | 5/5 | |
| Cedar Haven Operations Holding LLC Valley View Hea | 6.4 mi | Woonsocket, RI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Golden Crest Nursing Centre | 6.5 mi | North Providence, RI | ★★★★☆ | 4/5 | |
| St Antoine Residence | 6.5 mi | North Smithfield, RI | ★★★★☆ | 3/5 | |
| The Friendly Home | 6.6 mi | Woonsocket, RI | ★☆☆☆☆ | 1/5 | |
| Adviniacare Oakland Grove LLC | 6.8 mi | Woonsocket, RI | ★☆☆☆☆ | 1/5 | abuseSFF |
| Briarcliffe Manor | 6.8 mi | Johnston, RI | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 415049.