Rhode Island ›Smithfield

Cedar Haven Operations LLC DBA Lake Forrest Health

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180 Log Road, Smithfield, RI 02917 (opens Google Maps) · Providence County · (401) 231-7016· 133 certified beds · avg 97 residents/day · certified since Nov 1, 1977 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)

What the abuse flag means →

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.

1/5
Health inspection rating (on-site)
inspected Jan 2, 2026
5
Serious findings on record
most recent Nov 25, 2025
$112,473
Fines, last 3 years
3.81
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 23, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 23, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 24, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 24, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, pattern · 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): Actual harm was cited, below immediate jeopardy. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 4, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 42 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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 F-0658

  2. F · Potential for more than minimal harm, widespread

    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. F-0880

  3. E · Potential for more than minimal harm, pattern

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

View all 42 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 25, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0658
Jan 2, 2026F · Potential for more than minimal harm, widespreadThe 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. · F-0880
Jan 2, 2026E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jan 2, 2026E · Potential for more than minimal harm, patternThe facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · F-0940
Jan 2, 2026D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jan 2, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 2, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Jan 2, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Jan 2, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Jan 2, 2026D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Dec 1, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0550
Dec 1, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0880
Nov 25, 2025▲ J · Immediate jeopardy, isolatedThe 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 · F-0726
Nov 25, 2025▲ J · Immediate jeopardy, isolatedThe 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 · F-0760
Nov 25, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0600
Mar 25, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0658
Mar 11, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0760
Dec 31, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0658
Dec 31, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Oct 10, 2024E · Potential for more than minimal harm, patternThe 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 · F-0658
Oct 10, 2024E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Oct 10, 2024E · Potential for more than minimal harm, patternThe 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. · F-0880
Oct 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Oct 10, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Aug 14, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0600
Jul 22, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0550
Jul 22, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0561
Jul 17, 2024▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 24, 2024▲ J · Immediate jeopardy, isolatedThe 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 · F-0600
Jun 24, 2024E · Potential for more than minimal harm, patternThe 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 · F-0679
Jun 4, 2024▲ H · Actual harm, patternThe 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 · F-0684
May 1, 2024F · Potential for more than minimal harm, widespreadThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Oct 19, 2023E · Potential for more than minimal harm, patternThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Oct 19, 2023E · Potential for more than minimal harm, patternThe 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. · F-0695
Oct 19, 2023E · Potential for more than minimal harm, patternThe 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. · F-0880
Oct 19, 2023E · Potential for more than minimal harm, patternThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Oct 19, 2023E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0757
Oct 19, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0773
Sep 7, 2023F · Potential for more than minimal harm, widespreadThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 23, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 9).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 10
Serious citations (G–L): 0
2024
All citations: 15
Serious citations (G–L): 3
2025
All citations: 7
Serious citations (G–L): 2
2026
All citations: 10
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2023100F
2024153J ▲
202572J ▲
2026100F

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)

How to file a complaint about care →

3 fines totaling $112,473, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Nov 25, 2025Fine$14,901
May 1, 2024Fine$89,642
May 1, 2024Payment Denial50 days from Jul 18, 2024
Aug 23, 2023Fine$7,930

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityRhode Island averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.81
Rhode Island average: 3.88
U.S. average: 3.95
Registered Nurse hours
This facility: 0.86
Rhode Island average: 0.80
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.47
Rhode Island average: 3.48
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityRhode Island avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.813.883.95top 41% in Rhode Island; top 48% in the U.S.
Registered Nurse hours0.860.800.69top 38% in Rhode Island; top 23% in the U.S.
Weekend total nurse staffing3.473.483.50top 39% in Rhode Island; top 43% in the U.S.
Weekend RN hours (not acuity-adjusted)0.420.550.48bottom 33% in Rhode Island; top 44% in the U.S.
Total nursing staff turnover (%)46.940.645.8bottom 23% in Rhode Island; bottom 45% in the U.S.
RN turnover (%)35.737.942.9bottom 48% in Rhode Island; top 39% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.26 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Cedar Haven Operations LLC DBA Lake Forrest Health. CMS inspection and staffing records do not tell us what this home will charge you.

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Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Individual

Owner / managerTypeRoleStakeSince
Esri Holdco LLCOrganization5% or Greater Indirect Ownership Interest20%06/01/2025
Lake Valley Operations Holdco LLCOrganization5% or Greater Direct Ownership Interest100%06/01/2025
Yarmush, YehudaIndividual5% or Greater Indirect Ownership Interest80%06/01/2025
Aponte, SandraIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2025
Bibeault, PamelaIndividualADP of the SNFNOT APPLICABLE06/01/2025
Brand Sonnenschine LLPOrganizationADP of the SNFNOT APPLICABLE06/01/2025
Centralized Business Services LLCOrganizationADP of the SNFNOT APPLICABLE08/01/2024
Derienzo, RichardIndividualADP of the SNFNOT APPLICABLE06/01/2025
Esri Holdco LLCOrganizationADP of the SNFNOT APPLICABLE06/01/2025
Heller, ShlomoIndividualADP of the SNFNOT APPLICABLE06/01/2025
Lake Forest Health & Rehabilitation Propco LLCOrganizationADP of the SNFNOT APPLICABLE06/01/2025
Lake Valley Operations Holdco LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/01/2025
Lake Valley Realty Holdco LLCOrganizationADP of the SNFNOT APPLICABLE06/01/2025
Lake Valley Ri Management LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/01/2025
Lake Valley Ri Management LLCOrganizationADP of the SNFNOT APPLICABLE06/01/2025
Majekodunmi, AkindeleIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2025
Majekodunmi, AkindeleIndividualADP of the SNFNOT APPLICABLE07/08/2025
McAlpine, UlyssesIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2025
McAlpine, UlyssesIndividualADP of the SNFNOT APPLICABLE06/01/2025
Nussbaum, EphraimIndividualADP of the SNFNOT APPLICABLE06/01/2025

Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 47% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 75 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Stillwater Assisted Living and Skilled Nursing Com2.4 miGreenville, RI★★★★☆4/5
Greenville Operations Ri LLC DBA Greenville Skille2.5 miGreenville, RI★☆☆☆☆1/5SFF
Heritage Hills Nursing & Rehabilitation Center4.8 miSmithfield, RI★★☆☆☆1/5
Holiday Operator, LLC DBA Holiday Rehabilitation a5.2 miManville, RI★★☆☆☆2/5
Lincolnwood Rehabilitation and Healthcare Center5.3 miNorth Providence, RI★★☆☆☆2/5
Cherry Hill Manor6.3 miJohnston, RI★★★★★5/5
Cedar Haven Operations Holding LLC Valley View Hea6.4 miWoonsocket, RI★☆☆☆☆1/5abuseSFF
Golden Crest Nursing Centre6.5 miNorth Providence, RI★★★★☆4/5
St Antoine Residence6.5 miNorth Smithfield, RI★★★★☆3/5
The Friendly Home6.6 miWoonsocket, RI★☆☆☆☆1/5
Adviniacare Oakland Grove LLC6.8 miWoonsocket, RI★☆☆☆☆1/5abuseSFF
Briarcliffe Manor6.8 miJohnston, RI★★★★★5/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Providence, RI — 41 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Smithfield →

Facility data as of CMS processing date 2026-08-01. CCN 415049.

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