Rhode Island › Providence County › Smithfield
Cedar Haven Operations LLC DBA Lake Forrest Health
180 Log Road, Smithfield, RI 02917
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 133 beds, Cedar Haven Operations LLC DBA Lake Forrest Health serves Smithfield in Providence County, Rhode Island and has taken Medicare and Medicaid residents since 1977.
CMS gives it 1 of 5 stars overall, below the Rhode Island median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (15, 10, 17 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 31.6 per 100 beds, more than the state median of 24.8.
CMS lists 4 penalties in the period covered: fines totalling $112K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.7 RN), close to the Rhode Island median of 3.6; nursing staff turnover is 46.9%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Providence Co. median | Rhode Island median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 27 | 25 | 28.7 |
| Citations per 100 beds | 31.6 | 25.5 | 24.8 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 46.9% | 36.5% | 39.3% | 45.8% |
| Fines listed | $112,473 | $40,295 | $22,205 | — |
County and state figures are medians across facilities (41 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Rhode Island average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Jan 2026, 10 Oct 2024.
Severity mix: J ×4 H ×1 D ×23 E ×11 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Apr 2026 |
| 2 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 Feb 2026 |
| 2 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 1 Feb 2026 |
| 2 Jan 2026 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 1 Feb 2026 |
| 2 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 1 Feb 2026 |
| 2 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Feb 2026 |
| 2 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Feb 2026 |
| 2 Jan 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 1 Feb 2026 |
| 2 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 Feb 2026 |
| 2 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Feb 2026 |
| 1 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 23 Dec 2025 |
| 1 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 Dec 2025 |
| 25 Nov 2025 | F0726 | 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. | J | Complaint investigation | 23 Dec 2025 |
| 25 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 23 Dec 2025 |
| 25 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Dec 2025 |
| 25 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 Apr 2025 |
| 11 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 10 Apr 2025 |
| 31 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 17 Jan 2025 |
| 31 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Jan 2025 |
| 10 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 9 Nov 2024 |
| 10 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 9 Nov 2024 |
| 10 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Nov 2024 |
| 10 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Nov 2024 |
| 10 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 9 Nov 2024 |
| 14 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Sep 2024 |
| 22 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 9 Aug 2024 |
| 22 Jul 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 9 Aug 2024 |
| 17 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 Jul 2024 |
| 24 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 24 Jul 2024 |
| 24 Jun 2024 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 24 Jul 2024 |
| 4 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint investigation | 4 Jul 2024 |
| 1 May 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 24 Jul 2024 |
| 19 Oct 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 18 Nov 2023 |
| 19 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 18 Nov 2023 |
| 19 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Nov 2023 |
| 19 Oct 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 18 Nov 2023 |
| 19 Oct 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 18 Nov 2023 |
| 19 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Nov 2023 |
| 19 Oct 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 18 Nov 2023 |
| 19 Oct 2023 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 18 Nov 2023 |
| 7 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | F | Complaint investigation | 19 Sep 2023 |
| 23 Aug 2023 | F0584 | 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. | D | Complaint investigation | 9 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Nov 2025 | Fine | $14,901 | |
| 1 May 2024 | Payment denial | — | 50 days |
| 1 May 2024 | Fine | $89,642 | |
| 23 Aug 2023 | Fine | $7,930 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Rhode Island average. Turnover: nursing staff 46.9%, RNs 35.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Rhode Island median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.5% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 1.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.0% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.3% | 22.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lake Valley Operations Holdco LLC | 5% or greater direct ownership interest | 100% | 06/01/2025 |
| Esri Holdco LLC | 5% or greater indirect ownership interest | 20% | 06/01/2025 |
| Lake Valley Operations Holdco LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| Lake Valley Ri Management LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| Brand Sonnenschine LLP | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
| Centralized Business Services LLC | Adp of the snf | NOT APPLICABLE | 08/01/2024 |
| Esri Holdco LLC | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
| Lake Forest Health & Rehabilitation Propco LLC | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
| Lake Valley Realty Holdco LLC | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
| Lake Valley Ri Management LLC | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
| Shiftster LLC | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
| Sterling Therapy Solutions LLC | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
| Triad Healthcare LLC | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Providence County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Briarcliffe Manor | Johnston | 122 | 5 | 5 | 5 | 4 | 3.3 | — | 11 Jun 2026 |
| Cedar Crest Nursing Centre Inc | Cranston | 156 | 5 | 4 | 5 | 23 | 14.7 | $14K | 23 Jun 2026 |
| Cherry Hill Manor | Johnston | 171 | 5 | 5 | 4 | 13 | 7.6 | $6K | 20 Apr 2026 |
| Eastgate Nursing & Rehabilitation Center | East Providence | 60 | 5 | 5 | 4 | 12 | 20.0 | — | 19 Feb 2026 |
| Grandview Center | Cumberland | 72 | 5 | 4 | 3 | 22 | 30.6 | — | 9 Sep 2025 |
| Jeanne Jugan Residence | Pawtucket | 49 | 5 | 5 | 4 | 3 | 6.1 | — | 2 Apr 2026 |
| Tockwotton On the Waterfront | East Providence | 52 | 5 | 5 | 5 | 12 | 23.1 | $9K | 16 Apr 2026 |
| Evergreen House Health Center | East Providence | 160 | 4 | 4 | 4 | 20 | 12.5 | — | 23 Apr 2026 |
All 41 facilities in Providence County
Questions and answers
How many deficiencies has Cedar Haven Operations LLC DBA Lake Forrest Health been cited for?
42 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Rhode Island median is 25 per facility.
Has Cedar Haven Operations LLC DBA Lake Forrest Health been fined?
Yes. CMS lists fines totalling $112K in the period covered, plus 1 payment denial.
How does staffing at Cedar Haven Operations LLC DBA Lake Forrest Health compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Rhode Island median of 3.6 and a national average of 3.9.
Who operates Cedar Haven Operations LLC DBA Lake Forrest Health?
Ownership type is for-profit, individual. Organisations in the CMS ownership record include Lake Valley Operations Holdco LLC, Esri Holdco LLC and Lake Valley Operations Holdco LLC. Individual owners and managers are not listed on this site.
When was Cedar Haven Operations LLC DBA Lake Forrest Health last inspected?
The most recent survey or investigation in the CMS record is dated 25 Mar 2026; the most recent standard health survey was 2 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.