Nursing homeActive
Cedar Haven Operations LLC DBA Lake Forrest Health
180 Log Road, Smithfield, RI 029174012317016133 certified beds · 97 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
17
since 2023
Deficiencies
42
● 0● 37● 5
Penalties · 3 yrs
$104,543
2 fines · 1 action
Last survey
2026-03-25
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Rhode Island Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-01-02 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2025-12-01 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-11-25 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2025-03-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-31 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-10 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-08-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-17 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-06-24 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-06-04 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-05-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-19 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2023-09-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Rhode Island Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 415049-20260325-F658
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F695
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F697
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F760
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F880
F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-01Record 415049-20260102-F940
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-23Record 415049-20251201-F550
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-23Record 415049-20251201-F880
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity JHarm
Staffing
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-12-23Record 415049-20251125-F726
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-12-23Record 415049-20251125-F760
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-23Record 415049-20251125-F600
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-24Record 415049-20250325-F658
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-10Record 415049-20250311-F760
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-17Record 415049-20241231-F658
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-17Record 415049-20241231-F842
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 415049-20241010-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 415049-20241010-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 415049-20241010-F689
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 415049-20241010-F760
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-09Record 415049-20241010-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 415049-20240814-F600
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 415049-20240722-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 415049-20240722-F561
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-24Record 415049-20240717-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-24Record 415049-20240624-F600
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 415049-20240624-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2024-07-04Record 415049-20240604-F684
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-24Record 415049-20240501-F921
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 415049-20231019-F658
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 415049-20231019-F679
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 415049-20231019-F695
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 415049-20231019-F757
F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 415049-20231019-F773
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 415049-20231019-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 415049-20231019-F883
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 415049-20231019-F921
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity FStandard
Care planningFalls
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-19Record 415049-20230907-F689
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-09Record 415049-20230823-F584
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-11-25 | Civil money penalty | $14,901 | CMS · Penalties |
| 2024-05-01 | Civil money penalty | $89,642 | CMS · Penalties |
| 2024-05-01 | Denial of payment for new admissions Payment denial for 50 days, from 2024-07-18 | — | CMS · Penalties |
| 2023-08-23 | Civil money penalty | $7,930 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.74
Facility
Rhode Island
National
Rhode Island 0.76 · National 0.69
Total nurse hours per resident day3.26
Facility
Rhode Island
National
Rhode Island 3.71 · National 3.86
Weekend total nurse hours2.98
Facility
Rhode Island
National
Rhode Island 3.34 · National 3.42
Total nursing staff turnover47%
Facility
Rhode Island
National
Rhode Island 41% · National 46%
Registered nurse turnover36%
Facility
Rhode Island
National
Rhode Island 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Rhode Island | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.8% | 3.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 32.3% | 22.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 2.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.5% | 19.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.0% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 25.1% | 16.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Lake Valley Operations Holdco LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Esri Holdco LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | — | — |
| Yarmush, Yehuda Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 80% | — | — |
| Aponte, Sandra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lake Valley Operations Holdco LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lake Valley Ri Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Majekodunmi, Akindele Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcalpine, Ulysses Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Yarmush, Yehuda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bibeault, Pamela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brand Sonnenschine LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Centralized Business Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Derienzo, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Esri Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Heller, Shlomo Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lake Forest Health & Rehabilitation Propco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lake Valley Realty Holdco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lake Valley Ri Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Majekodunmi, Akindele Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcalpine, Ulysses Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nussbaum, Ephraim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shiftster LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sterling Therapy Solutions LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Triad Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yarmush, Yehuda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yarmush, Yehuda Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Rhode Island.
No county cost figures on file for Providence.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Stillwater Assisted Living and Skilled Nursing Com Greenville | 2.4 mi | 2026-03-03 | 0120 |
| Greenville Operations RI LLC DBA Greenville Skille Greenville | 2.5 mi | 2026-03-12 | 0417 |
| Holiday Operator, LLC DBA Holiday Rehabilitation a Manville | 5.2 mi | 2026-06-10 | 0224 |
| Heritage Hills Nursing & Rehabilitation Center Smithfield | 4.9 mi | 2026-06-16 | 0634 |
| St Antoine Residence North Smithfield | 6.5 mi | 2026-06-05 | 0185 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |