nursing home in Smithfield, RI
Cedar Haven Operations LLC DBA Lake Forest Health
180 Log Road, Smithfield, RI 02917 · (401) 231-7016
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cedar Haven Operations LLC DBA Lake Forest Health at a glance
Cedar Haven Operations LLC DBA Lake Forest Health is a 133-bed for-profit nursing home in Smithfield, Rhode Island (Providence County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Rhode Island average of 2.9.
Residents receive about 3.3 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (January 2, 2026) found 16 health citations. The Rhode Island average is 9.3.
Federal regulators fined it 2 times in the past three years, totaling $104,543.
Nursing staff turnover is 46.9% per year (state average 40.6%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 133
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- November 1, 1977
- Resident/family council
- Resident
- County
- Providence County
- CMS Certification Number
- 415049
Ratings
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.26 hrs | 3.71 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.74 hrs | 0.77 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.03 hrs | 2.46 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.98 hrs | 3.34 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 46.9% | 40.6% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 35.7% | 37.9% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 227.3 | 117 | 80.6 | Worse |
Penalties
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $104,543 | $60,948 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 133 | 114 | 107 | |
| Average residents per day | 97 | 99 | 86 | |
| Occupancy | 72.9% | 87.8% | 80.9% |
Long-stay residents
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.8% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 32.3% | 22.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.1% | 2.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 0.9% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 16.5% | 19.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18% | 16.8% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.6% | 17.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.1% | 16.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.4% | 22.3% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Rhode Island avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 2% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 95.3% | 78.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98% | 79% | 82% | Better |
Inspection citations
State inspectors cited this home for 42 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 30, 2026 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | E Potential harm, pattern | Corrected August 29, 2026 |
| July 28, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected August 27, 2026 |
| March 25, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 10, 2026 |
| January 2, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 1, 2026 |
| January 2, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected February 1, 2026 |
| January 2, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected February 1, 2026 |
| January 2, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected February 1, 2026 |
| January 2, 2026 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | E Potential harm, pattern | Corrected February 1, 2026 |
| January 2, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected February 1, 2026 |
| January 2, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 1, 2026 |
| January 2, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected February 1, 2026 |
| January 2, 2026 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected February 1, 2026 |
| January 2, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected February 1, 2026 |
| January 2, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 1, 2026 |
| January 2, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 1, 2026 |
| December 1, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 23, 2025 |
| December 1, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 23, 2025 |
| November 25, 2025 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | J Immediate jeopardy, isolated | Corrected December 23, 2025 |
| November 25, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected December 23, 2025 |
| November 25, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected December 23, 2025 |
| March 25, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 24, 2025 |
| March 11, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected April 10, 2025 |
| December 31, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected January 17, 2025 |
| December 31, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 17, 2025 |
| October 10, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected November 9, 2024 |
| October 10, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected November 9, 2024 |
| October 10, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected November 9, 2024 |
| October 10, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 9, 2024 |
| October 10, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected November 9, 2024 |
| October 10, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected November 9, 2024 |
| October 10, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected November 9, 2024 |
| October 10, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 9, 2024 |
| August 14, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 6, 2024 |
| July 22, 2024 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected August 9, 2024 |
| July 22, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 9, 2024 |
| July 17, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected July 24, 2024 |
| June 24, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected July 24, 2024 |
| June 24, 2024 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected July 24, 2024 |
| June 4, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | H Actual harm, pattern | Corrected July 4, 2024 |
| May 1, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected July 24, 2024 |
| October 19, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 18, 2023 |
| October 19, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected November 18, 2023 |
| October 19, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected November 18, 2023 |
| October 19, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected November 18, 2023 |
| October 19, 2023 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | D Potential harm, isolated | Corrected November 18, 2023 |
| October 19, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected November 18, 2023 |
| October 19, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 18, 2023 |
| October 19, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected November 18, 2023 |
| October 19, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected November 18, 2023 |
| October 19, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected November 18, 2023 |
| October 19, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected November 18, 2023 |
| October 19, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 18, 2023 |
| October 19, 2023 Standard | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected November 18, 2023 |
| September 7, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | F Potential harm, widespread | Corrected September 19, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $104,543 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 25, 2025 | Fine | $14,901 |
| May 1, 2024 | Payment Denial | 50 days from July 18, 2024 |
| May 1, 2024 | Fine | $89,642 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LAKE VALLEY OPERATIONS HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 06/01/2025 |
| ESRI HOLDCO LLC Organization | 5% or greater indirect ownership interest | 20% | 06/01/2025 |
| YARMUSH, YEHUDA Individual | 5% or greater indirect ownership interest | 80% | 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 REALTY HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| LAKE VALLEY RI MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| MAJEKODUNMI, AKINDELE Individual | adp of the snf | NOT APPLICABLE | 07/08/2025 |
| MCALPINE, ULYSSES Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| NUSSBAUM, EPHRAIM Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| SHIFTSTER LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| STERLING THERAPY SOLUTIONS LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| TRIAD HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| YARMUSH, YEHUDA Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| YARMUSH, YEHUDA Individual | managing control - governing body | NOT APPLICABLE | 06/01/2025 |
| APONTE, SANDRA Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| LAKE VALLEY OPERATIONS HOLDCO LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| LAKE VALLEY RI MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| MAJEKODUNMI, AKINDELE Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| MCALPINE, ULYSSES Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| YARMUSH, YEHUDA Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
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Frequently asked questions
What is Cedar Haven Operations LLC DBA Lake Forest Health's rating?
Cedar Haven Operations LLC DBA Lake Forest Health has 1 out of 5 stars on the CMS overall star rating. The average for Rhode Island nursing homes is 2.9 stars.
How many inspection citations did Cedar Haven Operations LLC DBA Lake Forest Health receive?
Its most recent standard health inspection found 16 citations, compared with a Rhode Island average of 9.3. Every citation is listed on this page with its severity.
Does Cedar Haven Operations LLC DBA Lake Forest Health accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Cedar Haven Operations LLC DBA Lake Forest Health?
It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cedar Haven Operations LLC DBA Lake Forest Health and how do I contact it?
Cedar Haven Operations LLC DBA Lake Forest Health is at 180 Log Road, Smithfield, RI 02917. Phone: (401) 231-7016.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.