Providence County, Rhode Island · Nursing home
Cedar Haven Operations LLC DBA Lake Forrest Health
1 of 5 overall from CMS
180 Log Road, Smithfield, RI 02917
At a glance
- Overall rating 1 of 5 Below the state average of 2.9
- Nurse time per resident, per day 3.26 hours Below the state average of 3.71
- Nursing staff who left in a year 46.9% Above the state average of 40.6%
- Health citations in 3 years 42 5 at the harm level or above
- Fines in 3 years $112,473 3 fines
- Certified beds in use 72.9% of 133 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Cedar Haven Operations LLC DBA Lake Forrest Health is a 133-bed nursing home in Smithfield, Rhode Island (Providence County). CMS rates it 1 of 5 stars overall as of Aug 2026. It reports 3.26 nurse staffing hours per resident per day, below the Rhode Island average of 3.71. CMS lists 3 fines totaling $112,473 in the past three years.
- Certified beds
- 133
- Residents per day (average)
- 97.0
- Certified since
- 1977 (49 yrs)
For profit - Individual Participates in Medicare and MedicaidCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings. Flags are shown as published by CMS; see Medicare.gov Care Compare for their definitions.
Questions to ask Cedar Haven Operations LLC DBA Lake Forrest Health
Chosen from this home's public data.
- CMS lists 3 fines totaling $112,473 in the past three years. What changed after the most recent one?Penalties in CMS data
- The latest standard inspection (Jan 2, 2026) cited 15 health deficiencies; the Rhode Island average is 9.2. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 46.9%, above the Rhode Island average of 40.6%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Rhode Island average 2.9
- Health inspections 1 of 5 Rhode Island average 2.8
- Staffing 4 of 5 Rhode Island average 3.2
- Quality measures 3 of 5 Rhode Island average 3.1
The vertical line marks the Rhode Island average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.26 h Rhode Island average 3.71
- Nurse aides 2.03 h Rhode Island average 2.46
- Licensed practical nurses 0.50 h Rhode Island average 0.49
- Registered nurses 0.74 h Rhode Island average 0.76
- All staff, weekends 2.98 h Rhode Island average 3.34
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Rhode Island average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover46.9%
- Rhode Island average40.6%
- Registered nurse turnover35.7%
- Rhode Island average37.9%
- Administrators who left1
Inspection history
Inspectors cited 42 health deficiencies in the past three years. Of these, 4 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 22 followed a complaint investigation. The most recent citation at the harm level or above was on Nov 25, 2025: 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.
| Inspection date | Health | Fire safety |
|---|---|---|
| Jan 2, 2026 | 15 | 3 |
| Oct 10, 2024 | 10 | 3 |
| Oct 19, 2023 | 17 | 5 |
Rhode Island homes averaged 9.2 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (42)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 10, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 1, 2026)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 1, 2026)
-
EPotential for more than minimal harm, pattern
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration · Deficient, Provider has date of correction (Feb 1, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 1, 2026)
Show 25 more
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DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 1, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 1, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 1, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Feb 1, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 1, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Dec 23, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint inspection · Infection Control · Deficient, Provider has date of correction (Dec 23, 2025)
-
JImmediate jeopardy, isolated
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.
Complaint inspection · Nursing and Physician Services · Deficient, Provider has date of correction (Dec 23, 2025)
-
JImmediate jeopardy, isolated
Ensure that residents are free from significant medication errors.
Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Dec 23, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 23, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 24, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Apr 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 17, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 17, 2025)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 9, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 9, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 9, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Nov 9, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Nov 9, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 6, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Aug 9, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Aug 9, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Jul 24, 2024)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 24, 2024)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Jul 24, 2024)
Showing the 30 most recent of 42.
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 25, 2025 | Fine | $14,901 |
| May 1, 2024 | Fine | $89,642 |
| May 1, 2024 | Payment Denial | 50 days |
| Aug 23, 2023 | Fine | $7,930 |
Rhode Island homes averaged 2.1 fines and $65,018 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Rhode Island
- Size23 of 72 by certified beds
- Rhode Island average residents per day98.3
- ChainNone listed
- Resident or family councilResident
- Homes in Providence County41
Common questions
What is the CMS star rating for Cedar Haven Operations LLC DBA Lake Forrest Health?
Cedar Haven Operations LLC DBA Lake Forrest Health has an overall rating of 1 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 3.
How many beds does Cedar Haven Operations LLC DBA Lake Forrest Health have?
Cedar Haven Operations LLC DBA Lake Forrest Health has 133 certified beds. It averages 97.0 residents per day, about 72.9% of its certified beds.
How much nursing care do residents get at Cedar Haven Operations LLC DBA Lake Forrest Health?
The home reports 3.26 hours of nurse staffing per resident per day, including 0.74 hours from registered nurses. The Rhode Island average is 3.71 hours and 0.76 hours from registered nurses.
Has Cedar Haven Operations LLC DBA Lake Forrest Health been fined?
Yes. CMS lists 3 fines totaling $112,473 in the past three years. It also lists 1 payment denial.
Does Cedar Haven Operations LLC DBA Lake Forrest Health accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 4 of 5 Stillwater Assisted Living and Skilled Nursing Com 80beds 93.2%in use 3.45nurse hours a day
- 1 of 5 Greenville Operations RI LLC DBA Greenville Skille 131beds 52.2%in use 3.62nurse hours a day
- 2 of 5 Heritage Hills Nursing & Rehabilitation Center 100beds 87.4%in use 3.74nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Providence County
Who to call in Rhode Island
These offices serve residents of every nursing home in Rhode Island.
- Long-term care ombudsman Office of the Rhode Island State Long Term Care Ombudsman 1-888-351-0808 A free advocate for residents and their families.
- File a complaint about a nursing home Rhode Island Department of Health, Complaint Unit 401-222-5960 The state agency that inspects nursing homes.
Rhode Island staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 415049. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.