Federal inspection record · CMS data as of October 1, 2026
Cedar Haven Operations LLC DBA Lake Forest Health
180 Log Road, Smithfield, RI · (401) 231-7016
- Certified beds
- 133
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1977
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Rhode Island.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Rhode Island homes
Cedar Haven Operations LLC DBA Lake Forest Health carries 222.25 inspection points. That is fewer than 11% of Rhode Island's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Rhode Island: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–54 pts
- 3★ 54–89 pts
- 2★ 89–177.5 pts
- 1★ over 177.5 pts
Bars show every rated home in Rhode Island by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
J
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
Ensure that residents are free from significant medication errors.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care10E
- E
Provide or get specialized rehabilitative services as required for a resident.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- E
Provide activities to meet all resident's needs.
- E
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning8E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pharmacy Service4D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Administration2E
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Environmental2F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-01-02
16 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-10-10
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-10-19
16 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 17 min
Rhode Island average
3 h 47 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 43% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$104,543 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-25 | Fine | $14,901 |
| 2024-05-01 | Fine | $89,642 |
| 2024-05-01 | Payment Denial · 50 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better | 100.0% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 100.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 4.6% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.8 pts better | 3.8% | 18.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 4.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.2 pts worse | 26.3% | 17.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.5 pts worse | 32.0% | 22.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.1 pts worse | 17.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts better | 17.3% | 19.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.6% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 1.1% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.7 pts better | 15.7% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts worse | 4.9% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.4 pts better | 98.7% | 80.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 3.1% | 2.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.1 pts better | 97.8% | 77.7% | 80.1% |
·
Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lake Valley Operations Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Yarmush, Yehuda | 5% Or Greater Indirect Ownership Interest · Individual | 80% | 2 facilities |
| Esri Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 20% | 3 facilities |
| Aponte, Sandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bibeault, Pamela | Adp Of The SNF · Individual | 0% | 2 facilities |
| Brand Sonnenschine Llp | Adp Of The SNF · Organization | 0% | 63 facilities |
| Centralized Business Services LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Derienzo, Richard | Adp Of The SNF · Individual | 0% | 2 facilities |
| Esri Holdco LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Heller, Shlomo | Adp Of The SNF · Individual | 0% | 23 facilities |
| Lake Forest Health & Rehabilitation Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lake Valley Operations Holdco LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Lake Valley Realty Holdco LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Lake Valley Ri Management LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Lake Valley Ri Management LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Majekodunmi, Akindele | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Majekodunmi, Akindele | Adp Of The SNF · Individual | 0% | 10 facilities |
| Mcalpine, Ulysses | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcalpine, Ulysses | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nussbaum, Ephraim | Adp Of The SNF · Individual | 0% | 28 facilities |
| Shiftster LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Sterling Therapy Solutions LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Triad Healthcare LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Yarmush, Yehuda | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Yarmush, Yehuda | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Yarmush, Yehuda | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress3F
- F
Meet other general requirements that are deficient.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- D
Meet other general requirements that are deficient.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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