The nursing home failed to ensure residents were free from significant medication errors. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Cedar Haven Operations LLC DBA Lake Forrest Health
Smithfield, RI · Medicare-certified · 133 beds
Needs attention
Abuse citationFor-profit
Data as of July 1, 2026
1 of 5 overall
Lake Forrest Health in Smithfield, RI has an overall 1-star rating, with a 1-star health inspection rating despite 4-star staffing and 3-star quality measures. It has $14,901 in fines in the last 24 months, a recent abuse citation, and reported nurse staffing of 3.26 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.2614 hrs/resident/day
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $14,901recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2614.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.50
- Nurse aides
- 2.03
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 36%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
32%32.7%Worsening
Residents with a fall causing major injury
4.1%4.4%No change
Residents with pressure ulcers (bedsores)
2.6%4.6%Worsening
Residents with a urinary tract infection
1%1.1%No change
Residents who lost too much weight
5.4%4.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.2%20.5%Worsening
Residents whose ability to walk got worse
14%17.5%Worsening
Long-stay residents on antianxiety or sleep medication
23.9%27.1%Worsening
Short-stay residents newly given an antipsychotic
0%4.8%Worsening
Residents with a long-term catheter
0.8%0%Improving
Residents with new or worsening incontinence
19.9%21.2%Worsening
Residents with depressive symptoms
1.1%12%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.3%—
Short-stay residents given the pneumonia vaccine
97.6%97.8%No change
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: H
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,901 was recorded.
- PENALTY
A federal fine of $22,925 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $89,642 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $112,473 in total fines · 1 payment denial.
- $14,901
Federal fine
Nov 25, 2025
- 50 days
Medicare/Medicaid payment denial
May 1, 2024
- $89,642
Federal fine
May 1, 2024
- $7,930
Federal fine
Aug 23, 2023
Operator & ownership
Recent ownership change · Jun 1, 2025
Now operated by Cedar Haven Operations LLC, previously Aslc Ri Ii LLC.
- Ownership
- For profit - Individual
- Occupancy
- 97 residents on an average day (73% of 133 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.