Cedar Haven Operations LLC DBA Lake Forrest Health
Smithfield, RI · Medicare-certified · 133 beds
Needs attention
Abuse citationFor-profit
★★★★★1 of 5 overall
Lake Forrest Health in Smithfield, RI has a 1-out-of-5 overall rating and a 1-star health inspection rating, with reported nurse staffing below the federal benchmark (3.24 vs 4.1 hours per resident per day). It also has $112,567 in fines in the last 24 months and a recent abuse citation, with recent inspection issues involving staff competency, medication errors, and accident hazards.
Last inspection: March 25, 2026Penalties, last 24 months: $112,567recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2374.
Staffing detail
Registered nurses
0.72
Licensed practical nurses
0.50
Nurse aides
2.02
Weekend nursing
2.90
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 33%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
27.8%35.1%Worsening
Residents with a fall causing major injury
6.7%4.3%Improving
Residents with pressure ulcers (bedsores)
5.3%4.5%Improving
Residents with a urinary tract infection
0%2.2%Worsening
Residents who lost too much weight
7%2.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.6%20.2%Worsening
Residents whose ability to walk got worse
25.3%21.1%Improving
Long-stay residents on antianxiety or sleep medication
25.5%22.7%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1%1.7%Worsening
Residents with new or worsening incontinence
10.8%9.8%Improving
Residents with depressive symptoms
2.1%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
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%96.9%Worsening
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 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
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 $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: 4 fines · $134,839 in total fines · 1 payment denial.
Federal fine
Nov 25, 2025
$22,925
Medicare/Medicaid payment denial
May 1, 2024
50 days
Federal fine
May 1, 2024
$89,642
Federal fine
Aug 23, 2023
$7,930
Federal fine
Jun 29, 2023
$14,342
Operator & ownership
Ownership
For profit - Individual
Occupancy
97.3 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.