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Nursing home report card · Smithfield, RI

Cedar Haven Operations LLC DBA Lake Forrest Health

180 Log Road, Smithfield, RI 02917

Call this home: (401) 231-7016

View this home on Medicare.gov ↗

Medicare abuse warningInfection-control problems noted

Quick summary

Medicare shows an abuse warning

Medicare’s Care Compare site shows an abuse icon here. That is one of the strongest public warnings CMS publishes — dig into the inspection history and talk with an attorney if a loved one was hurt.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Sep 17, 2026
Last routine health inspection
Jan 2, 2026

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
1out of 5

Combines inspection, staffing, and care measures.

Among the lowest Medicare ratings

Health inspections
1out of 5

Based on problems found during health inspections.

Among the lowest Medicare ratings

Nursing staff
4out of 5

Based on staffing levels and related measures.

Above average

Health and care results
3out of 5

Based on reported health and care results.

About average for U.S. nursing homes

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
42

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
11

Building, alarms, exits, and related safety citations

Reported fines
$112,473

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 415049

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Immediate danger to residents · isolated case

    Nov 25, 2025 · Inspection rule F0726

    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.

  • Immediate danger to residents · isolated case

    Nov 25, 2025 · Inspection rule F0760

    Ensure that residents are free from significant medication errors.

  • Immediate danger to residents · isolated case

    Jul 17, 2024 · Inspection rule F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
0.74hours per resident per day

about 44 minutes per resident per day

All nursing staff
3.26hours per resident per day

about 3 hr 16 min per resident per day

Registered nurse time on weekends
0.42hours per resident per day

about 25 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

Inspectors last checked the home’s day-to-day care on January 2, 2026 and wrote up 15 health problems. The same visit also found 3 fire-safety problems. Looking across recent visits: 15 on visit 1, then 10 on visit 2, then 17 on visit 3.

Top issue areas on the latest visit

  • Quality of life & care: 4
  • Assessment & care planning: 3
  • smoke: 2
  • Pharmacy: 2
  • Infection control: 2
  • Administration: 1
VisitHealth check dateHealth problemsFire-safety dateFire problems
#12026-01-02152026-01-023
#22024-10-10102024-10-103
#32023-10-19172023-10-195

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 1 stars — worse than the state average (2.9 stars)
  • Health inspection rating: 1 stars — worse than the state average (2.8 stars)
  • Staffing rating: 4 stars — better than the state average (3.2 stars)
  • Registered nurse time per resident: 0.74 hours/day
  • Total nurse time per resident: 3.26 hours/day
  • The latest health inspection listed 15 problems. State and national averages can cover different inspection periods and are not a like-for-like comparison with this inspection.
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Rhode Island averages Aug 1, 2026; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Medicare shows an abuse warning icon for this home
  • Overall star rating is 2 or lower
  • Health inspection rating is 2 stars or lower
  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems
  • Several recent fire-safety problems are on record
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Immediate danger to residents4 citations
  • Caused actual harm1 citation
  • Could have caused harm48 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
42
Fire safety
11
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Individual.

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

March 25, 20261 finding
  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0658 · code D

    Ensure services provided by the nursing facility meet professional standards of quality.

January 2, 202612 findings
  • Smoke problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Fire-safety inspection · CMS tag K0324 · code F

    Provide properly protected cooking facilities.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0684 · code E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0940 · code E

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0658 · code D

    Ensure services provided by the nursing facility meet professional standards of quality.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0695 · code D

    Provide safe and appropriate respiratory care for a resident when needed.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0697 · code D

    Provide safe, appropriate pain management for a resident who requires such services.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0760 · code D

    Ensure that residents are free from significant medication errors.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0842 · code D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • Smoke problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Fire-safety inspection · CMS tag K0353 · code F

    Inspect, test, and maintain automatic sprinkler systems.

  • Infection Control problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0880 · code F

    Provide and implement an infection prevention and control program.

  • Gas, Vacuum, and Electrical Systems problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Fire-safety inspection · CMS tag K0920 · code F

    Ensure proper usage of power strips and extension cords.

December 1, 20252 findings
  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0880 · code D

    Provide and implement an infection prevention and control program.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0550 · code D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

November 25, 20253 findings
  • Pharmacy Service problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0760 · code J

    Ensure that residents are free from significant medication errors.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0600 · code D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Nursing and Physician Services problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0726 · code 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.

March 25, 20251 finding
  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0658 · code D

    Ensure services provided by the nursing facility meet professional standards of quality.

March 11, 20251 finding
  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0760 · code D

    Ensure that residents are free from significant medication errors.

December 31, 20242 findings
  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0658 · code D

    Ensure services provided by the nursing facility meet professional standards of quality.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0842 · code D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

October 10, 20248 findings
  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0658 · code E

    Ensure services provided by the nursing facility meet professional standards of quality.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0760 · code D

    Ensure that residents are free from significant medication errors.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Smoke problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Fire-safety inspection · CMS tag K0363 · code F

    Install corridor and hallway doors that block smoke.

  • Infection Control problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0880 · code E

    Provide and implement an infection prevention and control program.

  • Gas, Vacuum, and Electrical Systems problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Fire-safety inspection · CMS tag K0911 · code F

    Meet requirements for the installation and maintenance of electrical systems.

  • Miscellaneous problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Fire-safety inspection · CMS tag K0761 · code F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0684 · code E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

August 14, 20241 finding
  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0600 · code D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

July 22, 20242 findings
  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0561 · code D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0550 · code D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

July 17, 20241 finding
  • Quality of Life and Care problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0689 · code J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

June 24, 20242 findings
  • Freedom from Abuse, Neglect, and Exploitation problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0600 · code J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag F0679 · code E

    Provide activities to meet all resident's needs.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · Nov 25, 2025$14,901
  • Fine · May 1, 2024$89,642
  • Payment Denial · May 1, 2024Unavailable
  • Fine · Aug 23, 2023$7,930

Related topics

Questions about Cedar Haven Operations LLC DBA Lake Forrest Health

What is Cedar Haven Operations LLC DBA Lake Forrest Health's Medicare star rating?
As of August 1, 2026, Cedar Haven Operations LLC DBA Lake Forrest Health in Smithfield, Rhode Island has an overall CMS rating of 1 out of 5 stars. Other CMS scores: health inspection 1 of 5, staffing 4 of 5, quality measures 3 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Cedar Haven Operations LLC DBA Lake Forrest Health been fined?
As of August 1, 2026, the imported penalty records list $112,473 in reported fines for Cedar Haven Operations LLC DBA Lake Forrest Health. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Cedar Haven Operations LLC DBA Lake Forrest Health have a Medicare abuse warning?
Yes. Medicare Care Compare shows an abuse warning icon for Cedar Haven Operations LLC DBA Lake Forrest Health in Smithfield, Rhode Island. CMS uses that icon after citations involving abuse, neglect, or exploitation.
How does Cedar Haven Operations LLC DBA Lake Forrest Health compare with other nursing homes in Rhode Island?
Its overall CMS rating is 1 out of 5. The published Rhode Island average is 2.9 in the same Medicare file (2026-08-01). Inspection totals, fines, and staffing hours may cover different periods; compare their dates separately.

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