Cedar Haven Operations LLC DBA Lake Forrest Health

180 Log Road, Smithfield, RI 02917

4012317016

59
SilverScorePartial

Based on 6 of 16 dimensions (CMS public data)

Confidence: 80%

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Overview

CCN
415049
Certified Beds
133
Avg Residents/Day
N/A
County
Providence
Provider Type
Medicare and Medicaid
First Approved
N/A

Staffing

CMS data - May 2026
0.72
RN hrs/resident/day
-7% vs state
3.24
Total nurse hrs/day
-13% vs state
53%
Annual nurse turnover
+33% vs state
Role
This facility
State avg
RN
0.72
0.77
-7% vs state
LPN
0.50
--
CNA
2.02
--
PT
0.01
--
Weekend total: 2.90 hrs/resident/day(10% lower on weekends)

Hours per resident per day (HPRD) from CMS Payroll Based Journal (PBJ) submissions.

Health Inspection Citations

44
Total Citations
5
Severe (J-L)
44
Corrected

Penalties

$111,914
Total fines
4
Total penalties
0
Payment denials
DateTypeAmount
2024-05-01Fine$89,642
2024-05-01Payment Denial-
2023-08-23Fine$7,930
2023-06-29Fine$14,342

The neighborhood

Pulling neighborhood data from OpenStreetMap...

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29
Compliance Record

High compliance risk

44 citations scored18 inspectionsPeers: state (73)vv0.1

Ownership

TypeFor-Profit - Individual
ChainIndependent

4 CMS fines on record totaling $134,839.

Ownership entities

Owners
LAKE VALLEY OPERATIONS HOLDCO LLC100%
since 2025
ESRI HOLDCO LLCNO PERCENTAGE PROVIDED
since 2025
HELLER, SHLOMONO PERCENTAGE PROVIDED
since 2025
NUSSBAUM, EPHRAIMNO PERCENTAGE PROVIDED
since 2025
YARMUSH, YEHUDANO PERCENTAGE PROVIDED
since 2025
Management
LAKE VALLEY OPERATIONS HOLDCO LLC
OPERATIONAL/MANAGERIAL CONTROL
LAKE VALLEY RI MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
APONTE, SANDRA
OPERATIONAL/MANAGERIAL CONTROL
MAJEKODUNMI, AKINDELE
OPERATIONAL/MANAGERIAL CONTROL
MCALPINE, ULYSSES
OPERATIONAL/MANAGERIAL CONTROL
+1 more
Source: CMS Ownership dataset · Updated monthly

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