Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.74 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceASK TRUST HUB NETWORK
You are on SeniorTrustHub — CMS / supported state senior-care research.
Cedar Haven Operations LLC DBA Lake Forrest Health has 133 certified beds in Smithfield, Rhode Island. The CMS overall rating is 1 of 5, compared with the Rhode Island average of 2.9. The CMS health inspection rating is 1 of 5, compared with the Rhode Island average of 2.8. The CMS staffing rating is 4 of 5. The latest standard health survey on Jan 2, 2026 lists 9 deficiencies, compared with the Rhode Island average of 6.1. CMS records a fine of $14,901 dated Nov 25, 2025. CMS records a fine of $89,642 dated May 1, 2024. CMS records a fine of $7,930 dated Aug 23, 2023. Total nurse staffing is 3.26 hours per resident day in 2026Q1, compared with the Rhode Island average of 3.72.
CMS nursing home
Smithfield, RI
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 415049.
At a glance
1 of 5
1 of 5
4 of 5
3 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 30 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2025-06-01.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS currently applies its abuse-icon designation to this facility. That is CMS's published designation, not a Trust Hub verdict.
CMS field value: Y. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.74 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 2, 2026 cited 9 deficiencies.
View inspection evidenceCMS-published records list 55 ownership or control parties.
CMS records show an ownership change effective June 2025.
View ownership evidenceCMS records show a $14,901 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
55 currently connected nursing homes share this CMS organization identity with BRAND SONNENSCHINE LLP.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 80%
Association date reported to CMS: Jun 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 8, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 1 across RI.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jun 1, 2025
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jun 1, 2025
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 80%
Association date reported to CMS: Jun 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 57 across CT, FL, MD, NC, NJ, PA, RI, TN, VT, WI, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 5 across MA, MN, RI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 1 across RI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 8, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 17 across DE, MD, MN, NJ, OH, PA, RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across RI.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across RI.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 10, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2026)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 23, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 23, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 23, 2025)
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.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 23, 2025)
Ensure that residents are free from significant medication errors.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 23, 2025)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 24, 2025)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 10, 2025)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 17, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 17, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 9, 2024)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 9, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 9, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 9, 2024)
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 9, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
Provide activities to meet all resident's needs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 4, 2024)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2023)
Provide activities to meet all resident's needs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2023)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2023)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2023)
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2023)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2023)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2023)
Penalties & enforcement
Published fine amount: $14,901.00
Published fine amount: $89,642.00
Payment denial length: 50 days
Published fine amount: $7,930.00
Questions to ask
Facility history
24 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $14,901 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: CEDAR HAVEN OPERATIONS LLC.
ASLC RI II LLC → CEDAR HAVEN OPERATIONS LLC
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.376 | 2.977 |
| RN categories | 0.862 | 0.422 |
Contract staff accounted for 10.2% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.015 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.24 | 0.545 | 0.622 | 1.76 | 1.2% | 91 |
| 2025Q3 | 3.267 | 0.624 | 0.535 | 1.796 | 6.9% | 92 |
| 2025Q4 | 3.237 | 0.721 | 0.501 | 1.536 | 6.3% | 92 |
| 2026Q1 | 3.261 | 0.736 | 0.5 | 1.594 | 10.2% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.