Cedar Haven Operations LLC DBA Lake Forrest Health
State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2025-11-25 — IMMEDIATE JEOPARDY (tag F0726, severity J)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
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.
2025-11-25 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-07-17 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-06-24 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-06-04 — ACTUAL HARM (tag F0684, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-07-05 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.56
state median 3.21
Weekend staffing gap
−2%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.46
registered nurses only
Contract (agency) staff
10%
share of all nursing hours
Nursing staff turnover
47%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $112,473 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-11-25 | Fine | $14,901 |
| 2024-05-01 | Fine | $89,642 |
| 2024-05-01 | Payment Denial | payment denial |
| 2023-08-23 | Fine | $7,930 |
Ownership
Ownership type: For profit - Individual.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-25 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-02 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-02 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-01-02 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-02 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-02 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-02 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-01-02 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-02 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-01-02 | F0940 | Administration Deficiencies | E | not recorded |
| 2025-12-01 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-01 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-11-25 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-11-25 | F0726 | Nursing and Physician Services Deficiencies | J | not recorded |
| 2025-11-25 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2025-03-25 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-11 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-12-31 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-31 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-10 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-10-10 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-10-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-10 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-10 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-08-14 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-22 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-22 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-17 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-06-24 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-06-24 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-06-04 | F0684 | Quality of Life and Care Deficiencies | H | not recorded |
| 2024-05-01 | F0921 | Environmental Deficiencies | F | not recorded |
| 2023-10-19 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-19 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-10-19 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-10-19 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-19 | F0773 | Administration Deficiencies | D | not recorded |
| 2023-10-19 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-10-19 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2023-10-19 | F0921 | Environmental Deficiencies | E | not recorded |
| 2023-09-07 | F0689 | Quality of Life and Care Deficiencies | F | not recorded |
| 2023-08-23 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-05 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-07-05 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |