Ascension Living - Lakeshore at Siena

Nursing Home · Racine, WI

CMS overall rating 1/5 Non profit - Church related

CMS certification number525495

Contact & location

5643 Erie Street
Racine, WI 53402
Racine County
Phone
(262) 898-9100
ZIP code
53402 – all care providers

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Facility details

Certified beds
60
Residents per day
52.9 (88% occupied)
Ownership
Non profit - Church related
Legal name
Ascension Living - Lakeshore at Siena INC
Chain
Ascension Living (12 facilities, avg 2.8★)
Medicare certified since
August 18, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.6
Quality measures★★★★★ 2/5
State avg 3.0
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.70 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.96 (state 0.99 · U.S. 0.69)
Licensed practical nurses
1.25 (state 0.64 · U.S. 0.86)
Nurse aides
2.49 (state 2.58 · U.S. 2.32)
Weekend total
4.05 (state 3.77 · U.S. 3.42)
Nursing staff turnover
73.3 (state 46.9 · U.S. 45.8)%
RN turnover
72.2 (state 39.7 · U.S. 42.9)%

Inspections

Last standard inspection
February 9, 2026
Health deficiencies (last cycle)
27.0 (state 9.5 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
56 health · 24 fire safety · includes actual harm
DateCitationSeverityStatus
2026-02-09 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 H
Actual harm		 Corrected 2026-04-27
2026-02-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-04-27
2026-02-09 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2026-03-31
2026-02-09 Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-31
2026-02-09 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection		 C
No actual harm, potential for minimal harm		 Corrected 2026-03-31
2025-07-21 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-08
2025-07-21 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-08
2025-05-30 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-19
2025-02-11 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-07
2024-12-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-21
2024-12-26 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-21
2024-09-23 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-10-23
2024-09-23 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-23
2024-09-23 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
F0563 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-09-23 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-09-23 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-23
2024-09-23 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-09-23 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-09-23 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-04-17 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-14
2024-04-17 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-14
2024-04-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-14
2024-01-23 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-07
2024-01-23 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-07
2023-10-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-09
2023-06-22 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-07
2023-06-22 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-26
2023-06-22 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years.

DateTypeAmount
2024-09-23Payment Denial19 days payment denial

Ownership & management

NameRoleSince
Ascension Health Senior Care (organization)5%+ Direct Ownership Interest · 100%
Ajayi, Olusola (individual)Administrator · NOT APPLICABLE
Ascension Health Senior Care (organization)Administrator · NOT APPLICABLE
Health Dimensions Consulting INC (organization)Administrator · NOT APPLICABLE
House Healthcare Solutions LLC (organization)Administrator · NOT APPLICABLE
Intelycare INC (organization)Administrator · NOT APPLICABLE
Medical Solutions LLC (organization)Administrator · NOT APPLICABLE
Metis LTC LLC (organization)Administrator · NOT APPLICABLE
Musgrave, Lisa (individual)Administrator · NOT APPLICABLE
Personnel Specialists LLC (organization)Administrator · NOT APPLICABLE
Prolink Healthcare LLC (organization)Administrator · NOT APPLICABLE
Shadbolt, Erin (individual)Administrator · NOT APPLICABLE
Sidhu, Sarfraz (individual)Administrator · NOT APPLICABLE
Smoot, Kenneth (individual)Administrator · NOT APPLICABLE
Musgrave, Lisa (individual)Corporate Director · NOT APPLICABLE
Shadbolt, Erin (individual)Corporate Director · NOT APPLICABLE
Smoot, Kenneth (individual)Corporate Director · NOT APPLICABLE
Shadbolt, Erin (individual)Corporate Officer · NOT APPLICABLE
Ajayi, Olusola (individual)Operational/managerial Control · NOT APPLICABLE
Sidhu, Sarfraz (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Ascension Living - Lakeshore at Siena?

Ascension Living - Lakeshore at Siena has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Ascension Living - Lakeshore at Siena have?

It has 60 certified beds and cares for about 53 residents per day.

Has Ascension Living - Lakeshore at Siena been fined?

Yes. CMS lists 1 penalty in the last three years.

Who owns Ascension Living - Lakeshore at Siena?

It is part of Ascension Living and is classified as non profit - church related. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Ascension Living - Lakeshore at Siena?

(262) 898-9100. The facility is located at 5643 Erie Street, Racine, WI 53402.

Other nursing homes in Racine

Compare all nursing homes in Racine, WI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.