Ascension Living - Lakeshore at Siena

5643 Erie Street, Racine, WI 53402 · (262) 898-9100
Non profit - Church related · 60 certified beds

Ascension Living - Lakeshore at Siena has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 27 citations, 3 for actual harm or immediate jeopardy (the Wisconsin average is 9.5). It was fined 1 time in the last three years, $218,735 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on February 9, 2026 found 27 citations. What an inspection citation means

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 9, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 9, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.February 9, 2026 · F0744 · Level of harm: Actual harm · Residents affected: Few
• Not hire anyone with a finding of abuse, neglect, exploitation, or theft.February 9, 2026 · F0606 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 9, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have a plan that describes the process for conducting QAPI and QAA activities.February 9, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFebruary 9, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.February 9, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Implement a program that monitors antibiotic use.February 9, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.February 9, 2026 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.February 9, 2026 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 9, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 9, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 9, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 9, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.February 9, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 9, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 9, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.February 9, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.February 9, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 9, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 9, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.February 9, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.February 9, 2026 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.February 9, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.February 9, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.February 9, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many

Complaint inspections, last three years

Inspections after complaints found 25 citations.

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 9, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.February 9, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 9, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 9, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Post nurse staffing information every day.February 9, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 9, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure medication error rates are not 5 percent or greater.February 9, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.July 21, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.July 21, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 30, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 11, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 26, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 26, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.September 23, 2024 · F0563 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 23, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.September 23, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.September 23, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.September 23, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.September 23, 2024 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep all essential equipment working safely.September 23, 2024 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 17, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 17, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 17, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 23, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 23, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $218,735February 9, 2026
• Medicare payment denial for 47 daysStarting March 11, 2026
• Medicare payment denial for 19 daysStarting October 26, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home