Nursing homes › Wisconsin › Ascension Living - Lakeshore at Siena
5643 Erie Street, Racine, WI 53402 · (262) 898-9100 · 60 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 321 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Ascension Living, a group operating 12 facilities in 8 states. Group record: average rating 2.8/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $880,682 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 4.70 (Wisconsin median: 4.02). RN hours: 0.96. Weekend total: 4.05. Nursing staff turnover: 73%.
In the downloaded CMS dataset: 57 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-09 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | Health | 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. | G | complaint | corrected 2026-04-27 |
| 2026-02-09 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Health | corrected 2026-03-31 |
| 2026-02-09 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | Health | 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. | F | Health | corrected 2026-03-31 |
| 2026-02-09 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2026-03-31 |
| 2026-02-09 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2026-03-31 |
| 2026-02-09 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-03-31 |
| 2026-02-09 | Implement a program that monitors antibiotic use. | F | Health | 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. | F | Health | corrected 2026-03-31 |
| 2026-02-09 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Health | 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. | E | Health | corrected 2026-03-31 |
| 2026-02-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | 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. | E | complaint | 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. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2026-03-31 |
| 2026-02-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-03-31 |
| 2026-02-09 | Respond appropriately to all alleged violations. | D | complaint | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2026-03-31 |
| 2026-02-09 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | corrected 2026-03-31 |
| 2026-02-09 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2026-03-31 |
| 2026-02-09 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2026-03-31 |
| 2026-02-09 | Post nurse staffing information every day. | C | complaint | corrected 2026-03-31 |
| 2025-07-21 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-08-08 |
| 2025-07-21 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-08-08 |
| 2025-05-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-01-21 |
| 2024-09-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-10-23 |
| 2024-09-23 | Keep all essential equipment working safely. | E | complaint | 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. | D | complaint | 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. | D | Health | 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. | D | complaint | corrected 2024-10-23 |
| 2024-09-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-01 |
| 2024-09-23 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-11-01 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-23 | Payment Denial | 19 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2014 |
| MUSGRAVE, LISA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| SHADBOLT, ERIN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| SMOOT, KENNETH | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| SHADBOLT, ERIN | Corporate Officer | Individual | NOT APPLICABLE | since 10/17/2022 |
| AJAYI, OLUSOLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/19/2025 |
| SIDHU, SARFRAZ | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
How to cite this page: CareRecords, “Ascension Living - Lakeshore at Siena — compliance, penalty and ownership record” (CCN 525495), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/ascension-living-lakeshore-at-siena-racine-wi/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525495. Corrections: data@carerecords.org.