About Ascension Living - Lakeshore at Siena
Ascension Living - Lakeshore At Siena, located in RACINE, WI, is a non-profit organization that accepts Medicare and Medicaid.
Why Families Choose Ascension Living - Lakeshore at Siena
- More Nursing Time: Staff spends 4.93 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 4.93 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the ASCENSION LIVING network. This chain operates 16 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Above Average Staffing
Ascension Living - Lakeshore at Siena provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 2 |
|
| Quality Measures | 2 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 112 | Sep 23, 2024 |
| Weighted Average | 106 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 26.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 17.6% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 3.7% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.5% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 20.2% |
| Percentage of long-stay residents who lose too much weight (QM404) | 10.9% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.7% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 1.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 7.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 97.8% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 91.4% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.6% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 16.8% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 23.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.3% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 82.9% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 7.3% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 23.6% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 15.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 2 complaints
- 2024: 12 complaints
- 2025: 6 complaints
- 2026: 7 complaints
- Total: 27 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 31, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 31, 2026 | Respond appropriately to all alleged violations. |
| Mar 31, 2026 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Mar 31, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 31, 2026 | Post nurse staffing information every day. |
| Mar 31, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 31, 2026 | Ensure medication error rates are not 5 percent or greater. |
| Aug 08, 2025 | Respond appropriately to all alleged violations. |
| Aug 08, 2025 | Provide enough food/fluids to maintain a resident's health. |
| Jun 19, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 07, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jan 21, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jan 21, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 01, 2024 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. |
| Nov 01, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Nov 01, 2024 | Respond appropriately to all alleged violations. |
| Nov 01, 2024 | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| Oct 23, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Oct 23, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Oct 23, 2024 | Keep all essential equipment working safely. |
| May 14, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 14, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| May 14, 2024 | 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. |
| Mar 07, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 07, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 09, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jul 26, 2023 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. |
Nearby Hospitals
FROEDTERT SOUTH INC.
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ASCENSION ALL SAINTS HOSPITAL
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ASCENSION ST FRANCIS HOSPITAL
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MILWAUKEE VA MEDICAL CENTER
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ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE
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FROEDTERT MEMORIAL LUTHERAN HOSPITAL
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AURORA ST LUKES MEDICAL CENTER
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WAUKESHA MEMORIAL HOSPITAL
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WEST ALLIS MEMORIAL HOSPITAL
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AURORA MEDICAL CENTER KENOSHA
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MIDWESTERN REGION MED CENTER, INC
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ASCENSION SE WISCONSIN HOSPITAL
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OCONOMOWOC MEMORIAL HOSPITAL
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FROEDTERT COMMUNITY HOSPITAL
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CHILDRENS HOSPITAL OF WISCONSIN
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AURORA PSYCHIATRIC HOSPITAL
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WAUKESHA COUNTY MENTAL HEALTH CTR
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GRANITE HILLS HOSPITAL
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ORTHOPAEDIC HOSPITAL OF WISCONSIN
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MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL
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Owner & Operator Information
Business Entity
ASCENSION LIVING - LAKESHORE AT SIENA INC
Ownership Structure
- ASCENSION HEALTH SENIOR CARE Direct: 100%
Management & Direction
- OLUSOLA AJAYI ADP OF THE SNF
- OLUSOLA AJAYI OPERATIONAL/MANAGERIAL CONTROL
- ASCENSION HEALTH SENIOR CARE ADP OF THE SNF
- HEALTH DIMENSIONS CONSULTING INC ADP OF THE SNF
- HOUSE HEALTHCARE SOLUTIONS LLC ADP OF THE SNF
- INTELYCARE INC ADP OF THE SNF
- MEDICAL SOLUTIONS LLC ADP OF THE SNF
- METIS LTC LLC ADP OF THE SNF
- LISA MUSGRAVE CORPORATE DIRECTOR
- LISA MUSGRAVE ADP OF THE SNF
- PERSONNEL SPECIALISTS LLC ADP OF THE SNF
- PROLINK HEALTHCARE LLC ADP OF THE SNF
- ERIN SHADBOLT CORPORATE OFFICER
- ERIN SHADBOLT CORPORATE DIRECTOR
- ERIN SHADBOLT ADP OF THE SNF
- SARFRAZ SIDHU OPERATIONAL/MANAGERIAL CONTROL
- SARFRAZ SIDHU ADP OF THE SNF
- KENNETH SMOOT CORPORATE DIRECTOR
- KENNETH SMOOT ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Clement Manor Health Care Center | N/A | 5 |
| Milwaukee Catholic Home | N/A | 5 |
| Complete Care at Ridgewood LLC | N/A | 4 |
| Milwaukee Health and Rehab | N/A | 4 |
| Brookside Care Center | N/A | 5 |
| St Ann Health and Rehabilitation Center | N/A | 4 |
| Complete Care at Hales Corners | N/A | 3 |
| Mercy Health Services | N/A | 3 |
| Congregational Home, Inc. | N/A | 4 |
| Saint Johns On The Lake | N/A | 4 |
Related Analysis
Best Nursing Homes in RACINE, WI
Compare Ascension Living - Lakeshore at Siena to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Ascension Living - Lakeshore at Siena directly at 2628989100. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.