Ascension Living - Lakeshore at Siena
5643 Erie Street · Racine, WI · 53402 · 2628989100
60 certified beds Non profit - Church related Chain: Ascension Living
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 4.61 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (57 in the current record)
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Actual harm · H February 9, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 27, 2026 · Quality of Life and Care
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Actual harm · G February 9, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 31, 2026 · Quality of Life and Care
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Actual harm · G February 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · D February 9, 2026
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.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · F February 9, 2026
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected March 31, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 9, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 31, 2026 · Resident Rights
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Potential for harm · E February 9, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2026
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.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · D February 9, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · E February 9, 2026
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.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · F February 9, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · F February 9, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 31, 2026 · Administration
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Potential for harm · F February 9, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 31, 2026 · Administration
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Potential for harm · F February 9, 2026
Provide and implement an infection prevention and control program.
Corrected March 31, 2026 · Infection Control
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Potential for harm · F February 9, 2026
Implement a program that monitors antibiotic use.
Corrected March 31, 2026 · Infection Control
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Potential for harm · F February 9, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected March 31, 2026 · Infection Control
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Potential for harm · F February 9, 2026
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected March 31, 2026 · Administration
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Potential for harm · D February 9, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 31, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 9, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 31, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · E February 9, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 31, 2026 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 23, 2024 | Payment Denial | 19 days |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525495 · certified since August 18, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.