Show Inspection Reports
Total health inspections
10
Wisconsin average 6
Last Health inspection on Jul 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Ascension Living Lakeshore at Siena
Nursing Home
Ascension Living Lakeshore at Siena
Nursing Home
Ascension Living Lakeshore at Siena in Racine, Wisconsin, provides skilled nursing care, rehabilitation, and memory support in a calm, soothing setting. The facility offers personalized retirement living options and compassionate care. Residents can expect a focus on dignity and quality of life.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
36
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.9%
Residents per day (avg)
53
Occupancy rate
78.9%
Residents per day (avg)
53
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
66% of new residents, often for short stays.
Typical stay
3 - 4 months
Finances and operations
Voluntary non-profit home
Church
Home revenue
$11.7M
Operating deficit
-$300.3K
Voluntary non-profit home
Church
Home revenue
$11,663,437.00
Operating deficit
$-300,294.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.0M
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
5 years in operation
An established community with some operational experience and growing routines.
About this community
Occupancy Rate
78%
Occupied Beds
28 of 36
Percentage of available beds currently in use by residents.
Facility Type
CLASS CNA (NONAMBULATORY)
License Date
December 6, 2020
Additional licensing details
CMS Certification Number:
525495
County:
RACINE
Ownership & operating entity
Ascension Living Lakeshore at Siena is administrated by ASCENSION LIVING LAKESHORE AT SIENA INC.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Programs & Activities
Specific Programs
Memory support, Skilled nursing care, Rehabilitation services
Operating Hours
Daily, 7:00 AM - 7:00 PM CT
Inspection History
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
4 visits/inspections
3 visits/inspections triggered by complaints
Results
2 with issues
2 without issues
Latest inspection
Date:May 7, 2025
6 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Wisconsin
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
American Lutheran Home-Mondovi
-24%
-1%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 54755
35
No
DUHR, AMY
53.5%
$2,677,272.00
$1,238,551.00
46.3%
19.40
4.2152
1
6
-
-24%-1%-24%
Alden Meadow Park Health Care Center, Inc
+11%
-30%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 53525
94
No
MICHALSEN, PAUL
69.0%
$7,956,437.00
$3,356,781.00
42.2%
62.50
3.0135
-
16
-
+11%-30%-1%
Ascension Living Lakeshore at Siena
+42%
-12%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 53402
96
No
PHILLIPS, MICHAEL
78.9%
$11,589,753.00
$3,310,889.00
28.6%
53.20
3.7824
-
31
1
+42%-12%+13%
Alden Estates of Jefferson
+81%
-28%
+38%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 53549
120
No
BODALSKI, GERARD
96.5%
$15,621,800.00
$6,311,949.00
40.4%
108.40
3.0768
3
53
9
+81%-28%+38%
Allis Care Center
-70%
-36%
-8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WI 53214
152
No
LEXINGTON HEALTHCARE LLC
64.5%
$11,839,719.00
$6,679,960.00
56.4%
82.50
2.7526
4
66
9
-70%-36%-8%
American Lutheran Home-Mondovi
Type of care:
SNF
AL
Community:
WI 54755
Bed Count:
35
Pets Allowed:
No
Operator:
DUHR, AMY
CCN:
525383
Occupancy:
53.5%
Home Revenue:
$2,677,272.00
Payroll Costs:
$1,238,551.00
Payroll %:
46.3%
Avg Residents/Day:
19.40
Overall Rating:
Adj Nurse Hours:
4.2152
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
6
RN share vs State Avg:
-24%
-24%
Staffing vs State Avg:
-1%
-1%
Occupancy vs State Avg:
-24%
-24%
Alden Meadow Park Health Care Center, Inc
Type of care:
SNF
AL
Community:
WI 53525
Bed Count:
94
Pets Allowed:
No
Operator:
MICHALSEN, PAUL
CCN:
525508
Occupancy:
69.0%
Home Revenue:
$7,956,437.00
Payroll Costs:
$3,356,781.00
Payroll %:
42.2%
Avg Residents/Day:
62.50
Overall Rating:
Adj Nurse Hours:
3.0135
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
16
RN share vs State Avg:
+11%
+11%
Staffing vs State Avg:
-30%
-30%
Occupancy vs State Avg:
-1%
-1%
Ascension Living Lakeshore at Siena
Type of care:
SNF
AL
Community:
WI 53402
Bed Count:
96
Pets Allowed:
No
Operator:
PHILLIPS, MICHAEL
CCN:
525495
Occupancy:
78.9%
Home Revenue:
$11,589,753.00
Payroll Costs:
$3,310,889.00
Payroll %:
28.6%
Avg Residents/Day:
53.20
Overall Rating:
Adj Nurse Hours:
3.7824
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
31
Severe Citations:
1
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
+13%
+13%
Alden Estates of Jefferson
Type of care:
SNF
AL
Community:
WI 53549
Bed Count:
120
Pets Allowed:
No
Operator:
BODALSKI, GERARD
CCN:
525271
Occupancy:
96.5%
Home Revenue:
$15,621,800.00
Payroll Costs:
$6,311,949.00
Payroll %:
40.4%
Avg Residents/Day:
108.40
Overall Rating:
Adj Nurse Hours:
3.0768
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
53
Severe Citations:
9
RN share vs State Avg:
+81%
+81%
Staffing vs State Avg:
-28%
-28%
Occupancy vs State Avg:
+38%
+38%
Allis Care Center
Type of care:
SNF
AL
Community:
WI 53214
Bed Count:
152
Pets Allowed:
No
Operator:
LEXINGTON HEALTHCARE LLC
CCN:
525108
Occupancy:
64.5%
Home Revenue:
$11,839,719.00
Payroll Costs:
$6,679,960.00
Payroll %:
56.4%
Avg Residents/Day:
82.50
Overall Rating:
Adj Nurse Hours:
2.7526
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
66
Severe Citations:
9
RN share vs State Avg:
-70%
-70%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-8%
-8%Places of interest near Ascension Living Lakeshore at Siena
6.4 miles from city center
RACINE, WI 53402
Calculate Travel Distance to Ascension Living Lakeshore at Siena
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
241
Total Staff
77
Employees
164
Contractors
25,097
Total Hours (Quarter)
37
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 45 | 7.4 | Yes |
| Licensed Practical Nurse | 43 | 7.3 | Yes |
| Certified Nursing Assistant | 136 | 7.5 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
224 staff
7.4hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.8hs shift avg
Therapy Services ⓘ
9 staff
6.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
7.3hs shift avg
Dietary Services ⓘ
3 staff
8.1hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
31%
of total hours from contractors
7,779 contractor hours this quarter
Certified Nursing Assistant: 81
Qualified Social Worker: 1
Registered Nurse: 37
Speech Language Pathologist: 3
Licensed Practical Nurse: 36
Respiratory Therapy Technician: 2
Physical Therapy Aide: 2
Physical Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 55 | 81 | 136 | 13,002 | 91 | 100% | 7.5 |
| Registered Nurse | 8 | 37 | 45 | 4,353 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 7 | 36 | 43 | 2,895 | 90 | 99% | 7.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,461 | 70 | 77% | 8.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 787 | 65 | 71% | 6.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 649 | 74 | 81% | 5.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 502 | 66 | 73% | 6.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 455 | 57 | 63% | 7.8 |
| Qualified Social Worker | 0 | 1 | 1 | 452 | 62 | 68% | 7.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 422 | 65 | 71% | 6 |
| Administrator | 1 | 0 | 1 | 104 | 13 | 14% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 16 | 2 | 2% | 8 |
Health Inspection History
Inspections
Total health citations
31
Citations per inspection
3.1
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
2 of 31 citations resulted from standard inspections; 12 of 31 resulted from complaint investigations; and 17 of 31 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Wisconsin averageWisconsin average: 0.9
Serious Health citations
1
1
17% better than Wisconsin averageWisconsin average: 1.2
0 critical citations
1 serious citation
29 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Jul 21, 2025
Corrected
Quality of Care moderate citation
Jul 21, 2025
Corrected
Abuse/Neglect moderate citation
May 30, 2025
Corrected
Care Planning moderate citation
Feb 11, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
52
Total Residents
Medicare
14
(26.9%)
ⓘ
Medicaid
7
(13.5%)
ⓘ
Private Pay/Other
31
(59.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.4
66% worse than Wisconsin averageWisconsin average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.8
30% worse than Wisconsin averageWisconsin average: 22.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
49% worse than Wisconsin averageWisconsin average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
36.0%
Percent of long-stay residents whose ability to move independently worsened
36.0%
58% worse than Wisconsin averageWisconsin average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
7% better than Wisconsin averageWisconsin average: 26.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
109% worse than Wisconsin averageWisconsin average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
8% worse than Wisconsin averageWisconsin average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
76% better than Wisconsin averageWisconsin average: 3.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
12.2%
Percent of long-stay residents who lose too much weight
12.2%
151% worse than Wisconsin averageWisconsin average: 4.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.9%
Percent of long-stay residents who have depressive symptoms
0.9%
83% better than Wisconsin averageWisconsin average: 5.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.9%
Percent of long-stay residents who received an antipsychotic medication
8.9%
45% better than Wisconsin averageWisconsin average: 16.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
In line with Wisconsin averageWisconsin average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
In line with Wisconsin averageWisconsin average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
7% better than Wisconsin averageWisconsin average: 87.3%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
35% better than Wisconsin averageWisconsin average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.9%
In line with Wisconsin averageWisconsin average: 82.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$0
100% lower than Wisconsin averageWisconsin average: $95K
Number of fines
0
100% fewer fines than Wisconsin averageWisconsin average: 2.1
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
51% more payment denials than Wisconsin averageWisconsin average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$0
Wisconsin average
$95K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 23, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 23, 2024
19 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Ascension Living Lakeshore at Siena based on CMS SNF Cost Reports.
Occupancy Rate
78.9%
↑ 11.5pp vs 2023
Net Income
-$300,294
↑ ~$10.0M vs 2023
Total Payroll
$3,937,891
↑ ~$892K vs 2023
Profit Margin
-2.6%
↑ 100.7pp vs 2023
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