Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
109
62 employees · 47 contractors · 34 on an average day Ascension Living Lakeshore at Siena
Nursing Home, Memory Care & Skilled Nursing · Racine, WI
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Ascension Living Lakeshore at Siena
Nursing Home, Memory Care & Skilled Nursing · Racine, WI
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Ascension Living Lakeshore at Siena accepts Medicare and private pay.
Ascension Living Lakeshore at Siena provides skilled nursing and memory care in Racine, Wisconsin. Skilled nursing gives residents access to licensed nursing care for ongoing medical needs, while memory care provides supervision in a secured setting for someone at risk of wandering. The community may be a good fit for a resident who needs either nursing support or a supervised memory care environment.
With 36 beds, Ascension Living Lakeshore at Siena is a smaller community, which can allow staff and residents to become familiar with one another. Rehabilitation services, including short term rehabilitation, give someone a care setting focused on recovery without requiring a permanent nursing home stay. Total nurse staffing is 4 hours and 53 minutes per resident per day, representing the daily nursing time available for each resident’s care. Medicare and private pay are accepted, giving families two listed payment pathways for covered or privately funded care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 46th out of 164 nursing homes we track in Wisconsin for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 53m
This nursing home is ranked 46th out of 164 nursing homes we track in Wisconsin for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 53mStandout metric: LPN / LVN is +111% above Wisconsin average
1 of 6 metrics below Wisconsin average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 7 total: 3 of the facility's own employees and 4 agency contractors.
7 staff · 7.5-hour shifts
1h 5m
↑ 12% · WI 58mThis facility: 1h 5m per resident per day, 12% above the Wisconsin average of 58m (among Wisconsin facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 7 total: 3 of the facility's own employees and 4 agency contractors.
7 staff · 7.5-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 21 total: 9 of the facility's own employees and 12 agency contractors.
21 staff · 8.1-hour shifts
1h 20m
↑ 111% · WI 38mThis facility: 1h 20m per resident per day, 111% above the Wisconsin average of 38m (among Wisconsin facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 21 total: 9 of the facility's own employees and 12 agency contractors.
21 staff · 8.1-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 51 total: 39 of the facility's own employees and 12 agency contractors.
51 staff · 7.5-hour shifts
2h 28m
↓ 5% · WI 2h 35mThis facility: 2h 28m per resident per day, 5% below the Wisconsin average of 2h 35m (among Wisconsin facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 51 total: 39 of the facility's own employees and 12 agency contractors.
51 staff · 7.5-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
5m
↑ 27% · WI 4mThis facility: 5m per resident per day, 27% above the Wisconsin average of 4m (among Wisconsin facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 53m
↑ 5% · WI 3h 43mThis facility: 3h 53m per resident per day, 5% above the Wisconsin average of 3h 43m (among Wisconsin facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
40m
≈ 0% · WI 40mThis facility: 40m per resident per day, level with the Wisconsin average of 40m (among Wisconsin facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
109
62 employees · 47 contractors · 34 on an average day
109 total staff / 53 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.06 : 1
↓ 14% · WI 2.40This facility: 2.06 staff per resident, 14% below the Wisconsin average of 2.40 (among Wisconsin facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
109 staff ÷ 53 residents
See full Wisconsin ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.5 h
↑ 3% · WI 7.3 hThis facility: 7.5 h, 3% above the Wisconsin average of 7.3 h (among Wisconsin facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
23,322 staff hours this quarter
See full Wisconsin ranking →69.3% of staff hours were worked by the facility's own employees
Wisconsin average: 88.4% · Contractors this quarter: Certified Nursing Assistant (12), Licensed Practical Nurse (12), Clinical Nurse Specialist (10), Registered Nurse (4), Physical Therapy Aide (2), Physical Therapy Assistant (2), Speech Language Pathologist (2), Respiratory Therapy Technician (1), Qualified Social Worker (1), Medication Aide/Technician (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
36
Rank #172 / 197Bed count — State benchmarked This nursing home is ranked 172nd out of 197 nursing homes we track in Wisconsin for bed count. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
36
Rank #172 / 197Bed count — State benchmarked This nursing home is ranked 172nd out of 197 nursing homes we track in Wisconsin for bed count. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
An established community with some operational experience and growing routines. This is the number of years in operation under current management.
Rank #45 / 55Years in operation — State benchmarked This nursing home is ranked 45th out of 55 nursing homes we track in Wisconsin for years in operation. Shows how long this facility has been in operation compared to other Wisconsin facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
An established community with some operational experience and growing routines. This is the number of years in operation under current management.
Rank #45 / 55Years in operation — State benchmarked This nursing home is ranked 45th out of 55 nursing homes we track in Wisconsin for years in operation. Shows how long this facility has been in operation compared to other Wisconsin facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
5
years
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #160 / 191Walk Score — State benchmarked This nursing home is ranked 160th out of 191 nursing homes we track in Wisconsin for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Wisconsin facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #160 / 191Walk Score — State benchmarked This nursing home is ranked 160th out of 191 nursing homes we track in Wisconsin for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Wisconsin facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
22
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #113 / 167Occupancy rate — State benchmarked This nursing home is ranked 113th out of 167 nursing homes we track in Wisconsin for occupancy. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 167. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #113 / 167Occupancy rate — State benchmarked This nursing home is ranked 113th out of 167 nursing homes we track in Wisconsin for occupancy. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 167. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
66.7%
This home usually has availability
Based on 24 residents and 36 beds. Source: state inspection report (Nov 2025)
Lower than the Wisconsin average: 72.1%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
70
days
About This Community
Facility TypeClass CNA (Nonambulatory)
IssuanceDecember 6, 2020
CountyRacine
CMS Certification Number525495
Ascension Living Lakeshore at Siena is legally operated by Ascension Living Lakeshore At Siena Inc.
Resident Council
Short-Term Rehab
Pets not allowed
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
Since 2024 · 2 years of data
These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 6 deficiencies 5 inspections
Includes all inspection records for this property, which could include management/ownership changes. 6 deficiencies 5 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2024 vs. Wisconsin state average
Overall vs. WI average
0 Worse
No metrics in this bucket.
1 At Avg
Metrics at Wisconsin average:
• Deficiencies per inspection (at WI avg) 1 Better Metrics better than Wisconsin average:
• Total deficiencies (14% below)
• Deficiencies per inspection (at WI avg) 1 Better Metrics better than Wisconsin average:
• Total deficiencies (14% below)
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 7.0 | This facility has 14% fewer total deficiencies than a typical Wisconsin nursing home (6 vs. WI avg 7).↓ 14% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.2 | 1.2 | This facility has deficiencies per inspection in line with the Wisconsin average (1.2 vs. WI avg 1.2).— At avg |
Inspections
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 5 | 4.0 | This facility has had 25% more total inspections than the Wisconsin average (5 vs. WI avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
10
↑ 61% · WI 6.2This facility: 10, 61% above the WI average of 6.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
57
Rank #145 / 168Health citations — State benchmarked This nursing home is ranked 145th out of 168 nursing homes we track in Wisconsin for health citations. Shows this facility's total health deficiency citations benchmarked to the Wisconsin State average, with a ranking across all 168 WI facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 101% · WI 28.3This facility: 57, 101% above the WI average of 28.3 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
5.7
Rank #132 / 168Citations per inspection — State benchmarked This nursing home is ranked 132nd out of 168 nursing homes we track in Wisconsin for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Wisconsin mean across 168 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 34% · WI 4.24This facility: 5.7, 34% above the WI average of 4.24 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
57 of 57 citations corrected
Critical
J–L
0
↓ 100% · WI 0.9This facility: 0, 100% below the WI average of 0.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
4
↑ 233% · WI 1.2This facility: 4, 233% above the WI average of 1.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
51
↑ 98% · WI 25.8This facility: 51, 98% above the WI average of 25.8 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
2
↑ 300% · WI 0.5This facility: 2, 300% above the WI average of 0.5 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Feb 09, 2026 · 27 citations, all corrected
Most cited category: Quality of Life & Care, 18 of 57 citations · 9 categories in total
Citations history
Most recent first
Feb 09, 2026
27 citations
Quality of Care serious citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nursing Services minor citation
Corrected
Corrected
Jul 21, 2025
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
May 30, 2025
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Feb 11, 2025
1 citation
Care Planning moderate citation
Corrected
Corrected
Dec 26, 2024
2 citations
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Sep 23, 2024
8 citations
Quality of Care serious citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Apr 17, 2024
3 citations
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Jan 23, 2024
2 citations
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Oct 05, 2023
1 citation
Pharmacy moderate citation
Corrected
Corrected
Jun 22, 2023
3 citations
Care Planning moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Showing the 50 most recent of 57 citations.
Top deficiency categories
Share of 57 citations
Quality of Life & Care
18 deficiencies (32%)
Pharmacy Services
10 deficiencies (18%)
Abuse, Neglect & Exploitation
8 deficiencies (14%)
Resident Rights
6 deficiencies (11%)
Resident Assessment & Care Planning
5 deficiencies (9%)
Administration
4 deficiencies (7%)
Infection Control
3 deficiencies (5%)
Nursing & Physician Services
2 deficiencies (4%)
Environmental
1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 57 citations resulted from standard inspections; 12 of 57 resulted from complaint investigations; and 14 of 57 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 Oct 2026
3 penalties in the past 3 years
Latest: Feb 9, 2026 · $218,735 civil money penalty
Feb 9, 2026 · $218,735 civil money penalty
Feb 9, 2026 · 47-day payment denial
Sep 23, 2024 · 19-day payment denial
Total fines
$218,735
↑ 105% · WI $107KThis facility: $218,735, 105% above the Wisconsin average of $106,807. Average among the 146 Wisconsin facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #1 / 168Federal fines — State benchmarked This nursing home is ranked 1st out of 168 nursing homes we track in Wisconsin for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Wisconsin average among facilities with fines, and where it ranks among 168 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 51% · WI 2.03This facility: 1, 51% below the Wisconsin average of 2.03. Average among the 146 Wisconsin facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
66 days
↑ 183% · WI 0.71This facility: 2, 183% above the Wisconsin average of 0.71. Average among the 146 Wisconsin facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Feb 9, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$218,735
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$218,735
Feb 9, 2026
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
47 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
47 days
Sep 23, 2024
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
19 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
19 daysFine amount comparison
This facility
$218,735
Wisconsin average
$106,807
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Wisconsin and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Wisconsin average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 34% · WI 3.0This facility: 2.0, 34% below the WI average of 3.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 31% · WI 2.9This facility: 2.0, 31% below the WI average of 2.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
14.3
Score · lower is better
↑ 59% · WI 9.0This facility: 14.3, 59% above the WI average of 9.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
23.5
Score · lower is better
↑ 25% · WI 18.9This facility: 23.5, 25% above the WI average of 18.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 3 better, 6 worse, 2 near WI average
8 short-stay measures: 1 better, 2 worse, 2 near WI average, 3 compared with US only
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
22.3%
↑ 41% · WI 15.8This facility: 22.3, 41% above the WI average of 15.8 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
22.3%
↑ 41% · WI 15.8This facility: 22.3, 41% above the WI average of 15.8 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
24.6%
↑ 45% · WI 17.0This facility: 24.6, 45% above the WI average of 17.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
24.6%
↑ 45% · WI 17.0This facility: 24.6, 45% above the WI average of 17.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
≈ 0% · WI 23.6This facility: 23.6, level with the WI average of 23.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
≈ 0% · WI 23.6This facility: 23.6, level with the WI average of 23.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.8%
↓ 71% · WI 2.7This facility: 0.8, 71% below the WI average of 2.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.8%
↓ 71% · WI 2.7This facility: 0.8, 71% below the WI average of 2.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
↑ 86% · WI 3.3This facility: 6.2, 86% above the WI average of 3.3 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
↑ 86% · WI 3.3This facility: 6.2, 86% above the WI average of 3.3 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
9.3%
↑ 91% · WI 4.9This facility: 9.3, 91% above the WI average of 4.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
9.3%
↑ 91% · WI 4.9This facility: 9.3, 91% above the WI average of 4.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
9.2%
↑ 86% · WI 4.9This facility: 9.2, 86% above the WI average of 4.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
9.2%
↑ 86% · WI 4.9This facility: 9.2, 86% above the WI average of 4.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
3.8%
↓ 37% · WI 6.0This facility: 3.8, 37% below the WI average of 6.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
3.8%
↓ 37% · WI 6.0This facility: 3.8, 37% below the WI average of 6.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
12.1%
↓ 24% · WI 15.9This facility: 12.1, 24% below the WI average of 15.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
12.1%
↓ 24% · WI 15.9This facility: 12.1, 24% below the WI average of 15.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
≈ 0% · WI 96.0This facility: 96.1, level with the WI average of 96.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
≈ 0% · WI 96.0This facility: 96.1, level with the WI average of 96.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
↓ 14% · WI 95.6This facility: 82.1, 14% below the WI average of 95.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
↓ 14% · WI 95.6This facility: 82.1, 14% below the WI average of 95.6 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
44.6%
↓ 17% · US 53.7This facility: 44.6, 17% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
44.6%
↓ 17% · US 53.7This facility: 44.6, 17% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
50.1%
↓ 1% · US 50.6This facility: 50.1, 1% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
50.1%
↓ 1% · US 50.6This facility: 50.1, 1% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.7%
↑ 248% · US 0.8This facility: 2.7, 248% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
2.7%
↑ 248% · US 0.8This facility: 2.7, 248% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
↓ 76% · WI 1.2This facility: 0.3, 76% below the WI average of 1.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
↓ 76% · WI 1.2This facility: 0.3, 76% below the WI average of 1.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
≈ 0% · WI 86.9This facility: 87.2, level with the WI average of 86.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
≈ 0% · WI 86.9This facility: 87.2, level with the WI average of 86.9 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.1%
↓ 24% · WI 82.2This facility: 62.1, 24% below the WI average of 82.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.1%
↓ 24% · WI 82.2This facility: 62.1, 24% below the WI average of 82.2 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.1%
↑ 24% · WI 22.7This facility: 28.1, 24% above the WI average of 22.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.1%
↑ 24% · WI 22.7This facility: 28.1, 24% above the WI average of 22.7 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.8%
↓ 1% · WI 15.0This facility: 14.8, 1% below the WI average of 15.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
14.8%
↓ 1% · WI 15.0This facility: 14.8, 1% below the WI average of 15.0 (among WI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Ascension Living Lakeshore at Siena’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 164 Wisconsin nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, and more than last year
−8.4% operating margin
−4.7 pts vs prior year
An operating loss in 7 of the last 7 reported years. Other income ($0.0M) trims the net loss to −$0.9M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Wisconsin homes
44.8% payroll share of revenue
WI average 58.7%Rank #141 / 164Payroll % of net patient revenue — State benchmarked This nursing home is ranked 141st out of 164 nursing homes we track in Wisconsin for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Wisconsin average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.8M while revenue rose $0.5M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Wisconsin homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2019 → 2025Trend | WI median | Compared with WI homesRank in WI | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $10.6M | +$0.5M | Trend 20192025 | WI median $8.3M | Rank in WI Rank #49 / 164Net patient revenue — State benchmarked This nursing home is ranked 49th out of 164 nursing homes we track in Wisconsin for net patient revenue. Shows this facility's net patient revenue compared to the Wisconsin average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 71% of homes | Above WI median Higher net patient revenue than 71% of WI homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $11.5M | +$1.0M | Trend 20192025 | WI median $8.4M | Rank in WI Rank #44 / 164Operating expenses — State benchmarked This nursing home is ranked 44th out of 164 nursing homes we track in Wisconsin for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Wisconsin homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 74% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.9M | −$0.5M | Trend 20192025 | WI median −$0.1M | Rank in WI Rank #122 / 164Net patient income — State benchmarked This nursing home is ranked 122nd out of 164 nursing homes we track in Wisconsin for net patient income. Shows net patient revenue minus operating expenses, compared with other Wisconsin homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 26% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −8.4% | −4.7 pts | Trend 20192025 | WI median −1.0% | Rank in WI Rank #112 / 164Operating margin — State benchmarked This nursing home is ranked 112th out of 164 nursing homes we track in Wisconsin for operating margin. Shows net patient income as a share of net patient revenue, compared with other Wisconsin homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 32% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | WI median $0.1M | Rank in WI Rank #142 / 162Other income — State benchmarked This nursing home is ranked 142nd out of 162 nursing homes we track in Wisconsin for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Wisconsin homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 12% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.9M | −$0.6M | Trend — | WI median $0.2M | Rank in WI Rank #142 / 164Net income — State benchmarked This nursing home is ranked 142nd out of 164 nursing homes we track in Wisconsin for net income. Shows the bottom line after other income, compared with other Wisconsin homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 13% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Wisconsin homes
| Metric | FY 2025 | vs prior year | Trend 2019 → 2025Trend | WI median | Compared with WI homesRank in WI | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.8M | +$0.8M | Trend 20192025 | WI median $4.4M | Rank in WI Rank #75 / 164Payroll costs — State benchmarked This nursing home is ranked 75th out of 164 nursing homes we track in Wisconsin for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Wisconsin average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Above WI median Higher payroll than 55% of WI homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 44.8% | +6.1 pts | Trend 20192025 | WI median 56.9% | Rank in WI Rank #141 / 164Payroll % of net patient revenue — State benchmarked This nursing home is ranked 141st out of 164 nursing homes we track in Wisconsin for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Wisconsin average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 14% of homes | 13.9 pts under WI average The WI average is 58.7% of revenue. Within 3 points of it reads as near the average. |
Charts, 2019–2025 2 charts · WI benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Wisconsin payroll average.
% of net patient revenue
Payroll share Operating margin WI payroll average
Year-by-year data, 2019–2025 every reported year · latest first, scroll sideways
| Metric | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|
| Net patient revenue | $7.9M | $7.2M | $6.0M | $5.7M | $8.2M | $10.2M | $10.6M |
| Operating expenses | $9.5M | $8.4M | $7.5M | $7.7M | $18.5M | $10.5M | $11.5M |
| Net patient income | −$1.5M | −$1.2M | −$1.6M | −$1.9M | −$10.3M | −$0.4M | −$0.9M |
| Operating margin | −19.4% | −17.3% | −26.6% | −33.9% | −125.7% | −3.7% | −8.4% |
| Net income | −$1.5M | −$0.9M | −$0.3M | −$1.8M | −$10.3M | −$0.3M | −$0.9M |
| Payroll costs | $5.2M | $4.6M | $4.0M | $3.9M | $3.0M | $3.9M | $4.8M |
| Payroll share of revenue | 65.9% | 63.4% | 67.1% | 68.0% | 37.1% | 38.7% | 44.8% |
| Beds | 96 | 96 | 96 | 96 | 96 | 96 | 96 |
| Gross revenue | $11.5M | $10.6M | $8.5M | $7.6M | $10.0M | $11.6M | $12.9M |
| Salaries | $4.5M | $3.7M | $3.3M | $3.3M | $2.5M | $3.3M | $4.1M |
| Wage-related costs | $0.7M | $0.8M | $0.7M | $0.6M | $0.6M | $0.6M | $0.7M |
| Contract labor | $0.8M | $0.6M | $0.5M | $0.7M | — | — | $1.9M |
| Other operating costs | $4.2M | $3.9M | $3.5M | $3.8M | $15.5M | $6.6M | $6.7M |
| Net patient revenue per day | $264 | $274 | $270 | $307 | $347 | $366 | $352 |
| Cost per day | $316 | $321 | $341 | $410 | $784 | $380 | $381 |
| Average length of stay | 75.9 days | 63.1 days | 68.7 days | 69.2 days | 61.5 days | 66.8 days | 70.4 days |
Showing 2025–2023 · scroll sideways for 4 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
311 admissions · FY2025
Residents admitted during the year.
Medicare
100 · 32%
Medicaid
0 · 0%
Private pay & other
211 · 68%
Resident snapshot
53 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
26 · 49%
Medicaid
17 · 32%
Private pay & other
10 · 19%
Leaving
282 discharges · FY2025
Residents discharged during the year.
Medicare
84 · 30%
Medicaid
0 · 0%
Private pay & other
198 · 70%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Ascension Living Lakeshore at Siena
6.4 miles from city center
Estimated distance in miles from Racine's city center to Ascension Living Lakeshore at Siena's address, calculated via Google Maps.
Calculate Travel Distance to Ascension Living Lakeshore at Siena
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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the WI Dept. of Health Services (DHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
Official facility name used in federal/state reporting (may differ slightly from the marketing name).
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
|
City and state of the facility. Used for mapping and state-average comparisons.
|
Estimated monthly cost range for the facility.
|
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
|
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
|
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
|
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
|
|---|---|---|---|---|---|---|---|
| Harbor Haven Health & Rehabilitation | NH HOS MC PC SNF | Fond Du Lac | - | 85
Facility
85
WI AVG
78
Rank
#81 / 197 | - |
57
Facility
57
WI AVG
48
Rank
#69 / 191 | Private / Semi-Private Rooms |
| Shady Lane Nursing Care Center | NH AL MC RC SNF | Manitowoc | - | 50
Facility
50
WI AVG
78
Rank
#114 / 197 | A+ |
75
Facility
75
WI AVG
48
Rank
#29 / 191 | - |
| St Camillus | NH AL HOS IL MC SNF | Wauwatosa | - | 86
Facility
86
WI AVG
78
Rank
#79 / 197 | - |
12
Facility
12
WI AVG
48
Rank
#174 / 191 | - |
| Sheboygan Senior Community Inc | NH AL RC SNF | Y Sheboygan | - | 31
Facility
31
WI AVG
78
Rank
#179 / 197 | - | - | - |
| Ascension Living Lakeshore at Siena | NH MC SNF | Racine | - | 36
Facility
36
WI AVG
78
Rank
#172 / 197 | - |
22
Facility
22
WI AVG
48
Rank
#160 / 191 | - |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other WI nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Ascension Living Lakeshore at Siena
Quick answers from public records and the community's own listing.01 Is Ascension Living Lakeshore at Siena in a walkable area?
Ascension Living Lakeshore at Siena has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
02 What is the occupancy rate at Ascension Living Lakeshore at Siena?
Ascension Living Lakeshore at Siena's occupancy is 66.7%.
03 How long has Ascension Living Lakeshore at Siena been in business?
Ascension Living Lakeshore at Siena has been operating for approximately 5 years, based on available licensing and registration records.
04 Are pets allowed at Ascension Living Lakeshore at Siena?
No, Ascension Living Lakeshore at Siena has a no-pet policy.
05 Does Ascension Living Lakeshore at Siena operate as a for-profit or non-profit?
Ascension Living Lakeshore at Siena is registered as a non-profit in WI.
06 What is the overall rating for Ascension Living Lakeshore at Siena?
Ascension Living Lakeshore at Siena received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Ascension Living Lakeshore at Siena have?
Ascension Living Lakeshore at Siena has 36 beds.
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