Occupancy rate
67%
In line with Wisconsin averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Wisconsin
CMS overall rating
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.
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.
Ascension Living Lakeshore at Siena
Nursing Home in Wisconsin
CMS overall rating
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.
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.
Ascension Living Lakeshore at Siena
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
66.7%
Residents per day
24
Occupancy rate
66.7%
Residents per day
24
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 community
Operated by a church.
Home revenue
$11.7M
Operating deficit
-$300.3K
Voluntary non-profit community
Operated by a church.
Home revenue
$11.7M
Operating deficit
-$300.3K
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
In line with Wisconsin averageOccupied beds
24 / 36
Average residents
54 per day
Facility TypeClass Cna (nonambulatory)
IssuanceDecember 6, 2020
CountyRacine
CMS Certification Number525495
Ascension Living Lakeshore at Siena is administrated by Ascension Living Lakeshore At Siena Inc.
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Specific ProgramsMemory support, Skilled nursing care, Rehabilitation services
Operating HoursDaily, 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.
5 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
November 24, 2025
Complaint Investigation6 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Wisconsin average: 12 deficiencies
Inspection Report Summary for Ascension Living Lakeshore at Siena
The most recent inspection on November 24, 2025, found no deficiencies and two complaints were unsubstantiated. Earlier inspections showed a pattern of deficiencies related mainly to incomplete resident records, resident care documentation, and medication management, with some substantiated complaints in May 2024 involving caregiver background checks, resident assessments, service plan updates, and medication disposal policies. Enforcement actions included a $500 forfeiture and a $200 inspection fee following the May 15, 2024, survey to address prior deficiencies. Complaint investigations were mostly unsubstantiated except for two substantiated complaints in May 2024 concerning medication orders and resident care issues. The trend suggests improvement over time, with the most recent inspection showing no deficiencies after previous issues were addressed.
Health Inspection History
Inspections
Total health inspections
10
Wisconsin average 6
Last Health inspection on Jul 2025
Total health citations
31
Wisconsin average 27.3
Citations per inspection
3.1
Wisconsin average 4.19
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
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 21, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 21, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 21, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 21, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 30, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 30, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 11, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
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.
Compare Nursing Homes around Wisconsin The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
Filter by care type
| Ascension Living Lakeshore at Siena |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Racine | - | 96 | - | - | - |
| A Colfax Senior Living LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Colfax | - | 58 | - | - | - |
| Achievements |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Union Grove | - | 50 | - | - | - |
| Alden Estates of Jefferson |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson | - | 120 | - | - | - |
| Alden Meadow Park Health Care Center, Inc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Clinton | - | 94 | - | - | - |
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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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
241
Employees
77
Contractors
164
Staff to resident ratio
4.63:1
92% better than Wisconsin averageWisconsin average ratio: 2.41:1
Avg staff/day
37
Average shift
7.5 hours
0% compared with Wisconsin averageWisconsin average: 7.3 hours
Total staff hours (quarter)
25,097
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
45
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
43
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
136
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
31%
7,779 contractor hours this quarter
Certified Nursing Assistant: 81
Registered Nurse: 37
Licensed Practical Nurse: 36
Speech Language Pathologist: 3
Respiratory Therapy Technician: 2
Physical Therapy Aide: 2
Physical Therapy Assistant: 2
Qualified Social Worker: 1
Staff by category
| 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 |
136 Certified Nursing Assistant
% of Days
100%
45 Registered Nurse
% of Days
100%
43 Licensed Practical Nurse
% of Days
99%
3 Other Dietary Services Staff
% of Days
77%
2 Physical Therapy Aide
% of Days
71%
2 Respiratory Therapy Technician
% of Days
81%
3 Speech Language Pathologist
% of Days
73%
2 Clinical Nurse Specialist
% of Days
63%
1 Qualified Social Worker
% of Days
68%
2 Physical Therapy Assistant
% of Days
71%
1 Administrator
% of Days
14%
1 Dental Services Staff
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
52
Medicare
14
26.9% of residents
Medicaid
7
13.5% of residents
Private pay or other
31
59.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
-$300.3K
↑ ~$10.0M vs 2023
Total Payroll
$3.9M
↑ ~$892.3K vs 2023
Profit Margin
-2.6%
↑ 100.7pp vs 2023
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