Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (66% of admissions), and a typical private pay stay runs around 3 - 4 months.
Ascension Living Lakeshore at Siena is a 36-bed skilled nursing, rehabilitation, and memory care community at 5643 Erie Street in Racine, Wisconsin, operated by Ascension Living Lakeshore at Siena Inc, a nonprofit within the Ascension Health system. The facility accepts Medicare and private pay, operates with 24-hour staffing, and has been licensed since December 2020. CMS rates the facility 1 star overall, with health inspection and quality measures both substantially below Wisconsin averages. State DHS surveys since 2022 recorded 6 total deficiencies — 50% below the Wisconsin average of 12. The trajectory has improved: 5 deficiencies and 2 substantiated complaints in May 2024; 1 deficiency in May 2025; and 0 deficiencies in November 2025. A 19-day CMS payment denial issued in September 2024 — a federal enforcement action suspending Medicare and Medicaid payments for new admissions — and a $500 Wisconsin DHS forfeiture from the May 2024 survey are the most significant enforcement actions on record. Quality Measures are the primary clinical concern. Long-stay weight loss is 151% above the Wisconsin average, and falls with major injury for long-stay residents are 109% above the state average. Short-stay falls with major injury are 248% above the Wisconsin benchmark — the single most elevated figure in the facility’s quality measure profile. Total nurse staffing averages 3 hours and 47 minutes per resident per day, roughly 11% below the Wisconsin average, with 44% of nursing hours contractor-supplied in Q4 2025. Rehabilitation services and skilled nursing are the facility’s core offerings, supported by on-site physical therapy and memory care programming. Active resident and family councils are in place. With a 67-day average length of stay and a payer mix weighted toward Medicare and private pay, Ascension Living Lakeshore is structured for short-term post-acute stays in Racine County. Families considering placement should review the facility’s inspection trend, particularly around falls and long-stay outcomes.
Ascension Living Lakeshore at Siena is legally operated by Ascension Living Lakeshore At Siena Inc.
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.
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
| 47 | 12 | This facility has 292% more total deficiencies than a typical Wisconsin assisted living residence (47 vs. WI avg 12).↑ 292% worse |
|
Deficiencies per year
| 11.8 | 3 | This facility has 293% more deficiencies per year than a typical Wisconsin assisted living residence (11.8 vs. WI avg 3).↑ 293% worse |
Wisconsin average 6
Last Health inspection on Jul 2025
Wisconsin average 27.3
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).
Wisconsin average: 0.9
Wisconsin average: 1.2
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
11,602 contractor hours this quarter
| Certified Nursing Assistant | 32 | 64 | 96 | 12,003 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 10 | 33 | 43 | 6,230 | 92 | 100% | 7.7 |
| Registered Nurse | 4 | 15 | 19 | 2,967 | 91 | 99% | 7.3 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,476 | 71 | 77% | 7.8 |
| Physical Therapy Aide | 0 | 4 | 4 | 625 | 65 | 71% | 5.6 |
| Speech Language Pathologist | 0 | 4 | 4 | 527 | 63 | 68% | 7.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 484 | 61 | 66% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 441 | 55 | 60% | 8 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 439 | 60 | 65% | 7.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 414 | 62 | 67% | 6.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 344 | 65 | 71% | 5.3 |
Includes penalties issued in 2024
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 23, 2024 · 19 days
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
34% of new residents, usually for short-term rehab.
66% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Ascension Living Lakeshore at Siena from 2019–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (66% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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Ascension Living Lakeshore at Siena is located in RACINE, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
Ascension Living Lakeshore at Siena has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
Ascension Living Lakeshore at Siena's occupancy is 67%.
Ascension Living Lakeshore at Siena is registered as a non-profit in WI.
Ascension Living Lakeshore At Siena Inc is the administrator of Ascension Living Lakeshore at Siena.
Ascension Living Lakeshore at Siena has 36 beds.
Yes — there are 5 photos of Ascension Living Lakeshore at Siena in the photo gallery on this page.
Ascension Living Lakeshore at Siena is located at 5643 Erie St, Racine, WI 53402.
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