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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.
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 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 103rd out of 172 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 53m per day | ▼ 9% State avg: 58m per day · National avg: 41m per day |
|
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.
| 57m per day | ▲ 50% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 21m per day | ▼ 9% State avg: 2h 35m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 52m per day | ▲ 4% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
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.
| 6m per day | ▲ 50% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 36m per day | ▼ 10% State avg: 40m per day · National avg: 28m per day |
Similar to the Wisconsin average: 70%Ascension Living Lakeshore at Siena is administrated 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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 47 | 12 | This facility has 292% more total deficiencies than a typical Wisconsin nursing home (47 vs. WI avg 12).↑ 292% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 11.8 | 3 | This facility has 293% more deficiencies per year than a typical Wisconsin nursing home (11.8 vs. WI avg 3).↑ 293% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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).
100% better than Wisconsin averageWisconsin average: 0.9
17% better than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
40% more staff per resident than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
19 total: 4 full-time employees and 15 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
43 total: 10 full-time employees and 33 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
96 total: 32 full-time employees and 64 contractors.
96
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,602 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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)
100% lower than Wisconsin averageWisconsin average: $95K
100% fewer fines than Wisconsin averageWisconsin average: 2.1
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 23, 2024 · 19 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 23, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
49% worse than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
36.0%
58% worse than Wisconsin averageWisconsin average: 22.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
109% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.9%
8% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.8%
76% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
12.2%
151% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
0.9%
83% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
8.9%
45% better than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
In line with Wisconsin averageWisconsin average: 95.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
7% better than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
35% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.9%
In line with Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.1%
24% worse than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.8%
In line with Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.7%
248% worse than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.6%
17% worse than Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.1%
In line with Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
Total residents
52Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Ascension Living Lakeshore at Siena based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #111 / 177Payroll — State benchmarkedThis home is ranked 111th out of 177 homes in Wisconsin for payroll. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
Add your location
Ascension Living Lakeshore at Siena is located in RACINE, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| 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 | - | 36
Facility
36
WI AVG
61
Rank
#370 / 496 | - |
22
Facility
22
WI AVG
42
Rank
#433 / 580 | - |
| Oak Park Nursing & Rehab Center |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Madison (North Star) | - | 100
Facility
100
WI AVG
61
Rank
#67 / 496 | A+ |
5
Facility
5
WI AVG
42
Rank
#533 / 580 | 1 Bed / 2 Bed |
| Sun Prairie Senior Living |
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. | Sun Prairie | - | 42
Facility
42
WI AVG
61
Rank
#337 / 496 | A+ |
74
Facility
74
WI AVG
42
Rank
#79 / 580 | Studio / 1 Bed / 2 Bed |
| Meadowbrook at Oconto Falls |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Oconto Falls | - | 99
Facility
99
WI AVG
61
Rank
#75 / 496 | A+ |
25
Facility
25
WI AVG
42
Rank
#410 / 580 | - |
| St. Ann Health and Rehabilitation Center |
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. | Milwaukee (Muskego Way) | - | 50
Facility
50
WI AVG
61
Rank
#235 / 496 | A- |
84
Facility
84
WI AVG
42
Rank
#31 / 580 | - |
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 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.
(262) 664-4876 will put you in contact with the team at Ascension Living Lakeshore at Siena.
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