ASCENSION LIVING - LAKESHORE AT SIENA
5643 ERIE STREET, RACINE, WI 53402 · CCN 525495
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 49.3
- Phone
- 2628989100
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-09-23 | 11 | 9.8 | 9.5 | +1.2 worse |
| 2 | 2023-06-22 | 16 | 9.2 | 9.8 | +6.8 worse |
| 3 | 2022-03-23 | 4 | 8.3 | 9.3 | -4.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 5 |
| Quality of life and care | 3 |
| Resident rights | 2 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.17 | 59.3% |
| RN staffing (reported) | 0.88 | 46.7% |
| Total nurse staffing (adjusted) | 3.72 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Chain
- Chain
- ASCENSION LIVING
- Facilities in chain
- 19
- Chain avg overall
- 2.60 / 5
Inspection citations (31)1 actual harm
- DF0610Respond appropriately to all alleged violations.2025-07-21 · Health · corrected 2025-08-08
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-07-21 · Health · corrected 2025-08-08
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-30 · Health · corrected 2025-06-19
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-11 · Health · corrected 2025-03-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-26 · Health · corrected 2025-01-21
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-26 · Health · corrected 2025-01-21
Potential for more than minimal harm
- DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2024-09-23 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-09-23 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-23 · Health · corrected 2024-10-23
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-23 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-09-23 · Health · corrected 2024-11-01
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-23 · Health · corrected 2024-10-23
Actual harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-09-23 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2024-09-23 · Health · corrected 2024-10-23
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-04-17 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-17 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-17 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-23 · Health · corrected 2024-03-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-23 · Health · corrected 2024-03-07
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-05 · Health · corrected 2023-11-09
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-06-22 · Health · corrected 2023-08-07
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-06-22 · Health · corrected 2023-07-26
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-22 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-22 · Health · corrected 2023-07-26
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-06-22 · Health · corrected 2023-07-26
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-06-22 · Health · corrected 2023-07-15
Potential for minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-22 · Health · corrected 2023-07-26
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-06-22 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-06-22 · Health · corrected 2023-07-26
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-06-22 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-03-23 · Health · corrected 2022-03-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-02-15 |
| MUSGRAVE, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-01 |
| BINEK, ROBIN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| BREEDLOVE, RYAN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| GRONEFELD, KELLIE | Individual | CORPORATE DIRECTOR | — | 2023-08-01 |
| SHADBOLT, ERIN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| SMOOT, KENNETH | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| WISNIEWSKI, GERALD | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2017-08-01 |
| PHILLIPS, MICHAEL | Individual | W-2 MANAGING EMPLOYEE | — | 2023-10-10 |
Other facilities in RACINE
| Name | Overall | Beds |
|---|---|---|
| Complete Care at Ridgewood LLC | ★★★★☆ | 200 |
| LINCOLN PARK NURSING AND REHAB LLC | ★☆☆☆☆ | 122 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.