The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — limited pattern, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: H
Nursing home report
Ascension Living - Lakeshore at Siena
RACINE, WI · Medicare-certified · 60 beds
Needs attention
Non-profitChain member
Data as of September 1, 2026
1 of 5 overall
Ascension Living - Lakeshore at Siena has an overall rating of 1 out of 5 stars, with 1-star health inspections, 3-star staffing, and 2-star quality measures. It has a recent federal penalty and $218,735 in fines over the last 24 months, while reported nurse staffing is 4.70 hours per resident day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.7035 hrs/resident/day
Quality measures
Last inspection: February 9, 2026Penalties, last 24 months: $218,735recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7035.
Staffing detail
- Registered nurses
- 0.96
- Licensed practical nurses
- 1.25
- Nurse aides
- 2.49
- Weekend nursing
- 4.05
Hours per resident per day.
Total staff turnover: 73%
Registered nurse turnover: 72%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
13.6%4.5%Improving
Residents with a fall causing major injury
5.4%5.7%No change
Residents with pressure ulcers (bedsores)
6.2%11%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
17.9%11.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.4%20%Worsening
Residents whose ability to walk got worse
—24.6%—
Long-stay residents on antianxiety or sleep medication
20.7%23.1%Worsening
Short-stay residents newly given an antipsychotic
1.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.8%37.6%Worsening
Residents with depressive symptoms
0%3.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.3%—
Long-stay residents given the pneumonia vaccine
97.3%94.3%Worsening
Short-stay residents given the seasonal flu vaccine
—82.9%—
Short-stay residents given the pneumonia vaccine
93%85.9%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
The home failed to make sure it did not hire anyone with a record of abuse, neglect, exploitation, or theft. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 606 — 42 CFR §483.12 — S/S: F
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: F
Recent history
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $218,735 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $218,735 in total fines · 2 payment denials.
- 47 days
Medicare/Medicaid payment denial
Feb 9, 2026
- $218,735
Federal fine
Feb 9, 2026
- 19 days
Medicare/Medicaid payment denial
Sep 23, 2024
Operator & ownership
Recent ownership change · Jul 1, 2018
Now operated by Ascension Living Lakeshore at Siena, previously Wheaton Franciscan Healthcare-lakeshore Manor.
- Ownership
- Non profit - Church related
- Chain
- Part of ASCENSION LIVING · 12 homes · 2.8 stars avg
- Occupancy
- 52.9 residents on an average day (88% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.