Ascension Living - Lakeshore at Siena – Nursing Home, RACINE, Wisconsin
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 9 February 2026 · 100 health and 81 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
5643 ERIE STREET
RACINE, WI 53402
Phone: (262) 898-9100
Compare to WI average
See how this facility compares to the WI state average among rated nursing homes (352 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | WI average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 3.09 | 5 |
| Health inspection | 2 | 2.85 | 5 |
| Staffing | 3 | 3.7 | 5 |
| Quality measures | 2 | 3.28 | 5 |
| Certified beds | 60 | 74.5 | — |
| Citations on file (health + fire) | 188 | ~7.3 health* | — |
- ABBOTSFORD HEALTH CARE CENTER — 2★ overall
- ALDEN MEADOW PARK HCC — 2★ overall
- AMERICAN LUTHERAN HOME-MENOMONIE — 5★ overall
- AMERICAN LUTHERAN HOME-MONDOVI — 5★ overall
- AMETHYST HEALTH OF WAUSAU — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| AJAYI, OLUSOLA | ADP OF THE SNF | Individual | - | 05/19/2025 |
| MEDICAL SOLUTIONS LLC | ADP OF THE SNF | Organization | - | 06/14/2017 |
| HEALTH DIMENSIONS CONSULTING INC | ADP OF THE SNF | Organization | - | 08/02/2019 |
| HOUSE HEALTHCARE SOLUTIONS LLC | ADP OF THE SNF | Organization | - | 06/10/2025 |
| SIDHU, SARFRAZ | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/01/2025 |
| SIDHU, SARFRAZ | ADP OF THE SNF | Individual | - | 05/01/2025 |
| INTELYCARE INC | ADP OF THE SNF | Organization | - | 02/08/2022 |
| PERSONNEL SPECIALISTS LLC | ADP OF THE SNF | Organization | - | 04/10/2025 |
| ASCENSION HEALTH SENIOR CARE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 07/01/2014 |
| ASCENSION HEALTH SENIOR CARE | ADP OF THE SNF | Organization | - | 07/14/2015 |
| PROLINK HEALTHCARE LLC | ADP OF THE SNF | Organization | - | 04/26/2023 |
| AJAYI, OLUSOLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 05/19/2025 |
| MUSGRAVE, LISA | CORPORATE DIRECTOR | Individual | - | 01/01/2024 |
| MUSGRAVE, LISA | ADP OF THE SNF | Individual | - | 01/01/2024 |
| METIS LTC LLC | ADP OF THE SNF | Organization | - | 09/02/2024 |
| SMOOT, KENNETH | CORPORATE DIRECTOR | Individual | - | 01/01/2024 |
| SMOOT, KENNETH | ADP OF THE SNF | Individual | - | 01/01/2024 |
| SHADBOLT, ERIN | CORPORATE OFFICER | Individual | - | 10/17/2022 |
| SHADBOLT, ERIN | CORPORATE DIRECTOR | Individual | - | 01/01/2024 |
| SHADBOLT, ERIN | ADP OF THE SNF | Individual | - | 01/01/2024 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
181 citations on file · Latest survey: 9 February 2026 · 100 health · 81 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-09 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2026-02-09 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2026-02-09 | F755 | E — Minimal harm, pattern | Health | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2026-02-09 | F755 | E — Minimal harm, pattern | Health | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2026-02-09 | F732 | C — No actual harm, widespread | Health | Post nurse staffing information every day. |
| 2026-02-09 | F732 | C — No actual harm, widespread | Health | Post nurse staffing information every day. |
| 2026-02-09 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2026-02-09 | F689 | G — Actual harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2026-02-09 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2026-02-09 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2026-02-09 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2026-02-09 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2026-02-09 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2026-02-09 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2025-07-21 | F692 | D — Minimal harm, isolated | Health | Provide enough food/fluids to maintain a resident's health. |
| 2025-07-21 | F692 | D — Minimal harm, isolated | Health | Provide enough food/fluids to maintain a resident's health. |
| 2025-07-21 | F692 | D — Minimal harm, isolated | Health | Provide enough food/fluids to maintain a resident's health. |
| 2025-07-21 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2025-07-21 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2025-07-21 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2024-09-23 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2024-09-23 | E39 | F — Minimal harm, widespread | Fire Safety | Conduct testing and exercise requirements. |
| 2024-09-23 | K132 | E — Minimal harm, pattern | Fire Safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. |
| 2024-09-23 | K211 | D — Minimal harm, isolated | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2024-09-23 | K222 | E — Minimal harm, pattern | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2024-09-23 | K291 | C — No actual harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2024-09-23 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-09-23 | K341 | F — Minimal harm, widespread | Fire Safety | Install a fire alarm system that can be heard throughout the facility. |
| 2024-09-23 | K354 | F — Minimal harm, widespread | Fire Safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. |
| 2024-09-23 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2024-09-23 | K511 | D — Minimal harm, isolated | Fire Safety | Have properly installed electrical wiring and gas equipment. |
| 2024-09-23 | K521 | F — Minimal harm, widespread | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2024-09-23 | K711 | F — Minimal harm, widespread | Fire Safety | Provide a written emergency evacuation plan. |
| 2024-09-23 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-09-23 | K761 | F — Minimal harm, widespread | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-09-23 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2024-09-23 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2024-09-23 | E39 | F — Minimal harm, widespread | Fire Safety | Conduct testing and exercise requirements. |
| 2024-09-23 | K132 | E — Minimal harm, pattern | Fire Safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. |
| 2024-09-23 | K211 | D — Minimal harm, isolated | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) | 3 |
| Staffing Rating | 3 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.06974 |
| Reported LPN Staffing Hours per Resident per Day | 1.38901 |
| Reported RN Staffing Hours per Resident per Day | 0.86765 |
| Reported Licensed Staffing Hours per Resident per Day | 2.25666 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.93284 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.09232 |
| Casemix CNA Staffing Hours per Resident per Day | 2.21168 |
| Casemix LPN Staffing Hours per Resident per Day | 0.74471 |
| Casemix RN Staffing Hours per Resident per Day | 0.35072 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.30711 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.93194 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.21576 |
| Adjusted RN Staffing Hours per Resident per Day | 0.75943 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 4.31756 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-03-13 |
Date of Standard Health Survey (Cycle 2) | 2017-11-27 |
Total Number of Health Deficiencies (Cycle 1) | 7 |
Number of Standard Health Deficiencies (Cycle 1) | 7 |
Health Deficiency Score (Cycle 1) | 40 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 40 |
Total Number of Health Deficiencies (Cycle 2) | 2 |
Number of Standard Health Deficiencies (Cycle 2) | 2 |
Health Deficiency Score (Cycle 2) | 8 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 8 |
Date of Standard Health Survey (Cycle 3) | 2016-08-02 |
Total Number of Health Deficiencies (Cycle 3) | 4 |
Number of Standard Health Deficiencies (Cycle 3) | 4 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 16 |
Total Health Score (Cycle 3) | 16 |
Total Weighted Health Survey Score | 106 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 10 |
Number of Payment Denials | 1 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Both |
Automatic Sprinkler Systems in All Required Areas | Yes |
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