Ascension Living - Lakeshore at Siena

Certification

Medicare-certified.

Ratings

Inspection history (57)

Records from June 2023 to February 2026.

• February 9, 2026

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0761

  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0865

  Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0882

  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0585

  Honor 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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0732

  Post nurse staffing information every day.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0606

  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity H: pattern, actual harm. Corrected April 27, 2026.

• February 9, 2026

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0561

  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0744

  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity G: isolated, actual harm. Corrected March 31, 2026.

• February 9, 2026

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 31, 2026.

Penalties (3)

• February 9, 2026 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting March 11, 2026, lasting 47 days (triggered by inspection on February 9, 2026).

• February 9, 2026 · Fine

  CMS recorded a civil money penalty of $218,735 against this nursing home on February 9, 2026.

• September 23, 2024 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting October 26, 2024, lasting 19 days (triggered by inspection on September 23, 2024).

Staffing

5.22 nurse hours per resident per day in Q2 2026, up from 4.93 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit