Ascension Living - Lakeshore at Siena

Inspection history (57)

Records from June 2023 to February 2026.

• February 9, 2026 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · D

  Citation F0628

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0628 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · F

  Citation F0865

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · F

  Citation F0882

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · D

  Citation F0585

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0585 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · F

  Citation F0842

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0842 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · F

  Citation F0881

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0881 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · C

  Citation F0732

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · F

  Citation F0606

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0606 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Not hire anyone with a finding of abuse, neglect, exploitation, or theft. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · E

  Citation F0684

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · H

  Citation F0686

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0686 (CMS scope/severity H: pattern, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2026-04-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · D

  Citation F0561

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · G

  Citation F0744

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0744 (CMS scope/severity G: isolated, actual harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · F

  Citation F0868

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

• February 9, 2026 · F

  Citation F0944

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0944 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2026-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-09.GOV

Penalties (1)

Total fines on file: $0

• September 23, 2024 · Payment Denial

  Citation PAYDEN-2024-10-26

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-10-26, lasting 19 days (triggered by inspection on 2024-09-23). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-23.GOV

Staffing

Latest: 4.70 nurse staffing hours per resident per day (2026Q1)

Ownership

Non profit

A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit - Church related".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "Non profit - Church related".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)