Ascension Living - Lakeshore At Siena

Inspection history (57)

• 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 · D

  Citation F0688

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. 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 · 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 · 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 F0610

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. 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 · 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 · 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

• February 9, 2026 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 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 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 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 F0757

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary 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 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2026-02-09 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control 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

Total fines on file: $0

Staffing

Latest: 4.93 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Church related

1. Parent organization: Ascension Health Senior Care

   chain · PAC 4284850090