Ascension Living - Lakeshore at Siena
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 115 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (11 vs median 7)
- High staff turnover (59%)
Below average in WI · Meets national RN staffing standard · Above recommended total nurse staffing · Below chain average
What this means for your family
While the facility is praised for its physical therapy and clean environment, the recurring reports of patient falls and neglect in the memory care unit are significant red flags. We strongly recommend that families considering this facility conduct unannounced visits and specifically inquire about their fall prevention protocols and staffing ratios during weekends and evenings.
Google Reviews
Google Reviews
115 reviews on Google“Ascension Living Lakeshore at Siena receives highly polarized feedback, with many families praising the facility's cleanliness, friendly staff, and effective physical therapy programs. However, a significant number of critical reviews highlight severe concerns regarding patient safety, including frequent falls, bedsores, and alleged neglect in the memory care unit. Families should be aware that while many visitors have positive experiences, there are recurring reports of poor communication, understaffing, and inadequate basic care.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Clean and well-maintained facility
- Friendly and personable nursing staff
- Appealing location and views
Concerns
- High frequency of patient falls and lack of safety monitoring (mentioned by 4 reviewers)
- Understaffing leading to neglect or slow response times (mentioned by 6 reviewers)
- Poor communication with families regarding health status or hospitalizations (mentioned by 3 reviewers)
- Cold or poorly served meals (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 146 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how well-maintained and clean the facility looks; how do you ensure this level of cleanliness is consistent across all resident rooms?
- 2I noticed many people appreciate the friendliness of your nursing staff; how do you ensure that communication remains consistent with families during changes in a resident's health status?
- 3With the beautiful views this location offers, what kind of daily social activities or outings are planned to help residents enjoy the surroundings?
- 4What specific safety protocols and monitoring are in place to prevent falls and ensure resident safety during the night?
- 5How do you manage medication administration to ensure accuracy and prevent any errors?
- 6Could you tell me more about how the dining experience is managed to ensure meals are served at the right temperature and quality?
Personalized based on this facility's data
Key Review Excerpts
“My 95 yo mother broke her arm and hip and was given little to no pain meds. There was a 2 week span where she was provided nothing but Tylenol.”
“30 falls in a year and a half. A broken hip, a broken leg, and that is with family members watching my mother 6 hours per day to try to keep her safe.”
“My dad was moved to this memory care unit because of the high ratings and promise of individualized care. The only thing Siena delivered was a spectacular view of Lake Michigan. Dad was there only four months and in that time he went from using a walker for balance to being wheelchair bound.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
5
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents vaccinated for pneumonia
Residents who fell and were seriously hurt
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families repeatedly filing complaints about abuse prevention and medication management issues spanning multiple years. The most frequent problems involve medication errors, accident prevention and supervision, and pressure ulcer care, with families filing 20 complaints that triggered inspections. While all deficiencies show correction dates, the recurring nature of complaints about fundamental care issues like protecting residents from abuse and ensuring proper medication handling suggests ongoing challenges that families should carefully evaluate during visits.
Feb 9, 2026Complaint7
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Jul 21, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
May 30, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 11, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 26, 2024Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 23, 2024Complaint7
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Environmental Deficiencies
Keep all essential equipment working safely.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Federal Penalties
Payment Denial
Sep 23, 2024
19-day denial
Ownership & Operations
Who Operates This Facility
Ascension Living - Lakeshore at Siena
nonprofit
Chain Affiliation
Ascension Living
16 facilities nationwide
Chain avg rating: 2.6/5 · Rank 13 of 19
Ownership & Management
Owners
Ascension Health Senior Care
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
115 reviews from families & visitors
Official Website
Visit ascensionliving.org
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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