CMS data shows Ascension Living - Lakeshore At Siena earning a D grade with a score of 44/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Ascension Living - Lakeshore At Siena is near the national average, with 4.17 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 31 deficiencies at Ascension Living - Lakeshore At Siena. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.17 | 3.8 | Average |
| Registered Nurses (RN) | 0.88 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.95 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.35 | 2.4 | Average |
| Weekend Total Nursing | 3.94 | 3.8 | Average |
| Weekend RN Hours | 0.60 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0610 Severity DRespond appropriately to all alleged violations.Jul 20, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Jul 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarFeb 10, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 25, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.1% | 4.5% | Worse |
| Falls with major injury | 7.9% | 3.0% | Worse |
| On antipsychotic medication | 11.0% | 14.5% | Better |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 20.4% | 14.0% | Worse |
| Excessive weight loss | 11.5% | 7.5% | Worse |
| New/worsened incontinence | 28.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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