Ascension Living - Lakeshore at Siena
State inspectors recorded 4 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2026-02-09 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-02-09 — ACTUAL HARM (tag F0686, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-02-09 — ACTUAL HARM (tag F0744, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
2024-09-23 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
4.30
state median 3.58
Weekend staffing gap
−10%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.57
registered nurses only
Contract (agency) staff
42%
share of all nursing hours
Nursing staff turnover
73%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $0 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-23 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Church related. Part of the ASCENSION LIVING chain.
Other facilities under the same ownership, with their CMS overall ratings:
- ASCENSION LIVING CARROLL MANOR (WASHINGTON, DC) —
- The Citadel at Saint Joseph Village (FREEPORT, IL) —
- ASCENSION RESURRECTION LIFE (CHICAGO, IL) —
- Arc at Kankakee (KANKAKEE, IL) —
- ASCENSION NAZARETHVILLE PLACE (DES PLAINES, IL) —
- ASCENSION LIVING SACRED HEART VILLAGE (AVILLA, IN) —
- VIA CHRISTI VILLAGE MANHATTAN, INC (MANHATTAN, KS) —
- VIA CHRISTI VILLAGE RIDGE (WICHITA, KS) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-09 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-09 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-09 | F0606 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | F | not recorded |
| 2026-02-09 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-09 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-09 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-09 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-02-09 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-02-09 | F0686 | Quality of Life and Care Deficiencies | H | not recorded |
| 2026-02-09 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-09 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-02-09 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-09 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-09 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2026-02-09 | F0744 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-02-09 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-02-09 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-09 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-09 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-09 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-02-09 | F0842 | Resident Assessment and Care Planning Deficiencies | F | not recorded |
| 2026-02-09 | F0865 | Administration Deficiencies | F | not recorded |
| 2026-02-09 | F0868 | Administration Deficiencies | F | not recorded |
| 2026-02-09 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-02-09 | F0881 | Infection Control Deficiencies | F | not recorded |
| 2026-02-09 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2026-02-09 | F0944 | Administration Deficiencies | F | not recorded |
| 2025-07-21 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-07-21 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-30 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-11 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-26 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-26 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-23 | F0563 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-23 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-23 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-23 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-23 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-23 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-09-23 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-23 | F0908 | Environmental Deficiencies | E | not recorded |
| 2024-04-17 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-17 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-17 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-23 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-23 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-05 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-06-22 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-06-22 | F0661 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-22 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-22 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-22 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-22 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2023-06-22 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-06-22 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-06-22 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-06-22 | F0867 | Administration Deficiencies | E | not recorded |