Ascension Living Lakeshore at Siena

    5643 Erie St, Racine, WI 53402
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Warm, safe, caring lakefront facility

    I'm very pleased with this warm, home-like, lakefront facility - clean, safe, and family-friendly with nice outdoor walkways. The staff are kind, professional and hardworking, going above and beyond for my mom's care; nursing and therapy have been very good and accessible. Meals, the setting, and the welcoming team make me comfortable recommending this place.

    Loved one of resident
    Jul 2026

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    Reviews

    4.00·(35)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.6
    • Meals

      2.2
    • Amenities

      2.5
    • Value

      2.0

    Pros

    • Therapists (physical/occupational) praised
    • Many staff described as caring and kind
    • Warm, safe environment
    • Beautiful setting
    • Hardworking staff
    • Staff that go above and beyond
    • Friendly and helpful staff
    • Some residents/families satisfied and would recommend
    • Decent staff communication (though sometimes slow)
    • Knowledgeable memory-care staff
    • Compassionate nursing assistants
    • On-site rehabilitation therapy services
    • Home-like interior environment
    • Lakefront location with outdoor walking areas
    • Dedicated family visiting spaces
    • Group dining options and communal meals
    • Clean and well-maintained common areas (initial impressions)
    • Staff members praised for helpfulness and professionalism
    • Visible improvement in care responsiveness after initial period

    Cons

    • Rehabilitation program and rehab physician lacking appropriate expertise
    • Inadequate medication management (including extended lapses in pain medication)
    • Care that limited rehab progress and mobility
    • Poor incontinence care (residents left sitting in urine, not changed frequently)
    • Urinary tract infections developed and were reportedly misdiagnosed or tests refused
    • Instances of severe neglect/near-miss events (e.g., resident almost died)
    • Contracted/agency hires allegedly unprofessional (sitting at nurses' station, on phones)
    • Call lights often unanswered and slow response times
    • Speech therapy reported as nonexistent
    • Activities leadership missing (activities director vacancy) and no replacement
    • Management and clinical oversight concerns (tests refused, room emptied, threats to transfer)
    • Perception that facility does not merit a high star rating
    • High cost/price
    • Inconsistent medication-management processes
    • Insufficient staffing and delayed staff responsiveness
    • Variable clinical oversight and physician expertise
    • Gaps in hygiene and sanitation protocols
    • Inadequate fall-detection and monitoring practices
    • Inconsistent therapy access and quality
    • Unreliable mealtime-assistance continuity
    • Weak family communication and care-transition notification
    • Management slow to address clinical and operational concerns
    • Reliance on contracted staff with variable accountability

    Summary of reviews

    Overall sentiment in these reviews is mixed and polarized: several reviewers praise individual caregivers and therapists and describe the campus as warm, safe, and beautiful, while other reviewers report serious lapses in medical care, personal care, and operational oversight that raise significant concerns about clinical quality and management.

    Care quality and clinical services show a clear split. Multiple reviewers specifically commend the therapists (likely physical and occupational therapy) and note positive rehabilitation interactions with those clinicians. At the same time, there are repeated, specific complaints about the rehabilitation program’s leadership and medical oversight — reviewers reported that the rehab physician lacked rehabilitation expertise and in at least one instance the facility assigned a physician whose specialty (weight management/obesity) did not match residents’ rehabilitation needs. Medication management problems are prominent: reports include improper or insufficient medication, being without pain medication for extended periods (up to two weeks), and care that limited rehabilitation and mobility. Infection-related issues are also repeatedly mentioned: residents were left sitting in urine, developed UTIs, and in some cases UTI diagnosis and testing were reportedly mishandled or refused. One reviewer reported their family member “almost died,” indicating that at least one incident was considered a serious clinical failure.

    Staffing, professionalism, and responsiveness are another major theme with contradictory reports. Many reviews highlight caring, friendly, hardworking staff who go above and beyond and create a warm environment. However, a distinct and concerning counter-narrative describes staffing problems: contracted or agency hires allegedly sitting at nurses’ stations on their phones, failure to answer call lights, slower response times, and a perception that only a few personnel truly care. These patterns suggest variability in staff performance and possible staffing shortages or overreliance on agency staff. Communication is described as “decent” by some but slower than desirable by others.

    Activities and therapy services appear uneven. While general therapy (physical/occupational) was praised, speech therapy was described as nonexistent in the summaries provided. Additionally, reviewers noted that the activities director position is vacant and no replacement had been named, which could negatively impact programming and resident engagement. There is no substantive information in these summaries about dining or food services; the absence of comments means no strong conclusions can be drawn about dining quality.

    Facility, environment, and cost: multiple reviewers describe the physical environment as beautiful, warm, and safe, which is a strong positive. At the same time, several people questioned value for money, noting a high cost and opining that the facility does not deserve a high (four-star) public rating, given the quality lapses they experienced. Management and oversight concerns extend beyond clinical care: reviewers reported tests being refused, threats by staff to move residents to on-site skilled nursing as leverage, and even an allegation that a room was emptied — all of which point to communication and policy enforcement problems at the administrative level.

    Notable patterns and takeaways: (1) There is high variability in care — some staff and therapists receive strong praise while others or certain shifts are described as neglectful or unprofessional. (2) Clinical oversight and medication/infection management are recurring, serious concerns (pain medication lapses, UTI misdiagnosis/refusal to test, incontinence care problems). (3) Staffing and responsiveness are inconsistent, with specific complaints about agency hires and unanswered call lights, alongside reports of kind, hardworking employees. (4) Activities and speech therapy appear to be gaps in the program, exacerbated by a vacant activities director role. (5) The property and general atmosphere are positive attributes, but some reviewers feel the clinical and operational failures undermine the facility’s value, especially given the cost.

    For families considering this community, the reviews suggest it is important to verify clinical staffing and physician credentials for rehabilitation; ask how medications, pain management, and infections are handled; inquire about staff mix (in-house vs. agency) and response-time benchmarks for call lights; confirm availability of speech therapy and activities programming and who is filling leadership roles; and weigh the strong positives about environment and individual caregivers against the documented clinical and management concerns. The pattern of contrasting reports — very good interpersonal care from some employees versus serious clinical and oversight failures reported by others — indicates that experiences may vary significantly by unit, shift, or individual caregivers.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Ascension Living Lakeshore at Siena

    Ascension Living Lakeshore at Siena is located at 5643 Erie St, Racine, WI, 53402.

    About Ascension Living Lakeshore at Siena

    Ascension Living Lakeshore at Siena sits along the Lake Michigan shoreline near Racine and is part of the Ascension Wisconsin system, giving a quiet view of the water and a peaceful place for seniors to live. The community has a variety of living options, including Independent Living, Assisted Living, Memory Support called Shorelight, Skilled Nursing, Rehabilitation, and At Home Choices for those who want care in their own space, and there's a strong focus on safety and personal choice in daily life, so residents feel respected and valued. The Shorelight Memory Support program helps people with Alzheimer's and other types of dementia, offering 36 private bedrooms in a special memory care area designed to match each resident's life story, and trained staff give personal attention, keep everyone safe, and create days filled with social, educational, and wellness activities that help friendships grow. Residents get meals prepared for them, can join onsite and offsite events, and enjoy naturally lit rooms, upscale dining spaces that make eating feel more friendly, and pleasant outdoor spaces like courtyards, screened porches, and patios. If someone needs Skilled Nursing or Rehabilitation, Ascension Living Lakeshore at Siena has experienced healthcare workers who give wound care, restorative therapy, and long-term support, with attention to both physical and emotional needs around the clock. Amenities include indoor and outdoor gathering areas, devotional services, a barbershop and salon, whirlpool tubs, daily housekeeping, an emergency alert system available 24/7, and community rooms filled with light. There's a big effort to use sustainable practices for both comfort and the good of the environment. The layout's made to be easy to get around with safe walkways and common spaces, and staff help residents keep their independence while providing support where it's needed. Dining offers chances for people to meet at shared tables with a menu meant to give some choice and make mealtimes feel like home. There are also spiritual, social, and educational opportunities for people who want to stay busy or continue growing, and the team works to help each resident age gracefully and with dignity. The philosophy here follows the ideas of compassion, truth, justice, and mutual respect, and there's always an effort to honor what matters to each resident, whether that's being independent, keeping healthy, or making new friends. Tours and visits are welcome for those who want to see what the community has to offer or learn about the different floor plans and living choices.

    People often ask...

    Ascension Living Lakeshore at Siena offers assisted living, memory care, and skilled nursing.

    There are 11 photos of Ascension Living Lakeshore at Siena on Mirador.

    The full address for this community is 5643 Erie St, Racine, WI 53402.

    No, Ascension Living Lakeshore at Siena does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Wisconsin, the Department of Health Services' Division of Quality Assurance licenses assisted living and long-term care facilities through surveys, verification visits, and complaint investigations.

    License number0017233
    StatusActive
    Facility typeCommunity-based Residential Facility
    License classRegular
    Capacity36 residents
    LicenseeASCENSION LIVING LAKESHORE AT SIENA INC
    Care servedAdvanced Aged, Irreversible Dementia/alzheimer's
    EffectiveDecember 6th, 2020

    Inspection Reports

    4

    Reports

    6

    Citations

    4

    Complaints

    2

    Years

    24 Nov 2025Complaint
    Investigated two complaints and found no deficiencies.
    07 May 2025Complaint
    Identified incomplete resident records for three residents, with missing preadmission assessments, health screenings, admission agreements, and evacuation assessments.
    • DHS 83.42(1)Resident record maintained.
    13 Dec 2024Complaint
    Found no deficiencies after a verification visit and complaint investigation; one complaint was unsubstantiated.
    15 May 2024Complaint
    Investigated deficiencies found in caregiver background checks, resident assessments and plans, and medication destruction, with two complaints confirmed, and citations issued for multiple regulatory violations.
    • 83.17(1)Licensee conduct caregiver background check
    • 83.35(1)(a)Pre-admission and ongoing assessments
    • 83.35(3)(b)Service plan development: parties involved
    • 83.35(3)(d)Service plans updated annually or on changes
    • 83.37(1)(g)Disposition of medications

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Ascension Living Lakeshore at Siena. The information above has not been verified or approved by the owner or operator. For exact information, please contact Ascension Living Lakeshore at Siena directly. There is no cost for this service. We are compensated by the community you select.

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