Facility profile · CCN 525495
Ascension Living - Lakeshore At Siena
31 federal citations on record , and 1 federal enforcement actions totaling $0.
Record summary
Federal record · Q1 202631
Total citations
30
Last 3 years
1
Actual harm+
1
Federal penalties
$0
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
31 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 21, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jul 21, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 30, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 11, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Dec 26, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 26, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 23, 2024 | F908 | Keep all essential equipment working safely. | E | Complaint |
| Sep 23, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Sep 23, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Sep 23, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Sep 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 23, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Sep 23, 2024 | F563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint |
| Sep 23, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Apr 17, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 17, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Apr 17, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint |
| Jan 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jan 23, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Oct 5, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Jun 22, 2023 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint |
| Jun 22, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Jun 22, 2023 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Jun 22, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jun 22, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jun 22, 2023 | F732 | Post nurse staffing information every day. | C | Standard |
| Jun 22, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 22, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jun 22, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jun 22, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Mar 23, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 0 civil money penalties totaling $0 and 1 payment-denial actions spanning 19 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 23, 2024 | Payment Denial | — | Oct 26, 2024 · 19 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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