Ascension Living - Lakeshore at Siena
Ascension Living - Lakeshore at Siena reported 4.70 HPRD in Q1 2026. This level is above the CMS case-mix benchmark (4.26 HPRD) and in the top 22% of Wisconsin nursing homes.
- Q2 2025: 4.27
- Q3 2025: 4.17
- Q4 2025: 4.93
- Q1 2026: 4.70
Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.
CMS Case-Mix (Q1 2026)
Case-Mix by Position
CMS case-mix is an acuity metric based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient. based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient.
Ownership
Ascension Living - Lakeshore at Siena Inc
CMS owner data roles and percentages are reported filings, not proof of who operates the facility or care quality.CMS owner filings; not proof of who operates.
| Name | Type | Role | Since | |
|---|---|---|---|---|
| Olusola Ajayi | Individual | Operational/managerial control; ADP of the SNF | 5/19/2025 | |
| Sarfraz Sidhu | Individual | Operational/managerial control; ADP of the SNF | 5/1/2025 | |
| Ascension Health Senior Care | Organization | 100% ownership interest; Ownership interest; ADP of the SNF | 7/1/2014 | |
| Erin Shadbolt | Individual | Corporate officer; Corporate director; ADP of the SNF | 10/17/2022 | |
| Kenneth Smoot | Individual | Corporate director; ADP of the SNF | 1/1/2024 | |
| Lisa Musgrave | Individual | Corporate director; ADP of the SNF | 1/1/2024 | |
| House Healthcare Solutions LLC | Organization | ADP of the SNF | 6/10/2025 | |
| Personnel Specialists LLC | Organization | ADP of the SNF | 4/10/2025 | |
| Metis Ltc LLC | Organization | ADP of the SNF | 9/2/2024 | |
| Prolink Healthcare LLC | Organization | ADP of the SNF | 4/26/2023 | |
| Intelycare Inc | Organization | ADP of the SNF | 2/8/2022 | |
| Health Dimensions Consulting Inc | Organization | ADP of the SNF | 8/2/2019 | |
| Medical Solutions LLC | Organization | ADP of the SNF | 6/14/2017 |
- Entity changed
How these figures are calculatedMethods, definitions, and data sources
Staffing from CMS Payroll-Based Journal (PBJ) public files (2017–2026), plus Provider Information and chain data where shown. State staffing context via MACPAC (2022). Methodology · PBJ explained.
Metrics
- Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
- Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
- Contract Staff %: Share of hours provided by contract staff.
- Census: Average number of residents during the period.
Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.
Data transparency
The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.
Trend charts omit quarters with implausible submitted HPRD (total/direct below 0.25; RN, LPN, and aide use role floors and neighbor-quarter rules). Full criteria.
Rankings, within-state percentiles, CMS flags (including abuse icon): How metrics are calculated.