Warren Barr Gold Coast
66 West Oak Street · Chicago, IL · 60610 · 3127055100
271 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Federal penalties on record: $4,857 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.17 | 0.55–0.75 |
| Weekend hours / resident-day | 3.82 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 2 · $24,962 |
Inspection citations (45 in the current record)
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Potential for harm · D April 10, 2026 · found via complaint
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Corrected April 16, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D July 9, 2025 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected July 11, 2025 · Resident Rights
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Potential for harm · E July 9, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 11, 2025 · Nursing and Physician Services
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Potential for harm · E July 9, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 11, 2025 · Pharmacy Service
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Actual harm · G March 20, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D February 24, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 8, 2025 · Quality of Life and Care
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Potential for harm · F February 24, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 8, 2025 · Nutrition and Dietary
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Potential for harm · D December 6, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected December 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 6, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 17, 2024 · Quality of Life and Care
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Potential for harm · D December 6, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 17, 2024 · Pharmacy Service
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Potential for harm · D December 6, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 17, 2024 · Pharmacy Service
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Potential for harm · F December 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 17, 2024 · Nutrition and Dietary
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Potential for harm · D December 6, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 17, 2024 · Resident Rights
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Potential for harm · D October 18, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 3, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 29, 2024 · Resident Rights
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Potential for harm · D January 22, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 23, 2024 · Quality of Life and Care
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Actual harm · G December 14, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 1, 2024 · Quality of Life and Care
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Potential for harm · D December 14, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 14, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 14, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 1, 2024 · Infection Control
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Potential for harm · F December 14, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 15, 2023 · Environmental
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Potential for harm · E December 1, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 12, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2026 | Payment Denial | 22 days |
| February 24, 2025 | Fine | $4,857 |
| October 20, 2023 | Fine | $20,105 |
| October 20, 2023 | Payment Denial | 77 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145336 · certified since August 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.