Warren Barr Oak Lawn
9401 South Kostner Avenue · Oak Lawn, IL · 60453 · 7084237882
122 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- 4 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.83 | 0.55–0.75 |
| Weekend hours / resident-day | 3.54 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Potential for harm · D April 17, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 7, 2026 · Quality of Life and Care
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Potential for harm · D December 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 6, 2026 · Quality of Life and Care
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Potential for harm · D November 18, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 1, 2025 · Quality of Life and Care
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Actual harm · G July 24, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 15, 2024 · Quality of Life and Care
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Actual harm · G July 24, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 15, 2024 · Quality of Life and Care
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Potential for harm · D July 24, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 15, 2024 · Quality of Life and Care
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Potential for harm · D April 5, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D April 5, 2024
Keep residents' personal and medical records private and confidential.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D April 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D April 5, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D April 5, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · E April 5, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 15, 2024 · Infection Control
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Potential for harm · D March 20, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D March 20, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D March 20, 2024 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected April 15, 2024 · Administration
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Potential for harm · E March 20, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 15, 2024 · Infection Control
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Actual harm · G December 22, 2022
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected February 10, 2023 · Nursing and Physician Services
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Actual harm · G December 22, 2022
Ensure that residents are free from significant medication errors.
Corrected February 10, 2023 · Pharmacy Service
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Potential for harm · D December 22, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 10, 2023 · Quality of Life and Care
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Potential for harm · E December 22, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected February 10, 2023 · Pharmacy Service
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Potential for harm · F December 22, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 4, 2023 · Nutrition and Dietary
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Potential for harm · F December 22, 2022
Provide and implement an infection prevention and control program.
Corrected February 10, 2023 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145363 · certified since December 8, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.