Warren Barr Orland Park
14601 South John Humphrey Dr · Orland Park, IL · 60462 · 7083498300
275 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.59 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 3 · $60,348 |
Inspection citations (37 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D March 23, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 30, 2026 · Resident Rights
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Potential for harm · D March 23, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 30, 2026 · Quality of Life and Care
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Actual harm · G June 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D June 3, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 11, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D April 11, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · E April 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · E April 11, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D April 11, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D April 11, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 29, 2025 · Pharmacy Service
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Potential for harm · F April 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · E April 11, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · E April 11, 2025
Provide and implement an infection prevention and control program.
Corrected April 28, 2025 · Infection Control
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Potential for harm · F April 11, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected April 28, 2025 · Infection Control
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Potential for harm · D July 2, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 8, 2024 · Quality of Life and Care
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Potential for harm · E April 10, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 16, 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 April 11, 2024 · Resident Rights
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Potential for harm · E March 22, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 11, 2024 · Resident Rights
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Potential for harm · E March 22, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected April 11, 2024 · Resident Rights
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Potential for harm · D March 22, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 22, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · D March 22, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · D March 22, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · D March 22, 2024
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.
Corrected April 11, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 22, 2024 | Fine | $13,549 |
| December 26, 2023 | Fine | $9,798 |
| September 29, 2023 | Fine | $37,001 |
| September 29, 2023 | Payment Denial | 39 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 145899 · certified since August 23, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.