Warren Barr South Loop
1725 South Wabash · Chicago, IL · 60616 · 3129222777
210 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).
- Federal penalties on record: $66,806 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- 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
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$66,806 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.62 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 5 · $244,064 |
Inspection citations (65 in the current record)
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Potential for harm · D October 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 20, 2025 · Quality of Life and Care
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Potential for harm · D September 29, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D September 12, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 13, 2025 · Resident Rights
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Potential for harm · D April 4, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · D February 21, 2025
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.
Corrected February 22, 2025 · Resident Rights
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Potential for harm · D February 21, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 22, 2025 · Quality of Life and Care
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Potential for harm · D February 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 22, 2025 · Quality of Life and Care
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Potential for harm · E February 21, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected March 17, 2025 · Quality of Life and Care
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Potential for harm · D February 21, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 22, 2025 · Pharmacy Service
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Potential for harm · E February 21, 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 February 22, 2025 · Pharmacy Service
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Potential for harm · E February 21, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 17, 2025 · Nutrition and Dietary
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Potential for harm · D February 21, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 17, 2025 · Nutrition and Dietary
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Potential for harm · E February 21, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected March 17, 2025 · Nutrition and Dietary
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Potential for harm · F February 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 3, 2025 · Nutrition and Dietary
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Potential for harm · F February 21, 2025
Provide and implement an infection prevention and control program.
Corrected March 3, 2025 · Infection Control
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Potential for harm · D February 21, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 22, 2025 · Infection Control
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Potential for harm · D February 21, 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 February 22, 2025 · Infection Control
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Potential for harm · D January 24, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 25, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 19, 2024 · Quality of Life and Care
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Actual harm · G October 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 26, 2024 · Quality of Life and Care
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Potential for harm · D September 27, 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 September 28, 2024 · Resident Rights
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Potential for harm · D August 27, 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 August 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 27, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 28, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 21, 2025 | Payment Denial | 3 days |
| October 25, 2024 | Fine | $14,260 |
| July 19, 2024 | Fine | $52,546 |
| July 19, 2024 | Payment Denial | 13 days |
| January 31, 2024 | Fine | $86,090 |
| January 31, 2024 | Payment Denial | 38 days |
| August 3, 2023 | Fine | $87,992 |
| August 3, 2023 | Payment Denial | 93 days |
| June 20, 2023 | Fine | $3,176 |
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 145632 · certified since June 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.