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Warren Barr Oak Lawn
9401 South Kostner Avenue, Oak Lawn, IL 60453 (opens Google Maps) · Cook County · (708) 423-7882· 122 certified beds · avg 110 residents/day · certified since Dec 8, 1977 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: LEGACY HEALTHCARE (89 facilities, chain avg rating 2.9★)
4/5
Health inspection rating (on-site)
inspected Jan 31, 2025
4
Serious findings on record
most recent Jul 24, 2024
$0
Fines, last 3 years
2.67
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Jul 24, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Actual harm, isolated · Jul 24, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 15, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Jul 24, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Actual harm, isolated · Jul 24, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 15, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Dec 22, 2022 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
▲ Actual harm, isolated · Dec 22, 2022 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 10, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Dec 22, 2022 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
▲ Actual harm, isolated · Dec 22, 2022 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 10, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint F-0677
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint F-0697
View all 22 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 17, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Dec 26, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Nov 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Jul 24, 2024 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Jul 24, 2024 | ▲ G · Actual harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686 |
| Jul 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Apr 5, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Apr 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Apr 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Apr 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Apr 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Apr 5, 2024 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Mar 20, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Mar 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Mar 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Mar 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint · F-0773 |
| Dec 22, 2022 | ▲ G · Actual harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Dec 22, 2022 | ▲ G · Actual harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Dec 22, 2022 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Dec 22, 2022 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Dec 22, 2022 | E · Potential for more than minimal harm, pattern | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Dec 22, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
Inspection trend by year
All citationsSerious citations (G–L)
2022
All citations: 6
Serious citations (G–L): 2
2024
All citations: 13
Serious citations (G–L): 2
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 2 | G ▲ |
| 2024 | 13 | 2 | G ▲ |
| 2025 | 2 | 0 | D |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIllinois averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.67
Illinois average: 2.99
U.S. average: 3.95
Registered Nurse hours
This facility: 0.61
Illinois average: 0.63
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.59
Illinois average: 2.67
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.67 | 2.99 | 3.95 | top 49% in Illinois; bottom 6% in the U.S. |
| Registered Nurse hours | 0.61 | 0.63 | 0.69 | top 36% in Illinois; top 47% in the U.S. |
| Weekend total nurse staffing | 2.59 | 2.67 | 3.50 | top 37% in Illinois; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.74 | 0.56 | 0.48 | top 21% in Illinois; top 14% in the U.S. |
| Total nursing staff turnover (%) | 52.5 | 44.5 | 45.8 | bottom 28% in Illinois; bottom 31% in the U.S. |
| RN turnover (%) | 36.4 | 41.8 | 42.9 | top 43% in Illinois; top 40% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.52, RN 0.81, weekend 3.41.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.52 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Warren Barr Oak Lawn. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 | Organization | 5% or Greater Direct Ownership Interest | 26% | 02/01/2023 |
| GPN Family Trust U/A/D 4/28/08 | Organization | 5% or Greater Direct Ownership Interest | 60% | 02/01/2023 |
| Oakway Operations LLC | Organization | 5% or Greater Direct Ownership Interest | 15% | 02/01/2023 |
| Benco, Jennifer | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2023 |
| Legacy Healthcare Financial Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Oakway Operations LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Shabat, Menachem | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
All 7 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Legacy Healthcare — 89 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Warren Barr Orland Park — Orland Park, IL · overall 3/5
- Warren Barr South Loop — Chicago, IL · overall 1/5
- Whitehall of Deerfield — Deerfield, IL · overall 3/5
- Avantara Arrowhead — Rapid City, SD · overall 1/5abuse
- Avantara Clark City — Clark, SD · overall 4/5
- Avantara Groton — Groton, SD · overall 2/5
- Avantara Huron — Huron, SD · overall 2/5
- Avantara Lake Norden — Lake Norden, SD · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 88 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 53% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 159 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mercy Circle | 1.1 mi | Chicago, IL | ★★★★★ | 4/5 | |
| Thryve of Burbank | 1.5 mi | Burbank, IL | ★★☆☆☆ | 2/5 | |
| Avantara Evergreen Park | 1.8 mi | Evergreen Park, IL | ★☆☆☆☆ | 1/5 | |
| Landmark of Oak Lawn Rehabilitation and Nursing Ce | 1.9 mi | Oak Lawn, IL | ★☆☆☆☆ | 2/5 | |
| Aliya on 87th | 2.0 mi | Chicago, IL | ★★☆☆☆ | 1/5 | abuse |
| Aliya of Oak Lawn | 2.4 mi | Oak Lawn, IL | ★☆☆☆☆ | 1/5 | abuse |
| Aperion Care Burbank | 2.5 mi | Burbank, IL | ★★★☆☆ | 3/5 | |
| Aperion Care Oak Lawn | 2.5 mi | Oak Lawn, IL | ★☆☆☆☆ | 2/5 | abuse |
| Bria of Forest Edge | 3.1 mi | Chicago, IL | ★★☆☆☆ | 2/5 | abuse |
| Avantara Chicago Ridge | 3.1 mi | Chicago Ridge, IL | ★★★★☆ | 3/5 | |
| Smith Village | 3.6 mi | Chicago, IL | ★★★☆☆ | 2/5 | abuse |
| Midway Neurological / Rehab Center | 3.6 mi | Bridgeview, IL | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Cook, IL — 202 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Warren Barr Orland Park — Orland Park, IL · overall 3/5
- Warren Barr South Loop — Chicago, IL · overall 1/5
- Warren Park Health & Living Ctr — Chicago, IL · overall 3/5
- Waterford Care Center, the — Chicago, IL · overall 3/5
- Wentworth Rehab & HCC — Chicago, IL · overall 2/5abuse
- West Suburban Medical Ctr — Oak Park, IL · overall 4/5
- Westminster Place — Evanston, IL · overall 5/5
- Westwood Vlge Nrsg and RHB Ctr — Chicago, IL · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 145363.
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