The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
WARREN BARR GOLD COAST
CHICAGO, IL · Medicare-certified · 271 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
WARREN BARR GOLD COAST has an overall rating of 4 out of 5 stars. Its strongest area is quality measures at 5 stars, but staffing is low at 2 stars and reported nurse staffing is 3.87 hours per resident per day, below the federal benchmark of 4.1; it also has a recent federal penalty and $4,857 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.8668 hrs/resident/day
Quality measures
Last inspection: April 10, 2026Penalties, last 24 months: $4,857recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8668.
Staffing detail
- Registered nurses
- 1.08
- Licensed practical nurses
- 0.61
- Nurse aides
- 2.18
- Weekend nursing
- 3.76
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
1%1%No change
Residents with a fall causing major injury
1.4%1.6%No change
Residents with pressure ulcers (bedsores)
10.6%11.8%Worsening
Residents with a urinary tract infection
1.4%2.4%Worsening
Residents who lost too much weight
11.9%17.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.8%5.9%Improving
Residents whose ability to walk got worse
9.9%5.9%Improving
Long-stay residents on antianxiety or sleep medication
3.7%4.4%Worsening
Short-stay residents newly given an antipsychotic
2.1%2%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.5%29.2%Worsening
Residents with depressive symptoms
98.4%98.2%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—73.7%—
Long-stay residents given the pneumonia vaccine
61.4%94.5%Improving
Short-stay residents given the seasonal flu vaccine
—32%—
Short-stay residents given the pneumonia vaccine
35.9%67%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $4,857 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $24,962 in total fines · 2 payment denials.
- 22 days
Medicare/Medicaid payment denial
Jan 30, 2026
- $4,857
Federal fine
Feb 24, 2025
- 77 days
Medicare/Medicaid payment denial
Oct 20, 2023
- $20,105
Federal fine
Oct 20, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 203.9 residents on an average day (75% of 271 beds)
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.