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
4 of 5 overall
WARREN BARR GOLD COAST has a 4-star overall rating, with strong quality measures but weaker staffing at 2 stars. Reported nurse staffing is 3.94 hours per resident per day, below the federal benchmark of 4.1, and the facility has a recent federal penalty with $4,857 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.9386 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $4,857recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9386.
Staffing detail
- Registered nurses
- 1.17
- Licensed practical nurses
- 0.54
- Nurse aides
- 2.23
- Weekend nursing
- 3.82
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 45%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.4%Steady
Residents with a fall causing major injury
1.1%Improving
Residents with pressure ulcers (bedsores)
10.6%Steady
Residents with a urinary tract infection
0.9%Steady
Residents who lost too much weight
12.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.6%Improving
Residents whose ability to walk got worse
9.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
3.3%Improving
Short-stay residents newly given an antipsychotic
1.6%Steady
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
19.9%Improving
Residents with depressive symptoms
98.5%Worsening
Long-stay residents given the seasonal flu vaccine
73.7%Steady
Long-stay residents given the pneumonia vaccine
67.5%Improving
Short-stay residents given the seasonal flu vaccine
32%Steady
Short-stay residents given the pneumonia vaccine
39.8%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
- 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 · 1 payment denial.
- $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 · 2.9 stars avg
- Occupancy
- 199.2 residents on an average day (74% of 271 beds)
- Medicare history
- Certified for 47 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.