The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
WARREN BARR OAK LAWN
OAK LAWN, IL · Medicare-certified · 122 beds
In good standing
For-profitChain member
4 of 5 overall
WARREN BARR OAK LAWN has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality scores but a lower 2-star staffing rating. Reported nurse staffing is 3.69 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6866 hrs/resident/day
Quality measures
Last inspection: December 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6866.
Staffing detail
- Registered nurses
- 0.83
- Licensed practical nurses
- 0.89
- Nurse aides
- 1.97
- Weekend nursing
- 3.54
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 32%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.5%Worsening
Residents with a fall causing major injury
3.3%Improving
Residents with pressure ulcers (bedsores)
7%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
11.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.8%Worsening
Residents whose ability to walk got worse
13.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
5%Worsening
Short-stay residents newly given an antipsychotic
1.6%Steady
Residents with a long-term catheter
1.4%Worsening
Residents with new or worsening incontinence
20.7%Worsening
Residents with depressive symptoms
87.9%Worsening
Long-stay residents given the seasonal flu vaccine
69.6%Steady
Long-stay residents given the pneumonia vaccine
71.3%Worsening
Short-stay residents given the seasonal flu vaccine
23%Steady
Short-stay residents given the pneumonia vaccine
33.3%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited December 2022 — isolated incident, actual harm.
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F-Tag 726 — 42 CFR §483.35 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited December 2022 — isolated incident, actual harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 100.8 residents on an average day (83% of 122 beds)
- Resident voice
- Resident council
- 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.