Warren Barr Orland Park
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 39 Google reviews

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What this means for your family
This facility offers a very homelike environment with excellent activity programs for memory care, but the extreme polarization in recent reviews is a red flag. Families should conduct unannounced visits during weekends or evenings to verify staffing levels and specifically ask for the facility's policy on PRN medication administration.
Google Reviews
Google Reviews
39 reviews on Google“Reviews for this facility are highly polarized, with many families praising the compassionate staff and clean environment, while others report severe concerns regarding understaffing and medication management. While some families feel their loved ones are thriving and well-engaged, others have documented alarming incidents of over-sedation, poor communication, and neglect. The facility has undergone multiple name changes and management shifts, which appears to have contributed to inconsistent experiences over the years.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Engaging activities for memory care residents
- Responsive and professional leadership
Concerns
- Understaffing leading to neglect and reliance on family members for care (mentioned by 3 reviewers)
- Inappropriate use of sedatives or medication management issues (mentioned by 2 reviewers)
- Poor communication from management regarding medical issues or records (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 44 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given that staffing levels can fluctuate in a large facility like this, what specific protocols do you have in place to ensure consistent, daily attention for residents who need extra support?
- 2I noticed the facility has a 2-star staffing rating; how do you manage your current staff-to-resident ratios to ensure that no resident's care needs are overlooked?
- 3What is your process for keeping families informed about changes in medication or health status, and how do you ensure that communication remains proactive rather than reactive?
- 4Regarding medication management, what oversight measures are in place to ensure accuracy and safety for residents who require complex daily regimens?
- 5I've read great things about your memory care activities; could you walk me through a typical day for a resident to see how they stay engaged and social?
- 6How does your team handle urgent medical situations or sudden changes in a resident's condition, particularly during evening or weekend hours?
Personalized based on this facility's data
Key Review Excerpts
“We visit at all times of day, and different days of the week, and are always so pleased upon our arrival to see her engaged in various activities suited to her stage of dementia.”
“The staff was doubling up my dad with seroquel when they didn’t want to deal with him to the point he couldn’t form sentences or speak.”
“Many of staff has been there for years, which is a good thing to consider if your thinking of putting a loved one here.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
10
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of family-reported complaints, with 10 complaint-triggered deficiencies over the review period, indicating families have filed reports about care issues. The most recurring problems involve daily care assistance, accident prevention and safety, and medication management. While all deficiencies show correction dates, the persistence of safety hazards across multiple surveys (2023-2025) and repeated issues with daily care assistance suggest ongoing challenges in maintaining consistent standards.
Mar 23, 2026Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 3, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Apr 11, 2025Routine10
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
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.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Jul 2, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 10, 2024Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Mar 28, 2024Complaint1
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal Penalties
Fine
Jan 22, 2024
$13,549
Fine
Dec 26, 2023
$9,798
Fine
Sep 29, 2023
$37,001
Payment Denial
Sep 29, 2023
39-day denial
Ownership & Operations
Who Operates This Facility
Warren Barr Orland Park
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 44 of 89
Ownership & Management
Owners
Doros Generation Trust U/a/d 1/3/12
Owner · Organization
Gpn Fam Tr Ua 04282008
Owner · Organization
Garden, Daniel
Owner
Ninio, Mordechay
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
39 reviews from families & visitors
Official Website
Visit autumnleaves.com
Medicare data downloads
Original nursing home datasets
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