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Nursing HomeMedicaid

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.

14601 South John Humphrey Dr, Orland Park, IL 60462275 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 39 Google reviews

5
4
3
2
1
Warren Barr Orland Park Nursing Home in Orland Park, IL — Street View
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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 details
Food4.0Staff6.0Clean8.0Activities9.0Meds2.0Memory7.0Comms5.0Value6.0

Strengths

  • 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

2341.02018(1)5.02019(1)3.72022(9)4.72023(14)5.02024(3)4.02025(16)

Distribution · 44 analyzed

5
35
4
0
3
0
2
0
1
9

How They Respond to Reviews

0%response rate

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.

Memory care family member · 2025★★★★★

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.

Memory care family member · 2025☆☆☆☆

Many of staff has been there for years, which is a good thing to consider if your thinking of putting a loved one here.

Long-term resident's family · 2025★★★★★
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.71hrs
95%
Registered nurses for medical care
Total Nursing
3.71hrs
90%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility97.2%
Worse than Avg
Here
97.2%
US
12.1%
IL
52.5%
Cook
74.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility65.4%
Worse than Avg
Here
65.4%
US
95.5%
IL
91.8%
Cook
87.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility70.9%
Worse than Avg
Here
70.9%
US
93.4%
IL
90.0%
Cook
85.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.4%
Worse than Avg
Here
27.4%
US
15.4%
IL
21.8%
Cook
24.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.5%
Mixed vs Avgs
Here
10.5%
US
19.5%
IL
18.3%
Cook
10.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.6%
Better than Avg
Here
7.6%
US
15.3%
IL
15.9%
Cook
9.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility17.2%
Worse than Avg
Here
17.2%
US
81.8%
IL
69.0%
Cook
55.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility15.7%
Worse than Avg
Here
15.7%
US
79.7%
IL
63.1%
Cook
55.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.3%
Mixed vs Avgs
Here
2.3%
US
1.6%
IL
2.4%
Cook
2.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
4penalties
Above state avg (12.0)
13 complaint-triggered
$60,348 in fines

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, 2026Complaint
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jun 3, 2025Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Apr 11, 2025Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0887Potential for harm · WidespreadCorrected

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.

0623Potential for harm · PatternCorrected

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0813Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0625Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · IsolatedCorrected

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, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Apr 10, 2024Complaint
2
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Mar 28, 2024Complaint
1
0558Potential for harm · IsolatedCorrected

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

Owner / Operator

Warren Barr Orland Park

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

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

17%

Gpn Fam Tr Ua 04282008

Owner · Organization

17%

Garden, Daniel

Owner

8%

Ninio, Mordechay

Owner

59%

Key personnel

Morton, ScottW-2 Managing EmployeeTbdmd Il, LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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