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Nursing HomeMedicaid Investigative

Warren Barr South Loop

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1725 South Wabash, Prairie District · Chicago, IL 60616210 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 531 Google reviews

5
4
3
2
1
Warren Barr South Loop Nursing Home in Chicago, IL — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (18 vs median 11.0)
  • High staff turnover (64%)
  • High RN turnover (72%)

Bottom 25% in IL · Below recommended RN staffing · Above average staffing · Worst in LEGACY HEALTHCARE chain · $251,263 in fines

Source: Medicare data

What this means for your family

While the facility offers an excellent activity program and a modern rehab gym, the reports of severe neglect and hygiene issues are critical red flags. Families should conduct an unannounced visit to the specific floor where their loved one will reside and observe staff responsiveness and cleanliness firsthand before committing.

Google Reviews

Google Reviews

531 reviews on Google
Warren Barr South Loop receives a high volume of positive feedback, particularly from families and nursing students who praise the facility's cleanliness, modern therapy gym, and dedicated activity department. However, a recurring pattern of serious complaints exists regarding neglect, poor hygiene, and inadequate staffing levels, with multiple reviewers citing issues like untreated bedsores and unresponsive care.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean6.0Activities10.0Meds3.0Memory8.0Comms5.0ValueN/A

Strengths

  • Modern, well-equipped therapy gym
  • Highly active and engaging activity department
  • Clean, well-maintained physical environment
  • Supportive and professional administrative staff

Concerns

  • Neglect leading to severe bedsores and infections (mentioned by 5 reviewers)
  • Unsanitary conditions and persistent odors (urine/feces) (mentioned by 4 reviewers)
  • Inattentive or lazy staff/lack of responsiveness (mentioned by 4 reviewers)
  • High reliance on agency staff with communication barriers (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.22024(5)4.42025(116)4.92026(114)

Distribution · 235 analyzed

5
197
4
17
3
3
2
5
1
13
31 reviews posted between Feb 16, 2026Feb 20, 2026 · 29 were 5-star
28 reviews posted between Mar 26, 2026Mar 28, 2026 · 25 were 5-star
13 reviews posted between May 19, 2026May 21, 2026 · 13 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We noticed the administration is very responsive to feedback online; how does the leadership team involve families in addressing care concerns?
  • 2With the highly-rated activity department, what are some of the favorite daily outings or group events currently happening for residents?
  • 3Can you walk us through your specific protocols for skin integrity monitoring and preventing pressure ulcers?
  • 4How do you ensure consistent communication and continuity of care when there is a shift change or when agency staff are assisting?
  • 5What specific systems are in place to ensure medication administration is accurate and that there are no delays in doses?
  • 6How do you manage the cleanliness of the resident rooms and common areas to ensure a fresh and sanitary environment throughout the day?

Personalized based on this facility's data


Key Review Excerpts

The lobby staff are friendly and very professional, just wish the care of the patient waa better, bedsore is not a good look and to have gotten so bad that it was to bone, the smell on the 3rd floor make me want to vomit every time I visit.

Family member · 2025★★☆☆☆

The activity department sincerely and thoroughly gets to know each resident on a personal level and really treats them like family.

Visitor/Observer · 2026★★★★★

The day my mother was transferred to the facility they threw her in the room and she had feces on her, while the nurse on duty was too busy downstairs ordering food herself.

Family member · 2025☆☆☆☆
Source: 531 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
61%
Registered nurses for medical care
Total Nursing
3.70hrs
90%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
67%
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
2/ 5
Better Than Avg

5

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility99.0%
Worse than Avg
Here
99.0%
US
12.1%
IL
52.5%
Cook
73.5%

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 Facility74.4%
Worse than Avg
Here
74.4%
US
95.5%
IL
91.8%
Cook
86.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
15.5%
IL
21.8%
Cook
25.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
19.5%
IL
18.3%
Cook
10.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility83.8%
Worse than Avg
Here
83.8%
US
93.4%
IL
90.0%
Cook
84.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
14.4%
IL
14.2%
Cook
8.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility29.3%
Worse than Avg
Here
29.3%
US
79.8%
IL
63.1%
Cook
54.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility54.3%
Worse than Avg
Here
54.3%
US
81.8%
IL
69.0%
Cook
54.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
US
1.6%
IL
2.4%
Cook
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
9penalties
Above state avg (12.0)
33 complaint-triggered
$251,263 in fines

Warren Barr South Loop has significant quality concerns, with families filing numerous complaint reports leading to 36 deficiencies. The facility repeatedly struggles with accident prevention and safety, pressure ulcer care, and providing proper treatment according to care plans. While all violations show correction dates, the pattern of recurring safety and care issues across multiple complaint-driven inspections suggests ongoing challenges with consistent quality care delivery.

Oct 1, 2025Complaint
1
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.

Sep 29, 2025Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Sep 12, 2025Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Apr 4, 2025Complaint
1
0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Feb 21, 2025Routine
19
0311Potential for harm · Widespread

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0761Potential for harm · PatternCorrected

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.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0808Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

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.

Jan 24, 2025Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Payment Denial

Feb 21, 2025

3-day denial

Fine

Oct 25, 2024

$14,260

Payment Denial

Jul 19, 2024

13-day denial

Fine

Jul 19, 2024

$52,546

Payment Denial

Jan 31, 2024

38-day denial

Fine

Jan 31, 2024

$86,090

Payment Denial

Aug 3, 2023

93-day denial

Fine

Aug 3, 2023

$87,992

Fine

Jun 20, 2023

$3,176

Ownership & Operations

Who Operates This Facility

Owner / Operator

Warren Barr South Loop

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 86 of 89 (Worst)

Ownership & Management

Owners

Doros Generation Trust U/a/d 1/3/12

Owner · Organization

50%

Gpn Family Trust U/a/d 4/28/08

Owner · Organization

50%

Key personnel

Fnr Chicago Sl LLC5% or Greater Security InterestLake Forest Bank & Trust Company, N.a.5% or Greater Security InterestShabat, MenachemManaging Control - Governing BodyLake Forest Bank & Trust Company, N.a.ManagerLegacy Healthcare Financial Services 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

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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