Warren Barr Gold Coast

Penalties

• Jan 30, 2026 — IDPH fine (Nursing Home Care Act) ($25,000)
• Jan 30, 2026 — Payment Denial · payment denial 22 days
• Mar 20, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
• Feb 24, 2025 — Fine ($4,857)
• Dec 14, 2023 — IDPH fine (Nursing Home Care Act) ($25,000)
• Nov 2, 2023 — IDPH fine (Nursing Home Care Act) ($500)
• Oct 20, 2023 — IDPH fine (Nursing Home Care Act) ($25,000)
• Oct 20, 2023 — Payment Denial · payment denial 77 days
• Oct 20, 2023 — Fine ($20,105)

Inspection findings

1. Jun 10, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 25, 2026 · CMS health inspection

2. Apr 10, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0826 Quality of Life and Care Deficiencies

     Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

     Corrected Apr 16, 2026 · CMS health inspection

3. Feb 19, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Feb 20, 2026 · CMS health inspection

4. Jan 30, 2026 IDPH docket NH 26-CS0288 · 1 finding
   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), and 300.1210c). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.1210b).

     Statement of deficiencies (PDF)

5. Jul 9, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0573 Resident Rights Deficiencies

     Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

     Corrected Jul 11, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0725 Nursing and Physician Services Deficiencies

     Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

     Corrected Jul 11, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Jul 11, 2025 · CMS health inspection

6. Mar 20, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Mar 25, 2025 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), and 300.1210d)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).

     Statement of deficiencies (PDF)

7. Feb 24, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Mar 8, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Mar 8, 2025 · CMS health inspection

8. Dec 6, 2024 Health · 16 findings
   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

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

     Corrected Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Dec 17, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0311 Smoke Deficiencies

     Have an enclosure around a vertical opening shaft.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Dec 20, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Dec 18, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Dec 18, 2024 · CMS fire safety

9. Oct 18, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Oct 19, 2024 · CMS health inspection

10. Sep 1, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Sep 3, 2024 · CMS health inspection

11. Mar 28, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Mar 29, 2024 · CMS health inspection

12. Jan 22, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Jan 23, 2024 · CMS health inspection

13. Dec 14, 2023 Health · 6 findings
    • Not serious Scope/severity D Complaint

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected Feb 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0658 Resident Assessment and Care Planning Deficiencies

      Ensure services provided by the nursing facility meet professional standards of quality.

      Corrected Feb 1, 2024 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Feb 1, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 1, 2024 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0921 Environmental Deficiencies

      Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      Corrected Dec 15, 2023 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b) and 300.1210d)3). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).

      Statement of deficiencies (PDF)

14. Dec 1, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Dec 12, 2023 · CMS health inspection

15. Nov 2, 2023 Health · 17 findings
    • Not serious Scope/severity D

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Nov 3, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0584 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.

      Corrected Nov 3, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

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

      Corrected Nov 3, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Nov 3, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Nov 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Nov 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0813 Nutrition and Dietary Deficiencies

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

      Corrected Nov 3, 2023 · CMS health inspection

    • Not serious Scope/severity F

      K0291 Egress Deficiencies

      Install emergency lighting that can last at least 1 1/2 hours.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0541 Services Deficiencies

      Install properly constructed and protected linen or trash chutes.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Nov 17, 2023 · CMS fire safety

    • Not serious Scope/severity C

      Type C Illinois Nursing Home Care Act violation

      Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.615e) and 300.615j). This instance in accordance with 300.282i) and j) of the Code is assessed a fine due to the violation of the sections of the Code with a high-risk designation: 300.615e).

      Statement of deficiencies (PDF)

16. Oct 20, 2023 Health · 3 findings
    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Nov 1, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

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

      Corrected Feb 1, 2024 · CMS health inspection

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), 300.1210c) and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

      Statement of deficiencies (PDF)

17. Aug 23, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Sep 1, 2023 · CMS health inspection

18. Dec 9, 2022 Health · 17 findings
    • Not serious Scope/severity D

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Dec 29, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0688 Quality of Life and Care Deficiencies

      Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      Corrected Dec 29, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Dec 29, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Dec 29, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Dec 29, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0693 Quality of Life and Care Deficiencies

      Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      Corrected Dec 29, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0744 Quality of Life and Care Deficiencies

      Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

      Corrected Dec 29, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0761 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.

      Corrected Dec 29, 2022 · CMS health inspection

    • Not serious Scope/severity E

      K0222 Egress Deficiencies

      Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      Corrected Dec 31, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0311 Smoke Deficiencies

      Have an enclosure around a vertical opening shaft.

      Corrected Dec 31, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Dec 29, 2022 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Dec 29, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Dec 29, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected Dec 29, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0541 Services Deficiencies

      Install properly constructed and protected linen or trash chutes.

      Corrected Dec 29, 2022 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Dec 29, 2022 · CMS fire safety

    • Not serious Scope/severity E

      K0753 Miscellaneous Deficiencies

      Have restrictions on the use of highly flammable decorations.

      Corrected Dec 29, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• FRIEDMAN, SUSAN — 5% or greater direct ownership interest, 5%, since 01/01/2017
• RAJCHENBACH, CHAIM — 5% or greater direct ownership interest, 35%, since 01/01/2017
• RAJCHENBACH, CHAIM — operational/managerial control, NOT APPLICABLE, since 08/02/2013
• SHABAT, MENACHEM — operational/managerial control, NOT APPLICABLE, since 08/01/2013
• SHABAT, MENACHEM — 5% or greater direct ownership interest, 35%, since 01/01/2017
• SHABAT, RONALD — 5% or greater direct ownership interest, 10%, since 08/01/2013
• SHELBY, CRYSTAL — w-2 managing employee, NOT APPLICABLE, since 12/20/2018
• FNR WB LLC — 5% or greater security interest, NOT APPLICABLE, since 08/01/2013
• JACK RAJCHENBACH FAMILY TRUST — 5% or greater direct ownership interest, 7%, since 08/02/2013