Warren Barr South Loop: Care Plan Failures - Chicago, IL
Inspectors found that Warren Barr South Loop was not consistently documenting skin breakdown in residents' electronic health records and was not ensuring care plans reflected each resident's specific needs, conditions, and interventions. The facility's own wound care policy, dated July 3, 2025, requires charge nurses to document any skin breakdown upon identification and to obtain treatment from the resident's physician. Wound care is supposed to be completed by a wound care nurse or designee, with any skin breakdown referred to the skin care team and a physician for further review.
The policy was less than three months old when inspectors found the facility wasn't following it.
A facility administrator told inspectors that care plans are meant to be resident-specific and individualized, and that a resident's needs, conditions, outcomes, and interventions should all be included. The facility's own care plan policy, dated June 30, 2025, requires person-centered care plans to be in place within seven days of a comprehensive assessment, then reviewed and revised after each subsequent assessment by a qualified team.
That policy was also barely three months old.
Inspectors classified the harm level as minimal or potential for actual harm, with few residents affected. But skin wounds that go undocumented don't get treated. Care plans that don't reflect a resident's actual condition don't guide the staff who show up for overnight shifts, or weekend shifts, or any shift when the person who knows that resident best isn't in the building.
Warren Barr South Loop's own paperwork described exactly what should happen. The gap was between the paper and the floor.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Warren Barr South Loop from 2025-09-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
WARREN BARR SOUTH LOOP in CHICAGO, IL was cited for violations during a health inspection on September 29, 2025.
The policy was less than three months old when inspectors found the facility wasn't following it.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.