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Complaint Investigation

Warren Barr South Loop

Inspection Date: September 12, 2025
Total Violations 1
Facility ID 145632
Location CHICAGO, IL
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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.

Based on observations interviews, and record reviews, facility failed to follow their policy to ensure residents have a homelike environment for 3 (Resident R1, Resident R8, Resident R9) out 5 residents reviewed for homelike environment in a sample of 11. Findings include:On 09/09/2025, surveyor observed Resident R1's room had a broken thermostat with no temperatures indicating the temperature in the room. Resident R1's dresser also had a missing handle with drawers that would not close. Resident R1's dresser was also dirty with hardened paste all over it. Resident R8's thermostat was also broken thermostat with no indication of the temperature. Resident R9's thermostat had no temperatures marking on it. Resident R1, Resident R8 and Resident R9's thermostat's analog dial did not have any markings on it to indicate if the thermostat was set to cool or hot.On 09/09/2025 at 10:30 AM, V7 (Resident R1's POA) stated that Resident R1's thermostat is broken and there is no way for us to know what temperature is being set in the room. V7 also pointed to Resident R1's dresser and showed the hardened paste all over the dresser. V7 stated that some drawers would not even close.On 09/09/2025 at 1:14 PM, V3 (Maintenance Director) stated he over looks all the physical plant problem in the facility. V3 stated that there is a thermostat in every patient room which helps resident control the temperatures. The thermostat is an analog thermostat which says what the temperature is set at. V7 stated that every thermometer should have numbered temperatures indicating what the temperatures in the room are set at.Surveyor then asked V3 to join him in Resident R1, Resident R8 and Resident R9's rooms. Surveyor pointed to Resident R1, Resident R8 and Resident R9's thermometer and asked V3 if he knew what the temperature was set at. V3 stated that he doesn't know. V3 stated that this is not what a homelike environment for residents should be.Surveyor also showed V3, Resident R1's dresser. V3 had to take out a wrench from his pocket to fix the drawers

on Resident R1's dresser as well as scrape the hardened paste on the dresser. V3 stated that he will get housekeeping right away to clean the dresser and the room.On 09/11/2025, V1 (administrator) stated that all the thermostats are being replace and fixed. V1 stated that V3 is communicating with an outside company on the quotes for this repair. Facility's Resident's rights policy (undated) documents in part: The facility must be safe, clean, comfortable and homelike. Facility's Maintenance policy (07/2025) documents in part: All resident building environment with be maintained by the maintenance department. Any staff who is made aware of a malfunctioning equipment will report the issue to the maintenance department. Cleaning will be done daily while being used by the resident by the housekeeping staff.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

WARREN BARR SOUTH LOOP in CHICAGO, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHICAGO, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WARREN BARR SOUTH LOOP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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