nursing home in Carol Stream, IL
Covenant Living - Windsor Park
110 Windsor Park Drive, Carol Stream, IL 60188 · (630) 510-5200
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Covenant Living - Windsor Park at a glance
Covenant Living - Windsor Park is a 80-bed non-profit nursing home in Carol Stream, Illinois (Du Page County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Illinois average of 2.5.
Residents receive about 4 hours of nursing care per day (1.2 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (February 28, 2025) found 5 health citations. The Illinois average is 12.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 18.3% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Church Related
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Covenant Living
- Medicare-certified since
- March 3, 1989
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Du Page County
- CMS Certification Number
- 145606
Ratings
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 2.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 2.5 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.97 hrs | 3.45 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.23 hrs | 0.72 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.13 hrs | 2.09 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.70 hrs | 3.07 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 18.3% | 44.5% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 20% | 41.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 12 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 5 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 38 | 143 | 80.6 | Better |
Penalties
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $111,013 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 3 | 1 | Better |
Size
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 128 | 107 | |
| Average residents per day | 67 | 95 | 86 | |
| Occupancy | 83.6% | 75% | 80.9% |
Long-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8.9% | 3.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.7% | 4.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 11.9% | 21.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.6% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.5% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 7.5% | 14.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2% | 6.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.7% | 54.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.3% | 18.3% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 5% | 20.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 85.7% | 91.8% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 93.3% | 90.3% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.7% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80% | 63.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.3% | 69.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 3, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected June 11, 2025 |
| February 28, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 25, 2025 |
| February 28, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected March 25, 2025 |
| February 28, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 26, 2025 |
| February 28, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 11, 2025 |
| February 28, 2025 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Corrected March 24, 2025 |
| February 28, 2025 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | E Potential harm, pattern | Corrected March 25, 2025 |
| February 28, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 24, 2025 |
| February 28, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected March 10, 2025 |
| February 28, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 10, 2025 |
| February 28, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 28, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 28, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected March 10, 2025 |
| April 19, 2024 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected May 24, 2024 |
| April 19, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected May 24, 2024 |
| April 19, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 24, 2024 |
| April 19, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected May 24, 2024 |
| April 19, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 24, 2024 |
| April 19, 2024 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | E Potential harm, pattern | Corrected May 24, 2024 |
| April 19, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected May 24, 2024 |
| April 19, 2024 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | E Potential harm, pattern | Corrected May 24, 2024 |
| April 19, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | E Potential harm, pattern | Corrected May 3, 2024 |
| April 19, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 19, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 19, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected May 3, 2024 |
| April 19, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 3, 2024 |
| July 17, 2023 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | E Potential harm, pattern | Corrected August 4, 2023 |
| July 17, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected August 2, 2023 |
| July 17, 2023 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | E Potential harm, pattern | Corrected August 2, 2023 |
| July 17, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected August 2, 2023 |
| July 17, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | L Immediate jeopardy, widespread | Corrected July 24, 2023 |
| July 17, 2023 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected July 24, 2023 |
| July 17, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected July 24, 2023 |
| July 17, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 24, 2023 |
| July 17, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected July 24, 2023 |
| July 17, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 24, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| COVENANT LIVING COMMUNITIES & SERVICES Organization | 5% or greater direct ownership interest | 100% | 03/13/1985 |
| COVENANT MINISTRIES OF BENEVOLENCE Organization | 5% or greater indirect ownership interest | — | 03/13/1985 |
| THE EVANGELICAL COVENANT CHURCH OF AMERICA Organization | 5% or greater indirect ownership interest | — | 03/13/1985 |
| COVENANT LIVING COMMUNITIES & SERVICES Organization | adp of the snf | NOT APPLICABLE | 03/13/1985 |
| LITTLE, ABBIE Individual | adp of the snf | NOT APPLICABLE | 11/11/2025 |
| PIPITONE, ANTHONY Individual | adp of the snf | NOT APPLICABLE | 11/24/2025 |
| CREANEY, JANET Individual | corporate director | NOT APPLICABLE | 08/01/2023 |
| HOFFMAN, JANET Individual | corporate director | NOT APPLICABLE | 07/01/2023 |
| MEANS, JENNIFER Individual | corporate director | NOT APPLICABLE | 07/01/2025 |
| WARNYGORA, EMILY Individual | corporate director | NOT APPLICABLE | 07/01/2021 |
| ERICKSON, DAVID Individual | corporate officer | NOT APPLICABLE | 06/01/2024 |
| JUSTIE, JEANNIE Individual | corporate officer | NOT APPLICABLE | 09/21/2020 |
| KALHEIM, CORY Individual | corporate officer | NOT APPLICABLE | 07/01/2024 |
| ERICKSON, DAVID Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/01/2026 |
| LITTLE, ABBIE Individual | operational/managerial control | NOT APPLICABLE | 08/11/2023 |
| MILIDRAG, SANJA Individual | operational/managerial control | NOT APPLICABLE | 07/23/2021 |
| PIPITONE, ANTHONY Individual | operational/managerial control | NOT APPLICABLE | 11/14/2014 |
| SMITH, SHELLY Individual | operational/managerial control | NOT APPLICABLE | 01/18/2021 |
Other nursing homes near Covenant Living - Windsor Park
- ★★★★★4Above average
Wheaton Village Nrsg & Rhb Ctr
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★★★★★3AverageWynscape Health & Rehab
2180 Manchester Road, Wheaton, IL 60187 · 2.8 mi
Non-profit · 209 beds · Part of Justliving Communities
- CMS high performer
★★★★★5Much above averageAperion Care West Chicago
201 West North Avenue, West Chicago, IL 60185 · 3 mi
For-profit · 213 beds · Part of Aperion Care
- Abuse citation
★★★★★2Below averageDupage Care Center
400 N County Farm Rd, Wheaton, IL 60187 · 3 mi
Government · 366 beds
- CMS high performer
★★★★★5Much above averageAlden Valley Ridge Rehab & Hcc
275 East Army Trail Road, Bloomingdale, IL 60108 · 4.2 mi
For-profit · 207 beds · Part of The Alden Network
★★★★★5Much above average
All nursing homes in Carol Stream, IL · Compare side by side
Frequently asked questions
What is Covenant Living - Windsor Park's rating?
Covenant Living - Windsor Park has 5 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.
How many inspection citations did Covenant Living - Windsor Park receive?
Its most recent standard health inspection found 5 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.
Does Covenant Living - Windsor Park accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Covenant Living - Windsor Park?
It is non profit - church related and part of Covenant Living. The ownership section on this page lists the owners and managers reported to CMS.
Where is Covenant Living - Windsor Park and how do I contact it?
Covenant Living - Windsor Park is at 110 Windsor Park Drive, Carol Stream, IL 60188. Phone: (630) 510-5200.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.