Illinois › Du Page County › Carol Stream
Covenant Living - Windsor Park
110 Windsor Park Drive, Carol Stream, IL 60188
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 80 beds, Covenant Living - Windsor Park serves Carol Stream in Du Page County, Illinois and has taken Medicare and Medicaid residents since 1989.
CMS gives it 5 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 4, staffing 5 and quality measures 5.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (5, 6, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 22.5 per 100 beds, fewer than the state median of 28.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.0 hours per resident per day (1.2 RN), close to the Illinois median of 3.3; nursing staff turnover is 18.3%.
Compared with county, state and nation
| Measure | This facility | Du Page Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 18 | 35 | 34 | 28.7 |
| Citations per 100 beds | 22.5 | 24.1 | 28.4 | 26.8 |
| Total nurse hours per resident day | 4.0 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 1.2 | 1.0 | 0.6 | 0.7 |
| Nursing staff turnover | 18.3% | 43.6% | 43.4% | 45.8% |
| Fines listed | $0 | $9,256 | $45,123 | — |
County and state figures are medians across facilities (38 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Feb 2025, 19 Apr 2024.
Severity mix: L ×1 G ×1 D ×11 E ×3 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Jun 2025 |
| 28 Feb 2025 | F0761 | 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. | F | Standard survey | 10 Mar 2025 |
| 28 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Mar 2025 |
| 28 Feb 2025 | F0693 | 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. | D | Standard survey | 10 Mar 2025 |
| 28 Feb 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 10 Mar 2025 |
| 28 Feb 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 Mar 2025 |
| 19 Apr 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard survey | 3 May 2024 |
| 19 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 May 2024 |
| 19 Apr 2024 | F0688 | 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. | D | Standard survey | 3 May 2024 |
| 19 Apr 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 May 2024 |
| 19 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 May 2024 |
| 25 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Sep 2023 |
| 17 Jul 2023 | F0610 | Respond appropriately to all alleged violations. | L | Standard survey | 24 Jul 2023 |
| 17 Jul 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 24 Jul 2023 |
| 17 Jul 2023 | F0803 | 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. | E | Standard survey | 24 Jul 2023 |
| 17 Jul 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 24 Jul 2023 |
| 17 Jul 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 24 Jul 2023 |
| 17 Jul 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 24 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 18.3%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.5% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.9% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.5% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.9% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Windsor Park Manor. Chain: Covenant Living (15 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Covenant Living Communities & Services | 5% or greater direct ownership interest | 100% | 03/13/1985 |
| Covenant Ministries of Benevolence | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/13/1985 |
| The Evangelical Covenant Church of America | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/13/1985 |
| Covenant Living Communities & Services | Adp of the snf | NOT APPLICABLE | 03/13/1985 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Du Page County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alden Valley Ridge Rehab & HCC | Bloomingdale | 207 | 5 | 4 | 2 | 23 | 11.1 | — | 6 Jun 2025 |
| Arista Healthcare | Naperville | 153 | 5 | 5 | 3 | 20 | 13.1 | — | 16 Apr 2026 |
| Beacon Hill | Lombard | 45 | 5 | 4 | 5 | 22 | 48.9 | $30K | 14 Jul 2025 |
| Dupage Care Center | Wheaton | 366 | 5 | 4 | 4 | 24 | 6.6 | — | 11 Sep 2025 |
| Oak Trace | Downers Grove | 104 | 5 | 4 | 5 | 16 | 15.4 | $14K | 20 Mar 2026 |
| Park Place Christian Community | Elmhurst | 37 | 5 | 4 | 5 | 8 | 21.6 | — | 25 Apr 2025 |
| Springs At Monarch Landing, The | Naperville | 96 | 5 | 4 | 5 | 12 | 12.5 | — | 9 Jun 2026 |
| Tabor Hills Health Care Fac | Naperville | 96 | 5 | 4 | 5 | 14 | 14.6 | — | 9 May 2024 |
All 38 facilities in Du Page County
Questions and answers
How many deficiencies has Covenant Living - Windsor Park been cited for?
18 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Covenant Living - Windsor Park been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Covenant Living - Windsor Park compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Covenant Living - Windsor Park?
It is part of the Covenant Living chain. Ownership type is non-profit, church related. Organisations in the CMS ownership record include Covenant Living Communities & Services, Covenant Ministries of Benevolence and The Evangelical Covenant Church of America. Individual owners and managers are not listed on this site.
When was Covenant Living - Windsor Park last inspected?
The most recent survey or investigation in the CMS record is dated 3 Jun 2025; the most recent standard health survey was 28 Feb 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.