Covenant Living - Windsor Park

Nursing Home · Carol Stream, IL

CMS overall rating 5/5 Non profit - Church related

CMS certification number145606

Contact & location

110 Windsor Park Drive
Carol Stream, IL 60188
Du Page County
Phone
(630) 510-5200
ZIP code
60188 – all care providers

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Facility details

Certified beds
80
Residents per day
66.9 (84% occupied)
Ownership
Non profit - Church related
Legal name
Windsor Park Manor
Chain
Covenant Living (15 facilities, avg 4.4★)
Medicare certified since
March 3, 1989
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 2.5
Health inspections★★★★★ 4/5
State avg 2.7
Staffing★★★★★ 5/5
State avg 2.1
Quality measures★★★★★ 5/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.97 (state 3.45 · U.S. 3.86)
Registered nurses (RN)
1.23 (state 0.72 · U.S. 0.69)
Licensed practical nurses
0.61 (state 0.64 · U.S. 0.86)
Nurse aides
2.13 (state 2.09 · U.S. 2.32)
Weekend total
3.70 (state 3.08 · U.S. 3.42)
Nursing staff turnover
18.3 (state 44.5 · U.S. 45.8)%
RN turnover
20.0 (state 41.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 28, 2025
Health deficiencies (last cycle)
5.0 (state 12.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
18 health · 19 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-06-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-06-11
2025-02-28 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.
F0761 · Pharmacy Service Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-03-10
2025-02-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-10
2025-02-28 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-10
2025-02-28 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-10
2025-02-28 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-10
2024-04-19 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-19 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-19 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-19 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2024-04-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-03
2023-08-25 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-06
2023-07-17 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
L
Immediate jeopardy to resident health or safety
Corrected 2023-07-24
2023-07-17 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-07-24
2023-07-17 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.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-07-24
2023-07-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-24
2023-07-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-24
2023-07-17 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Covenant Living Communities & Services (organization)5%+ Direct Ownership Interest · 100%
Covenant Ministries of Benevolence (organization)5%+ Indirect Ownership Interest
The Evangelical Covenant Church of America (organization)5%+ Indirect Ownership Interest
Covenant Living Communities & Services (organization)Administrator · NOT APPLICABLE
Little, Abbie (individual)Administrator · NOT APPLICABLE
Pipitone, Anthony (individual)Administrator · NOT APPLICABLE
Creaney, Janet (individual)Corporate Director · NOT APPLICABLE
Hoffman, Janet (individual)Corporate Director · NOT APPLICABLE
Means, Jennifer (individual)Corporate Director · NOT APPLICABLE
Warnygora, Emily (individual)Corporate Director · NOT APPLICABLE
Erickson, David (individual)Corporate Officer · NOT APPLICABLE
Justie, Jeannie (individual)Corporate Officer · NOT APPLICABLE
Kalheim, Cory (individual)Corporate Officer · NOT APPLICABLE
Erickson, David (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Little, Abbie (individual)Operational/managerial Control · NOT APPLICABLE
Milidrag, Sanja (individual)Operational/managerial Control · NOT APPLICABLE
Pipitone, Anthony (individual)Operational/managerial Control · NOT APPLICABLE
Smith, Shelly (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Covenant Living - Windsor Park?

Covenant Living - Windsor Park has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.

How many beds does Covenant Living - Windsor Park have?

It has 80 certified beds and cares for about 67 residents per day.

Has Covenant Living - Windsor Park been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Covenant Living - Windsor Park?

It is part of Covenant Living and is classified as non profit - church related. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Covenant Living - Windsor Park?

(630) 510-5200. The facility is located at 110 Windsor Park Drive, Carol Stream, IL 60188.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.