Senior Home Review
Home›Browse›Illinois›Carol Stream›Covenant Living - Windsor Park
Nursing homeFAID #3116

Covenant Living - Windsor Park

110 WINDSOR PARK DRIVE, CAROL STREAM, IL, 60188
(630) 510-5200
80 licensed beds

CMS rates Covenant Living - Windsor Park 5 out of 5 overall. Federal inspectors issued 36 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
What we can show you for free.
Bed capacity
80
CMS facility ID
145606
Care type
Nursing home
County
Du Page
Facility name
Covenant Living - Windsor Park
Street address
110 WINDSOR PARK DRIVE
City / state / ZIP
Carol Stream, IL 60188
Phone
(630) 510-5200

Covenant Living - Windsor Park is a Medicare/Medicaid-certified skilled nursing facility in Carol Stream, Illinois. It is licensed for 80 beds — below the median for skilled nursing facilities in Illinois (112 beds).

It is one of 1 senior care facility in Carol Stream and 667 skilled nursing facilities across Illinois. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Covenant Living, a group of 16 facilities on this site.

Federal inspectors have cited Covenant Living - Windsor Park 36 times across 7 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Covenant Living
Ownership type
Non profit - Church related

Registered owners & officers

Covenant Living Communities & Services
Direct owner · Additional disclosable party — 100% stake — since 1985
Covenant Ministries of Benevolence
Indirect owner — since 1985
Creaney, Janet
Director — since 2023
Erickson, David
Officer · Owner of a disclosable party — since 2024
Hoffman, Janet
Director — since 2023
Justie, Jean
Officer — since 2020
Kallheim, Cory
Officer — since 2024
Little, Abbie
Operational control · Additional disclosable party — since 2023
Means, Jennifer
Director — since 2025
Milidrag, Sanja
Operational control — since 2021
Pipitone, Anthony
Operational control · Additional disclosable party — since 2014
Smith, Shelly
Operational control — since 2021
The Evangelical Covenant Church of America
Indirect owner — since 1985
Warnygora, Emily
Director — since 2021

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1989-03-03
CMS overall rating
5 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-02-28
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$698 per day (≈ $21,220/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
13% Medicaid · 38% Medicare · 49% private/other
Occupancy
73% (fiscal year 2023)
Vs. state median
104% above the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
80
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-06-03Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-11
2025-02-28Health inspection5 citations
F-0693
D · No harm found
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.
Corrected 2025-03-10
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-10
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-10
F-0761
F · No harm found
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.
Corrected 2025-03-10
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-10
5 earlier / fire-safety inspections (30 citations)
2024-04-19Health inspection5 citations
F-0554
E · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-05-03
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-03
F-0688
D · No harm found
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.
Corrected 2024-05-03
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-03
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-03
2023-07-17Health inspection6 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-24
F-0610
L · Immediate jeopardy
Respond appropriately to all alleged violations.
Corrected 2023-07-24
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-24
F-0803
E · No harm foundFood safety
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.
Corrected 2023-07-24
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-07-24
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-07-24
2025-02-28Fire-safety inspection7 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-03-25
K-0225
E · No harm found
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-03-24
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-26
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-11
K-0361
E · No harm found
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2025-03-25
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-24
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-03-25
2024-04-19Fire-safety inspection8 citations
K-0133
E · No harm found
Install a two-hour-resistant firewall separation.
Corrected 2024-05-24
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2024-05-24
K-0281
E · No harm found
Install proper backup exit lighting.
Corrected 2024-05-24
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-24
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-24
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-24
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2024-05-24
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-24
2023-07-17Fire-safety inspection4 citations
K-0133
E · No harm found
Install a two-hour-resistant firewall separation.
Corrected 2023-08-04
K-0341
E · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-08-02
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-08-02
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-08-02
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 145606.
How it compares in Illinois.
Inspection citations, 3 years
36
More than 27% of nursing homes in the state
State median: 50
Federal fines, 3 years
$0
No federal fines on record
State median: $45,080
Nurse staffing, hours per resident per day
4.2
Higher than 85% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
22%
Higher than 5% of nursing homes in the state
State median: 44%

Resident outcomes

On 19 federal quality measures, this facility does better than the Illinois average on 13 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased10.3%13.0%13.5%Better than state
Lose too much weight1.8%6.1%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.8%0.7%Better than state
With a urinary tract infection5.6%1.5%1.5%Worse than state
Have depressive symptoms1.2%55.9%13.5%Better than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury6.1%3.0%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine96.9%90.5%93.7%Near state average
Ability to walk independently worsened8.1%12.8%12.7%Better than state
Received an antianxiety or hypnotic medication20.3%18.4%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%91.7%95.3%Near state average
With pressure ulcers5.7%4.8%4.5%Worse than state
With new or worsened bowel or bladder incontinence3.2%19.8%18.3%Better than state
Received an antipsychotic medication14.0%21.7%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine99.7%70.0%82.3%Better than state
Newly received an antipsychotic medication0.4%2.2%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine98.3%63.2%80.1%Better than state
Were rehospitalized after a nursing home admission22.6%25.6%23.4%Better than state
Had an outpatient emergency department visit7.6%13.5%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
  • K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
  • K-0372 2 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  • K-0133 2 inspections. Install a two-hour-resistant firewall separation.

What its owners also hold

  • Covenant Living Communities & Services has an ownership stake on file at 15 nursing homes, averaging 4.8 of 5 on CMS's overall rating.
  • The Evangelical Covenant Church of America has an ownership stake on file at 3 nursing homes, averaging 5 of 5 on CMS's overall rating.
  • Covenant Ministries of Benevolence has an ownership stake on file at 3 nursing homes, averaging 5 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Illinois

  • Licensing: Illinois Department of Public Health, Division of Assisted Living
  • File a complaint: 800-252-4343 · Online
  • Long-Term Care Ombudsman: 800-252-8966. A free advocate for residents and families.
  • Adult Protective Services: 866-800-1409. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Uchicago Medicine Adventhealth Glenoaks, about 3.8 miles. CMS rating 3 of 5.
  • Advocate Good Samaritan Hospital, about 8.7 miles. CMS rating 4 of 5.
  • Alexian Brothers Medical Center 1, about 9.1 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 36 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered