COVENANT LIVING - WINDSOR PARK
110 WINDSOR PARK DRIVE, CAROL STREAM, IL 60188 · CCN 145606
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 80
- Avg residents/day
- 59.9
- Phone
- 6305105200
Inspection history vs Illinois & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Illinois avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-28 | 6 | 12.2 | 9.5 | -6.2 better |
| 2 | 2024-04-19 | 5 | 12.7 | 9.8 | -7.7 better |
| 3 | 2023-07-17 | 7 | 13.1 | 9.3 | -6.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.28 | 22.7% |
| RN staffing (reported) | 1.28 | 20.0% |
| Total nurse staffing (adjusted) | 4.17 | — |
Fines & penalties
- Total fines
- $50,525
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- COVENANT LIVING
- Facilities in chain
- 15
- Chain avg overall
- 4.30 / 5
Inspection citations (18)1 immediate jeopardy1 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-03 · Health · corrected 2025-06-11
Actual harm
- DF0693Ensure 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.2025-02-28 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-02-28 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-02-28 · Health · corrected 2025-03-10
Potential for more than minimal harm
- FF0761Ensure 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.2025-02-28 · Health · corrected 2025-03-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-02-28 · Health · corrected 2025-03-10
Potential for more than minimal harm
- EF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-19 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-19 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0688Provide 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.2024-04-19 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-19 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-04-19 · Health · corrected 2024-05-03
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-25 · Health · corrected 2023-09-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-17 · Health · corrected 2023-07-24
Potential for more than minimal harm
- LF0610Respond appropriately to all alleged violations.2023-07-17 · Health · corrected 2023-07-24
Immediate jeopardy
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-17 · Health · corrected 2023-07-24
Potential for more than minimal harm
- EF0803Ensure 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.2023-07-17 · Health · corrected 2023-07-24
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-07-17 · Health · corrected 2023-07-24
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-07-17 · Health · corrected 2023-07-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COVENANT LIVING COMMUNITIES & SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1985-03-13 |
| COVENANT LIVING COMMUNITIES & SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-09-22 |
| BENTLEY, SARAH | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| CHRISTENSEN, PAMELA | Individual | CORPORATE DIRECTOR | — | 2013-07-01 |
| DAVIS, KARA | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| EASTBURG, MARK | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| KINCANNON, KURT | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| MANLOVE, MATT | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| MARTIN, ROBERT | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| NELSON, RICHARD | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| OXENDALE, ROGER | Individual | CORPORATE DIRECTOR | — | 2017-07-01 |
| RINARD, DALE | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| VANOVER, ANDREW | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| WENRICH, JOHN | Individual | CORPORATE DIRECTOR | — | 2019-07-01 |
| CUNLIFFE, TERRI | Individual | CORPORATE OFFICER | — | 2009-03-19 |
| ERICKSON, DAVID | Individual | CORPORATE OFFICER | — | 2008-01-31 |
| ERICKSON, REBEKAH | Individual | CORPORATE OFFICER | — | 2019-07-01 |
| HOLT, JODY | Individual | W-2 MANAGING EMPLOYEE | — | 2017-06-02 |
| HOLT, JODY | Individual | CORPORATE OFFICER | — | 2017-06-02 |
Other facilities in CAROL STREAM
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.