With a score of 80/100 and a B grade, Covenant Living - Windsor Park is a well-regarded option in Carol Stream, Illinois. The facility performs above average in most CMS categories, placing it in the 88th percentile statewide.
Staffing levels at Covenant Living - Windsor Park exceed national averages, with 4.28 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.28 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 18 deficiencies at Covenant Living - Windsor Park, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.28 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.28 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.60 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.40 | 2.4 | Average |
| Weekend Total Nursing | 3.92 | 3.8 | Average |
| Weekend RN Hours | 1.02 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jun 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity FEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiFeb 27, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Feb 27, 2025 · Infection Control Deficiencies
- Tag 0693 Severity DEnsure 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 fFeb 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0697 Severity DProvide safe, appropriate pain management for a resident who requires such services.Feb 27, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.9% | 4.5% | Better |
| Falls with major injury | 8.9% | 3.0% | Worse |
| On antipsychotic medication | 10.4% | 14.5% | Better |
| Urinary tract infections | 2.4% | 2.5% | Average |
| ADL decline (daily activities) | 8.0% | 14.0% | Better |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 4.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $50,525
How This Grade Was Calculated
This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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