B

COVENANT LIVING - WINDSOR PARK

110 WINDSOR PARK DRIVE, CAROL STREAM, IL 60188
Score: 80 / 100

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

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 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

18
Total Deficiencies
Jun 2, 2025
Most Recent Inspection
🟠 17 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure 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 F
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Feb 27, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Feb 27, 2025 · Infection Control Deficiencies
  • Tag 0693 Severity D
    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 f
    Feb 27, 2025 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity D
    Provide 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

Ownership
Non profit - Church related
Certified Beds
80
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 27, 2025
Deficiencies (Cycle 1)
6