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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Covenant Living at Windsor Park is a trusted continuing care community in Carol Stream, IL, offering various levels of care. With independent living, assisted living, skilled nursing care, and rehabilitation available under one campus, residents enjoy a seamless transition between care levels for their ever-changing needs. Those seeking temporary stays to give their family and other caregivers a much-deserved break from caregiving can opt for respite care with access to main services, amenities, and activities.
The community also offers an array of engaging activities and convenient access to local shopping, entertainment, and outdoor spaces to help residents maintain an active and vibrant lifestyle. They also boast a well-equipped wellness center and carefully curated menu of healthy meals to ensure residents can easily maintain their overall well-being. At Covenant Living at Windsor Park, they always strive to deliver excellent care services in a comforting and nurturing environment tailored for residents’ comfort and happiness.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 38th out of 167 homes in Illinois. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 0m per day |
Higher than the Illinois average: 69.3%Covenant Living at Windsor Park is legally operated by Covenant Living At Windsor Park.
In Illinois, the Department of Public Health, Office of Health Care Regulation conducts annual unannounced surveys to assess compliance with state and federal healthcare facility standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Illinois state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IL Average | vs. IL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 4 | 7 | This facility has 43% fewer total deficiencies than a typical Illinois nursing home (4 vs. IL avg 7).↓ 43% better |
|
Deficiencies per year
Average deficiencies per year since 2025.
| 4 | 7 | This facility has 43% fewer deficiencies per year than a typical Illinois nursing home (4 vs. IL avg 7).↓ 43% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1 | 0.9 | This facility has 11% more deficiencies per inspection than a typical Illinois nursing home (1 vs. IL avg 0.9).↑ 11% worse |
Inspections
| This Facility | IL Average | vs. IL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 4 | 8 | This facility has 50% fewer total inspections than a typical Illinois nursing home (4 vs. IL avg 8).↓ 50% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 28, 2025, identified deficiencies related to tuberculosis testing for one employee and the facility operating under an expired license affecting several residents. Earlier inspections were not provided for comparison, so broader inspection patterns cannot be determined. The main issues involved employee health screening and administrative compliance with licensing requirements. The complaint investigation conducted during this inspection was unsubstantiated with no deficiencies cited. The facility submitted a plan of correction addressing these deficiencies, including audits and re-education, indicating steps toward compliance.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIllinois average 10.4
Last Health inspection on Jun 2025
Illinois average 36.8
Illinois average 3.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 18 citations resulted from standard inspections; 2 of 18 resulted from complaint investigations; and 3 of 18 came from combined inspections (standard and complaint).
43% worse than Illinois averageIllinois average: 0.7
72% better than Illinois averageIllinois average: 3.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
10% better than Illinois average
0% compared with Illinois average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,429 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 0 | 45 | 13,220 | 92 | 100% | 8.5 |
| Registered Nurse | 21 | 0 | 21 | 5,607 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,917 | 91 | 99% | 10.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,384 | 67 | 73% | 8 |
| Speech Language Pathologist | 0 | 6 | 6 | 1,370 | 82 | 89% | 6.2 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,126 | 77 | 84% | 6.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 859 | 63 | 68% | 8.4 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 633 | 87 | 95% | 3.2 |
| RN Director of Nursing | 1 | 0 | 1 | 542 | 55 | 60% | 9.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 532 | 77 | 84% | 3.9 |
| Dietitian | 1 | 0 | 1 | 516 | 64 | 70% | 8.1 |
| Administrator | 1 | 0 | 1 | 444 | 56 | 61% | 7.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 428 | 54 | 59% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 380 | 48 | 52% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 292 | 59 | 64% | 4.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 145 | 20 | 22% | 6.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 44 | 16 | 17% | 2.7 |
| Medical Director | 0 | 1 | 1 | 5 | 3 | 3% | 1.7 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
65% lower than Illinois averageIllinois average: $143K
66% fewer fines than Illinois averageIllinois average: 3.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Illinois averageIllinois average: 1.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 17, 2023 · $51K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
30% better than Illinois averageIllinois average: 9.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.6
48% better than Illinois averageIllinois average: 18.6
Percent of long-stay residents whose need for help with daily activities has increased
8.0%
48% better than Illinois averageIllinois average: 15.5%
Percent of long-stay residents whose ability to move independently worsened
16.4%
11% better than Illinois averageIllinois average: 18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
4.5%
79% better than Illinois averageIllinois average: 21.6%
Percent of long-stay residents experiencing one or more falls with major injury
6.9%
106% worse than Illinois averageIllinois average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
2.5%
52% better than Illinois averageIllinois average: 5.3%
Percent of long-stay residents with a urinary tract infection
4.8%
167% worse than Illinois averageIllinois average: 1.8%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Illinois averageIllinois average: 6.5%
Percent of long-stay residents who have depressive symptoms
4.2%
91% better than Illinois averageIllinois average: 48.1%
Percent of long-stay residents who received an antipsychotic medication
13.8%
32% better than Illinois averageIllinois average: 20.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
In line with Illinois averageIllinois average: 89.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
6% worse than Illinois averageIllinois average: 91.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
41% better than Illinois averageIllinois average: 68.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
83% better than Illinois averageIllinois average: 2.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
27% better than Illinois averageIllinois average: 63.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Covenant Living at Windsor Park based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #71 / 166Payroll — State benchmarkedThis home is ranked 71st out of 166 homes in Illinois. Shows total annual staff payroll benchmarked to the Illinois average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Room Sizes: 435-1,550 sq. ft
Housing Options: Studio / 1 Bed / 2 Bed / 3 Bed
Building Type: 2-story
Dining Services
Recreational Activities
Exercise Programs
2.6 miles from city center
Estimated distance in miles from Carol Stream's city center to Covenant Living at Windsor Park's address, calculated via Google Maps.
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Covenant Living at Windsor Park is located in Carol Stream, Illinois.
Here are the financial assistance programs available to residents in Illinois.
Covenant Living at Windsor Park is in the Carol Stream neighborhood of Carol Stream.
Covenant Living at Windsor Park has a walk score of 26. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IL state health department records, Covenant Living at Windsor Park's license expires on July 17, 2026.
Covenant Living at Windsor Park's occupancy is 96%.
Yes — see the floorplan options available at Covenant Living at Windsor Park on this page.
Covenant Living at Windsor Park has 72 beds.
Yes — there is 1 photo of Covenant Living at Windsor Park in the photo gallery on this page.
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