Nursing homeActive
Covenant Living - Windsor Park
110 Windsor Park Drive, Carol Stream, IL 60188630510520080 certified beds · 67 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
18
● 0● 16● 2
Penalties · 3 yrs
—
none on file
Last survey
2025-06-03
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Illinois Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-03 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-02-28 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-04-19 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-08-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-07-17 | Standard | 051 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Illinois Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-11Record 145606-20250603-F689
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-10Record 145606-20250228-F693
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-10Record 145606-20250228-F697
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-10Record 145606-20250228-F698
F761Ensure 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.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-10Record 145606-20250228-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-10Record 145606-20250228-F880
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 145606-20240419-F554
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 145606-20240419-F677
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 145606-20240419-F688
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 145606-20240419-F690
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 145606-20240419-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 145606-20230825-F600
F610Respond appropriately to all alleged violations.Scope/severity LHarm
Abuse & neglect
Widespread; immediate jeopardy to resident health or safety.Corrected 2023-07-24Record 145606-20230717-F610
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-24Record 145606-20230717-F609
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-24Record 145606-20230717-F686
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-24Record 145606-20230717-F803
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-24Record 145606-20230717-F835
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-24Record 145606-20230717-F883
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.23
Facility
Illinois
National
Illinois 0.72 · National 0.69
Total nurse hours per resident day3.97
Facility
Illinois
National
Illinois 3.45 · National 3.86
Weekend total nurse hours3.70
Facility
Illinois
National
Illinois 3.08 · National 3.42
Total nursing staff turnover18%
Facility
Illinois
National
Illinois 45% · National 46%
Registered nurse turnover20%
Facility
Illinois
National
Illinois 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Illinois | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.7% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.9% | 21.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.6% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.5% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.0% | 6.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 19.3% | 18.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Covenant Living Communities & Services Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Covenant Ministries Of Benevolence Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| The Evangelical Covenant Church Of America Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Little, Abbie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Milidrag, Sanja Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pipitone, Anthony Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Shelly Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Covenant Living Communities & Services Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Creaney, Janet Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Erickson, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Erickson, David Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hoffman, Janet Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Justie, Jeannie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kalheim, Cory Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Little, Abbie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Means, Jennifer Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pipitone, Anthony Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Warnygora, Emily Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Covenant Living — 15 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Illinois.
No county cost figures on file for Du Page.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Wheaton Village Nrsg & Rhb Ctr Wheaton | 2.6 mi | 2026-06-12 | 2252 |
| Ahva Care Of Winfield Winfield | 2.5 mi | 2026-05-14 | 0190 |
| Wynscape Health & Rehab Wheaton | 2.8 mi | 2025-08-22 | 061 |
| Dupage Care Center Wheaton | 3.0 mi | 2025-09-11 | 0231 |
| Aperion Care West Chicago West Chicago | 3.0 mi | 2026-06-17 | 0477 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |