COVENANT LIVING - WINDSOR PARK
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-06-03 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-07-17 — IMMEDIATE JEOPARDY (tag F0610, severity L)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
Staffing, from payroll records
Nursing hours / resident / day
3.59
state median 3.09
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.95
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
18%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $50,525 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-07-17 | Fine | $50,525 |
Ownership
Ownership type: Non profit - Church related. Part of the COVENANT LIVING chain.
Other facilities under the same ownership, with their CMS overall ratings:
- VILLAGE CARE AND REHABILITATION CENTER, THE (WESTMINSTER, CO) —
- PILGRIM MANOR (CROMWELL, CT) —
- COVENANT VILLAGE CARE CENTER (PLANTATION, FL) —
- MICHAELSEN HEALTH CENTER (BATAVIA, IL) —
- BRANDEL HEALTH AND REHAB (NORTHBROOK, IL) —
- THREE CROWNS PARK (EVANSTON, IL) —
- Covenant Village of the Great Lakes (Grand Rapids, MI) —
- COVENANT LIVING OF GOLDEN VALLEY CARE & REHAB CTR (GOLDEN VALLEY, MN) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-06-03 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-02-28 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-28 | F0761 | Pharmacy Service Deficiencies | F | not recorded |
| 2025-02-28 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-04-19 | F0554 | Resident Rights Deficiencies | E | not recorded |
| 2024-04-19 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-19 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-19 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-19 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-08-25 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-17 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-17 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2023-07-17 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-17 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-07-17 | F0835 | Administration Deficiencies | F | not recorded |
| 2023-07-17 | F0883 | Infection Control Deficiencies | D | not recorded |