Winston Manor: Residents Live With Ceiling Holes - IL
The resident told inspectors in August that he had repeatedly asked the maintenance director to repair the damage, but nothing had been done. His room smelled musty, and he kept a blue blanket on the floor near the leak.
When inspectors confronted the maintenance director about the conditions, he acknowledged that "no residents should be in the room under these conditions and will require a room change."
But the resident was still living there.
A second resident lived in a room with a large hole in the wall that exposed rusty metal, surrounded by chipped paint on the walls and ceiling. That resident said the hole used to be much bigger, and someone had come to fix it but never returned to finish the work.
The maintenance director explained that a painter had started scraping paint, cleaning walls, and repainting the room. But the facility fired the painter on August 12, and no one came back to complete the repairs.
Again, the maintenance director told inspectors that "there should not be any residents living under these conditions and should be removed."
The resident remained in the room.
The regional maintenance director was aware of problems in both rooms. He had tried to patch the roof leak himself a week before the inspection but failed. He said he put in work orders for both rooms and expected someone to arrive in two days to make repairs.
He confirmed the rooms were unsafe for residents until repairs were completed.
Federal inspectors found that Winston Manor failed to provide a homelike environment for residents, violating requirements that nursing homes offer safe, clean, and comfortable living conditions.
The facility's own policy, last reviewed in February 2021, requires staff to provide residents with "a safe, clean, comfortable and homelike environment" that includes "clean, sanitary and orderly" conditions.
Instead, residents lived with water damage, structural holes, and peeling paint while maintenance staff openly acknowledged the conditions were unacceptable.
The maintenance problems had persisted for weeks. The ceiling leak had been reported a month and a half before inspectors arrived. The wall hole had been partially repaired and then abandoned when the painter was terminated two weeks earlier.
During the inspection, all three maintenance officials—the facility maintenance director, the regional maintenance director, and a supervisor—agreed that residents should not be living in the damaged rooms.
Yet both residents remained in their compromised living spaces throughout the problems.
The regional maintenance director's attempt to fix the roof leak himself had failed, leaving the resident to continue collecting rainwater in containers. The incomplete paint job left the second resident with exposed metal and deteriorating walls.
Work orders had been submitted for both rooms, but repairs had not begun by the time of the inspection. The regional maintenance director promised contractors would arrive within two days, though no specific timeline was provided for completing the work.
The violations occurred at a time when the facility was already under scrutiny. Federal inspectors conducted the review in response to a complaint about conditions at the nursing home.
Winston Manor's policy emphasizes person-centered care that prioritizes residents' "comfort, independence and personal needs and preference." The document specifically requires facility management to maximize "characteristics that reflect a personalized, homelike setting."
The reality for these two residents was far different. One dealt with the constant threat of water damage and the smell of moisture in his living space. The other faced daily exposure to structural damage and potentially hazardous materials from the exposed wall cavity.
Both residents had communicated their concerns to facility staff. The first resident repeatedly asked for repairs to his leaking ceiling. The second resident watched as work began on his room and then stopped, leaving him with an unfinished repair job.
The inspection found that facility staff were fully aware of the problems and their impact on residents. Multiple maintenance personnel acknowledged that the conditions were inappropriate for residents and potentially unsafe.
Despite this knowledge, no immediate action was taken to relocate the residents or expedite repairs. The residents continued living with structural damage, water intrusion, and deteriorating conditions while maintenance staff discussed plans and timelines.
The case illustrates how nursing home residents can remain in substandard conditions even when facility staff recognize problems and acknowledge they violate basic standards of care.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Winston Manor Cnv & Nursing from 2025-08-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
WINSTON MANOR CNV & NURSING in CHICAGO, IL was cited for violations during a health inspection on August 29, 2025.
The resident told inspectors in August that he had repeatedly asked the maintenance director to repair the damage, but nothing had been done.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.