Federal inspection record · CMS data as of October 1, 2026
Pavilion On Main Street, The
515 North Main, Sandwich, IL · (815) 786-8426
- Certified beds
- 113
- Residents per day
- 91
- Ownership
- For-Profit
- Chain
- Pavilion Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1992
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Pavilion On Main Street, The carries 96 inspection points. That is fewer than 54% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
29 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care9E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure 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.
Nutrition and Dietary4F
- F
Ensure 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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
Resident Rights2D
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Nursing and Physician Services1F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2025-08-27
11 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-10-30
6 health deficiencies · 11 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-09-28
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 2 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
3 h 2 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 35% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$52,234 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-27 | Fine | $52,234 |
| 2025-08-27 | Payment Denial · 48 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.9 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts worse | 80.1% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine28 pts worse | 63.7% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 1.8% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms37.4 pts worse | 93.3% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 5.5% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts worse | 23.4% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.3 pts better | 15.4% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.6 pts better | 12.2% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts better | 11.2% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.2% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.6% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.9 pts worse | 26.7% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 6.5% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine43.4 pts worse | 26.6% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts better | 12.8% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 3.0% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine34.6 pts worse | 28.6% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better | 25.0% | 25.6% | 23.4% |
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Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust | 5% Or Greater Direct Ownership Interest · Organization | 12% | 5 facilities |
| Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust | 5% Or Greater Direct Ownership Interest · Organization | 9% | 5 facilities |
| Aaron, Jonathan | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Aaron, Jonathan | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Goldstein, Shimon | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Graf, Marcella | Direct Ownership Interest · Individual | 0% | 42 facilities |
| Graf, Marcella | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Gross, Shoshana | Direct Ownership Interest · Individual | 0% | 11 facilities |
| Kroll, Gabriel | Direct Ownership Interest · Individual | 0% | 25 facilities |
| Mcdonald, Nancy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Mcdonald, Nancy | Adp Of The SNF · Individual | 0% | 2 facilities |
| Proctor, Katherine | Direct Ownership Interest · Individual | 0% | 11 facilities |
| Ripstein, Kenneth | Direct Ownership Interest · Individual | 0% | 8 facilities |
| Robin, Jason | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Robin, Jason | Adp Of The SNF · Individual | 0% | 13 facilities |
| Stern, Todd | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 46 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness6F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Establish policies and procedures for medical documentation.
- F
Establish roles under a Waiver declared by secretary.
- F
Implement emergency and standby power systems.
- F
Establish staff and initial training requirements.
Gas, Vacuum, and Electrical Systems5F
- F
Meet requirements for the use of electrical equipment.
- E
Have proper medical gas storage and administration areas.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress2E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Install proper backup exit lighting.
Services1E
- E
Have elevators that firefighters can control in the event of a fire.
·
Other homes nearby
-
Sandwich Living & Rehab Center
Sandwich, IL · Lineage Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 9 min
- Fines
- $183,741
-
Hillside Rehab & Care Center
Yorkville, IL · Helia Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 56 min
- Fines
- $148,991
-
Pearl At The Tillers
Oswego, IL · Pearl Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0