PAVILION ON MAIN STREET, THE
515 NORTH MAIN, SANDWICH, IL 60548 · CCN 145712
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 113
- Avg residents/day
- 95.6
- Phone
- 8157868426
Inspection history vs Illinois & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Illinois avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-27 | 15 | 12.2 | 9.5 | +2.8 worse |
| 2 | 2024-10-30 | 3 | 12.7 | 9.8 | -9.7 better |
| 3 | 2023-09-28 | 15 | 13.1 | 9.3 | +1.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident rights | 1 |
| Nutrition and dietary | 3 |
| Pharmacy service | 2 |
| Infection control | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.96 | 26.3% |
| RN staffing (reported) | 0.75 | 31.3% |
| Total nurse staffing (adjusted) | 2.48 | — |
Fines & penalties
- Total fines
- $41,649
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- PAVILION HEALTHCARE
- Facilities in chain
- 5
- Chain avg overall
- 2.80 / 5
Inspection citations (33)4 actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-09 · Health · corrected 2025-10-10
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-18 · Health · corrected 2025-09-26
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-18 · Health · corrected 2025-11-11
Potential for more than minimal harm
- DF0584Honor 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.2025-08-27 · Health · corrected 2025-09-23
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-27 · Health · corrected 2025-09-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-27 · Health · corrected 2025-09-23
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-27 · Health · corrected 2025-09-23
Actual harm
- GF0692Provide enough food/fluids to maintain a resident's health.2025-08-27 · Health · corrected 2025-09-23
Actual harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-08-27 · Health · corrected 2025-09-23
Potential for more than minimal harm
- FF0803Ensure 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.2025-08-27 · Health · corrected 2025-09-23
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-08-27 · Health · corrected 2025-09-23
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-27 · Health · corrected 2025-09-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-27 · Health · corrected 2025-09-23
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-07-23 · Health · corrected 2025-08-05
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-07-23 · Health · corrected 2025-08-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-30 · Health · corrected 2024-11-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-30 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0625Notify 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.2024-06-26 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-09-28 · Health · corrected 2023-10-23
Actual harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-28 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0761Ensure 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.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-10-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-17 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-17 · Health · corrected 2023-05-31
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-02 · Health · corrected 2023-05-12
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-05-02 · Health · corrected 2023-05-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| JONATHAN H AARON REVOCABLE TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24% | 2023-07-01 |
| EMST LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2023-07-01 |
| TODD A STERN 2015 IRRV INS TR | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2023-07-01 |
| STERN FAMILY INVESTMENT TR | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2023-07-01 |
| ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2022-12-19 |
| ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% | 2022-12-19 |
| ROBIN, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 |
| AARON, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-19 |
| GRAF, MARCELLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-19 |
| MCDONALD, NANCY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-22 |
Other facilities in SANDWICH
| Name | Overall | Beds |
|---|---|---|
| SANDWICH LIVING & REHAB CENTER | ★☆☆☆☆ | 63 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.