nursing home in Sandwich, IL
Pavilion on Main Street, the
515 North Main, Sandwich, IL 60548 · (815) 786-8426
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pavilion on Main Street, the at a glance
Pavilion on Main Street, the is a 113-bed for-profit nursing home in Sandwich, Illinois (De Kalb County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Illinois average of 2.5.
Residents receive about 3 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (August 27, 2025) found 13 health citations. The Illinois average is 12.5.
Federal regulators fined it 2 times in the past three years, totaling $93,883.
Nursing staff turnover is 34.7% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 113
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Pavilion Healthcare
- Medicare-certified since
- March 1, 1992
- Resident/family council
- Resident
- County
- De Kalb County
- CMS Certification Number
- 145712
Ratings
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.5 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.98 hrs | 3.45 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.72 hrs | 0.72 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.82 hrs | 2.09 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.71 hrs | 3.07 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 34.7% | 44.5% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 38.5% | 41.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 12 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 5 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 108 | 143 | 80.6 | Worse |
Penalties
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $93,883 | $111,013 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 3 | 1 | Worse |
Size
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 113 | 128 | 107 | |
| Average residents per day | 92 | 95 | 86 | |
| Occupancy | 81.1% | 75% | 80.9% |
Long-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 4.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 16.3% | 21.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.6% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 16% | 14.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.9% | 6.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 94.5% | 54.2% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.1% | 18.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29.4% | 20.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.5% | 91.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 83.4% | 90.3% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.8% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 23.8% | 63.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 17.5% | 69.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 25 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 9, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 10, 2025 |
| September 18, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 26, 2025 |
| September 18, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 11, 2025 |
| August 27, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected September 23, 2025 |
| August 27, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 23, 2025 |
| August 27, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | F Potential harm, widespread | Corrected September 23, 2025 |
| August 27, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 23, 2025 |
| August 27, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected September 23, 2025 |
| August 27, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 23, 2025 |
| August 27, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected September 23, 2025 |
| August 27, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 23, 2025 |
| August 27, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 23, 2025 |
| August 27, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 23, 2025 |
| July 23, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 5, 2025 |
| July 23, 2025 Complaint | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected August 5, 2025 |
| October 30, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 13, 2024 |
| October 30, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 13, 2024 |
| October 30, 2024 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | F Potential harm, widespread | Corrected December 13, 2024 |
| October 30, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 30, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 30, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 30, 2024 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Waiver has been granted |
| October 30, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 30, 2024 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | E Potential harm, pattern | Waiver has been granted |
| October 30, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 11, 2024 |
| October 30, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 11, 2024 |
| June 26, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected July 5, 2024 |
| September 28, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | F Potential harm, widespread | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Tag E0023 | F Potential harm, widespread | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected November 22, 2023 |
| September 28, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected November 3, 2023 |
| September 28, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected November 3, 2023 |
| September 28, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected October 23, 2023 |
| September 28, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected October 23, 2023 |
| September 28, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected October 23, 2023 |
| September 28, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 28, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 28, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 28, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 28, 2023 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 28, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 28, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 28, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 23, 2023 |
| July 28, 2022 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected September 12, 2022 |
| July 28, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 12, 2022 |
| July 28, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected September 12, 2022 |
| July 28, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 12, 2022 |
| July 28, 2022 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected September 12, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $93,883 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 27, 2025 | Payment Denial | 48 days from September 24, 2025 |
| August 27, 2025 | Fine | $52,234 |
| September 28, 2023 | Payment Denial | 9 days from October 25, 2023 |
| September 28, 2023 | Fine | $41,649 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST Organization | 5% or greater direct ownership interest | 12% | 12/19/2022 |
| ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST Organization | 5% or greater direct ownership interest | 9% | 12/19/2022 |
| MCDONALD, NANCY Individual | adp of the snf | NOT APPLICABLE | 04/22/2024 |
| ROBIN, JASON Individual | adp of the snf | NOT APPLICABLE | 07/01/2023 |
| GOLDSTEIN, SHIMON Individual | direct ownership interest | NOT APPLICABLE | 07/01/2023 |
| GRAF, MARCELLA Individual | direct ownership interest | NOT APPLICABLE | 12/19/2022 |
| GROSS, SHOSHANA Individual | direct ownership interest | NOT APPLICABLE | 07/01/2023 |
| KROLL, GABRIEL Individual | direct ownership interest | NOT APPLICABLE | 07/01/2023 |
| PROCTOR, KATHERINE Individual | direct ownership interest | NOT APPLICABLE | 07/01/2023 |
| RIPSTEIN, KENNETH Individual | direct ownership interest | NOT APPLICABLE | 07/01/2023 |
| STERN, TODD Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/10/2025 |
| AARON, JONATHAN Individual | managing control - governing body | NOT APPLICABLE | 12/19/2022 |
| AARON, JONATHAN Individual | operational/managerial control | NOT APPLICABLE | 12/19/2022 |
| GRAF, MARCELLA Individual | operational/managerial control | NOT APPLICABLE | 12/19/2022 |
| MCDONALD, NANCY Individual | operational/managerial control | NOT APPLICABLE | 04/22/2024 |
| ROBIN, JASON Individual | operational/managerial control | NOT APPLICABLE | 07/01/2023 |
Other nursing homes near Pavilion on Main Street, the
Sandwich Living & Rehab Center
902 East Arnold Street, Sandwich, IL 60548 · under 1 mi
For-profit · 63 beds · Part of Lineage Healthcare
★★★★★1Much below averageHillside Rehab & Care Center
1308 Game Farm Road, Yorkville, IL 60560 · 8.8 mi
For-profit · 79 beds · Part of Helia Healthcare
★★★★★2Below averagePearl at the Tillers
4390 Route 71, Oswego, IL 60543 · 14.4 mi
For-profit · 105 beds · Part of Pearl Healthcare
★★★★★5Much above averagePearl of Orchard Valley
2330 West Galena Boulevard, Aurora, IL 60506 · 15.1 mi
For-profit · 203 beds · Part of Pearl Healthcare
- Abuse citation
★★★★★1Much below averagePrairie Crossing Lvg & Rehab
409 West Comanche Road, Shabbona, IL 60550 · 15.5 mi
For-profit · 91 beds
★★★★★4Above averageLa Bella of Aurora
1017 West Galena Boulevard, Aurora, IL 60506 · 16.5 mi
For-profit · 68 beds
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Pavilion on Main Street, the's rating?
Pavilion on Main Street, the has 3 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.
How many inspection citations did Pavilion on Main Street, the receive?
Its most recent standard health inspection found 13 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.
Does Pavilion on Main Street, the accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pavilion on Main Street, the?
It is for profit - individual and part of Pavilion Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pavilion on Main Street, the and how do I contact it?
Pavilion on Main Street, the is at 515 North Main, Sandwich, IL 60548. Phone: (815) 786-8426.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.