Pavilion on Main Street, the

Nursing Home · Sandwich, IL

CMS overall rating 3/5 For profit - Individual

CMS certification number145712

Contact & location

515 North Main
Sandwich, IL 60548
De Kalb County
Phone
(815) 786-8426
ZIP code
60548 – all care providers

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Facility details

Certified beds
113
Residents per day
91.6 (81% occupied)
Ownership
For profit - Individual
Legal name
Pavilion on Main Street LLC
Chain
Pavilion Healthcare (5 facilities, avg 3.0★)
Medicare certified since
March 1, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.5
Health inspections★★★★★ 3/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 2.1
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.98 (state 3.45 · U.S. 3.86)
Registered nurses (RN)
0.72 (state 0.72 · U.S. 0.69)
Licensed practical nurses
0.43 (state 0.64 · U.S. 0.86)
Nurse aides
1.82 (state 2.09 · U.S. 2.32)
Weekend total
2.71 (state 3.08 · U.S. 3.42)
Nursing staff turnover
34.7 (state 44.5 · U.S. 45.8)%
RN turnover
38.5 (state 41.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
August 27, 2025
Health deficiencies (last cycle)
13.0 (state 12.5 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
29 health · 25 fire safety · includes actual harm
DateCitationSeverityStatus
2025-10-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-10
2025-09-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-09-26
2025-09-18 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-11
2025-08-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-09-23
2025-08-27 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-09-23
2025-08-27 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.
F0803 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-09-23
2025-08-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-09-23
2025-08-27 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-23
2025-08-27 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-23
2025-08-27 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-23
2025-08-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-23
2025-08-27 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-23
2025-08-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-23
2025-07-23 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-23 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2024-10-30 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-11
2024-10-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-11
2024-06-26 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.
F0625 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-05
2023-09-28 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2023-10-23
2023-09-28 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-28 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-28 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-28 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-28 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-28 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-03
2023-09-28 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23
2023-09-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $93,883 in fines.

DateTypeAmount
2025-08-27Payment Denial48 days payment denial
2025-08-27Fine$52,234
2023-09-28Payment Denial9 days payment denial
2023-09-28Fine$41,649

Ownership & management

NameRoleSince
Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust (organization)5%+ Direct Ownership Interest · 12%
Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust (organization)5%+ Direct Ownership Interest · 9%
McDonald, Nancy (individual)Administrator · NOT APPLICABLE
Robin, Jason (individual)Administrator · NOT APPLICABLE
Goldstein, Shimon (individual)Direct Ownership Interest · NOT APPLICABLE
Graf, Marcella (individual)Direct Ownership Interest · NOT APPLICABLE
Gross, Shoshana (individual)Direct Ownership Interest · NOT APPLICABLE
Kroll, Gabriel (individual)Direct Ownership Interest · NOT APPLICABLE
Proctor, Katherine (individual)Direct Ownership Interest · NOT APPLICABLE
Ripstein, Kenneth (individual)Direct Ownership Interest · NOT APPLICABLE
Stern, Todd (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Aaron, Jonathan (individual)Managing Control - Governing Body · NOT APPLICABLE
Aaron, Jonathan (individual)Operational/managerial Control · NOT APPLICABLE
Graf, Marcella (individual)Operational/managerial Control · NOT APPLICABLE
McDonald, Nancy (individual)Operational/managerial Control · NOT APPLICABLE
Robin, Jason (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Pavilion on Main Street, the?

Pavilion on Main Street, the has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.

How many beds does Pavilion on Main Street, the have?

It has 113 certified beds and cares for about 92 residents per day.

Has Pavilion on Main Street, the been fined?

Yes. CMS lists 4 penalties totaling $93,883 in the last three years.

Who owns Pavilion on Main Street, the?

It is part of Pavilion Healthcare and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Pavilion on Main Street, the?

(815) 786-8426. The facility is located at 515 North Main, Sandwich, IL 60548.

Other nursing homes in Sandwich

Compare all nursing homes in Sandwich, IL →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.