Illinois ›Sandwich

Pavilion on Main Street, the

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515 North Main, Sandwich, IL 60548 (opens Google Maps) · De Kalb County · (815) 786-8426· 113 certified beds · avg 92 residents/day · certified since Mar 1, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: PAVILION HEALTHCARE (5 facilities, chain avg rating 3.0★)

3/5
Health inspection rating (on-site)
inspected Aug 27, 2025
4
Serious findings on record
most recent Sep 18, 2025
$93,883
Fines, last 3 years
2.27
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Sep 18, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 26, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 27, 2025 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 23, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 27, 2025 · F-0692

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 23, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Sep 28, 2023 · F-0697

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 23, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. G · Actual harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint F-0755

View all 29 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Oct 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 18, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Aug 27, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 27, 2025▲ G · Actual harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Aug 27, 2025F · Potential for more than minimal harm, widespreadThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Aug 27, 2025F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 27, 2025E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Aug 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Aug 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Aug 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Aug 27, 2025D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Aug 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 23, 2025F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jul 23, 2025F · Potential for more than minimal harm, widespreadThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · from a complaint · F-0882
Oct 30, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Oct 30, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint · F-0625
Sep 28, 2023▲ G · Actual harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Sep 28, 2023F · Potential for more than minimal harm, widespreadThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Sep 28, 2023E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 11
Serious citations (G–L): 1
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 15
Serious citations (G–L): 3

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2023111G ▲
202430E
2025153G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $93,883, plus 2 Medicare payment denial periods.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 27, 2025Fine$52,234
Aug 27, 2025Payment Denial48 days from Sep 24, 2025
Sep 28, 2023Fine$41,649
Sep 28, 2023Payment Denial9 days from Oct 25, 2023

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIllinois averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.27
Illinois average: 2.99
U.S. average: 3.95
Registered Nurse hours
This facility: 0.55
Illinois average: 0.63
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.07
Illinois average: 2.67
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIllinois avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.272.993.95bottom 21% in Illinois; bottom 2% in the U.S.
Registered Nurse hours0.550.630.69top 43% in Illinois; bottom 45% in the U.S.
Weekend total nurse staffing2.072.673.50bottom 24% in Illinois; bottom 2% in the U.S.
Weekend RN hours (not acuity-adjusted)0.600.560.48top 31% in Illinois; top 23% in the U.S.
Total nursing staff turnover (%)34.744.545.8top 24% in Illinois; top 23% in the U.S.
RN turnover (%)38.541.842.9top 48% in Illinois; top 44% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.98, RN 0.72, weekend 2.71.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.98 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Pavilion on Main Street, the. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Individual

Owner / managerTypeRoleStakeSince
Goldstein, ShimonIndividualDirect Ownership InterestNOT APPLICABLE07/01/2023
Graf, MarcellaIndividualDirect Ownership InterestNOT APPLICABLE12/19/2022
Gross, ShoshanaIndividualDirect Ownership InterestNOT APPLICABLE07/01/2023
Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift TrustOrganization5% or Greater Direct Ownership Interest12%12/19/2022
Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift TrustOrganization5% or Greater Direct Ownership Interest9%12/19/2022
Kroll, GabrielIndividualDirect Ownership InterestNOT APPLICABLE07/01/2023
Proctor, KatherineIndividualDirect Ownership InterestNOT APPLICABLE07/01/2023
Ripstein, KennethIndividualDirect Ownership InterestNOT APPLICABLE07/01/2023
Aaron, JonathanIndividualManaging Control - Governing BodyNOT APPLICABLE12/19/2022
Aaron, JonathanIndividualOperational/Managerial ControlNOT APPLICABLE12/19/2022
Graf, MarcellaIndividualOperational/Managerial ControlNOT APPLICABLE12/19/2022
McDonald, NancyIndividualOperational/Managerial ControlNOT APPLICABLE04/22/2024
McDonald, NancyIndividualADP of the SNFNOT APPLICABLE04/22/2024
Robin, JasonIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2023
Robin, JasonIndividualADP of the SNFNOT APPLICABLE07/01/2023
Stern, ToddIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE11/10/2025

All 16 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Pavilion Healthcare — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
  • "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Illinois midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 35% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 14 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Sandwich Living & Rehab Center0.7 miSandwich, IL★☆☆☆☆1/5
Hillside Rehab & Care Center8.8 miYorkville, IL★★☆☆☆3/5
Pearl at the Tillers14.4 miOswego, IL★★★★★4/5
Pearl of Orchard Valley15.1 miAurora, IL★☆☆☆☆1/5abuse
Prairie Crossing LVG & Rehab15.5 miShabbona, IL★★★★☆4/5
La Bella of Aurora16.5 miAurora, IL★☆☆☆☆1/5abuse
Jennings Terrace17.2 miAurora, IL★★★★☆4/5
Avantara Aurora18.1 miAurora, IL★★★★☆4/5
Asbury Gardens Nsg & Rehab18.4 miNorth Aurora, IL★★★★☆4/5
Alden Courts of Waterford19.1 miAurora, IL★★★★☆4/5
Alden of Waterford19.2 miAurora, IL★★★☆☆3/5
North Aurora Living & Rehab Ctr19.6 miNorth Aurora, IL★★★☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in De Kalb, IL — 7 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Sandwich →

Facility data as of CMS processing date 2026-08-01. CCN 145712.

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