PAVILION OF SOUTH SHORE

CCN 145939 · PAVILION OF SOUTH SHORE LLC · For profit - Corporation · PAVILION HEALTHCARE chain · 118 certified beds · Cook · IL


PAVILION OF SOUTH SHORE is a 118-bed nursing home in CHICAGO, Illinois. CMS has certified it for Medicare and Medicaid since 1997-07-01. It averages 108.0 residents a day.

What harm was found in the violations cited at PAVILION OF SOUTH SHORE?

CMS lists 53 health-inspection deficiencies for PAVILION OF SOUTH SHORE since 2023-03-15, 40 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-07-02.

Survey dateTagDeficiencySeverity
2026-07-02F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2026-03-13F0770Provide timely, quality laboratory services/tests to meet the needs of residents.D
2025-05-08F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-02-24F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2025-02-07F0812, F0814Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly.F
2025-02-07F0880Provide and implement an infection prevention and control program.E
2025-02-07F0558, F0578, F0684, F0688, F0689, F0695, F0700, F0883, F0887Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2024-12-05F0558, F0689Reasonably accommodate the needs and preferences of each resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-09-30F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-06-13F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-04-19F0692Provide enough food/fluids to maintain a resident's health.G
2024-04-19F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2024-04-19F0550, F0684, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.E
2024-04-19F0554, F0558, F0686, F0688, F0689, F0695, F0758Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D
2024-01-12F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-01-12F0609, F0684Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-11-16F0684, F0697Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services.D
2023-03-15F0812, F0888Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure staff are vaccinated for COVID-19F
2023-03-15F0584, F0677, F0755, F0761, F0880, F0924Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program. / Put firmly secured handrails on each side of hallways.E
2023-03-15F0558, F0567, F0686, F0692, F0919Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to manage his or her financial affairs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Make sure that a working call system is available in each resident's bathroom and bathing area.D

Why was PAVILION OF SOUTH SHORE fined 3 times?

DateTypeAmount
2024-09-30Fine$69,439
2024-04-19Fine$22,122
2024-01-12Fine$13,687

How is PAVILION OF SOUTH SHORE staffed relative to the IL average?

MeasureThis facilityIL average
Total nurse staffing hours per resident per day3.427903.44603
Total nursing staff turnover (%)23.244.5
Average number of residents per day108.095.4

Who owns PAVILION OF SOUTH SHORE, and what chain is it in?

PAVILION OF SOUTH SHORE is registered with CMS as For profit - Corporation, operates under the legal business name PAVILION OF SOUTH SHORE LLC and belongs to the PAVILION HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST, ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST, STERN, TODDsince 12/19/2022
W-2 MANAGING EMPLOYEEGRAF, MARCELLAsince 12/19/2022
CORPORATE OFFICERAARON, JONATHAN, GRAF, MARCELLAsince 12/19/2022

Were you or a family member harmed at PAVILION OF SOUTH SHORE?