PAVILION ON MAIN STREET, THE

De Kalb · IL · For profit - Individual · PAVILION HEALTHCARE chain · 113 certified beds · CCN 145712 · PAVILION ON MAIN STREET LLC


PAVILION ON MAIN STREET, THE operates 113 certified beds in SANDWICH, Illinois. Its Medicare and Medicaid certification dates to 1992-03-01. It averages 91.6 residents a day.

What harm was found in the violations cited at PAVILION ON MAIN STREET, THE?

CMS lists 29 health-inspection deficiencies for PAVILION ON MAIN STREET, THE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-10-09.

Survey dateTagDeficiencySeverity
2025-10-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-09-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-09-18F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-08-27F0689, F0692Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.G
2025-08-27F0803, F0812Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-08-27F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-08-27F0584, F0677, F0684, F0759, F0880Honor 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 appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program.D
2025-07-23F0880, F0882Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2024-10-30F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-10-30F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-06-26F0625Notify 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.D
2023-09-28F0697Provide safe, appropriate pain management for a resident who requires such services.G
2023-09-28F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2023-09-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2023-09-28F0677, F0684, F0686, F0690, F0694, F0755, F0761, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / 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.D

Why was PAVILION ON MAIN STREET, THE fined 2 times?

DateTypeAmount
2025-08-27Fine$52,234
2023-09-28Fine$41,649

Has PAVILION ON MAIN STREET, THE had payment denied by Medicare more than once?

Payment denial startLength in days
2025-09-2448
2023-10-259

How is PAVILION ON MAIN STREET, THE staffed relative to the IL average?

MeasureThis facilityIL average
Total nurse staffing hours per resident per day2.975733.44603
Total nursing staff turnover (%)34.744.5
Average number of residents per day91.695.4

Who owns PAVILION ON MAIN STREET, THE, and what chain is it in?

PAVILION ON MAIN STREET, THE is registered with CMS as For profit - Individual, operates under the legal business name PAVILION ON MAIN STREET 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 TRUSTsince 12/19/2022
DIRECT OWNERSHIP INTERESTGOLDSTEIN, SHIMON, GRAF, MARCELLA, GROSS, SHOSHANA, KROLL, GABRIEL, PROCTOR, KATHERINE, RIPSTEIN, KENNETHsince 07/01/2023
MANAGING CONTROL - GOVERNING BODYAARON, JONATHANsince 12/19/2022
OPERATIONAL/MANAGERIAL CONTROLAARON, JONATHAN, GRAF, MARCELLA, MCDONALD, NANCY, ROBIN, JASONsince 04/22/2024
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSTERN, TODDsince 11/10/2025
ADP OF THE SNFMCDONALD, NANCY, ROBIN, JASONsince 04/22/2024

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