Nursing homes › Illinois › Pavilion on Main Street, the
515 North Main, Sandwich, IL 60548 · 8157868426 · 113 certified beds
Per CMS filings, this facility is affiliated with Pavilion Healthcare, a group operating 5 facilities in 1 states. Group record: average rating 2.8/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $294,617 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 2.98 (Illinois median: 3.29). RN hours: 0.72. Weekend total: 2.71. Nursing staff turnover: 35%.
All-time on record: 29 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-10-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | 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. | G | complaint | 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. | D | complaint | 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. | G | Health | corrected 2025-09-23 |
| 2025-08-27 | Provide enough food/fluids to maintain a resident's health. | G | Health | 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. | F | Health | 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. | F | Health | corrected 2025-09-23 |
| 2025-08-27 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | 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. | D | Health | corrected 2025-09-23 |
| 2025-08-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-09-23 |
| 2025-08-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-09-23 |
| 2025-08-27 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-09-23 |
| 2025-08-27 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-09-23 |
| 2025-07-23 | Provide and implement an infection prevention and control program. | F | complaint | 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. | F | complaint | 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. | E | Health | 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. | D | Health | 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. | D | complaint | corrected 2024-07-05 |
| 2023-09-28 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | 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. | F | Health | 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. | E | Health | corrected 2023-10-23 |
| 2023-09-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-10-23 |
| 2023-09-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-10-23 |
| 2023-09-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | 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. | D | Health | corrected 2023-10-23 |
| 2023-09-28 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-10-23 |
| 2023-09-28 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-10-23 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-27 | Fine | $80,360 |
| 2025-08-27 | Payment Denial | 48 days payment denial |
| 2023-09-28 | Fine | $41,649 |
| 2023-09-28 | Payment Denial | 9 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST | 5% Or Greater Direct Ownership Interest | Organization | 12% | since 12/19/2022 |
| ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST | 5% Or Greater Direct Ownership Interest | Organization | 9% | since 12/19/2022 |
| GOLDSTEIN, SHIMON | Direct Ownership Interest | Individual | NOT APPLICABLE | since 07/01/2023 |
| GRAF, MARCELLA | Direct Ownership Interest | Individual | NOT APPLICABLE | since 12/19/2022 |
| GROSS, SHOSHANA | Direct Ownership Interest | Individual | NOT APPLICABLE | since 07/01/2023 |
| KROLL, GABRIEL | Direct Ownership Interest | Individual | NOT APPLICABLE | since 07/01/2023 |
| PROCTOR, KATHERINE | Direct Ownership Interest | Individual | NOT APPLICABLE | since 07/01/2023 |
| RIPSTEIN, KENNETH | Direct Ownership Interest | Individual | NOT APPLICABLE | since 07/01/2023 |
| AARON, JONATHAN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/19/2022 |
| AARON, JONATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/19/2022 |
| GRAF, MARCELLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/19/2022 |
| MCDONALD, NANCY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/22/2024 |
| ROBIN, JASON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145712. Corrections: data@carerecords.org.