Nursing HomeInspections

The Pavilion on Main Street

Nursing home in Sandwich, IL

Medicare & Medicaid certified3★ overall (CMS)

Call (815) 786-8426Send a messageMap ↗

Public-record details

Address
515 North Main, Sandwich, IL 60548
Phone
(815) 786-8426
Listed under
For-profit
Medicare CCN
145712
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
113
Average residents per day
92
Ownership
For-profit, individual
Legal business name
Pavilion on Main Street LLC
Chain
Pavilion Healthcare (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 145712. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 27, 2025. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2023 to Oct 9, 2025): 6 from complaint inspections, 4 at the “actual harm” level or higher.

InspectionCitationSeverity
Oct 9, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 18, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Aug 27, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 27, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 27, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 27, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Aug 27, 2025Ensure 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.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 27, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 27, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		G
Actual harm, isolated

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $93,883 and 2 denials of Medicare payment for new admissions in the last three years.

Aug 27, 2025Fine: $52,234
Aug 27, 2025Payment denial for 48 days from Sep 24, 2025
Sep 28, 2023Fine: $41,649
Sep 28, 2023Payment denial for 9 days from Oct 25, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.98 hours
Registered nurse (RN) time per resident per day
0.72 hours
Nurse aide time per resident per day
1.82 hours
Total nurse staffing on weekends
2.71 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
39%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Sandwich

Sandwich Living & Rehab Center902 East Arnold Street · Sandwich, IL 60548 · (815) 786-8409 · For-profit57 health citations in 3 inspection cycles · last standard inspection Feb 5, 2026 · $302,370 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Sandwich →