De Kalb County, Illinois · Nursing home
Pavilion on Main Street, the
3 of 5 overall from CMS
515 North Main, Sandwich, IL 60548
At a glance
- Overall rating 3 of 5 Above the state average of 2.5
- Nurse time per resident, per day 2.98 hours Below the state average of 3.45
- Nursing staff who left in a year 34.7% Below the state average of 44.5%
- Health citations, last 3 inspection cycles 29 4 at the harm level or above
- Fines in 3 years $93,883 2 fines
- Certified beds in use 81.1% of 113 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Pavilion on Main Street, the is a 113-bed nursing home in Sandwich, Illinois (De Kalb County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 2.98 nurse staffing hours per resident per day, below the Illinois average of 3.45. CMS lists 2 fines totaling $93,883 in the past three years.
- Certified beds
- 113
- Residents per day (average)
- 91.6
- Certified since
- 1992 (34 yrs)
For profit - Individual Participates in Medicare and MedicaidPart of Pavilion Healthcare (5 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Pavilion on Main Street, the
Chosen from this home's public data.
- CMS lists 2 fines totaling $93,883 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 13 health deficiencies in the latest inspection cycle (the standard inspection on Aug 27, 2025 plus complaint and infection-control inspections); the Illinois average is 12.6. Which have been corrected?Inspection results in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Illinois average 2.5
- Health inspections 3 of 5 Illinois average 2.7
- Staffing 2 of 5 Illinois average 2.1
- Quality measures 3 of 5 Illinois average 3.0
The vertical line marks the Illinois average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.98 h Illinois average 3.45
- Nurse aides 1.82 h Illinois average 2.09
- Licensed practical nurses 0.43 h Illinois average 0.64
- Registered nurses 0.72 h Illinois average 0.72
- All staff, weekends 2.71 h Illinois average 3.07
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Illinois average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover34.7%
- Illinois average44.5%
- Registered nurse turnover38.5%
- Illinois average41.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Illinois and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Illinois | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.9% | 6.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 0.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 94.5% | 54.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.4% | 90.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 16.0% | 14.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.1% | 18.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.5% | 91.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.4% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.4% | 20.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 16.3% | 21.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.24 | 2.02 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.79 | 2.22 | 1.78 |
Short-stay residents
| Measure | This home | Illinois | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 17.5% | 69.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 23.8% | 63.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% | 26.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% | 13.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 29 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 6 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 18, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 27, 2025 | 13 | 9 |
| Oct 30, 2024 | 4 | 8 |
| Sep 28, 2023 | 12 | 8 |
Illinois homes averaged 12.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (29)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 10, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 26, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Nov 11, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 23, 2025)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 23, 2025)
Show 24 more
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 23, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 23, 2025)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 23, 2025)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Sep 23, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 23, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 23, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Sep 23, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 23, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 5, 2025)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 5, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 11, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Nov 11, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 5, 2024)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 23, 2023)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Nov 3, 2023)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 23, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Oct 23, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Aug 27, 2025 | Fine | $52,234 |
| Aug 27, 2025 | Payment Denial | 48 days |
| Sep 28, 2023 | Fine | $41,649 |
| Sep 28, 2023 | Payment Denial | 9 days |
Illinois homes averaged 2.2 fines and $111,013 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Illinois
- Size329 of 666 by certified beds
- Illinois average residents per day95.4
- ChainPavilion Healthcare
- Chain average overall rating3.0 of 5
- Resident or family councilResident
- Homes in De Kalb County7
Common questions
What is the CMS star rating for Pavilion on Main Street, the?
Pavilion on Main Street, the has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 2 and quality measures is 3.
How many beds does Pavilion on Main Street, the have?
Pavilion on Main Street, the has 113 certified beds. It averages 91.6 residents per day, about 81.1% of its certified beds.
How much nursing care do residents get at Pavilion on Main Street, the?
The home reports 2.98 hours of nurse staffing per resident per day, including 0.72 hours from registered nurses. The Illinois average is 3.45 hours and 0.72 hours from registered nurses.
Has Pavilion on Main Street, the been fined?
Yes. CMS lists 2 fines totaling $93,883 in the past three years. It also lists 2 payment denials.
Does Pavilion on Main Street, the accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Sandwich Living & Rehab Center 63beds 49.2%in use 3.34nurse hours a day
- 2 of 5 Hillside Rehab & Care Center 79beds 64.6%in use 2.77nurse hours a day
- 5 of 5 Pearl at the Tillers 105beds 69.4%in use 3.59nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in De Kalb County
Who to call in Illinois
These offices serve residents of every nursing home in Illinois.
- Long-term care ombudsman Illinois Long-Term Care Ombudsman Program 1-800-252-8966 (Senior HelpLine) An advocate for residents and their families.
- File a complaint about a nursing home Central Complaint Registry 1-800-252-4343 The state agency that inspects nursing homes.
Illinois staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 145712. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.