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Nursing HomeMedicaid Investigative

Pavilion on Main Street, the

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

515 North Main, Sandwich, IL 60548113 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 36 Google reviews

5
4
3
2
1
Pavilion on Main Street, the Nursing Home in Sandwich, IL — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (15 vs median 11.0)

Below average in IL · Meets national RN staffing standard · Low staff turnover (stable workforce) · Below chain average · $41,649 in fines

Source: Medicare data

What this means for your family

The Pavilion on Main Street is frequently praised for its kind nursing staff and clean environment, making it a potential option for those prioritizing bedside manner. However, families should be aware of recurring concerns regarding slow response times and food quality. We recommend asking the administration specifically about their current staffing ratios and how they handle meal preferences for residents.

Google Reviews

Google Reviews

36 reviews on Google
The Pavilion on Main Street receives polarized feedback, with many families praising the nursing staff for their kindness and attentiveness during rehab or end-of-life care. However, significant concerns have been raised regarding slow response times for assistance, poor food quality, and inconsistent management practices. Families should carefully evaluate the facility's current staffing levels and communication protocols before making a decision.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean9.0Activities8.0MedsN/AMemory8.0Comms6.0ValueN/A

Strengths

  • Kind and attentive nursing staff
  • Clean and well-maintained facility
  • Effective end-of-life care
  • Professional and responsive liaison/social work team

Concerns

  • Slow response times for patient assistance (mentioned by 2 reviewers)
  • Poor food quality and lack of variety (mentioned by 2 reviewers)
  • Inconsistent or poor management (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(3)'20(2)'23(3)'25(4)'26(10)

Distribution · 38 analyzed

5
21
4
5
3
2
2
1
1
9

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the facility is quite active with 113 residents; how do you ensure that staff are able to respond promptly when a resident needs assistance?
  • 2We understand that dining is a major part of daily life; what steps are you taking to improve the variety and quality of the meals served to residents?
  • 3Given that there have been some recent transitions in leadership, how would you describe the current management team's approach to overseeing daily operations?
  • 4I see that you engage with feedback online, which is great to see; how do you use that input to address concerns and improve the quality of care?
  • 5With the current staffing levels, what is the process for ensuring that residents receive consistent attention and care throughout the evening and weekend hours?
  • 6Could you walk us through how your medical team handles urgent health changes or emergencies to ensure residents get immediate attention?

Personalized based on this facility's data


Key Review Excerpts

The nurses and caregivers, all the staff including maintenance treated him so nice. Everyone was good to him and so helpful with everything.

Rehab patient's family · 2025★★★★★

Our dad declined very quickly and the staff was on top of it. Providing excellent end of life care and the communication was excellent.

End of life care family member · 2022★★★★★

The only issue she has is with the food they need more varieties if resident doesn't like what they are serving that day.

Long-term resident's family · 2024★★★★
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.79hrs
OK
Registered nurses for medical care
Total Nursing
2.93hrs
71%
All nurses + aides combined
Staff Turnover
32%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility94.1%
Worse than Avg
Here
94.1%
US
12.1%
IL
52.5%
De kalb
21.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.3%
Worse than Avg
Here
30.3%
US
19.4%
IL
21.1%
De kalb
18.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
19.5%
IL
18.3%
De kalb
17.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility86.0%
Worse than Avg
Here
86.0%
US
93.4%
IL
90.0%
De kalb
89.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.9%
Mixed vs Avgs
Here
15.9%
US
15.5%
IL
21.8%
De kalb
19.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
95.5%
IL
91.8%
De kalb
92.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
81.8%
IL
69.0%
De kalb
76.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
79.8%
IL
63.1%
De kalb
75.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
1.6%
IL
2.4%
De kalb
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
4penalties
Above state avg (12.0)
6 complaint-triggered
$41,649 in fines

This facility has concerning patterns with families filing multiple complaints, particularly around safety hazards and medication management issues that recur across surveys. Most problematic are repeated violations for maintaining safe environments free from accident hazards, medication errors, and infection control problems. While the facility reports correcting each deficiency, the persistence of similar issues suggests ongoing operational challenges that families should carefully evaluate.

Oct 9, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 18, 2025Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Aug 27, 2025Routine
10
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 23, 2025Complaint
2
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Oct 30, 2024Routine
11
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0919Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0225Potential for harm · Pattern

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0531Potential for harm · Pattern

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jun 26, 2024Complaint
1
0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Federal Penalties

Fine

Aug 27, 2025

$80,360

Payment Denial

Aug 27, 2025

48-day denial

Fine

Sep 28, 2023

$41,649

Payment Denial

Sep 28, 2023

9-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pavilion on Main Street, the

Organization Type

for profit

Chain Affiliation

Chain Name

Pavilion Healthcare

Chain Size

5 facilities nationwide

Chain avg rating: 2.8/5 · Rank 4 of 5

Ownership & Management

Owners

Ilana D Aaron Trust C/u Maurice Aaron 2014 Family Gift Trust

Owner · Organization

12%

Ilana D Aaron Trust C/u Maurice Aaron 2014 Legacy Gift Trust

Owner · Organization

9%

Goldstein, Shimon

Owner

Graf, Marcella

Owner

Gross, Shoshana

Owner

Kroll, Gabriel

Owner

Proctor, Katherine

Owner

Ripstein, Kenneth

Owner

Stern, Todd

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Aaron, JonathanManaging Control - Governing BodyAaron, JonathanManagerGraf, MarcellaManagerMcdonald, NancyManagerRobin, JasonManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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