About The Pavilion On Main Street
The Pavilion On Main Street, located in SANDWICH, IL, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose The Pavilion On Main Street
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 2.93 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the PAVILION HEALTHCARE network. This chain operates 5 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
The Pavilion On Main Street provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 2 |
|
| Quality Measures | 4 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 160 | Aug 27, 2025 |
| Weighted Average | 128 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 13.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 9.9% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 0.8% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.5% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 12.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.7% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.2% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.6% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 94.1% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.5% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 86.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 19.6% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.6% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 19.2% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 25.2% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 96.5% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 23.8% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 5.8% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 30.3% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 15.9% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 4 complaints
- 2024: 1 complaint
- 2025: 5 complaints
- Total: 10 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Nov 11, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Oct 10, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 26, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Aug 05, 2025 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| Aug 05, 2025 | Provide and implement an infection prevention and control program. |
| Jul 05, 2024 | 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. |
| May 31, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| May 31, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 12, 2023 | Ensure that residents are free from significant medication errors. |
| May 12, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
Nearby Hospitals
OSF SAINT ELIZABETH MDL CTR
PERU, IL
PRESENCE MERCY MEDICAL CENTER
AURORA, IL
EDWARD HOSPITAL
NAPERVILLE, IL
OSF SAINT PAUL MEDICAL CENTER
MENDOTA, IL
COPLEY MEMORIAL HOSPITAL
AURORA, IL
MORRIS HOSPITAL & HEALTHCARE CENTERS
MORRIS, IL
VALLEY WEST COMMUNITY HOSPITAL
SANDWICH, IL
NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL
WINFIELD, IL
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL
DEKALB, IL
ROCHELLE COMMUNITY HOSPITAL
ROCHELLE, IL
BHC STREAMWOOD HOSPITAL INC
STREAMWOOD, IL
LINDEN OAKS AT EDWARD
NAPERVILLE, IL
Owner & Operator Information
Business Entity
PAVILION ON MAIN STREET LLC
Ownership Structure
Management & Direction
- JONATHAN AARON MANAGING CONTROL - GOVERNING BODY
- JONATHAN AARON OPERATIONAL/MANAGERIAL CONTROL
- MARCELLA GRAF OPERATIONAL/MANAGERIAL CONTROL
- NANCY MCDONALD OPERATIONAL/MANAGERIAL CONTROL
- NANCY MCDONALD ADP OF THE SNF
- JASON ROBIN OPERATIONAL/MANAGERIAL CONTROL
- JASON ROBIN ADP OF THE SNF
- TODD STERN INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Bella Terra Streamwood | N/A | 5 |
| Wynscape Health and Rehab | N/A | 5 |
| Hearthwood Snf Senior Living | N/A | 5 |
| Alden Courts of Shorewood | N/A | 4 |
| Alden Estates of Shorewood | N/A | 5 |
| The Springs at Monarch Landing | N/A | 5 |
| Michaelsen Health Center | N/A | 5 |
| Asbury Gardens Nsg and Rehab | N/A | 4 |
| Tabor Hills Health Care Fac | N/A | 5 |
| Greenfields of Geneva | N/A | 5 |
Related Analysis
Best Nursing Homes in SANDWICH, IL
Compare The Pavilion On Main Street to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact The Pavilion On Main Street directly at 8157868426. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.