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Pavilion On Main Street, The

515 North Main, Sandwich, IL 605488157868426Ownership: For profit - IndividualCertified beds: 113Avg. daily residents: 92Chain: Pavilion Healthcare (5 facilities)County: De Kalb

The complete public record on Pavilion On Main Street, The, a Medicare & Medicaid–certified nursing home in Sandwich, Illinois, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Illinois average: 2.5 stars.
Health inspection
★★★☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Pavilion On Main Street, The holds a 3-star overall rating, CMS’s middle tier. Federal regulators have fined this facility $93,883 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.
Rating trajectory: overall rating improved from 2 stars (July 2026) to 3 stars (August 2026) across 2 monthly CMS releases tracked by ClearPath.

Staffing

2.98 total nurse staff hours per resident per day
below the state average (3.45)
0.72 RN hours per resident per day
about the state average (0.72)
2.71 weekend nurse staff hours per resident per day
34.7% total nursing staff turnover
below the state average (44.5)
38.5% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

August 27, 2025 most recent standard health inspection
13 health deficiencies cited in the most recent inspection cycle
above the state average (12.3)
5 health deficiencies in the two prior cycles combined
$93,883 in federal fines across 2 penalties (last 3 years)
below the state average ($112,572)
2 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

29 citations on record across recent inspections, 4 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
October 9, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
September 18, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
September 18, 20250755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintD · Potential for more than minimal harm
August 27, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G · Actual harm
August 27, 20250692Provide enough food/fluids to maintain a resident's health.G · Actual harm
August 27, 20250803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician,…F · Potential for more than minimal harm
August 27, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
August 27, 20250804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E · Potential for more than minimal harm
August 27, 20250584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and…D · Potential for more than minimal harm
August 27, 20250677Provide care and assistance to perform activities of daily living for any resident who is unable.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.