Illinois › De Kalb County › Sandwich
Pavilion On Main Street, The
515 North Main, Sandwich, IL 60548
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 113 beds, Pavilion On Main Street, The serves Sandwich in De Kalb County, Illinois and has taken Medicare and Medicaid residents since 1992.
CMS gives it 3 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 3, staffing 2 and quality measures 3.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (13, 4, 12 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 25.7 per 100 beds, about the same as the state median of 28.4.
CMS lists 4 penalties in the period covered: fines totalling $94K and 2 payment denials.
Reported nurse staffing is 3.0 hours per resident per day (0.7 RN), close to the Illinois median of 3.3; nursing staff turnover is 34.7%.
Compared with county, state and nation
| Measure | This facility | De Kalb Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 29 | 29 | 34 | 28.7 |
| Citations per 100 beds | 25.7 | 37.8 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.7 | 0.9 | 0.6 | 0.7 |
| Nursing staff turnover | 34.7% | 56.3% | 43.4% | 45.8% |
| Fines listed | $93,883 | $93,883 | $45,123 | — |
County and state figures are medians across facilities (7 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Aug 2025, 30 Oct 2024.
Severity mix: G ×4 D ×17 E ×3 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Oct 2025 |
| 18 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 26 Sep 2025 |
| 18 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 11 Nov 2025 |
| 27 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0803 | 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. | F | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0584 | 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. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 23 Sep 2025 |
| 27 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Sep 2025 |
| 23 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 5 Aug 2025 |
| 23 Jul 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint investigation | 5 Aug 2025 |
| 30 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Nov 2024 |
| 30 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Nov 2024 |
| 26 Jun 2024 | F0625 | 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. | D | Complaint investigation | 5 Jul 2024 |
| 28 Sep 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Nov 2023 |
| 28 Sep 2023 | F0761 | 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. | D | Standard survey | 23 Oct 2023 |
| 28 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Aug 2025 | Payment denial | — | 48 days |
| 27 Aug 2025 | Fine | $52,234 | |
| 28 Sep 2023 | Payment denial | — | 9 days |
| 28 Sep 2023 | Fine | $41,649 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 34.7%, RNs 38.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.6% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.0% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Pavilion Healthcare (5 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in De Kalb County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Dekalb County Rehab & Nursing | Dekalb | 190 | 4 | 3 | 5 | 23 | 12.1 | $140K | 4 Jun 2026 |
| Oak Crest | Dekalb | 17 | 4 | 4 | — | 7 | 41.2 | — | 12 Sep 2024 |
| Prairie Crossing Lvg & Rehab | Shabbona | 91 | 4 | 4 | 2 | 16 | 17.6 | $40K | 29 Jan 2026 |
| Aperion Care Dekalb | Dekalb | 119 | 2 | 3 | 1 | 45 | 37.8 | $44K | 30 Jun 2026 |
| Bethany Rehab & HCC | Dekalb | 90 | 1 | 1 | 2 | 70 | 77.8 | $407K | 22 Jun 2026 |
| Sandwich Living & Rehab Center | Sandwich | 63 | 1 | 1 | 1 | 57 | 90.5 | $302K | 15 Jun 2026 |
All 7 facilities in De Kalb County
Questions and answers
How many deficiencies has Pavilion On Main Street, The been cited for?
29 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Pavilion On Main Street, The been fined?
Yes. CMS lists fines totalling $94K in the period covered, plus 2 payment denials.
How does staffing at Pavilion On Main Street, The compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Pavilion On Main Street, The?
It is part of the Pavilion Healthcare chain. Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was Pavilion On Main Street, The last inspected?
The most recent survey or investigation in the CMS record is dated 9 Oct 2025; the most recent standard health survey was 27 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.