The Pavilion on Main Street
515 North Main, Sandwich, IL 60548 · (815) 786-8426
For profit - Individual · 113 certified beds
The Pavilion on Main Street has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 10 citations, 2 for actual harm or immediate jeopardy (the Illinois average is 12.6). It was fined 2 times in the last three years, $93,883 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 27, 2025 found 10 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 27, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.August 27, 2025 · F0692 · Level of harm: Actual harm · Residents affected: Few
- 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.August 27, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 27, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 27, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.August 27, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.August 27, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 27, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.August 27, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 9, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 18, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 18, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.July 23, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.July 23, 2025 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.June 26, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $52,234August 27, 2025
- Fine of $41,649September 28, 2023
- Medicare payment denial for 48 daysStarting September 24, 2025
- Medicare payment denial for 9 daysStarting October 25, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Illinois average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.98 | 3.45 | 3.86 |
| Registered nurses (RN) | 0.72 | 0.72 | 0.69 |
| Licensed practical nurses (LPN) | 0.43 | 0.64 | 0.86 |
| Nurse aides | 1.82 | 2.09 | 2.32 |
| Total nursing staff turnover | 34.7% | 44.5% | 45.8% |
About this home
| Ownership | For profit - Individual |
| Certified beds | 113 |
| Average residents per day | 91.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Sandwich Living & Rehab Center Sandwich · ★★★★★ 1 out of 5 stars
- Oak Crest Dekalb · ★★★★★ 4 out of 5 stars
- Dekalb County Rehab & Nursing Dekalb · ★★★★★ 4 out of 5 stars
- Prairie Crossing Lvg & Rehab Shabbona · ★★★★★ 4 out of 5 stars
Compare every nursing home in Sandwich, IL · Nursing homes in Illinois
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Care matcherStep 1 of 7
Who are you looking for help for?
Free for families. Your answers aren't saved.
Data from Medicare (CMS), updated October 2026, from The Pavilion on Main Street on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.