Sandwich Living & Rehab Center
Sandwich · 0.7 mi · 63 beds
Citations0Substantiated0
Pavilion on Main Street, the
515 NORTH MAIN, Sandwich, IL, 60548
Nursing home113 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 15 deficiencies against Pavilion on Main Street, the in Sandwich, Illinois at its most recent standard inspection on 2025-08-27, 5 of them arising from complaints. 4 findings have been recorded at the actual-harm level. Medicare has fined it 2 times, totalling $122,009. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
113certified beds
15deficiencies at the last inspection
0immediate-jeopardy findings on record
4actual-harm findings on record
2federal fines, $122,009
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.4
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.25
Potential for minimal harmThe least serious band.0
Most recentDGDGGFFEDDDDDFFEDDGF
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-10-09 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-09-18 · from a complaint · Actual harm to a resident
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-09-18 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-08-27 · standard survey · Actual harm to a resident
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2025-08-27 · standard survey · Actual harm to a resident
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.
Nutrition and Dietary Deficiencies · F0803 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-08-27 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-07-23 · from a complaint · No actual harm, potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · F0882 · 2025-07-23 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-10-30 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-10-30 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0625 · 2024-06-26 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2023-09-28 · standard survey · Actual harm to a resident
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2023-09-28 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS2.97573
Nursing staff turnoverShare of nursing staff who left in a year34.7%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$122,009
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one4
Ownership
Who owns Pavilion on Main Street, the
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST | Organization | 12% | since 12/19/2022 |
| ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST | Organization | 9% | since 12/19/2022 |
| GOLDSTEIN, SHIMON | Individual | NOT APPLICABLE | since 07/01/2023 |
| GRAF, MARCELLA | Individual | NOT APPLICABLE | since 12/19/2022 |
| GROSS, SHOSHANA | Individual | NOT APPLICABLE | since 07/01/2023 |
| KROLL, GABRIEL | Individual | NOT APPLICABLE | since 07/01/2023 |
| PROCTOR, KATHERINE | Individual | NOT APPLICABLE | since 07/01/2023 |
| RIPSTEIN, KENNETH | Individual | NOT APPLICABLE | since 07/01/2023 |
| AARON, JONATHAN | Individual | NOT APPLICABLE | since 12/19/2022 |
| AARON, JONATHAN | Individual | NOT APPLICABLE | since 12/19/2022 |
| GRAF, MARCELLA | Individual | NOT APPLICABLE | since 12/19/2022 |
| MCDONALD, NANCY | Individual | NOT APPLICABLE | since 04/22/2024 |
Part of the PAVILION HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Pavilion on Main Street, the a question
This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.
Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 145712.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction