F

PAVILION ON MAIN STREET, THE

515 NORTH MAIN, SANDWICH, IL 60548
Score: 34 / 100

With a score of 34/100, Pavilion On Main Street, The ranks in the bottom tier of Illinois nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Pavilion On Main Street, The, with 2.96 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 33 deficiencies at Pavilion On Main Street, The. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.96 3.8 Below Average
Registered Nurses (RN) 0.75 0.7 Average
Licensed Practical Nurses (LPN) 0.35 0.7 Below Average
Certified Nursing Assistants (CNA) 1.86 2.4 Below Average
Weekend Total Nursing 2.65 3.8 Below Average
Weekend RN Hours 0.62 0.7 Below Average

🔍 Inspection & Deficiency History

33
Total Deficiencies
Oct 8, 2025
Most Recent Inspection
🟠 33 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 8, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Sep 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Sep 17, 2025 · Pharmacy Service Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Aug 26, 2025 · Quality of Life and Care Deficiencies
  • Tag 0692 Severity G
    Provide enough food/fluids to maintain a resident's health.
    Aug 26, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.4% 4.5% Worse
Falls with major injury 1.9% 3.0% Better
On antipsychotic medication 15.0% 14.5% Average
Urinary tract infections 0.9% 2.5% Better
ADL decline (daily activities) 12.8% 14.0% Average
Excessive weight loss 5.1% 7.5% Better
New/worsened incontinence 30.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $41,649

How This Grade Was Calculated

This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
113
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 26, 2025
Deficiencies (Cycle 1)
15