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
🏥 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
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure 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 GEnsure 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 DProvide 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 GEnsure 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 GProvide 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
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