The Pavilion on Main Street
The Pavilion on Main Street
★★★★★★ 3.6 (27 reviews)
Skilled Nursing Facility • 113 Licensed Beds
515 North Main, Sandwich, IL
CMS Medicare Ratings
Overall ★★★★★
Inspection ★★★★★
Staffing ★★★★★
Quality ★★★★★
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The Pavilion on Main Street

Skilled Nursing Facility • 113 Licensed Beds
515 North Main,
Sandwich, IL
CMS Medicare Ratings
Overall ★★★★★
Inspection ★★★★★
Staffing ★★★★★
Quality ★★★★★
View details →
About

The Pavilion on Main Street – Medicare Certified Since 1992

The Pavilion on Main Street is a Medicare and Medicaid certified skilled nursing facility located in Sandwich, Illinois. This is a for profit - individual facility that has been serving the community for 34 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 113 certified beds with a current occupancy rate of 79% (averaging 89 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 2.93 hours of total nursing care per resident per day (1.8 hours from CNAs, 0.34 hours from LPNs, 0.79 hours from RNs). Physical therapy staffing is 0.07 hours per resident per day. Higher staffing levels are generally associated with better quality outcomes.

Medicare Quality Ratings: According to CMS, The Pavilion on Main Street has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 2 stars, quality measures: 4 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How The Pavilion on Main Street compares to 33 facilities in Elgin, IL

Click a measure name to jump to details • Hover over ⓘ for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
ⓘ
2 ★
3 ★
Quality Measures
Clinical outcomes & safety
ⓘ
4 ★
3.1 ★
Health Inspections
State survey results
ⓘ
2 ★
3 ★
Staffing
Nurse-to-resident ratio
ⓘ
2 ★
2.4 ★
Staffing Hours (per resident/day)
RN Hours
Registered nurses
ⓘ
0.79 hrs
0.92 hrs
LPN/LVN Hours
Licensed practical nurses
ⓘ
0.34 hrs
0.43 hrs
CNA Hours
Certified nursing assistants
ⓘ
1.80 hrs
2.05 hrs
Total Nursing Hours
CNA + LPN + RN combined
ⓘ
2.93 hrs
3.40 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
ⓘ
0.8 %
9.0 %
LPN/LVN Agency Use
% of LPN hours from contractors
ⓘ
0.4 %
12.4 %
CNA Agency Use
% of CNA hours from contractors
ⓘ
3 %
8.8 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
ⓘ
32 %
41 %
Occupancy Rate
Percentage of beds filled
ⓘ
79 %
78 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
ⓘ
$511
$367
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
↑
Better than Area
≈
Near Average
↓
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 33 facilities in Elgin, IL.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of March 2026

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
★★★★★
2/5
Quality Measures
★★★★★
4/5
Health Inspections
★★★★★
2/5
Staffing
★★★★★
2/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 33 other nursing homes in Elgin, IL

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
The Pavilion on Main Street
Elgin, IL Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

The Pavilion on Main Street
Elgin, IL Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

The Pavilion on Main Street
Elgin, IL Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

The Pavilion on Main Street
Elgin, IL Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of March 2026

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
108
minutes/day
CNAs
Certified Nursing Assistants
21
minutes/day
LPNs
Licensed Practical Nurses
47
minutes/day
RNs
Registered Nurses
4
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
The Pavilion on Main Street
Elgin, IL Average (78%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of March 2026

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$511
per resident per day
Compared to 33 facilities in your area
Above local median ($367)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
ⓘ
-9% -9% Above
Net Income
Annual profit or loss
ⓘ
$-432,389 $-388,701 Below
Staff Cost per Resident
Daily salary expense per resident
ⓘ
$162/day $151/day Higher
Occupancy Rate
Bed utilization percentage
ⓘ
79% 77% Higher
Est. Daily Rate
Average revenue per patient day
ⓘ
$511/day $367/day Higher
Total Beds
Licensed bed capacity
ⓘ
113 107 Larger

Local comparisons based on 33 skilled nursing facilities in the Elgin, IL metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
ⓘ
$10,311,456
Operating Expenses
Total operating costs
ⓘ
$11,248,232
Total Salaries
Staff compensation
ⓘ
$5,132,352
Contract Labor
Agency & temp staff
ⓘ
$1,294,771

Payer Mix ⓘ

Medicare
19%
Medicaid
17%
Private Pay & Other
65%

Operating Margin Trend (2018-2023) ⓘ

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
31,715
Medicare
Short-term skilled nursing
19%
Medicaid
Long-term care residents
17%
Private Pay / Other
Self-pay, insurance, VA
65%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
186.52
days
Medicare Stays
108.89
days
Medicaid Stays
885.17
days
Total Admissions
124
Total Discharges
106
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SANDWICH

Join Our Caring Team

We're always looking for compassionate individuals who are dedicated to providing exceptional care for our residents. Explore career opportunities at The Pavilion on Main Street.

Current Job Openings

The Pavilion on Main Street
SANDWICH, IL
Full Time
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Reviews

3.6 ★★★★★★ (27 reviews)
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Jeff Taylor's profile photo
Jeff Taylor 2 months ago
★★★★★

Lack of therapy,that was promised care response time is very poor for patients help. Food is poor. Communication between family and staff not following threw as promised. Disappointed in health care so far . Hope it improves for my mother sake looking at other options at this point.

Linda Maurer's profile photo
Linda Maurer 10 months ago
★★★★★

Ron Maurer was a resident at Pavillion on Main St for three weeks in December 2024 for rehab after hip surgery. The nurses and caregivers, all the staff including maintenance treated him so nice. Everyone was good to him and so helpful with everything. When we were getting ready to leave Ron's PT John came in to talk for a minute and say goodbye. Before we left Ariel Aleman the Administrator came to see us, we talked for a while and told him how nice everyone was. Thank you! Much appreciation for taking such good care of Ron. Linda Maurer

Patricia Huber's profile photo
Patricia Huber 11 months ago
★★★★★

My mother is at the and she has great care. The only issue she has is with the food they need more varieties if resident doesn't like what they are serving that day. I know they are working on it.

Regina Starr's profile photo
Regina Starr 3 years ago
★★★★★

Where do I start? First I wouldn't even give them one star, my father was put in here. It took them at least 20 minutes to even come take him to the bathroom (he needed assistance). We pushed the button for them to come he had already went, pushed the button in there, came out sat down before they even came in the room. Then they changed rooms. He had developed a pressure ulcer that was only red then the next day it was a wound. They then said it was a Kennedy ulcer. They hadn't been turning him prior to that point. Then my dad had a bag of mail and other important documents and they took that on a Saturday, and gave us a run around about it saying they never seen it or somebody already picked it up. So we contacted the police, the bag mysteriously showed back up. On Friday of the the following week. They claimed that it was in his previous room in a drawer ( his drawers were filled to the brim with clothes) and if that's the case how come no one knew where it was. My dad ended up passing away there.

A Google User 4 years ago
★★★★★

My mom was a resident at Willow Crest for several years. They took great care of her. I know she enjoyed many of the employees and other residents as well. She passed away comfortably and I know she was well taken care of.

View All 27 Google Reviews

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