Pavilion of Ottawa
704 East Glover Street, Ottawa, IL 61350 · La Salle County · (815) 434-7144
135 certified beds, about 128 residents a day · For profit - Individual · Medicare and Medicaid since 1981
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145426 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 7 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 16 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.57 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
31.7% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Pavilion Healthcare, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
409/23
310/24
104/25
708/25
102/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
8D
5E
2F
Potential for minimal harm
0A
0B
0C
February 20, 2026Complaint inspection · 1 citation
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on interview and record review the facility failed to ensure a grievance was resolved for 1 of 3 residents (R3) reviewed for resident's rights in the sample of 14.
August 28, 2025Standard inspection · 7 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was prepared, stored, and served in a manner to prevent cross-contamination. This failure has the potential to affect all 124 residents in the facility.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide assistance with shaving facial hair for 3 female residents (R48, R57, R65) and failed to provide assistance with grooming, shaving and denture care for 1 resident (R131). This failure affected 4 of 4 residents (R48, R57, R65, R131) reviewed for activities of daily living in the sample size of 49.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure multiple insulin pens and a vial of liquid morphine were properly labeled with an open and discard date in accordance with professional standards. This failure affected 6 of 6 residents (R5, R8, R41, R74, R82, R94) reviewed for medication storage in the sample size of 49.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the device used to check residents' blood sugar levels (a glucometer) was disinfected according to the manufacturer's instructions, to prevent cross-contamination for 9 of 9 residents (R3, R10, R13, R20, R34, R40, R75, R107, and R127) reviewed for glucose checks in the sample of 49.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure wheelchair foot rests were in place for a resident during transport and failed to ensure a resident's medication was secured. This applies to 2 of 9 residents (R77, R74) in the sample of 49.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to keep a resident's urinary catheter off of the floor; failed to keep catheter tubing below the level of the resident's bladder, and failed to have orders or diagnoses in place for an indwelling catheter. This applies to 2 of 3 residents (R43, R128) reviewed for urinary catheters in the sample of 49.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure oxygen was administered at the physician prescribed rate for 1 of 1 resident (R9) reviewed for oxygen in the sample of 49.
April 2, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to identify fall risks and follow policy and procedures to prevent falls for two (R1 and R2) of three residents reviewed for falls in the sample of three. These failures resulted in R1 falling from wheelchair to the floor, bleeding, pain, bruising, and hospital visit with a diagnosis of nasal fracture and receiving sutures. These failures also resulted in repeat falls for R2.
October 24, 2024Standard inspection · 3 citations
- E Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure range of motion was implemented for a resident with functional limitations and failed to ensure an assistive device was in place for a resident with a contracture for four of four residents (R19, R38, R1 and R6) reviewed for range of motion in a sample of 40.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to perform a PASARR (Pre-admission Screening and Resident Review) rescreen after the emergence of a newly diagnosed severe mental illness for one of three residents (R103) reviewed for PASARR screening, in the sample of 40.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide grooming assistance for one of three residents (R12) reviewed for activities of daily living assistance in a sample of 40. Findings Include: The facility policy, ADL (Activities of Daily Living) Care, dated 11/2015 directs staff, To meet the grooming and hygiene needs of residents with dignity and privacy. Shaving: If the resident is a woman, shave only the areas with facial hair and apply moisturizer instead of aftershave. R12's current Physician Order Sheet, dated October 2024 documents the following diagnoses: Vascular Dementia, Osteoporosis, Cervical Spondylolysis, Polyosteoarthritis, Polymyalgia Rheumatica, Rheumatoid Arthritis and Weakness. R12's current Care Plan, dated 10/15/2024 includes the following Focus areas: [...]
September 29, 2023Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the staff covered hair in a sanitary manner while in the kitchen. This failure has the potential to affect all 124 residents at the facility.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise Care Plans to be resident specific for five (R10, R12, R20, R78, and R108) of 25 residents reviewed for Care Plan revision in a sample of 31.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a respiratory treatment was administered according to facility policy for one (R54) of one residents reviewed for breathing treatments during medication administration; and failed to ensure a residents respiratory equipment is routinely cleaned for two (R12 and R78) of four residents reviewed for respiratory care in a sample of 31.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a diagnosis, targeted behaviors, and indication for the use of an antipsychotic medication was in place for a resident with Dementia for one (R10) and failed to ensure a PRN (as needed) psychotropic medication did not exceed a duration of 14 days without a physician evaluation and rationale for continued use for one (R20) of five residents reviewed for unnecessary medications in the sample of 31.
Fire safety inspections
9 fire safety citations on file: 2 on October 24, 2024, 5 on September 29, 2023, 2 on April 14, 2022.
Every fire safety citation9 citations
- F Have simulated fire drills held at unexpected times.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Have exits that are accessible at all times.
- E Install an approved automatic sprinkler system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C Have simulated fire drills held at unexpected times.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.57 | 3.45 | 3.86 |
| Registered nurses | 0.72 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.07 | 3.42 |
| Nurse aides | 2.47 | ||
| Licensed practical nurses | 0.38 | ||
| Nursing staff turnover (share who left in a year) | 31.7% | 44.5% | 45.8% |
| Registered nurse turnover | 20.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.72 on weekdays and 3.19 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.69 in April to June 2025 to 3.57 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.57 | 0.72 | 3.72 | 3.19 | 1.3% | 0 of 90 | 128 |
| Oct to Dec 2025 | 3.58 | 0.70 | 3.74 | 3.17 | 4.2% | 0 of 92 | 129 |
| Jul to Sep 2025 | 3.80 | 0.78 | 3.97 | 3.37 | 6.5% | 0 of 92 | 124 |
| Apr to Jun 2025 | 3.69 | 0.80 | 3.87 | 3.24 | 4.7% | 0 of 91 | 127 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.4 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.4 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.6 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.0 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.2 | 1.8 |
Owners and operators
Legal business name: PAVILION OF OTTAWA LLC. CMS links this home to Pavilion Healthcare, a group of 5 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ilana D Aaron Trust C/U Maurice Aaron 2014 Family Gift Trust | 5% or greater direct ownership interest | Organization | 12% | 12/19/2022 |
| Ilana D Aaron Trust C/U Maurice Aaron 2014 Legacy Gift Trust | 5% or greater direct ownership interest | Organization | 9% | 12/19/2022 |
| Emst LLC | Direct ownership interest | Organization | 07/01/2023 | |
| Jonathan H Aaron Revocable Trust | Direct ownership interest | Organization | 07/01/2023 | |
| Goldstein, Shimon | Direct ownership interest | Individual | 07/01/2023 | |
| Graf, Marcella | Direct ownership interest | Individual | 12/19/2022 | |
| Gross, Shoshana | Direct ownership interest | Individual | 07/01/2023 | |
| Kroll, Gabriel | Direct ownership interest | Individual | 07/01/2023 | |
| Proctor, Katherine | Direct ownership interest | Individual | 07/01/2023 | |
| Ripstein, Kenneth | Direct ownership interest | Individual | 07/01/2023 | |
| Aaron, Jonathan | Managing control - governing body | Individual | 12/19/2022 | |
| Aaron, Jonathan | Operational/managerial control | Individual | 12/19/2022 | |
| Graf, Marcella | Operational/managerial control | Individual | 12/19/2022 | |
| Robin, Jason | Operational/managerial control | Individual | 07/01/2023 | |
| Wetzel, Lauren | Operational/managerial control | Individual | 07/01/2023 | |
| Stern, Todd | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 11/24/2025 | |
| Robin, Jason | Adp of the SNF | Individual | 07/01/2023 | |
| Wetzel, Lauren | Adp of the SNF | Individual | 07/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on August 28, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 28, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 28, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 24, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
Other nursing homes nearby
- Pleasant View Luther Home Ottawa, 0.8 mi · 4 of 5 stars · 36 citations
- La Salle County Nursing Home Ottawa, 3.4 mi · 4 of 5 stars · 24 citations
- Goldwater Care Marseilles Marseilles, 5.9 mi · 1 of 5 stars · 60 citations
- Parker Nursing & Rehab Center Streator, 13.5 mi · 1 of 5 stars · 55 citations
- Arc at Streator Streator, 14.9 mi · 3 of 5 stars · 22 citations
- Manor Court of Peru Peru, 15.1 mi · 4 of 5 stars · 9 citations
- Allure of Peru Peru, 15.2 mi · 3 of 5 stars · 30 citations
- Goldwater Care Spring Valley Spring Valley, 19.1 mi · 4 of 5 stars · 22 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Pavilion of Ottawa's Medicare star rating?
- CMS rates Pavilion of Ottawa 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pavilion of Ottawa get at its last inspection?
- 7 health deficiencies at the standard inspection on August 28, 2025. The Illinois average is 12.6.
- Has Pavilion of Ottawa been fined?
- CMS lists no fines in the last three years.
- Does Pavilion of Ottawa accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Pavilion of Ottawa?
- CMS lists 18 owners and managers, and links the home to Pavilion Healthcare. Legal business name: PAVILION OF OTTAWA LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.