C78

Pavilion Of Waukegan

Grade C 78/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

112

Ownership

For profit - Limited Liability company

Total Fines

$8,328

Last Survey

N/A

2217 WASHINGTON STREET, WAUKEGAN, IL 60085
8472444100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.81h
LPN
0.35h
CNA
1.82h
Total
2.99h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

TOPPER, AARON

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2007

75%

TOPPER, AARON

IndividualW-2 MANAGING EMPLOYEESince Jul 2007

Penalties & Fines (2)

$8,328total fines
DateTypeDescriptionAmount
Nov 15, 2023Fine$8,328
Nov 15, 2023Payment Denial

Health Inspection Deficiencies (25)

October 28, 2025Health1 deficiency
0675DMinimal harm, Isolated

Honor each resident's preferences, choices, values and beliefs.

Quality of Life and Care Deficiencies

Corrected Nov 19, 2025
May 21, 2025Health9 deficiencies
0584EMinimal harm, Pattern

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

Corrected Jun 6, 2025
0605DMinimal harm, Isolated

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 6, 2025
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jun 6, 2025
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Jun 6, 2025
0694DMinimal harm, Isolated

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 6, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jun 6, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jun 6, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 6, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 6, 2025
June 12, 2024Health5 deficiencies1 severe
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jun 22, 2024
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jun 22, 2024
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jun 22, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jun 22, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 22, 2024
February 13, 2024Health1 deficiency
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Mar 7, 2024
December 22, 2023Health1 deficiency1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 3, 2024
November 15, 2023Health2 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 27, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 27, 2023
July 27, 2023Health6 deficiencies
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 16, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Aug 16, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 16, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 16, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 16, 2023
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 16, 2023

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Frequently Asked Questions

What is the CareGrader rating for Pavilion Of Waukegan?

Pavilion Of Waukegan in WAUKEGAN, Illinois has a CareGrader grade of C (Average), with a composite score of 78.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Pavilion Of Waukegan?

Pavilion Of Waukegan has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Pavilion Of Waukegan have?

Pavilion Of Waukegan has 25 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Pavilion Of Waukegan been fined?

Yes. Pavilion Of Waukegan has $8,328 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Pavilion Of Waukegan have?

Pavilion Of Waukegan has 112 certified beds with approximately 82 current residents (73% occupancy). The facility is located at 2217 WASHINGTON STREET, WAUKEGAN, Illinois 60085. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.