Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.72 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
PAVILION OF OTTAWA has 135 certified beds in OTTAWA, Illinois. The CMS overall rating is 4 of 5, compared with the Illinois average of 2.5. The CMS health inspection rating is 4 of 5, compared with the Illinois average of 2.7. The CMS staffing rating is 3 of 5. The latest standard health survey on Aug 28, 2025 lists 7 deficiencies, compared with the Illinois average of 7.3. Total nurse staffing is 3.57 hours per resident day in 2026Q1, compared with the Illinois average of 3.45.
Nearby facilities
- LA SALLE COUNTY NURSING HOME OTTAWA
- PLEASANT VIEW LUTHER HOME OTTAWA
- ALLURE OF MENDOTA MENDOTA
- ALLURE OF PERU PERU
- ARC AT STREATOR STREATOR
- Goldwater Care Marseilles MARSEILLES
- MANOR COURT OF PERU PERU
- PARKER NURSING & REHAB CENTER STREATOR
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 145426.
At a glance
CMS research snapshot
CMS overall rating
4 of 5
CMS health inspection rating
4 of 5
CMS staffing rating
3 of 5
CMS quality-measure rating
3 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- EMST LLCOrganizationDIRECT OWNERSHIP INTEREST15% ownership interest
- EMST LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- EMST LLCOrganizationDIRECT OWNERSHIP INTEREST
- GOLDSTEIN, SHIMONIndividual ownerDIRECT OWNERSHIP INTEREST1% ownership interest
- GOLDSTEIN, SHIMONIndividual ownerDIRECT OWNERSHIP INTEREST
- GRAF, MARCELLAIndividual ownerDIRECT OWNERSHIP INTEREST
- GRAF, MARCELLAIndividual ownerDIRECT OWNERSHIP INTEREST3% ownership interest
- GROSS, SHOSHANAIndividual ownerDIRECT OWNERSHIP INTEREST1% ownership interest
- GROSS, SHOSHANAIndividual ownerDIRECT OWNERSHIP INTEREST
- ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST12% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST12.11% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST9% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST9% ownership interest
- JONATHAN H AARON REVOCABLE TRUSTOrganizationDIRECT OWNERSHIP INTEREST23.5% ownership interest
- JONATHAN H AARON REVOCABLE TRUSTOrganizationDIRECT OWNERSHIP INTEREST
- JONATHAN H AARON REVOCABLE TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST23.5% ownership interest
- KROLL, GABRIELIndividual ownerDIRECT OWNERSHIP INTEREST
- KROLL, GABRIELIndividual ownerDIRECT OWNERSHIP INTEREST2% ownership interest
- PROCTOR, KATHERINEIndividual ownerDIRECT OWNERSHIP INTEREST
- PROCTOR, KATHERINEIndividual ownerDIRECT OWNERSHIP INTEREST1% ownership interest
- RIPSTEIN, KENNETHIndividual ownerDIRECT OWNERSHIP INTEREST4.78% ownership interest
- RIPSTEIN, KENNETHIndividual ownerDIRECT OWNERSHIP INTEREST
- STERN FAMILY INVESTMENT TROrganization5% OR GREATER DIRECT OWNERSHIP INTEREST13.8% ownership interest
- STERN, TODDIndividual ownerINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- TODD A STERN 2015 IRRV INS TROrganization5% OR GREATER DIRECT OWNERSHIP INTEREST13.81% ownership interest
Operators
- AARON, JONATHANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- AARON, JONATHANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- GRAF, MARCELLAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- GRAF, MARCELLAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ROBIN, JASONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ROBIN, JASONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- WETZEL, LAURENIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- WETZEL, LAURENIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- AARON, JONATHANIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- GRAF, MARCELLAIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- ROBIN, JASONIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- WETZEL, LAURENIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- AARON, JONATHANIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- AARON, JONATHANIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- GRAF, MARCELLAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- GRAF, MARCELLAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- ROBIN, JASONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- ROBIN, JASONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- WETZEL, LAURENIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- WETZEL, LAURENIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- PAVILION OF OTTAWA LLCOrganization · CURRENTMedicare-enrolled legal organization
- PAVILION OF OTTAWA LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- EMST LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUSTOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST12.11% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUSTOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST9% ownership interest
- JONATHAN H AARON REVOCABLE TRUSTOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST23.5% ownership interest
- STERN FAMILY INVESTMENT TROrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST13.8% ownership interest
- TODD A STERN 2015 IRRV INS TROrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST13.81% ownership interest
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- EMST LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- EMST LLCOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST
- EMST LLCOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST15% ownership interest
- GOLDSTEIN, SHIMONIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- GOLDSTEIN, SHIMONIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST1% ownership interest
- GRAF, MARCELLAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST3% ownership interest
- GRAF, MARCELLAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- GROSS, SHOSHANAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- GROSS, SHOSHANAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST1% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUSTOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST12% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUSTOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST12.11% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUSTOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST9% ownership interest
- ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUSTOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST9% ownership interest
- JONATHAN H AARON REVOCABLE TRUSTOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST23.5% ownership interest
- JONATHAN H AARON REVOCABLE TRUSTOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST23.5% ownership interest
- JONATHAN H AARON REVOCABLE TRUSTOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST
- KROLL, GABRIELIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST2% ownership interest
- KROLL, GABRIELIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- PROCTOR, KATHERINEIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- PROCTOR, KATHERINEIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST1% ownership interest
- RIPSTEIN, KENNETHIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- RIPSTEIN, KENNETHIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST4.78% ownership interest
- STERN FAMILY INVESTMENT TROrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST13.8% ownership interest
- STERN, TODDIndividual owner · UNKNOWNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- TODD A STERN 2015 IRRV INS TROrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST13.81% ownership interest
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2022-12-19.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- PAVILION OF OTTAWA LLC
- Seller legal entity
- OTTAWA PAVILION LTD
- Effective date
- 2022-12-19
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 135
- Ownership descriptor
- For profit - Individual
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 8154347144CMS Provider Information
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1306584958 · enrollment O20230119000444
- NPI 1306584958 · enrollment O20230119000444
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 100.000000
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 100.000000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 1.580135 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 69.907407
- Percentage of long-stay residents who lose too much weight (Long Stay): 5.413105
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 17.415730
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 9.602649 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 11.389301 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 7.365439 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.578778 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.684932 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 28.582826
- Percentage of long-stay residents with pressure ulcers (Long Stay): 1.198522 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 86.422977
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 1.145038 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 86.301370
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2024-10-24 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2024-10-24 · tag 0225 · scope/severity E — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 2023-09-29 · tag 0271 · scope/severity E — Have exits that are accessible at all times.
- 2023-09-29 · tag 0351 · scope/severity E — Install an approved automatic sprinkler system.
- 2023-09-29 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
- 2023-09-29 · tag 0374 · scope/severity E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 2023-09-29 · tag 0712 · scope/severity C — Have simulated fire drills held at unexpected times.
- 2022-04-14 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2022-04-14 · tag 0521 · scope/severity F — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Aug 28, 2025 cited 7 deficiencies.
View inspection evidenceOwnership
CMS-published records list 40 ownership or control parties.
CMS records show an ownership change effective December 2022.
View ownership evidenceChain context
CMS groups this facility with a chain covering 5 facilities across 1 states or territories.
View chain evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - IndividualCMS
- Chain
- PAVILION HEALTHCARECMS identifies this facility as part of the PAVILION HEALTHCARE chain.
- Related facilities
- 30Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 12 CMS-reported ownership organizations
- CMS reports 27 individual ownership interests
- a CMS chain / common-control group
- recorded ownership-change events
Related facilities
30 currently connected nursing homes share this CMS organization identity with STERN FAMILY INVESTMENT TR.
- Average CMS overall rating
- 2.8 stars across 30 reporting facilities
- CMS monetary penalties
- 14 of 30 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 5 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 4 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 25 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $865,530
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 40
- Organizations shown
- 13
- Individuals shown
- 27
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 12%
Association date reported to CMS: Dec 19, 2022
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 9%
Association date reported to CMS: Dec 19, 2022
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
ROBIN, JASON
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
WETZEL, LAUREN
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
EMST LLC
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GOLDSTEIN, SHIMON
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GRAF, MARCELLA
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 19, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GROSS, SHOSHANA
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
JONATHAN H AARON REVOCABLE TRUST
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
KROLL, GABRIEL
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PROCTOR, KATHERINE
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RIPSTEIN, KENNETH
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
STERN, TODD
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Nov 24, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
AARON, JONATHAN
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Dec 19, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
AARON, JONATHAN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 19, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GRAF, MARCELLA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 19, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
ROBIN, JASON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
WETZEL, LAUREN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
EMST LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 1 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 12.11%
Association date reported to CMS: Dec 19, 2022
Other facilities connected through this exact CMS organization identity: 4 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 9%
Association date reported to CMS: Dec 19, 2022
Other facilities connected through this exact CMS organization identity: 4 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JONATHAN H AARON REVOCABLE TRUST
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.5%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 2 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
STERN FAMILY INVESTMENT TR
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 13.8%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 29 across IL, IN, KS, MO, OK, TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
TODD A STERN 2015 IRRV INS TR
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 13.81%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 14 across IL, MI, OH.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ROBIN, JASON
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
WETZEL, LAUREN
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
EMST LLC
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 1 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GOLDSTEIN, SHIMON
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GRAF, MARCELLA
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Dec 19, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GROSS, SHOSHANA
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JONATHAN H AARON REVOCABLE TRUST
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.5%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 2 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
KROLL, GABRIEL
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 2%
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PROCTOR, KATHERINE
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RIPSTEIN, KENNETH
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.78%
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
AARON, JONATHAN
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Dec 19, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
AARON, JONATHAN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 19, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GRAF, MARCELLA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 19, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ROBIN, JASON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
WETZEL, LAUREN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PAVILION OF OTTAWA LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPOTTAWA PAVILION LTD to PAVILION OF OTTAWA LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS enrollment records show a change of ownership effective Dec 19, 2022. What operational or leadership changes followed that event?
- CMS records connect EMST LLC to 2 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with PAVILION HEALTHCARE
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 612 is a grouping identifier, not a legal organization.
- Facilities
- 5
- States and territories
- 1
- Average overall rating
- 2.8
- Average staffing rating
- 2
- Average total nurse HPRD
- 3.3
- Total fines
- 7
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 5 | 2.8 | 2 |
| Mon Jun | 5 | 2.4 | 1.8 |
| Fri May | 5 | 2.4 | 1.8 |
| Wed Apr | 5 | 2.6 | 1.8 |
| Sun Mar | 5 | 2.8 | 1.8 |
| Sun Feb | 5 | 3 | 1.8 |
Questions to ask
- CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 7 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Feb 20, 2026
- Survey type
- Health Complaint
- Linked findings
- 1
- Highest linked CMS classification
- D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:31575:ccn:145426
Feb 20, 2026 — Health Complaint — 1 linked finding
F0585 — Resident Rights Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 26, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87684:ccn:145426
Aug 28, 2025 — Health Standard — 7 linked findings
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 9, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87686:ccn:145426
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 9, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87689:ccn:145426
F0690 — Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 9, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87690:ccn:145426
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 9, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87691:ccn:145426
F0761 — Pharmacy Service Deficiencies
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 9, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87687:ccn:145426
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 9, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87685:ccn:145426
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 9, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87688:ccn:145426
Apr 2, 2025 — Health Complaint — 1 linked finding
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 14, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87692:ccn:145426
Oct 24, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Oct 24, 2024 — Health Standard — 3 linked findings
F0644 — Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 13, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87694:ccn:145426
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 13, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87695:ccn:145426
F0688 — Quality of Life and Care Deficiencies
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 13, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87693:ccn:145426
Sep 29, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Sep 29, 2023 — Health Standard — 4 linked findings
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 11, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87697:ccn:145426
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 11, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87698:ccn:145426
F0758 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 11, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87699:ccn:145426
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 10, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145426
- Source record locator
- csv-row:87696:ccn:145426
Apr 14, 2022 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Tags appearing across inspections
- F0677 appears in 2 linked inspections.
- F0689 appears in 2 linked inspections.
- F0695 appears in 2 linked inspections.
- F0812 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Questions generated from the evidence above
- CMS records show F0677 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0689 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0695 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Complaint inspection recorded1 deficiency was recorded.
- Total nurse staffing decreasedTotal nurse staffing decreased from 3.80 to 3.58 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
2026
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2025
- Total nurse staffing decreased
Total nurse staffing decreased from 3.80 to 3.58 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
3.80 → 3.58
CMS · Reported in a source release · View related evidence
- Health inspection completed
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2022
- Ownership change recorded
An ownership change was recorded. New organization: PAVILION OF OTTAWA LLC.
OTTAWA PAVILION LTD → PAVILION OF OTTAWA LLC
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.567 reported hours per resident day
- RN categories
- 0.717 reported hours per resident day
- LPN/LVN categories
- 0.385 reported hours per resident day
- CNA
- 2.422 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.72 | 3.188 |
| RN categories | 0.784 | 0.549 |
Contract staff accounted for 1.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.014 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.693 | 0.802 | 0.348 | 2.543 | 4.7% | 91 |
| 2025Q3 | 3.799 | 0.782 | 0.375 | 2.643 | 6.5% | 92 |
| 2025Q4 | 3.575 | 0.703 | 0.389 | 2.447 | 4.2% | 92 |
| 2026Q1 | 3.567 | 0.717 | 0.385 | 2.422 | 1.3% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 4-star overall rating.
- CMS reports a 4-star health inspection rating.
- CMS reports a 3-star staffing rating.
- CMS reports a 3-star quality-measure rating.
Trust participation
See something that needs correction?
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
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Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
See where this record came from
Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.