Pavilion Of Ottawa

Penalties

• Apr 2, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)

Inspection findings

1. Feb 20, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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.

     Corrected Feb 26, 2026 · CMS health inspection

2. Aug 28, 2025 Health · 7 findings
   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Sep 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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.

     Corrected Sep 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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.

     Corrected Sep 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Sep 9, 2025 · CMS health inspection

   • Not serious Scope/severity E

     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.

     Corrected Sep 9, 2025 · CMS health inspection

   • Not serious Scope/severity F

     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.

     Corrected Sep 9, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 9, 2025 · CMS health inspection

3. Apr 2, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     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.

     Corrected Apr 14, 2025 · CMS health inspection

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), 300.1210c), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

4. Oct 24, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Nov 13, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Nov 13, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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.

     Corrected Nov 13, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0225 Egress Deficiencies

     Have stairways and smokeproof enclosures used as exits that meet safety requirements.

     Corrected Nov 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Nov 15, 2024 · CMS fire safety

5. Sep 29, 2023 Health · 9 findings
   • Not serious Scope/severity E

     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.

     Corrected Oct 11, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Oct 11, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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.

     Corrected Oct 11, 2023 · CMS health inspection

   • Not serious Scope/severity F

     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.

     Corrected Oct 10, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected Oct 11, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Oct 11, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Oct 10, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Oct 12, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Oct 11, 2023 · CMS fire safety

6. Apr 14, 2022 Fire Safety · 2 findings
   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected May 6, 2022 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected May 3, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• AARON, JONATHAN — operational/managerial control, NOT APPLICABLE, since 12/19/2022
• AARON, JONATHAN — managing control - governing body, NOT APPLICABLE, since 12/19/2022
• GOLDSTEIN, SHIMON — direct ownership interest, NOT APPLICABLE, since 07/01/2023
• GRAF, MARCELLA — direct ownership interest, NOT APPLICABLE, since 12/19/2022
• GRAF, MARCELLA — operational/managerial control, NOT APPLICABLE, since 12/19/2022
• GROSS, SHOSHANA — direct ownership interest, NOT APPLICABLE, since 07/01/2023
• KROLL, GABRIEL — direct ownership interest, NOT APPLICABLE, since 07/01/2023
• PROCTOR, KATHERINE — direct ownership interest, NOT APPLICABLE, since 07/01/2023
• RIPSTEIN, KENNETH — direct ownership interest, NOT APPLICABLE, since 07/01/2023
• ROBIN, JASON — adp of the snf, NOT APPLICABLE, since 07/01/2023
• ROBIN, JASON — operational/managerial control, NOT APPLICABLE, since 07/01/2023
• STERN, TODD — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/24/2025
• WETZEL, LAUREN — adp of the snf, NOT APPLICABLE, since 07/01/2023
• WETZEL, LAUREN — operational/managerial control, NOT APPLICABLE, since 07/01/2023
• EMST LLC — direct ownership interest, NOT APPLICABLE, since 07/01/2023
• ILANA D AARON TRUST C/U MAURICE AARON 2014 FAMILY GIFT TRUST — 5% or greater direct ownership interest, 12%, since 12/19/2022
• ILANA D AARON TRUST C/U MAURICE AARON 2014 LEGACY GIFT TRUST — 5% or greater direct ownership interest, 9%, since 12/19/2022
• JONATHAN H AARON REVOCABLE TRUST — direct ownership interest, NOT APPLICABLE, since 07/01/2023