Pavilion of South Shore
Chicago, Illinois · CCN 145939
55 surveys since 2010, 19 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 247
- Surveys
- 55
- Harm or worse
- 19
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 118
- Ownership
- For profit - Corporation
- Chain
- PAVILION HEALTHCARE
- County
- Cook
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 110 for-profit facilities of 100–127 beds in Illinois.
Last survey on record
Jul 2, 2026
130 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.43 | 3.16 |
| Registered-nurse hours per resident day | 0.54 | — |
| Annual nurse turnover | 23.2% | 48.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $105,248 across 3 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J11.9% | K— | L— |
| Actual harm | G47.5% | H— | I— |
| No harm, potential for more than minimal | D3260.4% | E1018.9% | F611.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6846×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5584×
Reasonably accommodate the needs and preferences of each resident.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8803×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Pavilion of South Shore, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Aug 11, 2026
Based on observations, interviews, and records reviewed the facility failed to have effective window safety latches that allow the window to only open 4 inches at maximum and to prevent a resident (R1) with Dementia and at risk for elopement from opening her 3rd floor room window. This failure resulted in R1, a resident with Dementia and at risk for elopement, exiting through her 3rd floor window. Subsequently, staff observed R1 face down on the ground from her room window. R1 was unresponsive, blood from her face and abdomen on the ground when emergency services arrived. Police records document a death investigation.This failure was identified as Immediate Jeopardy which began on [DATE]. […]
- Immediate jeopardy, isolatedF689Jan 12, 2024
Based on interview and record review the facility failed to adequately supervise 1 of 3 residents (R2) reviewed for elopement. This failure resulted in R2 leaving the facility unsupervised through an exit door. R2 was found hours later by the police, taken to the hospital by EMS (Emergency Medical Services), and admitted with a diagnosis of hypothermia. This situation was identified as an immediate jeopardy. The Administrator was notified and presented with the immediate jeopardy template on [DATE] at 11:24 AM. The immediate jeopardy began on [DATE] and removed on [DATE]. The facility presented an acceptable removal plan on [DATE]. […]
- Actual harm, isolatedF584Aug 11, 2026
Based on observation, interview, and record review the facility failed to have effective window safety latches to prevent a resident (R1) with Dementia and at risk for elopement from opening her 3rd floor room window. This failure resulted in R1 exiting through her 3rd floor window. Subsequently, staff observed R1 face down on the ground from her room window. R1 was unresponsive, blood from her face and abdomen on the ground when emergency services arrived. Police records document a death investigation.Findings include:R1's admission date was 6/30/2026. […]
- Actual harm, isolatedF600Sep 30, 2024
Based on interview and record review the facility failed to ensure that one of three residents (R1) was free from abuse. This failure affected R1 who was attacked by another resident R2. As a result, R1 sustained a human bite, had to get a tetanus shot and was treated with antibiotics as a prophylactic for infection. this as the potential to affect all 41-resident residing on the 2nd floor. Findings include: On 09/18/24 at 10:25am, R2 observed in bed. R2 was unable to recollect what happened on 08/14/24. R1 stated I'm fine. At 10:28am, R1 stated that on (08/14/24), R2 was in the room stealing from R1 and R3 drawer. […]
- Actual harm, isolatedF689Sep 30, 2024
Based on interview and record review the facility failed to develop and implement appropriate measures to ensure that adequate supervision is provided to two of three residents (R1 and R2) reviewed for supervision. This failure affected R1 and R2 who had an altercation that resulted in R1 having a human bite. R1 had to get a tetanus shot and was treated with antibiotics as a prophylactic for infection. this has the potential to affect all 41-resident residing on the 2nd floor. […]
Read 37 findings in full →The most serious and the most recent: 37 of 247 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 11, 2026Complaint2 findings · 2 harm
- Apr 23, 2026Standard7 findings
- Mar 13, 2026Complaint1 finding
- May 8, 2025Complaint1 finding
- Feb 24, 2025Complaint2 findings
- Feb 7, 2025Standard12 findings
- Dec 5, 2024Complaint2 findings
- Sep 30, 2024Complaint2 findings · 2 harm
Show the 47 earlier surveys
- Jun 13, 2024Complaint1 finding
- Apr 19, 2024Standard13 findings · 1 harm
- Jan 12, 2024Complaint3 findings · 1 harm
- Nov 16, 2023Complaint2 findings
- Mar 15, 2023Standard13 findings
- Feb 19, 2023Complaint3 findings
- Dec 5, 2022Complaint1 finding
- Jul 28, 2022Complaint1 finding
- Feb 25, 2022Standard4 findings
- Nov 28, 2021Complaint1 finding
- Oct 1, 2021Complaint1 finding · 1 harm
- Jul 30, 2021Complaint1 finding
- Jun 10, 2021Standard11 findings
- Mar 26, 2021Complaint2 findings · 1 harm
- Mar 18, 2021Complaint4 findings
- Oct 27, 2020Complaint1 finding · 1 harm
- Aug 18, 2020Complaint1 finding
- Mar 26, 2020Infection control1 finding
- Mar 4, 2020Standard and complaint11 findings
- Dec 20, 2019Complaint3 findings
- Jun 13, 2019Complaint4 findings
- Feb 28, 2019Standard and complaint11 findings
- Jan 12, 2018Standard3 findings
- Nov 12, 2017Complaint1 finding
- Aug 25, 2017Complaint5 findings
- Jun 19, 2017Complaint2 findings
- May 2, 2017Complaint1 finding
- Mar 16, 2017Standard10 findings
- Oct 18, 2016Complaint1 finding
- Sep 6, 2016Complaint1 finding
- Apr 25, 2016Complaint2 findings
- Feb 25, 2016Standard16 findings
- Jan 29, 2015Standard and complaint4 findings · 1 harm
- Dec 17, 2014Complaint1 finding · 1 harm
- Oct 9, 2014Complaint1 finding
- Aug 27, 2014Complaint2 findings · 1 harm
- Mar 6, 2014Standard9 findings
- Nov 26, 2013—4 findings
- Sep 20, 2013—3 findings
- Jun 28, 2013—2 findings
- Apr 30, 2013—18 findings
- Apr 5, 2013—10 findings · 3 harm
- Apr 19, 2012—9 findings
- Dec 27, 2011—3 findings · 2 harm
- Mar 18, 2011—12 findings
- Dec 15, 2010—2 findings · 2 harm
- Sep 22, 2010—3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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