Nursing HomeInspections

Sandwich Living & Rehab Center

Nursing home in Sandwich, IL

Medicare & Medicaid certified1★ overall (CMS)

Call (815) 786-8409Send a messageMap ↗

Public-record details

Address
902 East Arnold Street, Sandwich, IL 60548
Phone
(815) 786-8409
Listed under
For-profit
Medicare CCN
146133
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
63
Average residents per day
31
Ownership
For-profit, partnership
Legal business name
Sandwich Living & Rehab Center LLC
Chain
Lineage Healthcare (5 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 20, 2009
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 146133. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 5, 2026. CMS lists 57 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 14, 2023 to Jun 15, 2026): 35 from complaint inspections, 13 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 15, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 4, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
K
Immediate jeopardy, pattern
Apr 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 18, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 5, 2024Honor 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
D
Potential for more than minimal harm, isolated
Dec 5, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 5, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 5, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Dec 5, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Dec 5, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 5, 2024Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 57. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 6 fines totalling $302,370 and 4 denials of Medicare payment for new admissions in the last three years.

Feb 5, 2026Fine: $17,345
Feb 5, 2026Payment denial for 14 days from Feb 28, 2026
Dec 5, 2024Fine: $74,159
Dec 5, 2024Payment denial for 35 days from Dec 27, 2024
Jul 3, 2024Fine: $16,801
Jul 3, 2024Fine: $35,438
Jul 3, 2024Payment denial for 75 days from Jul 27, 2024
Jan 19, 2024Fine: $39,998
Sep 14, 2023Fine: $118,629
Sep 14, 2023Payment denial for 64 days from Oct 31, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.34 hours
Registered nurse (RN) time per resident per day
0.71 hours
Nurse aide time per resident per day
2.05 hours
Total nurse staffing on weekends
3.07 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
86%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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