Sandwich Living & Rehab CenterCMS ratings, inspections and fines
- Address
- 902 East Arnold Street, Sandwich, IL 60548
- CCN
- 146133
- Ownership type
- For-profit, partnership
- Certified beds
- 63
- Chain
- Lineage Healthcare
- Residents per day
- 31
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Sandwich Living & Rehab Center an overall rating of 1 of 5 stars. The last standard survey was on 5 Feb 2026. The latest survey cycle has 3 health citations. The median for nursing homes in Illinois is 11. CMS lists 6 fines with a total of $302,370 for this home in its penalties file. CMS also lists 4 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | DeKalb County median | Illinois median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 2.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 7 homes in the county, 666 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Illinois median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Feb 2026 | 3 | 11 |
| Cycle 2 | 5 Dec 2024 | 18 | 11 |
| Cycle 3 | No date | 36 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jun 2026 |
| 4 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 13 Mar 2026 |
| 5 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 6 Feb 2026 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 May 2025 |
| 18 Apr 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 10 May 2025 |
| 5 Dec 2024 | F0584 | 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. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 31 Jan 2025 |
| 5 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Dec 2024 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Dec 2024 |
| 24 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Oct 2024 |
| 24 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 10 Oct 2024 |
| 24 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Oct 2024 |
| 24 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 10 Oct 2024 |
| 24 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Oct 2024 |
| 5 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Oct 2024 |
| 5 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Aug 2024 |
Survey cycle 3: 36 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Oct 2024 |
| 10 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Oct 2024 |
| 3 Jul 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 23 Jul 2024 |
| 3 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 23 Jul 2024 |
| 3 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 5 Sep 2024 |
| 3 Jul 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Complaint investigation | 23 Jul 2024 |
| 3 Jul 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Complaint investigation | 23 Jul 2024 |
| 3 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 23 Jul 2024 |
| 3 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 5 Sep 2024 |
| 25 Jan 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 16 Feb 2024 |
| 19 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 13 Feb 2024 |
| 19 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 13 Feb 2024 |
| 8 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 3 Jan 2024 |
| 8 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Jan 2024 |
| 8 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 3 Jan 2024 |
| 8 Dec 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | G | Complaint investigation | 3 Jan 2024 |
| 6 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 10 Oct 2023 |
| 6 Oct 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 10 Oct 2023 |
| 6 Oct 2023 | F0584 | 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. | D | Complaint investigation | 10 Oct 2023 |
| 6 Oct 2023 | F0675 | Honor each resident's preferences, choices, values and beliefs. | G | Complaint investigation | 10 Oct 2023 |
| 6 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Dec 2023 |
| 6 Oct 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | Complaint investigation | 10 Oct 2023 |
| 14 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 6 Oct 2023 |
| 14 Sep 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 6 Oct 2023 |
| 14 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 5 Feb 2026 | Fine | $17,345 | |
| 5 Feb 2026 | Payment denial | 14 | |
| 5 Dec 2024 | Fine | $74,159 | |
| 5 Dec 2024 | Payment denial | 35 | |
| 3 Jul 2024 | Fine | $35,438 | |
| 3 Jul 2024 | Fine | $16,801 | |
| 3 Jul 2024 | Payment denial | 75 | |
| 19 Jan 2024 | Fine | $39,998 | |
| 14 Sep 2023 | Fine | $118,629 | |
| 14 Sep 2023 | Payment denial | 64 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Illinois median | Illinois average (CMS) |
|---|---|---|---|
| All nurse staff | 3.34 | 3.30 | 3.45 |
| Registered nurses (RN) | 0.71 | 0.60 | 0.72 |
| Licensed practical nurses (LPN) | 0.58 | 0.64 | |
| Nurse aides | 2.05 | 2.09 | |
| All nurse staff, weekends | 3.07 | 2.90 | 3.08 |
- Nurse staff turnover in a year
- 56.3%
- Nurse staff turnover, Illinois median
- 43.4%
- RN turnover in a year
- 85.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.3% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 2.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.5% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 40.0% | 17.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, partnership
- Legal business name
- Sandwich Living & Rehab Center LLC
- Chain
- Lineage Healthcare (5 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Petlin Holdings LLC | Direct ownership interest | 1 Dec 2024 | |
| Petlin Holdings LLC | Indirect ownership interest | 1 Dec 2024 | |
| Petlin Holdings LLC | Operational/managerial control | 1 Dec 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in DeKalb County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Pavilion on Main Street, The | Sandwich | 3 of 5 | 13 | $93,883 | 27 Aug 2025 | |
| Prairie Crossing Lvg & Rehab | Shabbona | 4 of 5 | 7 | $39,635 | 29 Jan 2026 | |
| Aperion Care Dekalb | Dekalb | 2 of 5 | 15 | $44,190 | 17 Jul 2024 | |
| Oak Crest | Dekalb | 4 of 5 | 3 | $0 | 12 Sep 2024 | |
| Bethany Rehab & HCC | Dekalb | 1 of 5 | 32 | $407,176 | 24 Jul 2024 | |
| Dekalb County Rehab & Nursing | Dekalb | 4 of 5 | 8 | $140,423 | 3 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Illinois Department of Public Health: file a health care complaintThe complaint page of the State Survey Agency for Illinois, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Sandwich Living & Rehab Center (CCN 146133). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/sandwich-living-rehab-center-sandwich-il-146133/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Sandwich Living & Rehab Center last inspected?
- The latest inspection with a citation in the CMS record was on 15 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 5 Dec 2024.
- Who operates Sandwich Living & Rehab Center?
- The CMS record gives the ownership type as for-profit, partnership. CMS lists the home in the chain Lineage Healthcare. The CMS ownership file names Petlin Holdings LLC for operational or managerial control. This site does not show the names of persons.
- Is Sandwich Living & Rehab Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 4 homes in Illinois as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.