GoodStanding

Nursing home report

SANDWICH LIVING & REHAB CENTER

SANDWICH, IL · Medicare-certified · 63 beds

Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall

SANDWICH LIVING & REHAB CENTER has a 1 out of 5 star overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It has a recent federal penalty, $91,504 in fines over the last 24 months, and reported nurse staffing of 3.34 hours per resident per day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.3396 hrs/resident/day

Quality measures

Last inspection: June 15, 2026Penalties, last 24 months: $91,504recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3396.

Staffing detail

Registered nurses
0.71
Licensed practical nurses
0.58
Nurse aides
2.05
Weekend nursing
3.07

Hours per resident per day.

Total staff turnover: 56%
Registered nurse turnover: 86%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

—40%—

Residents with a fall causing major injury

4.8%0%Improving

Residents with pressure ulcers (bedsores)

7.4%2.8%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

—5%—

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

—20.3%—

Residents whose ability to walk got worse

—17.5%—

Long-stay residents on antianxiety or sleep medication

—35%—

Residents with a long-term catheter

2.6%0%Improving

Residents with new or worsening incontinence

22.9%29.7%Worsening

Residents with depressive symptoms

15%66.7%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—85.2%—

Long-stay residents given the pneumonia vaccine

66.7%100%Improving

Short-stay residents given the pneumonia vaccine

—77.8%—

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to ensure residents received food prepared in a form that met their individual needs. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 805 — 42 CFR §483.60 — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to provide enough food and fluids to keep residents healthy. Cited December 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $17,345 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. PENALTY

    A federal payment denial was recorded.

  8. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  9. PENALTY

    A federal payment denial was recorded.

  10. PENALTY

    A federal fine of $74,159 was recorded.

  11. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  12. PENALTY

    A federal payment denial was recorded.

  13. PENALTY

    A federal fine of $35,438 was recorded.

  14. PENALTY

    A federal fine of $16,801 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $183,741 in total fines · 3 payment denials.

  • Medicare/Medicaid payment denial

    Feb 5, 2026

    14 days
  • Federal fine

    Feb 5, 2026

    $17,345
  • Medicare/Medicaid payment denial

    Dec 5, 2024

    35 days
  • Federal fine

    Dec 5, 2024

    $74,159
  • Medicare/Medicaid payment denial

    Jul 3, 2024

    75 days
  • Federal fine

    Jul 3, 2024

    $35,438
  • Federal fine

    Jul 3, 2024

    $16,801
  • Federal fine

    Jan 19, 2024

    $39,998

Operator & ownership

Recent ownership change · Dec 1, 2024

Now operated by Sandwich Living & Rehab Center, previously Sandwich Rehabilitation & Health Care Center.

Ownership
For profit - Partnership
Chain
Part of LINEAGE HEALTHCARE · 5 homes · 1.6 stars avg
Occupancy
31 residents on an average day (49% of 63 beds)
Resident voice
Resident council
Medicare history
Certified for 17 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.