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
Nursing home report
SANDWICH LIVING & REHAB CENTER
SANDWICH, IL · Medicare-certified · 63 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
SANDWICH LIVING & REHAB CENTER in Sandwich, IL has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality rating. It also has a recent federal penalty, $126,398 in fines over the last 24 months, and reported nurse staffing of 3.34 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3396 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $126,398recent 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 December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $74,159 was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $35,438 was recorded.
- PENALTY
A federal fine of $16,801 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $285,025 in total fines · 4 payment denials.
- 14 days
Medicare/Medicaid payment denial
Feb 5, 2026
- 35 days
Medicare/Medicaid payment denial
Dec 5, 2024
- $74,159
Federal fine
Dec 5, 2024
- 75 days
Medicare/Medicaid payment denial
Jul 3, 2024
- $35,438
Federal fine
Jul 3, 2024
- $16,801
Federal fine
Jul 3, 2024
- $39,998
Federal fine
Jan 19, 2024
- 64 days
Medicare/Medicaid payment denial
Sep 14, 2023
Operator & ownership
Recent ownership change · Dec 1, 2024
Now operated by Sandwich Living & Rehab Center, previously Sandwich Rehabilitation & Health Care Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LINEAGE HEALTHCARE · 5 homes · 1.4 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.