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SANDWICH LIVING & REHAB CENTER

Open-data reference.

SANDWICH LIVING & REHAB CENTER is a for profit - limited liability company facility in SANDWICH, IL with 63 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $285K.

902 EAST ARNOLD STREET, SANDWICH, IL 60548

Phone: 8157868409

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
146133
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
63
Residents
24
In Hospital
No
County
De Kalb
Last Inspection
Dec 5, 2024

Staffing Data

RN Hours
1.01 (nat'l avg: 0.68)
LPN Hours
0.69
CNA Hours
2.66
Total Nursing Hours
4.36 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
62.1%
RN Turnover
77.8%

What the CMS Record Reveals About SANDWICH LIVING & REHAB CENTER

SANDWICH LIVING & REHAB CENTER operates 63 certified beds in SANDWICH, IL with approximately 24 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 12 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 5 penalties totaling $285K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.36 total nursing hours per resident day (national average 3.89), with RN coverage at 1.01 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, SANDWICH LIVING & REHAB CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 62.1%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Apr 18, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 10, 2025

D — Isolated - Minimal harm Apr 18, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 10, 2025

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 27, 2024

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 27, 2024

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 27, 2024

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 27, 2024

G — Isolated - Actual harm Dec 5, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 27, 2024

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 27, 2024

G — Isolated - Actual harm Dec 5, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 27, 2024

D — Isolated - Minimal harm Dec 5, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Dec 27, 2024

D — Isolated - Minimal harm Sep 24, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Sep 24, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Sep 24, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

G — Isolated - Actual harm Sep 24, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Sep 24, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Aug 5, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Jul 24, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Jul 10, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2024

E — Pattern - Minimal harm Jul 3, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Sep 5, 2024

F — Widespread - Minimal harm Jul 3, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 23, 2024

J — Isolated - Jeopardy Jul 3, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 23, 2024

F — Widespread - Minimal harm Jul 3, 2024 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 23, 2024

E — Pattern - Minimal harm Jul 3, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 5, 2024

E — Pattern - Minimal harm Jul 3, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 23, 2024

D — Isolated - Minimal harm Jul 3, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 23, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Feb 16, 2024

F — Widespread - Minimal harm Jan 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 16, 2024

F — Widespread - Minimal harm Jan 25, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 16, 2024

F — Widespread - Minimal harm Jan 25, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 16, 2024

F — Widespread - Minimal harm Jan 25, 2024 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

G — Isolated - Actual harm Jan 25, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 16, 2024

G — Isolated - Actual harm Jan 19, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 13, 2024

G — Isolated - Actual harm Jan 19, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 13, 2024

G — Isolated - Actual harm Dec 8, 2023 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Jan 3, 2024

J — Isolated - Jeopardy Dec 8, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 3, 2024

D — Isolated - Minimal harm Dec 8, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 3, 2024

J — Isolated - Jeopardy Dec 8, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 3, 2024

G — Isolated - Actual harm Oct 6, 2023 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2023

D — Isolated - Minimal harm Oct 6, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 8, 2023

G — Isolated - Actual harm Oct 6, 2023 Tag: 0675

Honor each resident's preferences, choices, values and beliefs.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 10, 2023

D — Isolated - Minimal harm Oct 6, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Oct 10, 2023

D — Isolated - Minimal harm Oct 6, 2023 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Oct 10, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 17.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 72.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 51.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 25.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 85.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 9.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.5% Yes

Penalty History 5 penalties totaling $285K

Date Type Amount
Dec 5, 2024 Fine $74K
Dec 5, 2024 Payment Denial -
Jul 3, 2024 Fine $17K
Jul 3, 2024 Fine $35K
Jul 3, 2024 Payment Denial -
Jan 19, 2024 Fine $40K
Sep 14, 2023 Fine $119K
Sep 14, 2023 Payment Denial -
Jun 27, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for SANDWICH LIVING & REHAB CENTER?
SANDWICH LIVING & REHAB CENTER has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (1★).
What are the staffing levels at SANDWICH LIVING & REHAB CENTER?
SANDWICH LIVING & REHAB CENTER reports 4.36 total nursing hours per resident day (national average: 3.89). RN hours are 1.01 per resident day (national average: 0.68). Nursing staff turnover is 62.1%.
How many beds does SANDWICH LIVING & REHAB CENTER have?
SANDWICH LIVING & REHAB CENTER has 63 certified beds with approximately 24 residents. The facility is located at 902 EAST ARNOLD STREET, SANDWICH, IL 60548.
Does SANDWICH LIVING & REHAB CENTER have any deficiencies on record?
Yes, SANDWICH LIVING & REHAB CENTER has 50 deficiencies on record from recent inspections. Of these, 12 are classified as causing actual harm or jeopardy.
Has SANDWICH LIVING & REHAB CENTER received any fines or penalties?
Yes, SANDWICH LIVING & REHAB CENTER has received 5 penalties totaling $285K.
Who owns SANDWICH LIVING & REHAB CENTER?
SANDWICH LIVING & REHAB CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was SANDWICH LIVING & REHAB CENTER last inspected?
The most recent health inspection for SANDWICH LIVING & REHAB CENTER was on Dec 5, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for SANDWICH LIVING & REHAB CENTER?
SANDWICH LIVING & REHAB CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial