nursing home in Sandwich, IL

Sandwich Living & Rehab Center

902 East Arnold Street, Sandwich, IL 60548 · (815) 786-8409

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Sandwich Living & Rehab Center at a glance

Sandwich Living & Rehab Center is a 63-bed for-profit nursing home in Sandwich, Illinois (De Kalb County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.

Residents receive about 3.3 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (February 5, 2026) found 3 health citations. The Illinois average is 12.5.

Federal regulators fined it 5 times in the past three years, totaling $183,741.

Nursing staff turnover is 56.3% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Partnership
Beds
63
Certified for
Medicare and Medicaid
Chain / affiliated entity
Lineage Healthcare
Medicare-certified since
April 20, 2009
Resident/family council
Resident
County
De Kalb County
CMS Certification Number
146133

Ratings

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 52.1 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 53.4 / 53.8 / 5Worse

Staffing

This facility3.34 hrsIllinois average3.45 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.34 hrs3.45 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.71 hrs0.72 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)2.05 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.07 hrs3.07 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)56.3%44.5%45.8%Worse
Registered nurse turnover (yearly) (lower is better)85.7%41.8%42.9%Worse
Administrators who left in the past year (lower is better)001Better

Inspections

This facility3Illinois average12U.S. average9
Health citations in the most recent inspection: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)3129Better
Citations from complaint investigations (latest cycle) (lower is better)253Better
Weighted health inspection score ⓘ (lower is better)296.314380.6Worse

Penalties

This facility5Illinois average2U.S. average1
Fines in the past 3 years: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)521Worse
Total fines in the past 3 years (lower is better)$183,741$111,013$30,972Worse
All federal penalties in the past 3 years (lower is better)831Worse

Size

MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Certified beds63128107
Average residents per day319586
Occupancy49.2%75%80.9%

Long-stay residents

This facility2.1%Illinois average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.1%3.1%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.5%4.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)40%21.7%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.7%0.9%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)20.3%13.4%13.9%Worse
Long-stay residents whose walking worsened (lower is better)17.5%14.3%14.1%Worse
Long-stay residents who lose too much weight (lower is better)1.6%6.3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)47.8%54.2%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)32.8%18.3%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)28%20.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)85.2%91.8%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)91.5%90.3%93.6%Average

Short-stay residents

This facility77.8%Illinois average69.7%U.S. average82%
Short-stay residents given a pneumonia vaccine: this facility vs. Illinois and U.S. averages
MeasureThis facilityIllinois avg.U.S. avg.vs. U.S.
Short-stay residents given a pneumonia vaccine (higher is better)77.8%69.7%82%Worse

Inspection citations

State inspectors cited this home for 57 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 13 citations involved actual harm, including 4 rated "immediate jeopardy".

DateCitationSeverityStatus
June 15, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 26, 2026
March 4, 2026
Complaint
Provide 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 Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected March 13, 2026
February 5, 2026
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected March 9, 2026
February 5, 2026
Fire safety
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies · Tag E0026
F
Potential harm, widespread
Corrected March 9, 2026
February 5, 2026
Fire safety
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies · Tag E0022
F
Potential harm, widespread
Corrected March 9, 2026
February 5, 2026
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected March 9, 2026
February 5, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
K
Immediate jeopardy, pattern
Corrected February 6, 2026
April 18, 2025
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected May 10, 2025
April 18, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 10, 2025
December 5, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected December 27, 2024
December 5, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
G
Actual harm, isolated
Corrected January 31, 2025
December 5, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected December 27, 2024
December 5, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected December 27, 2024
December 5, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected December 27, 2024
December 5, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected December 27, 2024
December 5, 2024
Standard
Provide 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 Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected December 27, 2024
December 5, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 27, 2024
December 5, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected December 27, 2024
September 24, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
G
Actual harm, isolated
Corrected October 10, 2024
September 24, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected October 10, 2024
September 24, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected October 10, 2024
September 24, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 10, 2024
September 24, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected October 10, 2024
August 5, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected October 10, 2024
August 5, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected August 16, 2024
July 24, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 10, 2024
July 10, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 10, 2024
July 3, 2024
Complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
J
Immediate jeopardy, isolated
Corrected July 23, 2024
July 3, 2024
Complaint
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.
Nutrition and Dietary Deficiencies · Tag F0803
F
Potential harm, widespread
Corrected July 23, 2024
July 3, 2024
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected July 23, 2024
July 3, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected September 5, 2024
July 3, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
E
Potential harm, pattern
Corrected July 23, 2024
July 3, 2024
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected September 5, 2024
July 3, 2024
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected July 23, 2024
January 25, 2024
Fire safety
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies · Tag E0026
F
Potential harm, widespread
Corrected February 23, 2024
January 25, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
G
Actual harm, isolated
Corrected February 16, 2024
January 25, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected February 16, 2024
January 25, 2024
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected February 16, 2024
January 25, 2024
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected February 16, 2024
January 25, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected February 16, 2024
January 25, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected February 16, 2024
January 25, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected February 16, 2024
January 25, 2024
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected February 16, 2024
January 25, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected February 16, 2024
January 25, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected February 16, 2024
January 25, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected February 16, 2024
January 25, 2024
Standard
Provide 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 Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected February 16, 2024
January 19, 2024
Complaint
Provide 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 Deficiencies · Tag F0690
G
Actual harm, isolated
Corrected February 13, 2024
January 19, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected February 13, 2024
December 8, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected January 3, 2024
December 8, 2023
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected January 3, 2024
December 8, 2023
Complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
G
Actual harm, isolated
Corrected January 3, 2024
December 8, 2023
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected January 3, 2024
October 6, 2023
Complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
G
Actual harm, isolated
Corrected October 10, 2023
October 6, 2023
Complaint
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · Tag F0675
G
Actual harm, isolated
Corrected October 10, 2023
October 6, 2023
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected October 10, 2023
October 6, 2023
Complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Tag F0553
D
Potential harm, isolated
Corrected October 10, 2023
October 6, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 8, 2023
October 6, 2023
Complaint
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected October 10, 2023
September 14, 2023
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
E
Potential harm, pattern
Corrected October 6, 2023
September 14, 2023
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected October 1, 2023
September 14, 2023
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
D
Potential harm, isolated
Corrected October 6, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 8 federal penalties in the past three years, including $183,741 in fines.

DatePenaltyAmount / length
February 5, 2026Payment Denial14 days from February 28, 2026
February 5, 2026Fine$17,345
December 5, 2024Payment Denial35 days from December 27, 2024
December 5, 2024Fine$74,159
July 3, 2024Payment Denial75 days from July 27, 2024
July 3, 2024Fine$35,438
July 3, 2024Fine$16,801
January 19, 2024Fine$39,998

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
AHEARN, MICHAEL
Individual
adp of the snfNOT APPLICABLE12/01/2024
BRAUNSTEIN, EPHRAIM
Individual
adp of the snfNOT APPLICABLE12/01/2024
CLAUSSEN, MARY
Individual
adp of the snfNOT APPLICABLE12/01/2024
DIENA, AHARON
Individual
adp of the snfNOT APPLICABLE12/01/2024
JOHNSON, RICHARD
Individual
adp of the snfNOT APPLICABLE12/01/2024
PETLIN HOLDINGS LLC
Organization
direct ownership interestNOT APPLICABLE12/01/2024
BRAUNSTEIN, EPHRAIM
Individual
indirect ownership interestNOT APPLICABLE12/01/2024
DIENA, AHARON
Individual
indirect ownership interestNOT APPLICABLE12/01/2024
DOMMFT II LLC
Organization
indirect ownership interestNOT APPLICABLE12/01/2024
MARVIN MERMELSTEIN 2020 FAMILY TRUST
Organization
indirect ownership interestNOT APPLICABLE12/01/2024
PETLIN HOLDINGS LLC
Organization
indirect ownership interestNOT APPLICABLE12/01/2024
BRAUNSTEIN, EPHRAIM
Individual
managing control - governing bodyNOT APPLICABLE12/01/2024
DIENA, AHARON
Individual
managing control - governing bodyNOT APPLICABLE12/01/2024
AHEARN, MICHAEL
Individual
operational/managerial controlNOT APPLICABLE12/01/2024
BRAUNSTEIN, EPHRAIM
Individual
operational/managerial controlNOT APPLICABLE12/01/2024
CLAUSSEN, MARY
Individual
operational/managerial controlNOT APPLICABLE12/01/2024
DIENA, AHARON
Individual
operational/managerial controlNOT APPLICABLE12/01/2024
JOHNSON, RICHARD
Individual
operational/managerial controlNOT APPLICABLE12/01/2024
PETLIN HOLDINGS LLC
Organization
operational/managerial controlNOT APPLICABLE12/01/2024

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  4. Pearl of Orchard Valley

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    • Abuse citation
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Frequently asked questions

What is Sandwich Living & Rehab Center's rating?

Sandwich Living & Rehab Center has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.

How many inspection citations did Sandwich Living & Rehab Center receive?

Its most recent standard health inspection found 3 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.

Does Sandwich Living & Rehab Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Sandwich Living & Rehab Center?

It is for profit - partnership and part of Lineage Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Sandwich Living & Rehab Center and how do I contact it?

Sandwich Living & Rehab Center is at 902 East Arnold Street, Sandwich, IL 60548. Phone: (815) 786-8409.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.