Federal inspection record · CMS data as of October 1, 2026
Sandwich Living & Rehab Center
902 East Arnold Street, Sandwich, IL · (815) 786-8409
- Certified beds
- 63
- Residents per day
- 33
- Ownership
- For-Profit
- Chain
- Lineage Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 20, 2009
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Sandwich Living & Rehab Center carries 290.25 inspection points. That is fewer than 10% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
54 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (13)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
G
Honor each resident's preferences, choices, values and beliefs.
-
G
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Everything else, by area of care
Quality of Life and Care16D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights5D
- D
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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
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.
Pharmacy Service4E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary3F
- F
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental2E
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Assessment and Care Planning2D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services2F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
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.
Inspection history
2026-02-05
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-12-05
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-01-25
40 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (17 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 9 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 9 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$183,741 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-05 | Fine | $17,345 |
| 2026-02-05 | Payment Denial · 14 day denial | $0 |
| 2024-12-05 | Fine | $74,159 |
| 2024-12-05 | Payment Denial · 35 day denial | $0 |
| 2024-07-03 | Fine | $16,801 |
| 2024-07-03 | Fine | $35,438 |
| 2024-07-03 | Payment Denial · 75 day denial | $0 |
| 2024-01-19 | Fine | $39,998 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts better | 99.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts better | 100.0% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8 pts worse | 63.9% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts better | 1.5% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21 pts worse | 39.4% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication21.8 pts worse | 43.5% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts better | 10.3% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts worse | 14.8% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.6% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts worse | 28.4% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 2.2% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.8 pts better | 81.8% | 70.0% | 82.3% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ahearn, Michael | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Ahearn, Michael | Adp Of The SNF · Individual | 0% | 18 facilities |
| Braunstein, Ephraim | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Braunstein, Ephraim | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Braunstein, Ephraim | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Braunstein, Ephraim | Adp Of The SNF · Individual | 0% | 4 facilities |
| Claussen, Mary | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Claussen, Mary | Adp Of The SNF · Individual | 0% | 2 facilities |
| Diena, Aharon | Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Diena, Aharon | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Diena, Aharon | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Diena, Aharon | Adp Of The SNF · Individual | 0% | 5 facilities |
| Dommft Ii LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Johnson, Richard | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Johnson, Richard | Adp Of The SNF · Individual | 0% | 2 facilities |
| Marvin Mermelstein 2020 Family Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Petlin Holdings LLC | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Petlin Holdings LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Petlin Holdings LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Establish roles under a Waiver declared by secretary.
·
Other homes nearby
-
Pavilion On Main Street, The
Sandwich, IL · Pavilion Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 2 min
- Fines
- $52,234
-
Hillside Rehab & Care Center
Yorkville, IL · Helia Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 56 min
- Fines
- $148,991
-
Pearl At The Tillers
Oswego, IL · Pearl Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0