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Data / Nursing homes / Illinois / Sandwich Living & Rehab Center

Sandwich Living & Rehab Center, Sandwich, IL: 2 star rating, fined $183,741 across 5 fines and had 3 payment denials

Sandwich Living & Rehab Center in Sandwich, IL is owned by Petlin Holdings LLC, is rated 2 of 5 stars by Medicare, and was fined $183,741 across 5 fines and had 3 payment denials in the three years to October 1, 2026. CMS lists 54 health citations from inspections in that time, the latest survey on June 15, 2026, and 13 of them found actual harm or immediate jeopardy.

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Address
902 East Arnold Street, Sandwich, IL 60548
Overall rating
2 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5
Certified beds
63
Residents per day
33 on average
Ownership type
For profit, partnership
Legal business name
Sandwich Living & Rehab Center LLC
Chain
Lineage Healthcare, 5 facilities
Fines
$183,741 across 5 fines, three years to October 1, 2026
Payment denials
3
Health citations
54, of which 13 with actual harm or immediate jeopardy
Latest survey
June 15, 2026
CMS Certification Number
146133
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 5, 2026Fine$17,345Not listeddata.cms.gov
February 5, 2026Payment denialNot listedFebruary 28, 202614data.cms.gov
December 5, 2024Fine$74,159Not listeddata.cms.gov
December 5, 2024Payment denialNot listedDecember 27, 202435data.cms.gov
July 3, 2024Fine$35,438Not listeddata.cms.gov
July 3, 2024Fine$16,801Not listeddata.cms.gov
July 3, 2024Payment denialNot listedJuly 27, 202475data.cms.gov
January 19, 2024Fine$39,998Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 15, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
March 4, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2026data.cms.gov
February 5, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedFebruary 6, 2026data.cms.gov
April 18, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 10, 2025data.cms.gov
April 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 10, 2025data.cms.gov
December 5, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedJanuary 31, 2025data.cms.gov
December 5, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedDecember 27, 2024data.cms.gov
December 5, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
December 5, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
December 5, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
December 5, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
December 5, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
December 5, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
December 5, 2024F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
September 24, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedOctober 10, 2024data.cms.gov
September 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
September 24, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
September 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
September 24, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
August 5, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 16, 2024data.cms.gov
August 5, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
July 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
July 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
July 3, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.J: isolated, immediate jeopardyCorrectedJuly 23, 2024data.cms.gov
July 3, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
July 3, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 23, 2024data.cms.gov
July 3, 2024F803Ensure 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: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 23, 2024data.cms.gov
July 3, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
July 3, 2024F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 23, 2024data.cms.gov
July 3, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 23, 2024data.cms.gov
January 25, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 25, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 19, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G: isolated, actual harmCorrectedFebruary 13, 2024data.cms.gov
January 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedFebruary 13, 2024data.cms.gov
December 8, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.G: isolated, actual harmCorrectedJanuary 3, 2024data.cms.gov
December 8, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedJanuary 3, 2024data.cms.gov
December 8, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedJanuary 3, 2024data.cms.gov
December 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2024data.cms.gov
October 6, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.G: isolated, actual harmCorrectedOctober 10, 2023data.cms.gov
October 6, 2023F675Honor each resident's preferences, choices, values and beliefs.G: isolated, actual harmCorrectedOctober 10, 2023data.cms.gov
October 6, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2023data.cms.gov
October 6, 2023F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2023data.cms.gov
October 6, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2023data.cms.gov
October 6, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 15 individual or personal trusts (3 owners, 7 managers, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Petlin Holdings LLCDirect ownerNot listedDecember 1, 2024data.cms.gov
Dommft II LLCIndirect ownerNot listedDecember 1, 2024data.cms.gov
Petlin Holdings LLCIndirect ownerNot listedDecember 1, 2024data.cms.gov
Petlin Holdings LLCOperational or managerial controlNot listedDecember 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.