Starfile / Illinois

SANDWICH LIVING & REHAB CENTER

902 EAST ARNOLD STREET, SANDWICH, IL 60548 · CCN 146133

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$285,025

Number of fines

5

Number of penalties

9

Payment denials

4

Inspection citations (77)3 immediate jeopardy10 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-18 · Health · corrected 2025-05-10

   Potential for more than minimal harm

2. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-04-18 · Health · corrected 2025-05-10

   Potential for more than minimal harm

3. DF0584Honor 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.2024-12-05 · Health · corrected 2024-12-27

   Potential for more than minimal harm

4. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-05 · Health · corrected 2024-12-27

   Actual harm

5. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-05 · Health · corrected 2024-12-27

   Potential for more than minimal harm

6. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-12-05 · Health · corrected 2024-12-27

   Potential for more than minimal harm

7. GF0692Provide enough food/fluids to maintain a resident's health.2024-12-05 · Health · corrected 2025-01-31

   Actual harm

8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-05 · Health · corrected 2024-12-27

   Potential for more than minimal harm

9. DF0759Ensure medication error rates are not 5 percent or greater.2024-12-05 · Health · corrected 2024-12-27

   Potential for more than minimal harm

10. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-05 · Health · corrected 2024-12-27

    Potential for more than minimal harm

11. DF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2024-12-27

    Potential for more than minimal harm

12. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-24 · Health · corrected 2024-10-10

    Potential for more than minimal harm

13. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-24 · Health · corrected 2024-10-10

    Actual harm

14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-24 · Health · corrected 2024-10-10

    Potential for more than minimal harm

15. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-24 · Health · corrected 2024-10-10

    Potential for more than minimal harm

16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-24 · Health · corrected 2024-10-10

    Potential for more than minimal harm

17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-05 · Health · corrected 2024-10-10

    Potential for more than minimal harm

18. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-05 · Health · corrected 2024-08-16

    Potential for more than minimal harm

19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-24 · Health · corrected 2024-10-10

    Potential for more than minimal harm

20. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-10 · Health · corrected 2024-10-10

    Potential for more than minimal harm

21. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-07-03 · Health · corrected 2024-07-23

    Potential for more than minimal harm

22. EF0610Respond appropriately to all alleged violations.2024-07-03 · Health · corrected 2024-07-23

    Potential for more than minimal harm

23. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-03 · Health · corrected 2024-09-05

    Potential for more than minimal harm

24. FF0803Ensure 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.2024-07-03 · Health · corrected 2024-07-23

    Potential for more than minimal harm

25. JF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-07-03 · Health · corrected 2024-07-23

    Immediate jeopardy

26. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-03 · Health · corrected 2024-07-23

    Potential for more than minimal harm

27. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-07-03 · Health · corrected 2024-09-05

    Potential for more than minimal harm

28. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

30. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

31. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

32. GF0692Provide enough food/fluids to maintain a resident's health.2024-01-25 · Health · corrected 2024-02-16

    Actual harm

33. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

34. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

35. FF0727Have 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.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

36. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

37. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

38. FF0880Provide and implement an infection prevention and control program.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

39. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-01-25 · Health · corrected 2024-02-16

    Potential for more than minimal harm

40. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-19 · Health · corrected 2024-02-13

    Actual harm

41. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-19 · Health · corrected 2024-02-13

    Actual harm

42. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-08 · Health · corrected 2024-01-03

    Immediate jeopardy

43. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-08 · Health · corrected 2024-01-03

    Potential for more than minimal harm

44. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-08 · Health · corrected 2024-01-03

    Immediate jeopardy

45. GF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-12-08 · Health · corrected 2024-01-03

    Actual harm

46. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-06 · Health · corrected 2023-10-10

    Potential for more than minimal harm

47. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-10-06 · Health · corrected 2023-10-10

    Potential for more than minimal harm

48. DF0584Honor 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.2023-10-06 · Health · corrected 2023-10-10

    Potential for more than minimal harm

49. GF0675Honor each resident's preferences, choices, values and beliefs.2023-10-06 · Health · corrected 2023-10-10

    Actual harm

50. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-06 · Health · corrected 2023-12-08

    Potential for more than minimal harm

51. GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-10-06 · Health · corrected 2023-10-10

    Actual harm

52. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

53. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

54. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-14 · Health · corrected 2023-10-01

    Potential for more than minimal harm

55. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-27 · Health · corrected 2023-08-15

    Potential for more than minimal harm

56. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-06-27 · Health · corrected 2023-07-21

    Potential for more than minimal harm

57. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-27 · Health · corrected 2023-07-21

    Potential for more than minimal harm

58. GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-06-27 · Health · corrected 2023-07-21

    Actual harm

59. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-27 · Health · corrected 2023-07-21

    Potential for more than minimal harm

60. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-06-27 · Health · corrected 2023-08-15

    Potential for more than minimal harm

61. DF0584Honor 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.2023-05-22 · Health · corrected 2023-06-05

    Potential for more than minimal harm

62. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

63. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-02-08 · Health · corrected 2023-02-18

    Potential for minimal harm

64. DF0584Honor 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.2023-02-08 · Health · corrected 2023-02-18

    Potential for more than minimal harm

65. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

66. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

67. FF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2023-02-08 · Health · corrected 2023-02-20

    Potential for more than minimal harm

68. FF0727Have 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.2023-02-08 · Health · corrected 2023-03-01

    Potential for more than minimal harm

69. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

70. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

71. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

72. FF0880Provide and implement an infection prevention and control program.2023-02-08 · Health · corrected 2023-04-05

    Potential for more than minimal harm

73. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

74. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

75. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

76. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-02-08 · Health · corrected 2023-03-10

    Potential for more than minimal harm

77. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-02-08 · Health · corrected 2023-02-25

    Potential for more than minimal harm

Ownership

Other facilities in SANDWICH

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.