Sandwich Living & Rehab Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- High staff turnover (62%)
- High RN turnover (78%)
Bottom 25% in IL · Meets national RN staffing standard · Above recommended total nurse staffing · $285,025 in fines
What this means for your family
While some families report positive experiences with the administrative team and activities, the recurring reports of neglect and safety concerns in memory care are significant red flags. If you consider this facility, you must be prepared to be a highly active advocate for your loved one and should conduct an unannounced visit to inspect the cleanliness and staffing levels yourself.
Google Reviews
Google Reviews
23 reviews on Google“Reviews for Sandwich Living & Rehab Center are highly polarized, with some families praising the staff's kindness and personal attention, while others report severe neglect and poor facility conditions. Critical concerns include reports of residents being left unattended, unsanitary environments, and inadequate equipment. Families considering this facility should be aware of the stark contrast between the positive experiences of some and the distressing accounts of neglect reported by others.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and caring nursing staff
- Helpful administrative leadership
- Home-like atmosphere
- Engaging events for residents
Concerns
- Residents left unattended or neglected (mentioned by 5 reviewers)
- Unsanitary facility conditions (smell of urine, dirty bathrooms) (mentioned by 3 reviewers)
- Inadequate or broken equipment (beds, furniture) (mentioned by 3 reviewers)
- Poor communication and lack of accountability from management (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 25 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed some families have mentioned how friendly and caring the nursing staff is; how does the team ensure that every resident receives that same level of personal attention throughout their shift?
- 2What specific steps is the facility taking to maintain high standards of cleanliness and hygiene in the resident rooms and common bathrooms?
- 3Could you tell me more about the daily activities and engaging events you have planned to keep the residents socially active?
- 4How does the management team handle communication with families to ensure we are always kept in the loop regarding a resident's well-being and any changes in care?
- 5What is the protocol for responding to medical emergencies or sudden changes in health during the overnight hours?
- 6I saw that the administrative leadership is often described as helpful; how does that leadership team address any concerns or maintenance needs, such as repairing furniture or equipment, when they arise?
Personalized based on this facility's data
Key Review Excerpts
“My mother with ALZ was left unattended and unclean only hours being admitted. We were called from the manager 2 hours after returning home to say there was concern she could be injured as she was wondering confused.”
“She was wheelchair bound, was left alone in a room for some amount of time, not belted into the chair and fell, hitting her head. The facility director told us the bills for her ems and ER visit that followed would be covered by the facility. Shockingly no one will call me back.”
“My husband is a patient at Sandwich Rehab. We chose this place so I could visit as often as possible, I live next door. For the most part all staff are caring. Just know you have to be your love ones voice.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
4
measures
10
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed numerous reports leading to 40 complaint-triggered deficiencies, with persistent problems in resident safety, medication management, and nutritional care recurring across multiple surveys. The facility has faced repeated issues with protecting residents from abuse and neglect, accident prevention, medication errors, and proper food service. While the facility corrects cited deficiencies, the pattern of complaints suggests ongoing quality-of-care concerns that warrant careful consideration during any visit.
Mar 4, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Apr 18, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Dec 5, 2024Routine9
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 24, 2024Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 5, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 24, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Payment Denial
Feb 5, 2026
14-day denial
Fine
Dec 5, 2024
$74,159
Payment Denial
Dec 5, 2024
35-day denial
Fine
Jul 3, 2024
$16,801
Fine
Jul 3, 2024
$35,438
Payment Denial
Jul 3, 2024
75-day denial
Fine
Jan 19, 2024
$39,998
Payment Denial
Sep 14, 2023
64-day denial
Fine
Sep 14, 2023
$118,629
Payment Denial
Jun 27, 2023
19-day denial
Ownership & Operations
Who Operates This Facility
Sandwich Living & Rehab Center
for profit
Chain Affiliation
Lineage Healthcare
5 facilities nationwide
Ownership & Management
Owners
Petlin Holdings LLC
Owner · Organization
Dommft II LLC
Owner (parent company) · Organization
Marvin Mermelstein 2020 Family Trust
Owner (parent company) · Organization
Petlin Holdings LLC
Owner (parent company) · Organization
Braunstein, Ephraim
Owner (parent company)
Diena, Aharon
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit sandwichlrc.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.