Sandwich Living & Rehab Center
902 East Arnold Street, Sandwich, IL 60548
Sandwich Living & Rehab Center is a nursing home in Sandwich, Illinois. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionFebruary 5, 2026 (9 months ago)
- Health citations since October 6, 202354 (Illinois average 38)
- Fines in the past three years5, $183,741 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.9 to 3.3 hours per resident per day.
Health inspection on June 15, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 26, 2026.
CMS has cited this home for F0689 7 times since 2023.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Ownership
CMS lists this home under a new chain.
Staffing
Total nurse staffing reported to CMS went from 4.4 to 3.9 hours per resident per day.
Health inspection on March 4, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on March 13, 2026.
CMS has cited this home for F0690 4 times since 2024.
February 28, 2026
Payment stoppedCMS stopped payment for new admissions from February 28, 2026, for 14 days.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on February 5, 2026
1 citationCMS lists this as a standard inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
80 of 664 Illinois homes (12%) got a citation at the immediate jeopardy level in 2026.
CMS fine of $17,345 on February 5, 2026.
Show the 1 citation
Citation F0689. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 6, 2026.
Fire safety inspection on February 5, 2026
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation E0006. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
CMS lists it as corrected on March 9, 2026.
Citation E0015. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Address subsistence needs for staff and patients.
CMS lists it as corrected on March 9, 2026.
Citation E0022. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish policies and procedures for sheltering.
CMS lists it as corrected on March 9, 2026.
Citation E0026. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on March 9, 2026.
CMS has cited this home for E0026 2 times since 2024.
CMS update of November 20, 2025
CMS abuse icon
CMS removed its abuse icon from this home.
Name
CMS lists a new legal business name for this home.
Health citation
CMS changed citation F0921 from severity D to E. It is from the health inspection on July 3, 2024. Severity E: potential for more than minimal harm, pattern.
Fire safety citation
CMS removed citation K0321 from the fire safety inspection on December 17, 2024.
Fire safety citation
CMS removed citation K0324 from the fire safety inspection on December 17, 2024.
Fire safety citation
CMS removed citation K0351 from the fire safety inspection on December 17, 2024.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on December 17, 2024.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on December 17, 2024.
Fire safety citation
CMS removed citation K0920 from the fire safety inspection on December 17, 2024.
Fine
CMS changed the fine from September 14, 2023 from $182,505 to $118,629.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Ownership
CMS no longer lists a chain for this home.
Fine
CMS changed the fine from December 5, 2024 from $114,091 to $74,159.
CMS update of June 25, 2025
Fine
CMS changed the fine from December 5, 2024 from $134,225 to $114,091.
CMS update of May 28, 2025
Name
CMS lists a new legal business name for this home.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on April 18, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 10, 2025.
Citation F0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on May 10, 2025.
CMS has cited this home for F0921 2 times since 2024.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Name
CMS lists a new name for this home. It was SANDWICH REHAB & HCC.
Fine
CMS changed the fine from July 3, 2024 from $25,847 to $16,801.
Fine
CMS changed the fine from July 3, 2024 from $54,520 to $35,438.
December 27, 2024
Payment stoppedCMS stopped payment for new admissions from December 27, 2024, for 35 days.
Health inspection on December 5, 2024
9 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
383 of 664 Illinois homes (58%) got a citation at the actual harm level in 2024.
CMS fine of $74,159 on December 5, 2024.
Show the 9 citations
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on December 27, 2024.
CMS has cited this home for F0686 4 times since 2024.
Citation F0692. Severity G: actual harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on January 31, 2025.
CMS has cited this home for F0692 2 times since 2024.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 27, 2024.
CMS has cited this home for F0584 2 times since 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 27, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on December 27, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on December 27, 2024.
CMS has cited this home for F0755 3 times since 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on December 27, 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on December 27, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 27, 2024.
CMS has cited this home for F0880 2 times since 2024.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.6 to 3.2 hours per resident per day.
CMS update of September 26, 2024
Fine
CMS changed the fine from January 19, 2024 from $61,535 to $39,998.
Health inspection on September 24, 2024
5 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
383 of 664 Illinois homes (58%) got a citation at the actual harm level in 2024.
Show the 5 citations
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on October 10, 2024.
CMS has cited this home for F0600 3 times since 2023.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on October 10, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 10, 2024.
CMS has cited this home for F0684 5 times since 2023.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on October 10, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 10, 2024.
CMS update of August 29, 2024
Fine
CMS changed the fine from February 8, 2023 from $6,859 to $6,999.
Health inspection on August 5, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on October 10, 2024.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on August 16, 2024.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
July 27, 2024
Payment stoppedCMS stopped payment for new admissions from July 27, 2024, for 75 days.
Health inspection on July 24, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 10, 2024.
Health inspection on July 10, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 10, 2024.
Health inspection on July 3, 2024
7 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 664 Illinois homes (19%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $16,801 on July 3, 2024.
CMS fine of $35,438 on July 3, 2024.
Show the 7 citations
Citation F0805. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS lists it as corrected on July 23, 2024.
Citation F0803. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on July 23, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 23, 2024.
CMS has cited this home for F0812 2 times since 2024.
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on July 23, 2024.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on September 5, 2024.
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on September 5, 2024.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on July 23, 2024.
CMS update of June 26, 2024
Fine
CMS changed the fine from February 8, 2023 from $6,500 to $6,859.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Fire safety citation
CMS removed citation K0781 from the fire safety inspection on February 2, 2024.
CMS update of February 29, 2024
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of January 31, 2024
Fine
CMS changed the fine from February 8, 2023 from $10,000 to $6,500.
Health inspection on January 25, 2024
12 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
383 of 664 Illinois homes (58%) got a citation at the actual harm level in 2024.
Show the 12 citations
Citation F0692. Severity G: actual harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on February 16, 2024.
Citation F0725. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on February 16, 2024.
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on February 16, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 16, 2024.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 16, 2024.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on February 16, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on February 16, 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on February 16, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on February 16, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on February 16, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on February 16, 2024.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on February 16, 2024.
Fire safety inspection on January 25, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation E0026. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on February 23, 2024.
Health inspection on January 19, 2024
2 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
383 of 664 Illinois homes (58%) got a citation at the actual harm level in 2024.
CMS fine of $39,998 on January 19, 2024.
Show the 2 citations
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on February 13, 2024.
Citation F0690. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on February 13, 2024.
Health inspection on December 8, 2023
4 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
46 of 664 Illinois homes (7%) got a citation at the immediate jeopardy level in 2023.
Show the 4 citations
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on January 3, 2024.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 3, 2024.
Citation F0835. Severity G: actual harm, isolated.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on January 3, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 3, 2024.
Health inspection on October 6, 2023
6 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
212 of 664 Illinois homes (32%) got a citation at the actual harm level in 2023.
Show the 6 citations
Citation F0675. Severity G: actual harm, isolated.
The rule CMS cited:
Honor each resident's preferences, choices, values and beliefs.
CMS lists it as corrected on October 10, 2023.
Citation F0745. Severity G: actual harm, isolated.
The rule CMS cited:
Provide medically-related social services to help each resident achieve the highest possible quality of life.
CMS lists it as corrected on October 10, 2023.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on October 10, 2023.
Citation F0553. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on October 10, 2023.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 10, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 8, 2023.
CMS star ratings
- 2 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (815) 786-8409
- Last standard health inspection
- February 5, 2026 (9 months ago)
- Certified beds
- 63
- Residents per day, on average
- 33
- Ownership type
- For profit - Partnership
- Legal business name
- Sandwich Living & Rehab Center LLC
- Chain
- Lineage Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Illinois average (54 vs 38).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PETLIN HOLDINGS LLCDirect ownership interest · not applicable · since 12/01/2024
- DOMMFT II LLCIndirect ownership interest · not applicable · since 12/01/2024
- MARVIN MERMELSTEIN 2020 FAMILY TRUSTIndirect ownership interest · not applicable · since 12/01/2024
- PETLIN HOLDINGS LLCIndirect ownership interest · not applicable · since 12/01/2024
- BRAUNSTEIN, EPHRAIMIndirect ownership interest · not applicable · since 12/01/2024
Show 7 more
- DIENA, AHARONIndirect ownership interest · not applicable · since 12/01/2024
- PETLIN HOLDINGS LLCOperational/managerial control · not applicable · since 12/01/2024
- AHEARN, MICHAELOperational/managerial control · not applicable · since 12/01/2024
- BRAUNSTEIN, EPHRAIMOperational/managerial control · not applicable · since 12/01/2024
- CLAUSSEN, MARYOperational/managerial control · not applicable · since 12/01/2024
- DIENA, AHARONOperational/managerial control · not applicable · since 12/01/2024
- JOHNSON, RICHARDOperational/managerial control · not applicable · since 12/01/2024
Questions
When was Sandwich Living & Rehab Center last inspected?
CMS lists February 5, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Sandwich Living & Rehab Center have?
CMS lists 54 health citations since October 6, 2023. CMS also calls these deficiencies.
Has Sandwich Living & Rehab Center been fined?
CMS lists 5 fines in the past three years, $183,741 in total.
What is the CMS star rating of Sandwich Living & Rehab Center?
Its CMS overall star rating is 2 of 5.
Is Sandwich Living & Rehab Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.