Pavilion on Main Street, the
Sandwich · 0.7 mi · 113 beds
Citations0Substantiated0
Sandwich Living & Rehab Center
902 EAST ARNOLD STREET, Sandwich, IL, 60548
Nursing home63 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 10 deficiencies against Sandwich Living & Rehab Center in Sandwich, Illinois at its most recent standard inspection on 2024-12-05, 1 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 5 times, totalling $285,025. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
63certified beds
10deficiencies at the last inspection
3immediate-jeopardy findings on record
9actual-harm findings on record
5federal fines, $285,025
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.3
Actual harmA resident was harmed, but not placed in immediate danger.9
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.58
Potential for minimal harmThe least serious band.1
Most recentDDDGGDDDDDDDGDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2026-03-04 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-04-18 · from a complaint · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2025-04-18 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-12-05 · standard survey · Actual harm to a resident
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2024-12-05 · standard survey · Actual harm to a resident
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.
Resident Rights Deficiencies · F0584 · 2024-12-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-12-05 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2024-12-05 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-12-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2024-12-05 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2024-12-05 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-12-05 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-09-24 · from a complaint · Actual harm to a resident
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2024-09-24 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-09-24 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-09-24 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-09-24 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-08-05 · from a complaint · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2024-08-05 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-07-24 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.33955
Nursing staff turnoverShare of nursing staff who left in a year56.3%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS5
Total fined$285,025
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one9
Ownership
Who owns Sandwich Living & Rehab Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PETLIN HOLDINGS LLC | Organization | NOT APPLICABLE | since 12/01/2024 |
| DOMMFT II LLC | Organization | NOT APPLICABLE | since 12/01/2024 |
| MARVIN MERMELSTEIN 2020 FAMILY TRUST | Organization | NOT APPLICABLE | since 12/01/2024 |
| PETLIN HOLDINGS LLC | Organization | NOT APPLICABLE | since 12/01/2024 |
| BRAUNSTEIN, EPHRAIM | Individual | NOT APPLICABLE | since 12/01/2024 |
| DIENA, AHARON | Individual | NOT APPLICABLE | since 12/01/2024 |
| BRAUNSTEIN, EPHRAIM | Individual | NOT APPLICABLE | since 12/01/2024 |
| DIENA, AHARON | Individual | NOT APPLICABLE | since 12/01/2024 |
| PETLIN HOLDINGS LLC | Organization | NOT APPLICABLE | since 12/01/2024 |
| AHEARN, MICHAEL | Individual | NOT APPLICABLE | since 12/01/2024 |
| BRAUNSTEIN, EPHRAIM | Individual | NOT APPLICABLE | since 12/01/2024 |
| CLAUSSEN, MARY | Individual | NOT APPLICABLE | since 12/01/2024 |
Part of the LINEAGE HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Sandwich Living & Rehab Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 146133.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction