Sand Island is located along the San Juan River. Cottonwood trees line the banks of the river and are scattered throughout the campground, providing shade at many of the sites. The north side of the campground is lined with red sandstone walls.

Sand Island is the primary launch point for multi-day San Juan River float trips. San Juan River trips provide boaters with access to spectacular canyons rich in scenery, geology, archeology, history and wildlife. A river permit is required in advance. The Sand Island Petroglyph Panel site is located on the sandstone walls on the north side of the recreation area. There are many nearby hiking and scenic driving opportuites in the Cedar Mesa area of Bears Ears National Monument.