The Legacy Living and Rehabilitation Center
1000 S Douglas Way, Gillette, WY 82716
The Legacy Living and Rehabilitation Center, a 160-bed government - hospital district nursing facility in Gillette, WY, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing above the national norm. 8 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3076887000
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- N/A
- CMS overall · nat'l 3.0
- 4.59
- Well above average · nurse hrs/day · nat'l 3.86
- 38
- Inspection findings · 8 serious
- $116K
- Federal penalties (4)
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
The Legacy Living and Rehabilitation Center, a 160-bed government - hospital district nursing facility in Gillette, WY, holds no current CMS overall rating - not currently rated against the 3.0-star national average, with nurse staffing above the national norm. 8 inspection findings reached the actual-harm or immediate-jeopardy level.
- N/A
- CMS overall · national 3.0
- 4.59
- Nurse hrs/resident-day · national 3.86
- 38
- Inspection findings · 8 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 36 WY nursing homes split by ownership sector
This facility is recorded as Government - Hospital district. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 535022
- Ownership
- Government - Hospital district
- Provider Type
- Medicare and Medicaid
- Beds
- 160
- Residents
- 72
- In Hospital
- No
- County
- Campbell
- Last Inspection
- Mar 13, 2026
- Special Focus
- SFF
Staffing Data
How the 4.59 total nursing hours per resident-day are staffed:
- RN Hours
- 0.90 (nat'l avg: 0.69)
- LPN Hours
- 0.92
- CNA Hours
- 2.76
- Total Nursing Hours
- 4.59 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 70.5%
- RN Turnover
- 47.8%
What the CMS Record Reveals About The Legacy Living and Rehabilitation Center
The Legacy Living and Rehabilitation Center operates 160 certified beds in Gillette, WY with approximately 72 residents currently in care, and carries a CMS overall rating of no current rating.
The inspection file contains 38 deficiency records from recent surveys, of which 8 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $116K against this provider. Reported nurse staffing runs 4.59 total hours per resident day (national average 3.86); RN hours specifically are 0.90 per resident day. This facility is currently an active CMS Special Focus Facility, a small, published list reserved for providers with a persistent pattern of serious quality problems that puts them under enhanced federal oversight.
Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider, The Legacy Living and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 70.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (38 most recent)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 30, 2026
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 13, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 13, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Category: Resident Rights Deficiencies
Corrected: Apr 9, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 30, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: Apr 9, 2026
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 1, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 16, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 2, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 16, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 8, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 8, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 13, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 13, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 18, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 17, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 17, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 17, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 17, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Jun 17, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 17, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 17, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 17, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Jun 17, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Category: Resident Rights Deficiencies
Corrected: Jun 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 17, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 17, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 17, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 15, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 6, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 6, 2023
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 6, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Nov 6, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 6, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.0% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 11.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.8% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 15.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 90.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 28.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 96.6% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 83.6% | No |
Penalty History 4 penalties totaling $116K
| Date | Type | Amount |
|---|---|---|
| Apr 15, 2025 | Fine | $15K |
| Jan 17, 2025 | Fine | $15K |
| May 23, 2024 | Fine | $79K |
| Feb 27, 2024 | Fine | $8K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for The Legacy Living and Rehabilitation Center, both outside WY so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside WY (160 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside WY (4.98 here).
Nearby Nursing Homes in WY
35 other nursing homes are on record in WY; 6 are shown here.
Amie Holt Care Center
Buffalo, WY
Big Horn Rehabilitation and Care Center
Sheridan, WY
Casper Mountain Rehabilitation and Care Center
Casper, WY
Cody Regional Health Long Term Care Center
Cody, WY
Crook County Medical Services District Long Term C
Sundance, WY
Goshen Healthcare Community
Torrington, WY
Understanding Nursing Home Data
What the CMS records show for The Legacy Living and Rehabilitation Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The WY registry aggregates state averages and the highest-rated homes in this cohort. View WY registry
- Peer homes near 160 beds show how CMS stars vary at a similar scale in WY. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What are the staffing levels at The Legacy Living and Rehabilitation Center?
How many beds does The Legacy Living and Rehabilitation Center have?
Does The Legacy Living and Rehabilitation Center have any deficiencies on record?
Has The Legacy Living and Rehabilitation Center received any fines or penalties?
Who owns The Legacy Living and Rehabilitation Center?
When was The Legacy Living and Rehabilitation Center last inspected?
What quality measures are tracked for The Legacy Living and Rehabilitation Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
