The Legacy Living and Rehabilitation Center
1000 S Douglas Way, Gillette, WY 82716 · (307) 688-7000
Government - Hospital district · 160 certified beds
Special Focus Facility Medicare doesn't rate this home: “This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.” Special Focus Facilities get a full inspection at least every six months.
The Legacy Living and Rehabilitation Center is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in March 2026, found 6 citations (the Wyoming average is 7.8). It was fined 4 times in the last three years, $115,597 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | Not available |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | Not available |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | Not available |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | Not available |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 13, 2026 found 6 citations. What an inspection citation means
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 13, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.March 13, 2026 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.March 13, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.March 13, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.March 13, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 13, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 26 citations.
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.March 13, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 13, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 11, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 15, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 15, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 21, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 17, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 17, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 17, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 19, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Ensure residents have reasonable access to and privacy in their use of communication methods.May 23, 2024 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 23, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 23, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 23, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 23, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.May 23, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.May 23, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 23, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.May 23, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 23, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 23, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.May 23, 2024 · F0744 · Level of harm: Actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 23, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 23, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.May 23, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 27, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $14,505April 15, 2025
- Fine of $14,508January 17, 2025
- Fine of $78,566May 23, 2024
- Fine of $8,018February 27, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Wyoming average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.59 | 3.87 | 3.86 |
| Registered nurses (RN) | 0.90 | 0.94 | 0.69 |
| Licensed practical nurses (LPN) | 0.92 | 0.50 | 0.86 |
| Nurse aides | 2.76 | 2.43 | 2.32 |
| Total nursing staff turnover | 70.5% | 51.8% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 160 |
| Average residents per day | 71.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Weston County Health Services Newcastle · ★★★★★ 2 out of 5 stars
- Crook County Medical Services District Long Term C Sundance · ★★★★★ 2 out of 5 stars
Nursing homes in Wyoming · Home health agencies in Gillette, WY
Larger cities in Wyoming: Nursing homes in Casper, WY · Nursing homes in Cheyenne, WY · Nursing homes in Sheridan, WY
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Data from Medicare (CMS), updated October 2026, from The Legacy Living and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.