Nursing HomeInspections

The Legacy Living and Rehabilitation Center

Nursing home in Gillette, WY

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)

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Public-record details

Address
1000 S Douglas Way, Gillette, WY 82716
Phone
(307) 688-7000
Listed under
Government-owned
Medicare CCN
535022
Overall star rating
Not rated by CMS
Certified beds
160
Average residents per day
72
Ownership
Government, hospital district
Legal business name
Campbell County Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 16, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 535022. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 13, 2026. CMS lists 33 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 27, 2024 to Mar 13, 2026): 26 from complaint inspections, 8 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS has placed this facility in its Special Focus Facility program for nursing homes with a persistent record of serious inspection problems; it gets more frequent inspections.

InspectionCitationSeverity
Mar 13, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 13, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 13, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 13, 2026Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Sep 11, 2025Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 11, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Sep 11, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 15, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 15, 2025Protect 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 · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 33. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $115,597 in the last three years.

Apr 15, 2025Fine: $14,505
Jan 17, 2025Fine: $14,508
May 23, 2024Fine: $78,566
Feb 27, 2024Fine: $8,018

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.64 hours
Registered nurse (RN) time per resident per day
0.96 hours
Nurse aide time per resident per day
2.75 hours
Total nurse staffing on weekends
3.98 hours
Nursing staff turnover (yearly)
62%
RN turnover (yearly)
42%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error