All states › Wyoming › Gillette › The Legacy Living and Rehabilitation Center
1000 S Douglas Way Gillette, WY 82716 · Campbell County
CMS certification number 535022 · See this home on Medicare Care Compare
Is The Legacy Living and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Legacy Living and Rehabilitation Center as of October 2026.
CMS has not given it an overall rating yet.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.64 hours per resident per day at The Legacy Living and Rehabilitation Center, above the Wyoming median of 3.57 (US median: 3.72). About 0.96 of those hours are from registered nurses. On weekends it falls to 3.98 hours, 14% below its all-week average. 61.5% of nursing staff left within a year (Wyoming median 52.6%). 2 administrators left in the past year.
About this nursing home
Paying for care at The Legacy Living and Rehabilitation Center: Medicare and Medicaid
The Legacy Living and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Wyoming's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 13, 2026 and found 4 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 33 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 33 citations at The Legacy Living and Rehabilitation Center across 8 inspection dates, 26 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 17, 2025 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (11) and quality of life and care (10). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, January 17, 2025). 11 citations were under CMS's abuse, neglect and exploitation rules.
March 13, 2026 · 6 citations · includes complaint inspection
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide activities to meet all resident's needs.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 11, 2025 · 4 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
April 15, 2025 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 21, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
January 17, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 19, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 23, 2024 · 15 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EHonor 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide and implement an infection prevention and control program.
February 27, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Questions to ask on a tour of The Legacy Living and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on January 17, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 11, 2025. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 45% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $115,597 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 15, 2025 | Fine | $14,505 |
| Jan 17, 2025 | Fine | $14,508 |
| May 23, 2024 | Fine | $78,566 |
| Feb 27, 2024 | Fine | $8,018 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | — | — | — | — |
| August 2026 | — | — | — | — |
Location
Hospitals near The Legacy Living and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.5 mi
Campbell County Memorial Hospital GilletteEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 0m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.