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The Legacy Living and Rehabilitation Center

All states › Wyoming › Gillette › The Legacy Living and Rehabilitation Center

1000 S Douglas Way Gillette, WY 82716 · Campbell County

(307) 688-7000

Special Focus Facility Accepts Medicare Accepts Medicaid 160 certified beds Government

CMS certification number 535022 · See this home on Medicare Care Compare

Special Focus Facility CMS lists this nursing home as a Special Focus Facility: homes "included in a special program to stimulate improvements in their quality of care" because of a persistent record of serious problems. Shown as of October 2026. About the program (CMS).

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 33 citations in the last three years. CMS imposed 4 penalties, including $115,597 in fines, in that time. CMS lists it as a Special Focus Facility.

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.

Nursing care per resident per day 4.64 hours
Above the Wyoming median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.96 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.98 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 42.1% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds160
Residents per day 72 About 45% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceJune 1984
Legal business nameCAMPBELL COUNTY HOSPITAL DISTRICT

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

EProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0744 · Deficient, Provider has date of correction (Apr 30, 2026)

DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0627 · Complaint inspection · Deficient, Provider has date of correction (Apr 9, 2026)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Apr 13, 2026)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Apr 13, 2026)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 30, 2026)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Oct 16, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Oct 2, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Oct 16, 2025)

DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0744 · Deficient, Provider has date of correction (Oct 1, 2025)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Apr 8, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Apr 8, 2025)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Feb 21, 2025)

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.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Jan 13, 2025)

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jan 13, 2025)

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Feb 13, 2025)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Jun 18, 2024)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

GProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Actual harm · Quality of Life and Care Deficiencies · Tag F0744 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

EEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0576 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Jun 17, 2024)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Feb 15, 2024)

Questions to ask on a tour of The Legacy Living and Rehabilitation Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on September 11, 2025. How are staff trained, and how are concerns reported?
  3. Several administrators left in the past year. What has changed for residents since then?
  4. The home averages about 45% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Crook County Medical Services District Long Term Care Sundance · 55.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 32 beds · Medicaid
Amie Holt Care Center Buffalo · 60.5 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 50 beds · Medicaid
Wyoming Veterans' Skilled Nursing Facility Buffalo · 61.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 36 beds · Medicaid
Weston County Health Services Newcastle · 71.2 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 58 beds · Medicaid
Big Horn Rehabilitation and Care Center Sheridan · 80.0 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 128 beds · Medicaid

More nursing homes near The Legacy Living and Rehabilitation Center ›   All nursing homes in Gillette ›

Compare The Legacy Living and Rehabilitation Center with the 3 closest homes side by side ›

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.

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https://www.nursinghomesineachstate.com/wyoming/gillette/the-legacy-living-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.