Begin reading the record

Home › Wyoming

The Legacy Living and Rehabilitation Center, Gillette, Wyoming

38
Citations from health inspectionsWyoming average: 21 a home
8
Residents harmed or put in dangerWyoming average: 2.0 a home
$115,597
Fines from the federal governmentWyoming average: $28,128 a home
No rating given
Overall rating in starsWyoming average: 2.9

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Nine inspection visits produced 38 citations. Residents were in immediate danger in two findings. Residents were found hurt in six cases. Federal fines came to $115,597 (four fines).

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

Are you worried about the way someone was treated at this home?

Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.

Quick Look at the Record

The home's overall star rating
No rating is given while the home stays on the Special Focus list
Rating for health inspections
No rating is given while the home stays on the Special Focus list
Rating for staffing
No rating is given while the home stays on the Special Focus list
Rating for quality of care
No rating is given while the home stays on the Special Focus list
Nurse time for each resident
4.59 hours each dayThe Wyoming average is 3.87 hours
Time from registered nurses
0.90 hours each dayThe Wyoming average is 0.94 hours
Nursing staff who left during one year
70.5%against the Wyoming average of 51.8%
Beds that are certified
160
Ownership
Hospital district (government)
Chain
This home is not part of a chain
Street address
1000 S Douglas Way, Gillette, Wyoming 82716
County
Campbell

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Six citations dated March 13, 2026

  • F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, a pattern, several residents.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
  • F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
  • F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
  • F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Four citations dated Sept. 11, 2025

  • F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, one or a few residents.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
  • F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated April 15, 2025

  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

One citation dated Feb. 21, 2025

  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Jan. 17, 2025

  • F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.

One citation dated June 19, 2024

  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

15 citations dated May 23, 2024

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F744 Proper Dementia Treatment and Services: residents were harmed, one or a few residents, found on a complaint visit.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F576 Private Access to Communication Methods: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated Feb. 27, 2024

  • F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

Five citations dated Sept. 22, 2023

  • F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Payment Denials and Fines

DatePenaltyAmount
April 15, 2025Fine$14,505
Jan. 17, 2025Fine$14,508
May 23, 2024Fine$78,566
Feb. 27, 2024Fine$8,018

Ownership and Management of the Home

The CMS ownership file names no owner or operator for this home.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 535022. Other homes in Wyoming.