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.
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- 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
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
| Date | Penalty | Amount |
|---|---|---|
| April 15, 2025 | Fine | $14,505 |
| Jan. 17, 2025 | Fine | $14,508 |
| May 23, 2024 | Fine | $78,566 |
| Feb. 27, 2024 | Fine | $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.
