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Nursing home report

The Legacy Living and Rehabilitation Center

Gillette, WY · Medicare-certified · 160 beds

Needs attention
Special Focus FacilityGovernment-run
Not yet rated

Overall rating: not rated. This facility is a Special Focus Facility (SFF) with an attention flag, has had $107,579 in fines over the last 24 months, and reported nurse staffing of 4.63 hours per resident per day, above the 4.1 federal benchmark. Recent inspections cited accident hazards/supervision, abuse/neglect protection, and appropriate treatment and care.

Facility ratings

Health inspections

Staffing

4.6333 hrs/resident/day

Quality measures

Last inspection: March 13, 2026Penalties, last 24 months: $107,579special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6333.

Staffing detail

Registered nurses
0.94
Licensed practical nurses
0.77
Nurse aides
2.92
Weekend nursing
4.06

Hours per resident per day.

Total staff turnover: 69%
Registered nurse turnover: 45%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

13.6%Steady

Residents with a fall causing major injury

8.6%Worsening

Residents with pressure ulcers (bedsores)

1.1%Improving

Residents with a urinary tract infection

4.9%Worsening

Residents who lost too much weight

5.8%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

16%Improving

Residents whose ability to walk got worse

11.6%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

15.3%Steady

Short-stay residents newly given an antipsychotic

1.8%Steady

Residents with a long-term catheter

0.9%Worsening

Residents with new or worsening incontinence

28.4%Improving

Residents with depressive symptoms

11.9%Improving

Long-stay residents given the seasonal flu vaccine

90.5%Steady

Long-stay residents given the pneumonia vaccine

96%Improving

Short-stay residents given the seasonal flu vaccine

83.6%Steady

Short-stay residents given the pneumonia vaccine

90.4%Steady

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to provide the appropriate treatment and services for a resident with dementia. Cited May 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $14,505 was recorded.

  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $14,508 was recorded.

  7. PENALTY

    A federal fine of $78,566 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $115,597 in total fines.

  • Federal fine

    Apr 15, 2025

    $14,505
  • Federal fine

    Jan 17, 2025

    $14,508
  • Federal fine

    May 23, 2024

    $78,566
  • Federal fine

    Feb 27, 2024

    $8,018

Operator & ownership

Ownership
Government - Hospital district
Occupancy
75.7 residents on an average day (47% of 160 beds)
Resident voice
Resident council
Medicare history
Certified for 42 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.