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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
Data as of July 1, 2026
Not yet rated

Not rated overall, with special focus facility status, $29,013 in fines over the last 24 months, and reported nurse staffing above the federal benchmark at 4.59 hours per resident per day versus 4.1. Recent inspection issues included accident hazards/supervision, resident abuse protection, and following treatment and care orders.

Facility ratings

Health inspections

Staffing

4.5856 hrs/resident/day

Quality measures

Last inspection: March 13, 2026Penalties, last 24 months: $29,013special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5856.

Staffing detail

Registered nurses
0.90
Licensed practical nurses
0.92
Nurse aides
2.76
Weekend nursing
3.92

Hours per resident per day.

Total staff turnover: 71%
Registered nurse turnover: 48%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

11.3%15%Worsening

Residents with a fall causing major injury

9.3%9.9%Worsening

Residents with pressure ulcers (bedsores)

0%0%No change

Residents with a urinary tract infection

2.2%0%Improving

Residents who lost too much weight

7.5%4.9%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

13.4%30.6%Worsening

Residents whose ability to walk got worse

9%39.7%Worsening

Long-stay residents on antianxiety or sleep medication

14.9%15.6%Worsening

Residents with a long-term catheter

0%1.5%Worsening

Residents with new or worsening incontinence

24.1%33.8%Worsening

Residents with depressive symptoms

7.4%20%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

90.5%

Long-stay residents given the pneumonia vaccine

95.9%100%Improving

Short-stay residents given the seasonal flu vaccine

83.6%

Short-stay residents given the pneumonia vaccine

96.6%

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
71.5 residents on an average day (45% 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.