nursing home in Gillette, WY
The Legacy Living and Rehabilitation Center
1000 S Douglas Way, Gillette, WY 82716 · (307) 688-7000
Not rated
Not rated
CMS overall star rating
CMS overall star rating
- Health inspectionsNot rated
- StaffingNot rated
- Quality measuresNot rated
- Special Focus Facility
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Legacy Living and Rehabilitation Center at a glance
The Legacy Living and Rehabilitation Center is a 160-bed government nursing home in Gillette, Wyoming (Campbell County).
CMS has not published a overall star rating for this nursing home, usually because it has too little recent data.
Residents receive about 4.6 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (March 13, 2026) found 6 health citations. The Wyoming average is 7.8.
Federal regulators fined it 4 times in the past three years, totaling $115,597.
Nursing staff turnover is 70.5% per year (state average 51.8%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 160
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 16, 1984
- Resident/family council
- Resident
- County
- Campbell County
- CMS Certification Number
- 535022
Staffing
| Measure | This facility | Wyoming avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.59 hrs | 3.87 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.90 hrs | 0.94 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.76 hrs | 2.43 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.92 hrs | 3.37 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 70.5% | 51.8% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 47.8% | 44.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 3 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wyoming avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 8 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 100 | 66.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Wyoming avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $115,597 | $28,128 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | Wyoming avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 160 | 82 | 107 | |
| Average residents per day | 72 | 56 | 86 | |
| Occupancy | 44.7% | 70.7% | 80.9% |
Long-stay residents
| Measure | This facility | Wyoming avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.3% | 4.7% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0.6% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14% | 21.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.2% | 3.1% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.3% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 15.7% | 16.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.3% | 15.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.2% | 5.9% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 11% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.3% | 15.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 28.6% | 22.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90.5% | 94.3% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 94.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Wyoming avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a flu vaccine (higher is better) | 83.6% | 77% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.6% | 77% | 82% | Better |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 26 fire safety deficiencies in the inspection records CMS currently publishes. 8 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 13, 2026 Fire safety | Ensure that smoke control systems are tested and documented in accordance with established engineering principles. Miscellaneous Deficiencies · Tag K0771 | F Potential harm, widespread | Corrected April 15, 2026 |
| March 13, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected April 8, 2026 |
| March 13, 2026 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | E Potential harm, pattern | Corrected March 31, 2026 |
| March 13, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 6, 2026 |
| March 13, 2026 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | D Potential harm, isolated | Corrected April 8, 2026 |
| March 13, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected March 12, 2026 |
| March 13, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected April 9, 2026 |
| March 13, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 18, 2026 |
| March 13, 2026 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected April 9, 2026 |
| March 13, 2026 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | E Potential harm, pattern | Corrected April 30, 2026 |
| March 13, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected April 9, 2026 |
| March 13, 2026 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected April 9, 2026 |
| March 13, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 30, 2026 |
| March 13, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected April 13, 2026 |
| March 13, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected April 13, 2026 |
| September 11, 2025 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected September 18, 2025 |
| September 11, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 15, 2025 |
| September 11, 2025 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | F Potential harm, widespread | Corrected October 6, 2025 |
| September 11, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected October 26, 2025 |
| September 11, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected October 6, 2025 |
| September 11, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected October 9, 2025 |
| September 11, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected November 26, 2025 |
| September 11, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected October 17, 2025 |
| September 11, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 11, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected October 26, 2025 |
| September 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected October 26, 2025 |
| September 11, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected October 26, 2025 |
| September 11, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected October 2, 2025 |
| September 11, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected September 18, 2025 |
| September 11, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 2, 2025 |
| September 11, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 11, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 16, 2025 |
| September 11, 2025 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected October 1, 2025 |
| April 15, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected April 8, 2025 |
| April 15, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 8, 2025 |
| February 21, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 21, 2025 |
| January 17, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected January 13, 2025 |
| January 17, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected January 13, 2025 |
| January 17, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected February 13, 2025 |
| June 19, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected June 18, 2024 |
| May 23, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected August 7, 2024 |
| May 23, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | G Actual harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Honor 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 23, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 17, 2024 |
| February 27, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected February 15, 2024 |
| September 22, 2023 Complaint | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected November 6, 2023 |
| September 22, 2023 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected November 6, 2023 |
| September 22, 2023 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected November 6, 2023 |
| September 22, 2023 Complaint | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800 | E Potential harm, pattern | Corrected November 6, 2023 |
| September 22, 2023 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected November 6, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $115,597 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 15, 2025 | Fine | $14,505 |
| January 17, 2025 | Fine | $14,508 |
| May 23, 2024 | Fine | $78,566 |
| February 27, 2024 | Fine | $8,018 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ALEXANDER, HOLLIE Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| PATEL, KIRTIKUMAR Individual | adp of the snf | NOT APPLICABLE | 10/13/2020 |
| POPP, DOUGLAS Individual | corporate officer | NOT APPLICABLE | 03/20/2023 |
| SHAHAN, MATTHEW Individual | corporate officer | NOT APPLICABLE | 05/16/2022 |
| BIGGS, ANGELA Individual | managing control - governing body | NOT APPLICABLE | 11/22/2024 |
| HARTSAW, SARA Individual | managing control - governing body | NOT APPLICABLE | 12/09/2022 |
| HITE, RANDAL Individual | managing control - governing body | NOT APPLICABLE | 10/26/2020 |
| MANSELL, JOHN Individual | managing control - governing body | NOT APPLICABLE | 10/29/2022 |
| MURPHY, TOM Individual | managing control - governing body | NOT APPLICABLE | 11/01/2020 |
| RICE, JOHN Individual | managing control - governing body | NOT APPLICABLE | 10/29/2022 |
| STUBER, ALAN Individual | managing control - governing body | NOT APPLICABLE | 11/01/2018 |
| ALEXANDER, HOLLIE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| PATEL, KIRTIKUMAR Individual | operational/managerial control | NOT APPLICABLE | 10/13/2020 |
| POPP, DOUGLAS Individual | operational/managerial control | NOT APPLICABLE | 03/20/2023 |
| SHAHAN, MATTHEW Individual | operational/managerial control | NOT APPLICABLE | 05/16/2022 |
Frequently asked questions
What is The Legacy Living and Rehabilitation Center's rating?
CMS has not published a star rating for The Legacy Living and Rehabilitation Center. This usually means there is not enough recent data.
How many inspection citations did The Legacy Living and Rehabilitation Center receive?
Its most recent standard health inspection found 6 citations, compared with a Wyoming average of 7.8. Every citation is listed on this page with its severity.
Does The Legacy Living and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Legacy Living and Rehabilitation Center?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Legacy Living and Rehabilitation Center and how do I contact it?
The Legacy Living and Rehabilitation Center is at 1000 S Douglas Way, Gillette, WY 82716. Phone: (307) 688-7000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.