The Legacy Living and Rehabilitation Center

1000 S Douglas Way, Gillette, WY 82716 · CCN 535022 · 160 certified beds · Data as of 2026-07-01

CMS overallnot ratedCMS inspectionsnot ratedCMS staffingnot ratedCMS qualitynot rated

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

Serious inspection findings

2025-04-15 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-01-17 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-01-17 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-01-17 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-06-19 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-23 ACTUAL HARM (tag F0744, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
2024-05-23 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-02-27 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

4.00

state median 3.18

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.46

registered nurses only

Contract (agency) staff

26%

share of all nursing hours

Nursing staff turnover

71%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $115,597 in fines.

DateTypeAmount
2025-04-15Fine$14,505
2025-01-17Fine$14,508
2024-05-23Fine$78,566
2024-02-27Fine$8,018

Ownership

Ownership type: Government - Hospital district.

Full citation history

By severity: Actual harm: 6 · Potential for more than minimal harm: 30 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2026-03-13F0627Resident Rights DeficienciesDnot recorded
2026-03-13F0628Resident Rights DeficienciesEnot recorded
2026-03-13F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-13F0679Quality of Life and Care DeficienciesDnot recorded
2026-03-13F0689Quality of Life and Care DeficienciesDnot recorded
2026-03-13F0744Quality of Life and Care DeficienciesEnot recorded
2025-09-11F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-11F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-11F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-11F0744Quality of Life and Care DeficienciesDnot recorded
2025-04-15F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2025-04-15F0689Quality of Life and Care DeficienciesDnot recorded
2025-02-21F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-01-17F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-01-17F0684Quality of Life and Care DeficienciesGnot recorded
2025-01-17F0689Quality of Life and Care DeficienciesJnot recorded
2024-06-19F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-05-23F0576Resident Rights DeficienciesEnot recorded
2024-05-23F0584Resident Rights DeficienciesEnot recorded
2024-05-23F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-05-23F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-05-23F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-05-23F0623Resident Rights DeficienciesDnot recorded
2024-05-23F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-23F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-23F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-23F0689Quality of Life and Care DeficienciesDnot recorded
2024-05-23F0690Quality of Life and Care DeficienciesDnot recorded
2024-05-23F0744Quality of Life and Care DeficienciesGnot recorded
2024-05-23F0804Nutrition and Dietary DeficienciesEnot recorded
2024-05-23F0812Nutrition and Dietary DeficienciesFnot recorded
2024-05-23F0880Infection Control DeficienciesDnot recorded
2024-02-27F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2023-09-22F0585Resident Rights DeficienciesEnot recorded
2023-09-22F0800Nutrition and Dietary DeficienciesEnot recorded
2023-09-22F0802Nutrition and Dietary DeficienciesFnot recorded
2023-09-22F0804Nutrition and Dietary DeficienciesEnot recorded
2023-09-22F0806Nutrition and Dietary DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “The Legacy Living and Rehabilitation Center, Gillette” at medicare.gov/care-compare.