Nursing Homes · Medicare certified
The Legacy Living And Rehabilitation Center
1000 S Douglas Way · Gillette, WY 82716 · 160 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
CMS designation
Special Focus Facility (CMS)
CMS lists this nursing home in the Special Focus Facility program. CMS places facilities in this program when they have a history of serious quality issues and require focused oversight. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
2
Cited deficiencies
38
Inspection history (38)
March 13, 2026 · E
Citation F0744Federal surveyors cited this nursing home on 2026-03-13 under CMS tag F0744 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-13.GOVMarch 13, 2026 · D
Citation F0679Federal surveyors cited this nursing home on 2026-03-13 under CMS tag F0679 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2026-04-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-13.GOVMarch 13, 2026 · E
Citation F0628Federal surveyors cited this nursing home on 2026-03-13 under CMS tag F0628 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2026-04-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-13.GOVMarch 13, 2026 · D
Citation F0689Federal surveyors cited this nursing home on 2026-03-13 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-13.GOVMarch 13, 2026 · D
Citation F0644Federal surveyors cited this nursing home on 2026-03-13 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2026-04-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-13.GOVMarch 13, 2026 · D
Citation F0627Federal surveyors cited this nursing home on 2026-03-13 under CMS tag F0627 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. The deficiency was recorded as corrected on 2026-04-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-13.GOVSeptember 11, 2025 · D
Citation F0610Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-10-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOVSeptember 11, 2025 · D
Citation F0600Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-10-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOVSeptember 11, 2025 · D
Citation F0609Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-10-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOVSeptember 11, 2025 · D
Citation F0744Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0744 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOVApril 15, 2025 · G
Citation F0600Federal surveyors cited this nursing home on 2025-04-15 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-15.GOVApril 15, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-04-15 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-15.GOVFebruary 21, 2025 · D
Citation F0609Federal surveyors cited this nursing home on 2025-02-21 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-02-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-21.GOVJanuary 17, 2025 · J
Citation F0600Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-01-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOVJanuary 17, 2025 · G
Citation F0684Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-02-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOVJanuary 17, 2025 · J
Citation F0689Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-01-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOVJune 19, 2024 · G
Citation F0600Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-19.GOVMay 23, 2024 · E
Citation F0804Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0576Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0576 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure residents have reasonable access to and privacy in their use of communication methods. The deficiency was recorded as corrected on 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0610Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV
Penalties
Total fines on file: $115,597
Staffing
Latest: 4.63 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q44.63 hrs/resident/day
- 2026-06-014.63 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Government - Hospital district
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical WY range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · WY$9,877/moNursing Homes
Median · WY$9,916/moNearby alternatives
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