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Nursing Homes · Medicare certified

The Legacy Living and Rehabilitation Center

1000 S Douglas Way · Gillette, WY 82716 · 160 certified beds

(307) 688-7000

NPI 1376620989 (opens in a new tab)

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About The Legacy Living and Rehabilitation Center

The Legacy Living and Rehabilitation Center is a nursing home in Gillette, Wyoming. Its capacity is 160 beds, above the Wyoming median of 62 for nursing homes. It is run by a government body. It is Medicare certified. Its public inspection record shows 38 citations, the most recent on March 13, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 4.64 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Special Focus Facility

CMS has placed this nursing home in its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. CMS inspects homes in the program more often. About the program.

Certification

Medicare-certified.

Ratings

CMS has not published a star rating for this nursing home. That usually follows a recent certification or a change of owner.

Inspection history (38)

Records from September 2023 to March 2026.

  • May 23, 2024

    Tag F0804

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0610

    Respond appropriately to all alleged violations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0656

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0690

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0623

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0584

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0609

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2024.

  • May 23, 2024

    Tag F0744

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Severity G: isolated, actual harm. Corrected June 17, 2024.

  • February 27, 2024

    Tag F0600

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity G: isolated, actual harm. Corrected February 15, 2024.

  • September 22, 2023

    Tag F0585

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

  • September 22, 2023

    Tag F0804

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

  • September 22, 2023

    Tag F0800

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

  • September 22, 2023

    Tag F0802

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

  • September 22, 2023

    Tag F0806

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 6, 2023.

See the source data on data.cms.gov (opens in a new tab)

Penalties (4)

Total fines: $115,597

  • April 15, 2025 · Fine

    CMS recorded a civil money penalty of $14,505 against this nursing home on April 15, 2025.

  • January 17, 2025 · Fine

    CMS recorded a civil money penalty of $14,508 against this nursing home on January 17, 2025.

  • May 23, 2024 · Fine

    CMS recorded a civil money penalty of $78,566 against this nursing home on May 23, 2024.

  • February 27, 2024 · Fine

    CMS recorded a civil money penalty of $8,018 against this nursing home on February 27, 2024.

See the source data on data.cms.gov (opens in a new tab)

Staffing

4.64 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Government - Hospital district

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Wyoming.

Nursing Homes

Wyoming median$9,916/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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The Legacy Living and Rehabilitation Center in Gillette, WY · Inspections page 2 · ElderCareCosts