CareSentinel

Federal Nursing-Home Survey Record

The Legacy Living and Rehabilitation Center

CCN 535022 · 1000 S Douglas Way, Gillette, WY, 82716

Does The Legacy Living and Rehabilitation Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), The Legacy Living and Rehabilitation Center (CCN 535022), in Gillette, WY, has federal inspection findings on its record. CMS also lists the facility in its Special Focus Facility program, the federal watch list CMS reserves for nursing homes with a persistent record of serious deficiencies. In its current inspection cycle, CMS cited the facility for 6 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. The most recent federal survey on file is dated 2026-03-13. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $115,597 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS lists this facility on its federal Special Focus Facility watch list.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

SFF Watch List

On the federal Special Focus Facility watch list

CMS lists this facility in its Special Focus Facility program — the federal program CMS reserves for nursing homes with a persistent record of serious deficiencies.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$115,597

CMS has $115,597 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility:  ·  CMS state average: 3.0

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-03-13
CURRENT CYCLE
F744S/S E

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

2026-03-13
CURRENT CYCLE
F628S/S E

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2026-03-13
CURRENT CYCLE
F627S/S D

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

2026-03-13
CURRENT CYCLE
F689S/S D

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

2026-03-13
CURRENT CYCLE
F679S/S D

Provide activities to meet all resident's needs.

2026-03-13
CURRENT CYCLE
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2025-09-11
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2025-09-11
HISTORICAL
F600S/S D

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

2025-09-11
HISTORICAL
F744S/S D

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

2025-09-11
HISTORICAL
F609S/S D

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

2025-04-15
HISTORICAL
F600S/S G

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

2025-04-15
HISTORICAL
F689S/S D

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

2025-02-21
HISTORICAL
F609S/S D

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

2025-01-17
HISTORICAL
F600S/S J

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

2025-01-17
HISTORICAL
F689S/S J

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

2025-01-17
HISTORICAL
F684S/S G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-06-19
HISTORICAL
F600S/S G

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

2024-05-23
HISTORICAL
F744S/S G

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

2024-05-23
HISTORICAL
F600S/S G

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

2024-05-23
HISTORICAL
F812S/S F

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

2024-05-23
HISTORICAL
F584S/S E

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.

2024-05-23
HISTORICAL
F576S/S E

Ensure residents have reasonable access to and privacy in their use of communication methods.

2024-05-23
HISTORICAL
F804S/S E

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

2024-05-23
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-05-23
HISTORICAL
F609S/S D

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

2024-05-23
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-05-23
HISTORICAL
F623S/S D

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

2024-05-23
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-05-23
HISTORICAL
F656S/S D

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

2024-05-23
HISTORICAL
F658S/S D

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

2024-05-23
HISTORICAL
F689S/S D

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

2024-05-23
HISTORICAL
F690S/S D

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

2024-02-27
HISTORICAL
F600S/S G

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

2023-09-22
HISTORICAL
F802S/S F

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

2023-09-22
HISTORICAL
F804S/S E

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

2023-09-22
HISTORICAL
F800S/S E

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

2023-09-22
HISTORICAL
F585S/S E

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.

2023-09-22
HISTORICAL
F806S/S D

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

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at The Legacy Living and Rehabilitation Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…