The Legacy Living and Rehabilitation Center
The Legacy Living and Rehabilitation Center is a 160-bed nursing home in Gillette, Wyoming. CMS has certified it for Medicare and Medicaid since 1984-06-16. It averages 71.5 residents a day.
What harm was found in the violations cited at The Legacy Living and Rehabilitation Center?
CMS lists 38 health-inspection deficiencies for The Legacy Living and Rehabilitation Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-13.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-13 | F0628, F0744 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E |
| 2026-03-13 | F0627, F0644, F0679, F0689 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-09-11 | F0600, F0609, F0610, F0744 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2025-04-15 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-04-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-02-21 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-01-17 | F0600, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-01-17 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-06-19 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-05-23 | F0600, F0744 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G |
| 2024-05-23 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-05-23 | F0576, F0584, F0804 | Ensure residents have reasonable access to and privacy in their use of communication methods. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2024-05-23 | F0609, F0610, F0623, F0641, F0656, F0658, F0689, F0690, F0880 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. | D |
| 2024-02-27 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2023-09-22 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F |
| 2023-09-22 | F0585, F0800, F0804 | 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2023-09-22 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
Why was The Legacy Living and Rehabilitation Center fined 4 times?
| Date | Type | Amount |
|---|---|---|
| 2025-04-15 | Fine | $14,505 |
| 2025-01-17 | Fine | $14,508 |
| 2024-05-23 | Fine | $78,566 |
| 2024-02-27 | Fine | $8,018 |
How is The Legacy Living and Rehabilitation Center staffed?
| Measure | This facility | WY average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.58563 | 3.86766 |
| Total nursing staff turnover (%) | 70.5 | 51.8 |
| Average number of residents per day | 71.5 | 55.6 |
Who owns The Legacy Living and Rehabilitation Center?
The Legacy Living and Rehabilitation Center is registered with CMS as Government - Hospital district, operates under the legal business name CAMPBELL COUNTY HOSPITAL DISTRICT.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | BIGGS, ANGELA, HARTSAW, SARA, HITE, RANDAL, MANSELL, JOHN, MURPHY, TOM, RICE, JOHN, STUBER, ALAN | since 10/26/2020 |
| CORPORATE OFFICER | POPP, DOUGLAS, SHAHAN, MATTHEW | since 03/20/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | ALEXANDER, HOLLIE, PATEL, KIRTIKUMAR, POPP, DOUGLAS, SHAHAN, MATTHEW | since 03/20/2023 |
| ADP OF THE SNF | ALEXANDER, HOLLIE, PATEL, KIRTIKUMAR | since 04/01/2025 |
Were you or a family member harmed at The Legacy Living and Rehabilitation Center?