251 W Warlow Dr, Gillette, WY 82716
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Medicare-certifiedSkilled Nursing
The Legacy Living and Rehabilitation Center
Gillette, WyomingMedicare inspection record
About The Legacy Living and Rehabilitation Center
The Legacy Living and Rehabilitation Center is a government - hospital district nursing home in Gillette, WY with 160 certified beds.
Community at a glance
Capacity
160 residents
Location
Gillette, WY
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1000 S Douglas Way, Gillette, Wyoming 82716
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare lists The Legacy Living and Rehabilitation Center as a Special Focus Facility: a home with a history of serious quality problems that inspectors visit more often until it improves.
At its most recent standard inspection, on March 13, 2026, state inspectors cited 6 health deficiencies (the Wyoming average is 7.8).
Nurses and nurse aides spend 4 hours 35 minutes with each resident a day, above the Wyoming average of 3 hours 52 minutes.
Medicare fined The Legacy Living and Rehabilitation Center 4 times in the last three years, $115,597 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 35 minutesAbove the Wyoming average |
| Registered nurse time per resident, per day | 54 minutes |
| Nursing staff who left in the past year | 71%Above the Wyoming average |
3 administrators have left the home in the past year.
Inspections
33 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 13, 2026 · Standard inspection · 6 citations
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 30, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Apr 9, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 13, 2026Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 13, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 30, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 9, 2026
September 11, 2025 · Standard inspection · 4 citations
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Oct 16, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Oct 2, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 1, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 16, 2025
April 15, 2025 · Complaint investigation · 2 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 8, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Apr 8, 2025
February 21, 2025 · Complaint investigation · 1 citation+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 21, 2025
January 17, 2025 · Complaint investigation · 3 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jan 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Jan 13, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 13, 2025
June 19, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jun 18, 2024
May 23, 2024 · Standard inspection · 15 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 17, 2024Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jun 17, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jun 17, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 17, 2024Ensure residents have reasonable access to and privacy in their use of communication methods.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 17, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jun 17, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 17, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 17, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 17, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 17, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 17, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 17, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 17, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jun 17, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 17, 2024
February 27, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Feb 15, 2024
Fines and payment denials
4 fines totaling $115,597 in the last three years.
- April 15, 2025Fine: $14,505
- January 17, 2025Fine: $14,508
- May 23, 2024Fine: $78,566
- February 27, 2024Fine: $8,018
About the home, per Medicare
- Ownership
- Government - Hospital district
- Legal business name
- Campbell County Hospital District
- Medicare-certified beds
- 160
- Average residents per day
- 72
- Accepts
- Medicare and Medicaid
- First certified
- June 16, 1984
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 535022
Location
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1000 S Douglas WayGillette, WY 82716
1 other community within 10 miles
Senior living near Gillette
Questions about The Legacy Living and Rehabilitation Center
How did The Legacy Living and Rehabilitation Center do on its last inspection?+
State inspectors visited on March 13, 2026 and cited 6 health deficiencies, 2 of them from complaint investigations. The Wyoming average is 7.8.
How much nursing care does each resident get at The Legacy Living and Rehabilitation Center?+
Nurses and aides spend 4 hours 35 minutes with each resident per day, including 54 minutes from registered nurses. 71% of nursing staff left over the past year.
Has The Legacy Living and Rehabilitation Center been fined by Medicare?+
Yes. Medicare fined The Legacy Living and Rehabilitation Center 4 times in the last three years, totaling $115,597.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.