54/100
Below average
The Legacy Living And Rehabilitation Center
1000 S Douglas Way, Gillette, WY 82716
- Certified beds
- 160
- Occupancy
- 45%
- Ownership
- Government
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
$115,597 in federal fines
CMS has fined this facility across 4 penalty action(s).
Nursing staff turnover of 71%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on The Legacy Living And Rehabilitation Center
The Legacy Living and Rehabilitation Center is run by the local hospital district and has 160 certified beds. Nurse staffing runs 4.59 hours per resident day, about 19% above the national average, though weekends drop roughly 15% below its own weekday level. The numbers that matter more are elsewhere: 38 deficiencies on the current record, 8 of them at harm or jeopardy level, 11 abuse-related, and $115,597 in CMS fines across four events. Annual turnover is 70.5% against a national 45.8%, meaning most of the staff caring for residents last year are gone. CMS has placed it in the Special Focus Facility program, its most serious watch list. The last inspection was March 13, 2026.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
26/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.98 total nurse hours per resident per day (national median 3.77)
- →0.9 RN hours per resident per day
- →Weekend staffing drops 15% against weekdays
Staff stability
0/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →71% of nursing staff left in the last year
- →-2 for 3 administrator departures
Resident outcomes
7.5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →No quality-measure rating published, scored neutral
Enforcement history
2/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$115,597 in federal fines across 4 action(s)
Grade ceiling applied
- Capped at 54 (grade D), CMS Special Focus Facility
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: March 13, 2026 (7 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
Write a reviewNo family reviews yet for The Legacy Living And Rehabilitation Center. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.
Common questions about The Legacy Living And Rehabilitation Center
What is the ElderGrade for The Legacy Living And Rehabilitation Center? +
The Legacy Living And Rehabilitation Center holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at The Legacy Living And Rehabilitation Center? +
Residents receive an average of 4.59 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has The Legacy Living And Rehabilitation Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does The Legacy Living And Rehabilitation Center accept Medicaid? +
Yes, The Legacy Living And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
- Add another