Platte County Legacy Home
100 19th St., Wheatland, WY 82201 · Platte County · (307) 322-7351
50 certified beds, about 44 residents a day · Non profit - Other · Medicare and Medicaid since 2010
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535053 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 20, 2026, inspectors cited 5 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 13 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $32,600 in the last three years; the largest was $32,600, and the latest is dated February 20, 2026.
Nurses and nurse aides worked 3.63 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.
52.3% of nursing staff left within the year CMS measured (Wyoming average 51.8%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
February 20, 2026Standard inspection, Complaint inspection · 5 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, resident representative and staff interview, and facility incident review, the facility failed to ensure adequate supervision was provided to prevent resident injuries for 1 of 4 sample residents (#10) reviewed for accident hazards. The failure resulted in actual harm to resident #10.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, review of manufacturer's instructions, and policy and procedure review, the facility failed to label medications with the date medications were opened and/or expired in 1 of 2 medication storage areas (south medication room). The census was 42.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure adequate monitoring of psychotropic medications for 2 of 5 sample residents (#2, #10) reviewed for unnecessary medications.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a bed-hold policy was provided in writing at the time of transfer for 1 of 3 sample residents reviewed (#46) for transfer and discharge.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure preadmission screening was performed and was accurate for 1 of 5 sample residents (#3) with qualifying diagnoses.
July 25, 2024Standard inspection, Complaint inspection · 5 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on Payroll Base Journal (PBJ) review and staff interview, the facility failed to ensure the quarterly PBJ data was submitted timely for 1 of 4 quarters (4th quarter of 2023).
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, policy and procedure review, and manufacturer's recommendation review, the facility failed to ensure medication was labeled with an open date for 1 of 2 medication carts (300 - 400 medication cart).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, resident and staff interview, and policy and procedure review, the facility failed to ensure residents received services to maintain good personal hygiene for 2 of 3 residents (#11, #24) reviewed for bathing.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on medical record review, and resident and staff interview, the facility failed to ensure residents received services to increase range of motion for 1 of 2 residents (#11) reviewed for restorative services.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure hand hygiene was done during wound care for 1 of 2 sample residents (#35) who received wound care.
May 4, 2023Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of the dishwasher temperature log sheet, policy and procedure, the 2017 U.S. Public Health Service Food Code, and staff interview, the facility failed to ensure the water temperature of the dishwasher was at the proper temperature for sanitization to occur on 22 of 61 days reviewed. The census was 41.
- E The resident has the right to receive notices in a format and a language he or she understands.
Inspectors wroteBased on resident interview, staff interview, and review of the admission packet, the facility failed to ensure residents were given the required notices. The census was 41.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, facility investigation review, State Survey Agency incident report log review, policy review, and staff interview, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with Section 1150B of the Act for 1 of 4 allegations of abuse reviewed (involving resident #145).
Fire safety inspections
6 fire safety citations on file: 2 on February 20, 2026, 1 on July 25, 2024, 3 on May 4, 2023.
Every fire safety citation6 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Meet Health Care Facilities Code mechanical requirements.
- F Develop and maintain an Emergency Preparedness Program (EP).
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 20, 2026 | Fine | $32,600 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wyoming | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.63 | 3.87 | 3.86 |
| Registered nurses | 0.96 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.15 | 3.37 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.54 | ||
| Nursing staff turnover (share who left in a year) | 52.3% | 51.8% | 45.8% |
| Registered nurse turnover | 30.0% | 44.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.17 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.82 on weekdays and 3.15 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.63 | 0.96 | 3.82 | 3.15 | 6.7% | 0 of 90 | 44 |
| Oct to Dec 2025 | 3.53 | 0.83 | 3.66 | 3.19 | 12.4% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.39 | 0.85 | 3.54 | 3.02 | 14.7% | 0 of 92 | 46 |
| Apr to Jun 2025 | 3.47 | 0.65 | 3.63 | 3.05 | 9.0% | 1 of 91 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wyoming, Jan to Mar 2026 | 3.61 | 0.86 | 3.80 | 3.15 | 7.5% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wyoming | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.9 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.9 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.2 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 21.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.3 | 1.8 |
Owners and operators
Legal business name: PLATTE COUNTY HOSPITAL DISTRICT BOARD.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Platte County Hospital District Board | 5% or greater direct ownership interest | Organization | 100% | 11/01/2009 |
| Frederick, Charles | Corporate director | Individual | 02/04/2013 | |
| Modesitt, Lori | Corporate director | Individual | 08/24/2010 | |
| Platte County Hospital District Board | Operational/managerial control | Organization | 01/01/2023 | |
| Brockman, Jalea | Operational/managerial control | Individual | 12/09/2024 | |
| Palmer, Lauri | Operational/managerial control | Individual | 12/09/2024 | |
| Platte County Hospital District Board | Adp of the SNF | Organization | 11/01/2009 | |
| Brockman, Jalea | Adp of the SNF | Individual | 12/09/2024 | |
| Palmer, Lauri | Adp of the SNF | Individual | 12/09/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 20, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the Wyoming average of 3.37.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Wyoming contacts for a concern about a nursing home
These are the official offices in Wyoming. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wyoming Department of Health, Healthcare Licensing and Surveys, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wyoming Long-Term Care Ombudsman Program, 307-287-7757. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wyoming HLS Newest Facility Inspection Reports, where Wyoming publishes its own records on licensed homes.
Common questions
- What is Platte County Legacy Home's Medicare star rating?
- CMS rates Platte County Legacy Home 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Platte County Legacy Home get at its last inspection?
- 5 health deficiencies at the standard inspection on February 20, 2026. The Wyoming average is 7.8.
- Has Platte County Legacy Home been fined?
- Yes. CMS lists 1 fine totaling $32,600 in the last three years.
- Does Platte County Legacy Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Platte County Legacy Home?
- CMS lists 9 owners and managers. Legal business name: PLATTE COUNTY HOSPITAL DISTRICT BOARD.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.