The Legacy Living and Rehabilitation Center
1000 S Douglas Way, Gillette, WY 82716 · Campbell County · (307) 688-7000
160 certified beds, about 72 residents a day · Government - Hospital district · Medicare and Medicaid since 1984
Special Focus Facility: CMS's list of homes with a history of serious problems Certified for Medicaid Certified for Medicare
Overall
Not rated
CMS note: This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Health inspections
Not rated
CMS note: This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Staffing
Not rated
CMS note: This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Quality measures
Not rated
CMS note: This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535022 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 13, 2026, inspectors cited 6 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 38 health citations since September 2023, 8 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 4 fines totaling $115,597 in the last three years; the largest was $78,566, and the latest is dated April 15, 2025.
Nurses and nurse aides worked 4.59 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
70.5% 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.
509/23
102/24
1505/24
106/24
301/25
102/25
204/25
409/25
603/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 38 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
6G
0H
0I
Potential for more than minimal harm
20D
8E
2F
Potential for minimal harm
0A
0B
0C
March 13, 2026Standard inspection, Complaint inspection · 6 citations
- E 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 transfer and/or discharge notices included the reason for transfer or discharge for 4 of 5 sample residents (#1, #3, #77, #79) reviewed for transfer and discharge.
- E Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure residents with dementia received the appropriate treatment and services to attain their highest practicable physical, mental, and psychosocial well-being for 2 of 8 residents (#37, #63) reviewed for dementia care.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure a resident, whose hospitalization or therapeutic leave exceeded the bed-hold period under the State plan, was allowed to return to the facility for 1 of 4 sample residents (#79) reviewed 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 pre-admission screening was performed after a new diagnosis of mental illness for 1 of 3 sample residents (#6) with qualifying diagnoses.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, resident and staff interview, medical record review, and activity calendar review, the facility failed to ensure individual activities of preference were provided to 1 of 2 sample residents (#68) reviewed for activities.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview, medical record review, and policy review, the facility failed to ensure adequate supervision was provided to prevent resident injuries for 1 of 8 sample residents (#21) reviewed for accident hazards.
September 11, 2025Standard inspection, Complaint inspection · 4 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, resident and staff interview, medical record review, facility incident investigation review, and policy and procedure review, the facility failed to protect the residents' right to be free from mental abuse by another resident for 2 of 6 sample residents (#28, #41) reviewed.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, staff interview, State Survey agency incident database review, facility incident review, and policy and procedure review, the facility failed to ensure allegations of abuse and investigation
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, staff interview, state survey agency incident database review, facility incident review, and policy and procedure review, the facility failed to ensure allegations of abuse were thoroughly investigated for 2 of 6 sample residents (#9, #41) reviewed for abuse.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on medical record review, staff and resident interview, incident investigation review, and policy and procedure review, the facility failed to ensure residents with dementia received treatment and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 4 sample residents (#9) reviewed for dementia care.
April 15, 2025Complaint inspection · 2 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, staff interview, medical record review, facility incident investigation review, and performance improvement plan review, the facility failed to protect the resident's right to be free from physical abuse by a resident for 3 of 4 sample residents (#1, #3, #5) involved in a resident-to-resident altercation. This failure resulted in actual harm to resident #1 who suffered a hematoma above his/her left eyebrow and an abrasion under his/her left eye. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of 4/8/25.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, medical record review, facility incident investigation review, and facility performance improvement plan review, the facility failed to ensure a safe environment for 4 of 6 sample residents (#1, #2, #3, #5) involved in 2 of 3 unwitnessed resident-to-resident altercations reviewed from 3/8/25 to 3/30/25. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of 4/8/25.
February 21, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, staff interview, media article review, and state survey incident database review, the facility failed to ensure allegations which resulted in a reasonable suspicion of a crime were reported for 1 of 4 sample resident (#1) reviewed for allegation reporting.
January 17, 2025Complaint inspection · 3 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, medical record review, staff interview, closed-circuit camera review, and policy and procedure review, the facility failed to protect the resident's right to be free from neglect for 1 of 3 sample residents (#6) reviewed for abuse and neglect. This failure resulted in the death of resident #6 who exited the facility without being noticed and was outside in winter weather conditions for 9 hours and 17 minutes. This failure resulted in the determination of immediate jeopardy due to the lack of necessary services to ensure residents' safety. On [DATE] there were 19 residents on the Cottonwood and Pine units who were identified as high-risk for wandering/elopement. Corrective measures were implemented prior to the survey and compliance was determined to be met on [DATE].
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, staff interview, closed-circuit camera review, and policy and procedure review, the facility failed ensure residents received adequate supervision to prevent accidents for 1 of 3 sample residents (#6) reviewed for accident hazards. This failure resulted in the death of resident #6 who exited the facility without being noticed and was outside in winter weather conditions for 9 hours and 17 minutes. This failure resulted in the determination of immediate jeopardy due to a lack of implementation of interventions, including adequate resident supervision. On [DATE] there were 19 residents on the Cottonwood and Pine units who were identified as high-risk for wandering/elopement. Corrective measures were implemented prior to the survey and compliance was determined to be met on [DATE].
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and physician and staff interview, the facility failed to respond to a change of condition for 1 of 4 sample residents (#3) who experienced a change of condition. This failure resulted in actual harm to resident #3 who reported health concerns and passed away.
June 19, 2024Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on medical record review, resident representative and staff interview, facility investigation review, and policy and procedure review, the facility failed to ensure a resident's right to be free from physical abuse, verbal abuse, and neglect for 1 of 6 sample residents (#1).
May 23, 2024Standard inspection, Complaint inspection · 15 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on medical record review, staff interview, policy and procedure review, and review of the state licensing division incident report form, the facility failed to protect the resident's right to be free from abuse by another resident for 3 of 10 residents reviewed for abuse (#26, #63, #106). This failure resulted in harm to resident #106 who experienced sexual abuse.
- G Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure residents with dementia received the appropriate treatment and services to attain their highest practicable physical, mental, and psychosocial well-being for 1 of 3 residents (#98) reviewed for dementia care. This failure resulted in actual harm to resident #98.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, review of policy and procedures, and review of the 2022 FDA Food Code, the facility failed to ensure temperatures were monitored for 6 of 6 refrigerator/freezers which stored food for resident use outside of the kitchen (Cottonwood, Pine, Birch, Rehab, Spruce, first floor servery and second floor servery). In addition, the facility failed to ensure a sanitary environment in 1 of 1 food preparation area. The census was 116.
- E Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on resident and staff interview, the facility failed to ensure mail was delivered, including on Saturday. The census was 116.
- 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.
Inspectors wroteBased on observation, staff and resident representative interview, and medical record review, the facility failed to ensure a safe and homelike environment in 1 of 4 units (Pine).
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, staff and resident interview, review of policy and procedure, and review of the 2022 FDA Food Code, the facility failed to provide food service in a manner that ensured a safe and appetizing meal for 1 of 1 food service observation of the Pine, Cottonwood and Birch units.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, staff interview, review of the state licensing division incident database, and policy and procedure review, the facility failed to ensure allegations of abuse were reported for 1 of 9 samples residents (#62) reviewed for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure allegations of abuse were investigated for 1 of 9 sample residents (#62) reviewed for abuse.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review, and staff and resident representative interview, the facility failed to ensure a discharge notice included care and services for a resident which should not or cannot be provided by the facility for 1 of 1 sample resident (#61) who was issued a 30-day discharge notice.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview, medical record review, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to ensure MDS assessment information was an accurate reflection of resident status for 1 of 7 residents reviewed for antibiotics (#26).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review and staff interview, the facility failed to develop a comprehensive person-centered care plan for 3 of 27 sample residents (#62, #63, #98) reviewed.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on medical record review, staff interview, review of emergency medicine inventory documents, policy and procedure review, and a pharmaceutical reference, the facility failed to ensure residents received medications as ordered by the physician for 1 of 7 sample residents (#61) reviewed for medication administration.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, medical record review and staff interview, the facility failed to ensure a safe environment for 2 of 12 residents (#26,#98) reviewed for supervision/accident hazards.
- 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.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure urinary Foley catheter bags were handled in a manner to prevent urinary tract infections for 1 of 4 (#38) residents with urinary catheters.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure enhanced barrier precautions were followed for 1 of 4 (#38) resident reviewed for transmission-based precautions.
February 27, 2024Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on resident and staff interview, medical record review, and policy and procedure review, the facility failed to protect the resident's right to be free from physical abuse by staff for 1 of 2 sample residents (#5). This failure resulted in actual harm to resident #5 who had injuries to his/her hands/wrists. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 2/15/24.
September 22, 2023Complaint inspection · 5 citations
- F Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation, resident, resident representative, and staff interview, email review, and policy and procedure review, the facility failed to ensure adequate staffing in 1 of 1 kitchen (main kitchen). The census was 106.
- 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.
Inspectors wroteBased on observation, resident, resident representative, and staff interview, grievance review, and policy and procedure review, the facility failed to ensure prompt efforts were made to resolve grievances for 3 of 5 sample residents (#1, #2, #3) who submitted a grievance to the facility.
- E Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation, resident, resident representative and staff interview, medical record review, and policy and procedure review, the facility failed to ensure sufficient food was available that was nourishing, palatable, and well balanced with consideration for preferences for 4 of 6 sample residents (#1, #2, #3, #4) who had reported food and meal service concerns.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident and staff interview, and policy and procedure review, the facility failed to ensure palatable food was served to 4 of 6 residents (#1, #2, #3, #4) reviewed with food related concerns. The census was 106.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on medical record review, resident and staff interview, and policy and procedure review, the facility failed to ensure food was served which accommodated resident allergies for 1 of 3 sample residents (#2).
Fire safety inspections
26 fire safety citations on file: 9 on March 13, 2026, 14 on September 11, 2025, 3 on May 23, 2024.
Every fire safety citation26 citations
- F Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Have elevators that firefighters can control in the event of a fire.
- D Meet other general requirements.
- D Have exits that are accessible at all times.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- F Implement emergency and standby power systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Have exits that are accessible at all times.
- E Have properly installed electrical wiring and gas equipment.
- E Have proper medical gas storage and administration areas.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have restrictions on the use of portable space heaters.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- E Meet requirements for the installation and maintenance of electrical systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 15, 2025 | Fine | $14,505 |
| January 17, 2025 | Fine | $14,508 |
| May 23, 2024 | Fine | $78,566 |
| February 27, 2024 | Fine | $8,018 |
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) | 4.59 | 3.87 | 3.86 |
| Registered nurses | 0.90 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.92 | 3.37 | 3.42 |
| Nurse aides | 2.76 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 70.5% | 51.8% | 45.8% |
| Registered nurse turnover | 47.8% | 44.1% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.53 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 4.86 on weekdays and 3.92 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 26.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.12 in April to June 2025 to 4.59 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 | 4.59 | 0.90 | 4.86 | 3.92 | 26.4% | 0 of 90 | 72 |
| Oct to Dec 2025 | 4.63 | 0.94 | 4.86 | 4.06 | 27.5% | 0 of 92 | 76 |
| Jul to Sep 2025 | 4.15 | 0.97 | 4.36 | 3.60 | 22.4% | 0 of 92 | 84 |
| Apr to Jun 2025 | 4.12 | 0.82 | 4.31 | 3.63 | 23.7% | 0 of 91 | 91 |
| 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 | 15.7 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.3 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.3 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.6 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.0 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.7 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 40.6 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.5 | 2.3 | 1.8 |
Owners and operators
Legal business name: CAMPBELL COUNTY HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Biggs, Angela | Managing control - governing body | Individual | 11/22/2024 | |
| Hartsaw, Sara | Managing control - governing body | Individual | 12/09/2022 | |
| Hite, Randal | Managing control - governing body | Individual | 10/26/2020 | |
| Mansell, John | Managing control - governing body | Individual | 10/29/2022 | |
| Murphy, Tom | Managing control - governing body | Individual | 11/01/2020 | |
| Rice, John | Managing control - governing body | Individual | 10/29/2022 | |
| Stuber, Alan | Managing control - governing body | Individual | 11/01/2018 | |
| Popp, Douglas | Corporate officer | Individual | 03/20/2023 | |
| Shahan, Matthew | Corporate officer | Individual | 05/16/2022 | |
| Alexander, Hollie | Operational/managerial control | Individual | 04/01/2025 | |
| Patel, Kirtikumar | Operational/managerial control | Individual | 10/13/2020 | |
| Popp, Douglas | Operational/managerial control | Individual | 03/20/2023 | |
| Shahan, Matthew | Operational/managerial control | Individual | 05/16/2022 | |
| Alexander, Hollie | Adp of the SNF | Individual | 04/01/2025 | |
| Patel, Kirtikumar | Adp of the SNF | Individual | 10/13/2020 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 11 problems in this area, most recently on September 11, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on March 13, 2026: "Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 13, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on May 23, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 3 administrators 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 The Legacy Living and Rehabilitation Center's Medicare star rating?
- CMS does not give The Legacy Living and Rehabilitation Center an overall star rating in the data as of September 1, 2026.
- How many deficiencies did The Legacy Living and Rehabilitation Center get at its last inspection?
- 6 health deficiencies at the standard inspection on March 13, 2026. The Wyoming average is 7.8.
- Has The Legacy Living and Rehabilitation Center been fined?
- Yes. CMS lists 4 fines totaling $115,597 in the last three years.
- Does The Legacy Living and Rehabilitation Center 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 The Legacy Living and Rehabilitation Center?
- CMS lists 15 owners and managers. Legal business name: CAMPBELL COUNTY HOSPITAL DISTRICT.
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.