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A
Very Good

The Legacy Living and Rehabilitation Center

1000 S Douglas Way · Gillette, WY 82716

3076887000 · Government - Hospital district

160 beds83.7 residents120 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

The Legacy Living and Rehabilitation Center receives an overall staffing grade of A (Very Good). With 4.1495 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.25 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.55% compared to weekdays. The facility relies heavily on temporary agency staff (22.43% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️22.43% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.1495hrs/resident/day▲ 0.25
CMS benchmark: 3.48
RN HPRD
0.9689hrs/resident/day▲ 0.29
Recommended: 0.75
Weekend Drop-off
17.55%
4.366 weekday → 3.5998 weekend
Agency Staff
22.43%
20.32% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6684hrs/resident/day
Direct care aides
LPN HPRD
0.3372hrs/resident/day
Licensed practical nurses
Consistency
0.4215std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Campbell County Average+0.00 HPRD
4.15
04.15 HPRD
vs. Wyoming State Average+0.28 HPRD
3.87
04.15 HPRD
vs. National Average+0.25 HPRD
3.90
04.15 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
The Legacy Living and Rehabilitation Center ★
Gillette · This facility
—
A
4.14950.9689☆☆☆☆☆
Crook County Medical Services District Long Term C
Sundance
55.5 mi
A
4.77950.9985★★★☆☆
Amie Holt Care Center
Buffalo
60.4 mi
A
5.13380.889★★★★★
Wyoming Veterans' Skilled Nursing Facility
Buffalo
61.8 mi
—
00☆☆☆☆☆
Weston County Health Services
Newcastle
70.9 mi
B
3.52520.5521★★☆☆☆
Big Horn Rehabilitation and Care Center
Sheridan
80.2 mi
B
3.64490.559★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
35
Total Deficiencies
$115,597
Fines Assessed
Sep 11, 2025Health
4 deficiencies cited
▼
Apr 15, 2025Health
2 deficiencies cited· Includes actual harm
▼
Feb 21, 2025Health
1 deficiency cited
▼
Jan 17, 2025Health
3 deficiencies cited· Includes actual harm
▼
Jun 19, 2024Health
1 deficiency cited· Includes actual harm
▼
May 23, 2024Health
15 deficiencies cited· Includes actual harm
▼
Feb 27, 2024Health
1 deficiency cited· Includes actual harm
▼
Sep 22, 2023Health
5 deficiencies cited
▼
Mar 9, 2023Health
3 deficiencies cited
▼

Penalty History

Apr 15, 2025Fine
$14,505
Jan 17, 2025Fine
$14,508
May 23, 2024Fine
$78,566
Feb 27, 2024Fine
$8,018
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.