The Legacy Living and Rehabilitation Center: Staffing, Turnover, and Inspection Record
The Legacy Living and Rehabilitation Center is a 160-bed government-run nursing home in Gillette, Wyoming. In the CMS August 2026 release it reported 2.76 nurse aide hours per resident per day, 14% above the Wyoming average of 2.43, and 70.5% nursing staff turnover (Wyoming average 51.8%).
The Legacy Living and Rehabilitation Center
1000 S Douglas WayGillette, WY 82716
Campbell County
CMS Care Compare, August 2026 release
Special Focus Facility. CMS places nursing homes with a history of serious quality issues in its Special Focus Facility program, which brings more frequent inspections.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Legacy Living and Rehabilitation Center, nurse aides logged 2.76 hours per resident per day, 14% above the Wyoming average. With about 72 residents a day, that works out to roughly 198 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
CMS note: Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
| Hours per resident per day | This home | Wyoming avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.76 | 2.43 | 2.32 |
| Licensed practical nurses | 0.92 | 0.50 | 0.86 |
| Registered nurses | 0.90 | 0.94 | 0.69 |
| All nursing staff | 4.59 | 3.87 | 3.86 |
| All nursing staff, weekends | 3.92 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
70.5% of nursing staff at The Legacy Living and Rehabilitation Center left over the year CMS measured, against a Wyoming average of 51.8% and a US average of 45.8%. Registered nurse turnover was 47.8%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 13, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Wyoming average 7.6). CMS lists 4 fines totaling $115,597 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 15, 2025 | Fine | $14,505 |
| Jan 17, 2025 | Fine | $14,508 |
| May 23, 2024 | Fine | $78,566 |
| Feb 27, 2024 | Fine | $8,018 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
About The Legacy Living and Rehabilitation Center
- Ownership: Government - Hospital district
- Legal name: Campbell County Hospital District
- Medicare and Medicaid certified since: Jun 16, 1984
- Councils: resident council
- Area: rural
Nursing homes near The Legacy Living and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Crook County Medical Services District Long Term C Sundance | 55.5 | 32 | 3.31 | 4.77 | 78.2% | 2 | $8,981 |
| Amie Holt Care Center Buffalo | 60.5 | 50 | 3.30 | 4.97 | 40.8% | 5 | None |
| Wyoming Veterans' Skilled Nursing Facility Buffalo · abuse citation | 61.9 | 36 | 4.61 | 7.88 | — | 2 | None |
| Weston County Health Services Newcastle · abuse citation | 71.2 | 58 | 2.59 | 3.81 | 58.9% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.