The Legacy Living And Rehabilitation Center
1000 S Douglas Way, Gillette, WY, 82716
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
Special Focus Facility
CMS has designated this facility a Special Focus Facility — one of a small group nationwide with a persistent pattern of substandard care requiring more frequent federal oversight. SFFs are inspected roughly every six months. Ask for the most recent inspection summary and corrective-action plan before deciding.
Source: CMS Care Compare.
Facility & Staffing
- Ownership
- Government - Hospital district
- Certified beds
- 160 · avg 76 residents/day
- Total nursing staff turnover
- 69.1% — higher than most Wyoming nursing homesWyoming avg: 53.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 45% — near the Wyoming averageWyoming avg: 45.6% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Wyoming averageWyoming avg: 0.9 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $115,597 total
Medicare certification
- CMS Certification Number
- 535022
- Certified beds
- 160 beds · avg 76 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Campbell County Hospital District
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (1 on record)
- Gerard Klein
Corporate Officer · since 2020
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 38)
- E0628·Mar 13, 2026Complaint
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D0627·Mar 13, 2026Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E0744·Mar 13, 2026
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D0689·Mar 13, 2026
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0679·Mar 13, 2026
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0644·Mar 13, 2026
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0600·Sep 11, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0744·Sep 11, 2025
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Federal penalties
By year
- 20252 fines · $29K
- 20242 fines · $87K
Most recent events
- Apr 15, 2025Fine · $15K
- Jan 17, 2025Fine · $15K
- May 23, 2024Fine · $79K
- Feb 27, 2024Fine · $8,018
Largest single fine on record: $79K.
Fire-safety citations
26 Life-Safety-Code citations on file. Most recent: Mar 13, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Legacy Living And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.