Starfile / Wyoming

The Legacy Living and Rehabilitation Center

1000 S Douglas Way, Gillette, WY 82716 · CCN 535022

SFF Abuse icon

Inspection history vs Wyoming & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$115,597

Number of fines

4

Number of penalties

4

Payment denials

0

Inspection citations (35)2 immediate jeopardy6 actual harm

1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-11 · Health · corrected 2025-10-16

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-11 · Health · corrected 2025-10-02

   Potential for more than minimal harm

3. DF0610Respond appropriately to all alleged violations.2025-09-11 · Health · corrected 2025-10-16

   Potential for more than minimal harm

4. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-09-11 · Health · corrected 2025-10-01

   Potential for more than minimal harm

5. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-15 · Health · corrected 2025-04-08

   Actual harm

6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-15 · Health · corrected 2025-04-08

   Potential for more than minimal harm

7. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-21 · Health · corrected 2025-02-21

   Potential for more than minimal harm

8. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-17 · Health · corrected 2025-01-13

   Immediate jeopardy

9. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-17 · Health · corrected 2025-02-13

   Actual harm

10. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-17 · Health · corrected 2025-01-13

    Immediate jeopardy

11. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-19 · Health · corrected 2024-06-18

    Actual harm

12. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

13. EF0584Honor 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.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

14. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-23 · Health · corrected 2024-06-17

    Actual harm

15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

16. DF0610Respond appropriately to all alleged violations.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

17. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

18. DF0641Ensure each resident receives an accurate assessment.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

20. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

22. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

23. GF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-05-23 · Health · corrected 2024-06-17

    Actual harm

24. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

26. DF0880Provide and implement an infection prevention and control program.2024-05-23 · Health · corrected 2024-06-17

    Potential for more than minimal harm

27. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-27 · Health · corrected 2024-02-15

    Actual harm

28. EF0585Honor 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.2023-09-22 · Health · corrected 2023-11-06

    Potential for more than minimal harm

29. EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-09-22 · Health · corrected 2023-11-06

    Potential for more than minimal harm

30. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-09-22 · Health · corrected 2023-11-06

    Potential for more than minimal harm

31. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-09-22 · Health · corrected 2023-11-06

    Potential for more than minimal harm

32. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-09-22 · Health · corrected 2023-11-06

    Potential for more than minimal harm

33. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-09 · Health · corrected 2023-04-23

    Potential for more than minimal harm

34. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-09 · Health · corrected 2023-04-23

    Potential for more than minimal harm

35. CF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2023-03-09 · Health · corrected 2023-04-23

    Potential for minimal harm

Ownership

Other facilities in Gillette

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.