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Nursing homesWyoming › The Legacy Living and Rehabilitation Center

The Legacy Living and Rehabilitation Center

1000 S Douglas Way, Gillette, WY 82716 · 3076887000 · 160 certified beds

OverallNot rated
Health inspectionsNot rated
StaffingNot rated
Quality measuresNot rated
Special Focus: CMS lists this facility as SFF — among the facilities with the most serious ongoing compliance problems in the country.

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: Government - Hospital district.

Staffing (hours per resident per day)

Total nurse staffing: 4.59 (Wyoming median: 3.56). RN hours: 0.90. Weekend total: 3.92. Nursing staff turnover: 70%.

Inspection deficiencies

All-time on record: 38 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-13Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Ecomplaintcorrected 2026-04-09
2026-03-13Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. EHealthcorrected 2026-04-30
2026-03-13Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Dcomplaintcorrected 2026-04-09
2026-03-13Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. DHealthcorrected 2026-04-13
2026-03-13Provide activities to meet all resident's needs. DHealthcorrected 2026-04-13
2026-03-13Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2026-04-30
2025-09-11Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-10-16
2025-09-11Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2025-10-02
2025-09-11Respond appropriately to all alleged violations. DHealthcorrected 2025-10-16
2025-09-11Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. DHealthcorrected 2025-10-01
2025-04-15Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2025-04-08
2025-04-15Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-04-08
2025-02-21Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-02-21
2025-01-17Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2025-01-13
2025-01-17Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2025-01-13
2025-01-17Provide appropriate treatment and care according to orders, resident’s preferences and goals. Gcomplaintcorrected 2025-02-13
2024-06-19Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2024-06-18
2024-05-23Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2024-06-17
2024-05-23Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Gcomplaintcorrected 2024-06-17
2024-05-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2024-06-17
2024-05-23Ensure residents have reasonable access to and privacy in their use of communication methods. Ecomplaintcorrected 2024-06-17
2024-05-23Honor 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. Ecomplaintcorrected 2024-06-17
2024-05-23Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Ecomplaintcorrected 2024-06-17
2024-05-23Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-06-17
2024-05-23Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-06-17
2024-05-23Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Dcomplaintcorrected 2024-06-17
2024-05-23Ensure each resident receives an accurate assessment. Dcomplaintcorrected 2024-06-17
2024-05-23Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2024-06-17
2024-05-23Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2024-06-17
2024-05-23Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-06-17
2024-05-23Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2024-06-17
2024-05-23Provide and implement an infection prevention and control program. Dcomplaintcorrected 2024-06-17
2024-02-27Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2024-02-15
2023-09-22Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Fcomplaintcorrected 2023-11-06
2023-09-22Honor 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. Ecomplaintcorrected 2023-11-06
2023-09-22Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Ecomplaintcorrected 2023-11-06
2023-09-22Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Ecomplaintcorrected 2023-11-06
2023-09-22Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Dcomplaintcorrected 2023-11-06

Federal penalties

DateTypeAmount
2025-04-15Fine$14,505
2025-01-17Fine$14,508
2024-05-23Fine$78,566
2024-02-27Fine$8,018

Ownership & control records (CMS filings)

NameRoleType%Since
BIGGS, ANGELAManaging Control - Governing BodyIndividualNOT APPLICABLEsince 11/22/2024
HARTSAW, SARAManaging Control - Governing BodyIndividualNOT APPLICABLEsince 12/09/2022
HITE, RANDALManaging Control - Governing BodyIndividualNOT APPLICABLEsince 10/26/2020
MANSELL, JOHNManaging Control - Governing BodyIndividualNOT APPLICABLEsince 10/29/2022
MURPHY, TOMManaging Control - Governing BodyIndividualNOT APPLICABLEsince 11/01/2020
RICE, JOHNManaging Control - Governing BodyIndividualNOT APPLICABLEsince 10/29/2022
STUBER, ALANManaging Control - Governing BodyIndividualNOT APPLICABLEsince 11/01/2018
POPP, DOUGLASCorporate OfficerIndividualNOT APPLICABLEsince 03/20/2023
SHAHAN, MATTHEWCorporate OfficerIndividualNOT APPLICABLEsince 05/16/2022
ALEXANDER, HOLLIEOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2025
PATEL, KIRTIKUMAROperational/Managerial ControlIndividualNOT APPLICABLEsince 10/13/2020
POPP, DOUGLASOperational/Managerial ControlIndividualNOT APPLICABLEsince 03/20/2023
SHAHAN, MATTHEWOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/16/2022

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 535022. Corrections: data@carerecords.org.