The Legacy Living And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1984-06-16. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (307) 688-7000 or your local Medicaid office to verify current eligibility.

The Legacy Living And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of N/A out of 5 stars. This is made up of three components: Health Inspection (N/A★), Staffing (N/A★), and Quality of Resident Care (N/A★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 63.6/100, placing it #10856 of 14703 facilities nationally and #29 of 36 in Wyoming. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Legacy Living And Rehabilitation Center receives a reported average of 4 hours 9 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 58 minutes; Licensed Practical Nurse (LPN) — 20 minutes; Nurse Aide — 2 hours 51 minutes. On weekends, total nurse staffing is 3 hours 36 minutes per resident per day. The CMS Staffing Rating for this facility is N/A out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 68.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged The Legacy Living And Rehabilitation Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 4 fine(s) totaling $115,597. 28 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 4 fine(s) totaling $115,597, and 0 Medicare payment denial(s). Total penalties: 4. The Total Weighted Health Survey Score is 96.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Legacy Living And Rehabilitation Center ranks 10856th out of 14,703 facilities (composite score: 63.6/100), placing it in the below average nationwide. Within WY, it ranks 29th out of 36 nursing homes. For 2026 staffing: total nurse hours rank #3,930 nationally and RN hours rank #2,200 nationally (#11 in WY). Our composite quality score of 63.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Gillette, visit: https://nursinghomesnearme.org/wyoming/gillette/