Nursing Home

The Legacy Living and Rehabilitation Center

1000 S Douglas Way, Gillette, WY 82716

Part of Campbell County Healthsee all 3 affiliated facilities

160 certified beds 72 residents per day on average

CMS Five-Star Quality Rating

CMS has not published an overall star rating for this facility. Ratings are withheld for some facilities — for example, those in the Special Focus program or newly certified homes.

Health inspections

Not rated

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Not rated

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Not rated

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
4.6 hours

WY average: 3.9 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.9 hours

WY average: 0.9 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.9 hours

WY average: 3.4 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
70.5%

WY average: 51.8% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

4 fines totaling $115,597 in the recent inspection window (most recent: April 15, 2025).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
Government - Hospital district
Who owns this facility — 15 entries in CMS's ownership records expand ↓
  • Biggs, Angela Individual
    Managing control (governing body) since 11/22/2024
  • Hartsaw, Sara Individual
    Managing control (governing body) since 12/09/2022
  • Hite, Randal Individual
    Managing control (governing body) since 10/26/2020
  • Mansell, John Individual
    Managing control (governing body) since 10/29/2022
  • Murphy, Tom Individual
    Managing control (governing body) since 11/01/2020
  • Rice, John Individual
    Managing control (governing body) since 10/29/2022
  • Stuber, Alan Individual
    Managing control (governing body) since 11/01/2018
  • Popp, Douglas Individual
    Corporate officer since 03/20/2023
  • Shahan, Matthew Individual
    Corporate officer since 05/16/2022
  • Alexander, Hollie Individual
    Operational/managerial control since 04/01/2025

…and 5 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 6 health (WY avg 7.6) · 9 fire (WY avg 6) · ⚠ 8 serious Details

38 deficiencies cited across recent inspection cycles, including ⚠ 8 serious (actual harm or immediate jeopardy). Most recent survey: March 13, 2026.

Most recent inspection cycle: 6 health deficiencies · WY average: 7.6 · National: 9.3

26 fire-safety deficiencies cited — most often smoke (8) and egress (5).

Most recent fire-safety inspection (2026-03-13): 9 deficiencies · WY average: 6 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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