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The Legacy Living and Rehabilitation Center

Updated May 1, 2022 by Nick Reese

Historical Rating
Grade: B
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: BMar 20: BApr 20: BMay 20: DJun 20: DJul 20: DAug 20: DSep 20: DOct 20: DJan 21: B+Feb 21: B+Mar 21: B+Apr 21: A-May 21: B+Jun 21: B+Jul 21: B+Aug 21: B+Sep 21: B+Oct 21: A-Nov 21: A-Jan 22: A-Feb 22: A-Mar 22: A-Apr 22: BMay 22: B
See Rating Overview

1000 S Douglas Hwy,
Gillette WY 82716

(307) 682-4709

74.76% estimated occupancy 1

The Legacy Living and Rehabilitation Center is a large government-owned nursing home located in Gillette, Wyoming. This facility received an overall grade of B, which is favorable score. We rated this nursing home in the 25 best facilities in Wyoming. We were also pleased to find that this facility did not have any weak links in any of the four major categories. More information about its category grades can be found below.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • Government - Hospital district

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
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January
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February
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Facility Inspections

Grade: A

This facility received a quality overall score as described above, but we especially want to point out its nearly flawless health inspections in recent years. We awarded them an impressive grade of A in this category. Inspection grades are based on several items located in the a nursing home's recent inspection reports. Facilities that receive favorable grades in this category typically have very few deficiencies on those reports. Most importantly, these nursing homes should not have any severe deficiencies which are associated with endangerment of patients. Fortunately, although this facility had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This means that the inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A few relatively minor dings are not necessarily something to panic about.

Short-term Care Quality

Grade: A-minus

This facility truly excelled in the area of short-term care, where we gave it a grade of A-. Few facilities performed better in this category. In determining our short-term care ratings, we look at a nursing home's levels of skilled nursing, which includes registered nurses, physical therapists occupational therapists and other highly trained professionals. This score is typically a fair assessment of a facility's ability to rehabilitate patients. When we assessed this facility's nursing hours, we found it offered more care from registered nurses than most nursing homes. The final statistic we looked at in this category is the percentage of residents that ultimately were able to return home from the facility. It fared as well as just about any nursing home in Wyoming with 67.9 percent of its residents returning home. At most facilities, fewer than half of their short-stay residents return home.

Nurse Quality

Grade: B-minus

Next, we looked at the nursing category where we awarded this nursing home a grade of B-. This facility didn't perform quite as well in this category as it did in some other categories. Nevertheless, this is still a respectable score. We weighed the licensure of nurses working for the facility, in addition to the quantity of time those nurses spent with patients, in calculating our grade in this area. This nursing home averages 3.6 hours of nursing care per resident per day. Finally, this nursing home was relatively weak in two of the major areas we look at, with below average scores for minimizing its patients' major falls and pressure ulcers.

Long-term Care Quality

Grade: B-minus

Our next category is long-term care, where we gave this nursing home a grade of B- in this area. Long-term care ratings are based on the facility's quantity of nursing care. This includes a broad scope of personal care services, ranging from help with activities of daily living to routine healthcare services. One of the criteria we considered in addition to nursing hours is vaccinations. Candidly, we were a bit alarmed this nursing home provided the pneumonia vaccine to only 89.31624 percent of its patients. On a more positive note, this facility was able to limit hospitalizations. In fact, it had only 0.33 hospitalizations per 1,000 long-term resident days, which is a remarkably low figure.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Jun 22

The Legacy Living and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

Grade: B

In The Legacy Living and Rehabilitation Center, 6.07% of Patients had Pressure Ulcers

This indicates the percentage of long-term care patients who suffer from pressure ulcers or bed sores. We use this statistic in calculating our nursing grades.

Minimizes Serious Falls

Grade: F

In The Legacy Living and Rehabilitation Center, 4.84% of Patients had Serious Falls

This tells you the percentage of residents who have had a major fall. Falls leading to major injuries are often caused by lower quality nursing care. Better nursing protocols can minimize the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: B

In The Legacy Living and Rehabilitation Center, 3.68% of Patients had UTIs

This figure is an indication of the percent of long-term stay residents who suffered from a urinary tract infection. While a higher rate of these infections could reflect poorly on a nursing home's nursing care, it is problematic to compare between facilities due to facilities having varying reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: B-minus

In The Legacy Living and Rehabilitation Center, 18.95% of Patients use Anti-Psychotic Medication

This indicates the percent of residents prescribed antipsychotic drugs. Antipsychotic drugs are given to patients for many conditions, such as Alzheimer's or other dementias. Tragically, in limited situations, high levels of antipsychotic drug use may indicate that a nursing home is using these medications to control patient behavior.

Appropriately Uses Anti-Anxiety Medication

Grade: A-minus

In The Legacy Living and Rehabilitation Center, 14.81% of Patients use Anti-Anxiety Medication

This is a measure of the percent of long-term patients receiving antianxiety medications.

Managing Depression Among Residents

Grade: B-minus

In The Legacy Living and Rehabilitation Center, 5.34% of Patients

This is the percentage of residents who are demonstrating symptoms of depression. Increased levels of depression may imply a lower level of care.

Appropriate Vaccine Usage

Grade: C

In The Legacy Living and Rehabilitation Center, 95.12% of Patients

This is the percent of patients who were given the pneumonia and flu vaccines. High vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: B-minus

In The Legacy Living and Rehabilitation Center, 15.53% Percentage of Patients

This indicates the percent of residents that needed more assistance with activities of daily living over time.

Ability to Keep Residents Mobile

Grade: B

In The Legacy Living and Rehabilitation Center, 18.85% Percentage of Residents

This datapoint is a measure of the percent of long-term patients who remained mobile levels.

Hospitalizations

Grade: A-plus

In The Legacy Living and Rehabilitation Center, 1.07 Hospitalizations per 1,000 resident days

This is a measure of the number of times residents are hospitalized per 1,000 days of patient care. Keeping residents out of the hospital is important to maintaining the physical well-being of residents.

Short-term Care: Rehospitalizations

Grade: B

In The Legacy Living and Rehabilitation Center, 18.85 Percentage of Residents Rehospitalized

This is a measure of the number of times residents are rehospitalized per thousand days of short-term care. Staying out of the hospital during rehabilitation is critical to restoring the health of patients.

Short-term Care: ER Visits

Grade: B-minus

In The Legacy Living and Rehabilitation Center, 10.57 Percentage of Patients

This tells you the number of emergency room visits per thousand days of short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: C

In The Legacy Living and Rehabilitation Center, 76.64% Percentage of Resident

This is the percent of short-term care residents who saw functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of independence with activities of daily living typically correlates with superior rehabilitation services.

Nearby Hospitals

  • Campbell County Memorial HospitalAcute Care Hospitals 1.31 miles away501 South Burma Avenue Gillette Wyoming 82716Government - Hospital District or Authority(307) 688-1551

Nearby Dialysis

  • Ccmh Dialysis Unit1.32 miles away501 S Burma Gillette Wyoming 82716Dialysis Stations: 8 (307) 688-1981

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Footnotes:

  1. https://www.medicare.gov/nursinghomecompare/profile.html#ID=535022