Note: The Legacy Living and Rehabilitation Center has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.

The Legacy Living and Rehabilitation Center is a large government-owned nursing home located in Gillette, Wyoming. With an overall rating of D, this is a relatively poor nursing home. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Gillette. The best thing we can say about this nursing home is that it didn't receive any F's in in any of the major categories. Additional information about these categories can be found below.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 151 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Government - Hospital district

Resident Council: TrueA checkmark indicating true.

Family Council: TrueA checkmark indicating true.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

B-
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: AMar 20: AApr 20: AMay 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

While we did not have many positive things to say about this facility's overall score, it earned a respectable inspection report this year. As a result, it received a decent score in that category with a score of B-. We take several aspects of a facility's inspection report into consideration in determining our inspection scores. One of those factors is health deficiencies. You should keep in mind that the severity of the deficiencies is usually more important than the quantity of deficiencies, as some deficiencies end up being quite minor. While this facility had a few deficiencies on its inspection report, none were serious based on CMS' deficiency scale. Finally, this facility was cited by CMS for possible abuse or neglect. We would not recommend this facility under any circumstance.

Nurse Quality

B-
Oct 18: A-Nov 18: A-Dec 18: A-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: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

We also awarded this facility a grade of B- for our nursing rating. Our nursing rating is mostly based on a nursing home's nurse staffing. This nursing home provides 3.8 hours of nursing care per resident per day. Finally, we also considered some quality-based metrics. This place fared well in some of the quality measures we assessed. By way of illustration, in terms of the number of its patients suffering from pressure ulcers, this facility outpaced the national average. This is often an indicator that a nursing home has sufficient quality controls in place. Pressure ulcers can often be prevented with better nursing care.

Short-term Care Quality

B-
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: B+Feb 19: B+May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: AMay 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

This facility's next most favorable area came in the area of short-term care. In that area, we gave this facility a grade of B-. In determining our short-term care grades, we analyze the facility's skilled nursing services, such as those performed by registered nurses, respiratory therapists, physical therapists and other types of skilled professionals. Our goal is to create a barometer for sizing up the rehabilitation services of nursing homes. This nursing home elevated its grade in this category by offering more care from registered nurses to its residents than the average facility. The last metric we looked at in this area is the percentage of residents who were able to leave the facility and return to the community. We found that it performed well in this metric with 60 percent of its patients returning home. With most facilities, less than half of their short-term residents are able to return home.

Long-term Care Quality

C
Oct 18: CNov 18: CDec 18: CJan 19: B-Feb 19: B-May 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: CMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

Our next category is long-term care, where we gave this nursing home a grade of C in that area. In forming these long-term care scores, we assess the facility's ability to maintain its permanent residents' health and quality of life. Once we assessed the volume of care provided by nurses aids and other staff, we then looked at the nursing home's vaccination records. This nursing home vaccinated 95.9381 percent of its residents against pneumonia, which is more than the vast majority of nursing homes. Lastly, this place was also able to limit hospitalizations. In fact, it had only 0.44 hospitalizations per one thousand long-term resident days, which is an impressively low figure.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
D
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

The Legacy Living and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers are considered by many experts to be a barometer of nursing care . Pressure ulcers, which are also known as bed sores, are often the result of patients staying in one position for too long.

Provider
B+
5.96%
State
B+
5.57%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This metric is an indication of the percentage of long-term stay residents that have had a fall resulting in severe injury. Falls can arise for a variety of reasons, but high rates of major falls could be a sign of poor nursing care.

Provider
F
7.35%
State
B-
4.91%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This metric is an indication of the percentage of long-term stay residents that suffered from a urinary tract infection. Although more of these infections may reflect poorly on a facility's nursing care, it can be difficult to compare different facilities due to nursing homes having inconsistent reporting standards.

Provider
B+
1.75%
State
B-
3.33%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percentage of residents prescribed antipsychotic medications. Antipsychotic medications are administered to patients for a variety of conditions, including dementia. Sadly, in some situations, increased usage of these drugs may mean a facility is using these drugs to subdue residents.

Provider
B
14.34%
State
B
14.74%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This tells you the percent of patients who were prescribed antianxiety drugs. Antianxiety drugs are administered to patients experiencing anxiety or depression.

Provider
B
18.54%
State
A-
13.88%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This datapoint is a measure of the percentage of long-term stay residents showing signs of depression.

Provider
C
6.58%
State
B-
4.49%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This tells you the percent of patients that were given the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.

Provider
B
97.61%
State
B
94.88%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This tells you the percentage of patients that needed more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living may be a sign of the decline of a patient's health.

Provider
B-
16.04%
State
B
14.96%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This indicates the percentage of patients who maintained mobility over time. Optimizing mobility is often a good sign for residents' health.

Provider
B+
19.85%
State
B-
15.54%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric is a measure of the number of hospitalizations per 1,000 days of patient care.

Provider
A+
0.46
State
B+
1.41
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This metric is a measure of the number of times residents are rehospitalized per thousand days of short-term patient care.

Provider
B-
19.85
State
B+
15.54
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term care.

Provider
B-
11.12
State
B+
9.53
National
B
10.27

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This datapoint measures the percentage of short-term stay patients who saw functional improvements, such as with activities of daily living. Some would argue that this is a reliable measure of a nursing home's rehabilitation performance.

Provider
A
85.25%
State
B+
75.91%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Campbell County Memorial Hospital 1.31 mi
501 South Burma Avenue Gillette Wyoming 82716
(307) 688-1551
Acute Care Hospitals
Government - Hospital District or Authority

Nearby Dialysis

Ccmh Dialysis Unit 1.32 mi
Dialysis Stations: 8
501 S Burma Gillette Wyoming 82716
(307) 688-1981