The Legacy Living And Rehabilitation Center
The Legacy Living and Rehabilitation Center in Gillette, WY — inspection on September 11, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
previous incidents; however, they had not developed a PIP for incidents involving resident #9.4.
Review of the facility policy titled Abuse Policy last revised 5/2025 showed .10.
Mental abuse is defined as but not limited to humiliation, harassment, threats of punishment, or withholding of treatment or services .Abuse By Other Residents .If a resident experiences a behavior change resulting in aggression toward other residents, the facility conducts further assessment and notifies the primary physician/NP.
The resident's care plan is revised to include new approaches to reduce or eliminate any further chance of abuse.
Recommendations for appropriate intervention, up to and including hospitalization, can then be implemented .
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.