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The Legacy Living And Rehabilitation Center
1000 S Douglas Hwy, Gillette, WY 82716
Based on 3 reviews
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The Legacy Living And Rehabilitation Center Description
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Information from Centers for Medicare & Medicaid Services
This nursing community has been given an overall rating of 3 out of 5 stars by The Center for Medicare and Medicaid receiving 3 stars on its health inspection, 4 stars on its quality measures rating, and 3 stars on its staffing rating. Within the quality measure rating, each facility is given a short-stay rating and a long-stay rating. This facility received a 5-star short-stay rating and a 3-star long-stay rating. This nursing home is certified by Medicare and Medicaid and was first approved to provide Medicare and Medicaid services on 06/16/84 and is run by a government organization. It is a very large-sized nursing community with 160 nursing beds. Currently, there are 108 residents within the nursing community. Be advised these resident occupancy numbers are not always up to date and are collected from the Center for Medicare and Medicaid Services website periodically.Alerts from Centers for Medicare & Medicaid Services
This facility has been given 1 fine by The Centers for Medicare & Medicaid Services for a total of $42,178.50. The facility has also had 1 substantiated complaints reported in the last 3 years that resulted in a citation. The facility has had 1 facility incidents reported in the last 3 years that resulted in a citation.Overall Ratings
The Legacy Living And Rehabilitation Center is a nursing home in the top half of facilities in terms of overall rating. The overall rating is slightly lower than the state average. The nursing home is in the top half of facilities in terms of health inspection rating. The health inspection rating is slightly higher than the state average. This nursing home has a 4-star quality rating, which is second highest possible. The nursing home's quality rating is slightly higher than the state average.Staff Ratings
The Legacy Living And Rehabilitation Center is a nursing home that is in the bottom 10% of facilities in terms of nursing aid staffing hours per resident per day. The nursing aid staffing hours per resident per day is lower than the state average. However, the nursing home is in the top 10% of facilities in terms of LPN staffing hours per resident per day. The LPN staffing hours per resident per day is higher than the state average. Additionally, the nursing home is in the top 40% of facilities in terms of RN staffing hours per resident per day. The RN staffing hours per resident per day is slightly lower than the state average but the nursing home is still in the top 10% of facilities in terms of licensed staffing hours per resident per day. The licensed staffing hours per resident per day is higher than the state average. Lastly, the nursing home is also in the top 40% of facilities in terms of physical therapist staffing hours per resident per day. The physical therapist staffing hours per resident per day is slightly higher than the state average.Covid Data
The Legacy Living And Rehabilitation Center is a nursing home that falls in the bottom 30% of facilities in terms of resident vaccination rate. The resident vaccination rate for the nursing home is 81.5%, which is lower than the state average of 89.9%. Additionally, the staff vaccination rate for this nursing home is 61.5%, which falls in the bottom 10% of all facilities and is much lower than the state average staff vaccination rate of 79.3%. Lastly, their covid booster rate of 72.7% falls into the bottom 20% when compared to other facilities and once again does not meet the state average benchmark.Quality Measures
The Legacy Living And Rehabilitation Center is a nursing home with a 4-star quality rating, the second highest possible. However, the nursing home falls in the bottom 40% of facilities when it comes to residents who have depressive symptoms. This number is only slightly lower than the state average. The nursing home is also in the bottom 20% of facilities in terms of residents who lose too much weight. This number is again only slightly higher than the state average. The nursing home fares a bit better when it comes to residents whose need for help with daily activities has increased, as they are in the bottom 30% of facilities. However, this number is still slightly higher than the state average. When looking at resident ulcers, the nursing home is actually in the top 40% of facilities. However, the number of residents with a catheter inserted and left in their bladder puts them back in the bottom 40%. And finally, when looking at Pneumococcal and Flu vaccine rates, the nursing home falls in the bottom 20% for both, with way lower numbers than the state average for Pneumococcal vaccine and only slightly lower for Flu vaccine.Emergency and Hospitalization Quality Measures
The Legacy Living And Rehabilitation Center is in the top 10% of facilities in terms of hospitalizations per 1000 days. The nursing home is also in the bottom half of facilities in terms of outpatient emergency department visits per 1000 days, which is slightly lower than the state average. However, The Legacy Living And Rehabilitation Center is in the top half of facilities in terms of short-stay residents who had outpatient emergency department visits. This number is way lower than the state average. Lastly, The Legacy Living And Rehabilitation Center is again in the top 10% of facilities in terms of short stay residents who were rehospitalized after a nursing home admission; once more, this number is way lower than the state average. Essentially, this nursing home provides quality care for its patients and does so better than most other facilities within the state.By clicking "Get Exact Costs", you consent to being contacted either by My Caring Plan or our third-party partners at the phone number and contact information provided, including through the use of an automated dialer system. I agree to be bound by My Caring Plan’s Terms and Conditions and Privacy Policy
The Gillette Area
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Disclaimer
My Caring Plan is not affiliated with the owner or operator(s) of this facility. The information on this page has not been verified or approved by the owner or operator. The information about this facility has been created to the best of our abilities. If you manage this facility please contact us here to claim this listing.
By clicking "Get Exact Costs", you consent to being contacted either by My Caring Plan or our third-party partners at the phone number and contact information provided, including through the use of an automated dialer system. I agree to be bound by My Caring Plan’s Terms and Conditions and Privacy Policy
Reviews
General Staff Rating
Care Staff Rating
A horrible place, the supervisor/boss clearly doesnt care about residents nor employees. I'm pulling my grandmother to a different home due to the fact that not only she gets abused by residents but as do the nurses, everyone takes abuse from the residents who cant control themselves. There should be security or something, not a bunch of 18 year old girls trying to control it all.
For how much this place costs, it’s not worth it in my opinion. Not only did my grandmother not get any help, she struggled severely mentally, socially, and physically.
Health and Fire Safety Deficiencies
The Center for Medicare and Medicaid report report health and fire safety deficiencies. Some of these deficiencies are more severe than others. The following table shows different levels of severity.
| Scope | |||
|---|---|---|---|
| Severity of Deficiency | Isolated | Pattern | Widespread |
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm that is not immediate jeopardy | G | H | I |
| No actual harm with potential for more than minimal harm that is not immediate jeopardy | D | E | F |
| No actual harm with potential for minimal harm | A | B | C |
Fire Safety Deficiencies
| Survey Date | Correction Date | Letter | Category | Description |
|---|---|---|---|---|
| 2021-12-03 | 2022-01-19 | F | Emergency Preparedness Deficiencies | Provide emergency officials' contact information. |
| 2021-12-03 | 2022-01-19 | D | Egress Deficiencies | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2021-12-03 | 2022-01-19 | D | Egress Deficiencies | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2021-12-03 | 2022-01-19 | D | Egress Deficiencies | Have stairways and smokeproof enclosures used as exits that meet safety requirements. |
| 2021-12-03 | 2022-01-19 | D | Smoke Deficiencies | Install an approved automatic sprinkler system. |
| 2021-12-03 | 2022-01-19 | D | Smoke Deficiencies | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2021-12-03 | 2022-01-19 | D | Miscellaneous Deficiencies | Have restrictions on the use of highly flammable decorations. |
| 2019-12-04 | 2020-01-19 | D | Egress Deficiencies | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2019-12-04 | 2020-01-19 | D | Egress Deficiencies | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2019-12-04 | 2020-01-19 | D | Smoke Deficiencies | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2019-12-04 | 2020-01-19 | D | Smoke Deficiencies | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2019-12-04 | 2020-01-19 | D | Miscellaneous Deficiencies | Provide a written emergency evacuation plan. |
| 2019-12-04 | 2020-01-19 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure proper usage of power strips and extension cords. |
| 2018-10-24 | 2018-12-09 | D | Smoke Deficiencies | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2018-10-24 | 2018-12-07 | E | Smoke Deficiencies | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2018-10-24 | 2018-12-09 | D | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. |
| 2018-10-24 | 2018-12-09 | D | Smoke Deficiencies | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2018-10-24 | 2018-12-09 | E | Miscellaneous Deficiencies | Provide a written emergency evacuation plan. |
| 2018-10-24 | 2018-12-09 | D | Miscellaneous Deficiencies | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. |
Health Safety Deficiencies
| Survey Date | Correction Date | Letter | Category | Description |
|---|---|---|---|---|
| 2021-12-02 | E | E | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2021-12-02 | E | E | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. |
| 2021-12-02 | D | D | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2021-12-02 | D | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2021-12-02 | D | D | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| 2021-12-02 | D | D | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2020-12-16 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2019-12-05 | D | D | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. |
| 2019-12-05 | E | E | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2019-12-05 | D | D | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2019-12-05 | D | D | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. |
| 2019-12-05 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2019-12-05 | D | D | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2019-12-05 | D | D | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. |
| 2019-12-05 | D | D | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2019-12-05 | D | D | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2019-12-05 | D | D | Infection Control Deficiencies | Implement a program that monitors antibiotic use. |
| 2019-07-18 | G | G | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2018-10-25 | E | E | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. |
| 2018-10-25 | D | D | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. |
| 2018-10-25 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2018-10-25 | E | E | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| 2018-10-25 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2018-10-25 | D | D | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. |
| 2018-10-25 | E | E | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2018-10-25 | D | D | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
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