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The Legacy Living And Rehabilitation Center

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About The Legacy Living And Rehabilitation Center

General Information

Legal Business NameCampbell County Hospital District
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 16, 1984 (33 years)
Capacity150
Residents118
Percent Occupied79%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Legacy Living And Rehabilitation Center

The Legacy Living And Rehabilitation Center
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Wyoming Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
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

September 29, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
BSomePotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

September 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionGive the resident's representative the ability to exercise the resident's rights.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

August 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 7, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Legacy Living And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 50min
2hr 20min
ReportedExpected
CNA
20min
40min
ReportedExpected
LPN
1hr
60min
ReportedExpected
RN
4hr 10min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.6%
100.0%
100.0%
100.0%
95.0%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
95.2%
97.2%
95.2%
85.2%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
31.5%
35.4%
49.0%
51.0%
42.1%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of low risk long-stay residents who lose control of their bowels or bladder
19.4%
22.5%
21.8%
21.0%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
18.7%
11.0%
10.1%
9.6%
17.1%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents whose ability to move independently worsened
7.8%
5.0%
3.0%
3.0%
12.4%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents who received an antipsychotic medication
23.5%
19.0%
14.0%
9.1%
17.5%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents whose need for help with daily activities has increased
24.7%
24.2%
18.8%
16.4%
12.2%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents who self-report moderate to severe pain
9.7%
4.9%
6.9%
4.0%
6.8%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents who lose too much weight
1.8%
5.1%
1.6%
3.3%
4.5%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of high risk long-stay residents with pressure ulcers
1.0%
3.0%
5.8%
3.0%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents who have depressive symptoms
3.7%
4.8%
5.7%
9.8%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents with a urinary tract infection
3.7%
5.7%
3.8%
5.8%
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents experiencing one or more falls with major injury
1.2%
0.0%
1.0%
1.0%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

85.3%
82.1%
75.0%
77.9%
75.8%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
98.8%
98.8%
98.8%
76.4%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
77.1%
77.8%
75.2%
77.2%
69.4%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of short-stay residents who made improvements in function
38.5%
45.7%
30.0%
29.5%
22.5%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
2.6%
5.2%
2.6%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016WY
Percentage of short-stay residents with pressure ulcers that are new or worsened