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Libby Care Center

308 E Third St., Libby, MT 59923 · Lincoln County · (406) 293-6285

101 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1971

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 275040 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 29, 2026, inspectors cited 5 health deficiencies (the Montana average is 11.2, the national average 9.2).

Of 16 health citations since August 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.01 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.

35.7% of nursing staff left within the year CMS measured (Montana average 54.8%).

CMS links it to Cascadia Healthcare, an affiliated group of 47 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
3E
2F
Potential for minimal harm
0A
0B
0C
June 29, 2026Standard inspection · 5 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) July 28, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a resident's pain was managed in accordance with the resident's care plan and preferences for 1 (#57) of 23 sampled residents. This deficient practice resulted in resident #57 having moderate to severe pain from a fracture. This deficient practice increased the likelihood of other residents with pain not being managed.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the washer area of the laundry room was clean and kept free of debris; and the facility staff failed to ensure proper glove use and hand hygiene during glucose testing process for 1 (#65) of 23 sampled residents. This failure had a likelihood of contaminating resident clothes and facility linens while being washed and transferred to the dryer and increased the risk of bloodborne pathogen contamination and/or infection for residents receiving care on the 100-hall unit.
  3. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the interdisciplinary team assessed and determined residents were safe to self-administer medications prior to residents self-administering medications for 2 (#s 30 and 66) of 5 residents observed for medication administration. This deficient practice increased the likelihood of medication errors for all residents receiving medication in the facility, including failure to take clinically significant medications.
  4. D
    Honor the resident's right to choose his or her attending physician.
    F555 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to honor the residents' rights to choose their attending physician for 1 (#57) of 23 sampled residents. This deficient practice affected all residents wanting to choose their primary physician and resulted in resident #57 feeling she could not use her primary physician she had built a relationship with and was comfortable using.
  5. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on interview and record review, the facility failed to honor a resident's preference for three showers a week for 1 (#6) of 23 sampled residents. This deficient practice resulted in the resident frequently receiving only one shower a week.
June 2, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent a resident elopement for 1 (#3) of 13 sampled residents. This failure resulted in resident #3 exiting the alarmed facility and walking four blocks, and facility staff returning him to the facility uninjured. The facility had corrected the deficient practice resulting in past non-compliance.
June 30, 2025Standard inspection, Complaint inspection · 4 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 4, 2025
    Inspectors wrote4. During an observation and interview on 6/28/25 at 2:50 p.m., the Team 2 medication room was found to have a variety of supplies and medications stacked in the corner and on the floor of the room which was an infection control concern. Staff member C said the room was too small for the amount of medication and supplies stored in the room. Staff member C said she asked administration for shelving to be able to provide more room for medication storage, but it had not been provided, so the items remained on the floor. During an observation and interview on 6/29/25 at 9:52 a.m., the Team 1 medication room had a variety of supplies covering the countertop. A used, personal cup, was in the sink. The counter was soiled and without a cleanable surface, and an infection control concern, due to the number of items stacked on the countertop. [...]
  2. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 4, 2025
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure advance directives were complete and matched the current EHR code status for 3 (#s 1, 29, and 65) of 20 sampled residents.
  3. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 4, 2025
    Inspectors wroteBased on interview and record review, the facility failed to record the temperatures for the medication storage refrigerator, in the team one medication storage room. The deficient practice increased the risk of medications being stored at incorrect temperatures, if the temperatures were not monitored by staff.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dignity was provided during peri care for 1 (#1) of 20 sampled residents. The resident specifically stated she did not want to be exposed.
March 27, 2025Complaint inspection · 4 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent the elopement of 3 (#s 4, 6, and 7) of 6 sampled residents for elopement; and failed to implement an effective elopement prevention and monitoring system for 6 (#s 4, 6, 7, 8, 9, and 10) of 6 sampled residents for elopement risk. This deficient practice increased the risk of an elopement or negative outcome for a resident who was at risk of eloping, due to the system failure.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on interview and record review, the facility failed to follow admission physician orders related to TED hose/antiembolism stockings for a post op patient for 1 (#2) of 3 rehab patients sampled.
  3. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure it provided behavioral health services to meet the needs of 1 (#4) of 6 sampled residents for behaviors.
  4. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 9, 2025
    Inspectors wroteBased on interview and record review, the facility failed to have a process in place to ensure pill contents, contained in personal prescription medication bottles brought from resident homes, were verified before dispensing, for 1 (#2) of 3 rehab residents sampled.
August 15, 2024Standard inspection · 2 citations
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2024
    Inspectors wroteBased on interview and record review, the facility failed to include a resident's history and risk of suicide on the baseline care plan for 1 (#76) of 2 sampled residents.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to coordinate care and communication with hospice, for 2 (#s 65 and 76) of 2 sampled residents for hospice.

Fire safety inspections

12 fire safety citations on file: 4 on June 29, 2026, 5 on June 30, 2025, 3 on August 15, 2024.

Every fire safety citation12 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 29, 2026 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 29, 2026 · Corrected (the home has a date of correction)
  3. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 29, 2026 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 29, 2026 · Corrected (the home has a date of correction)
  5. E
    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.
    K 222 · June 30, 2025 · Corrected (the home has a date of correction)
  6. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 30, 2025 · Corrected (the home has a date of correction)
  7. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · June 30, 2025 · Corrected (the home has a date of correction)
  8. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 30, 2025 · Corrected (the home has a date of correction)
  9. D
    Install an approved automatic sprinkler system.
    K 351 · June 30, 2025 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 15, 2024 · Corrected (the home has a date of correction)
  11. D
    Provide properly protected cooking facilities.
    K 324 · August 15, 2024 · Corrected (the home has a date of correction)
  12. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 15, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMontanaUnited States
All nursing staff (RN, LPN and aides)3.014.053.86
Registered nurses0.510.980.69
All nursing staff on weekends2.753.593.42
Nurse aides1.83
Licensed practical nurses0.67
Nursing staff turnover (share who left in a year)35.7%54.8%45.8%
Registered nurse turnover41.7%48.3%42.9%
Administrators who left1

CMS expects 3.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.12 on weekdays and 2.75 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.96 in April to June 2025 to 3.01 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.010.513.122.75 1.9%0 of 9076
Oct to Dec 20253.000.523.132.66 2.3%0 of 9277
Jul to Sep 20252.900.503.052.49 0.9%0 of 9277
Apr to Jun 20252.960.553.132.52 0.0%0 of 9177
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Montana, Jan to Mar 20263.910.894.103.4611.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Montana

JobMedianMiddle halfEmployed
Montana, all employers
CNAs (nursing assistants)$19.67$18.29 to $22.864,390
LPNs and LVNs$29.91$27.95 to $32.141,620
Registered nurses$41.00$38.56 to $48.4610,950
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Libby Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMontanaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
11.618.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.42.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.91.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.74.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.817.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.86.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.620.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.019.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.414.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.62.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Libby Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

43.0% this home

No different from the national rate

US median of homes 51.5% · Montana: 7 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 61 eligible stays.

Potentially preventable readmissions

8.7% this home

No different from the national rate

US median of homes 10.7% · Montana: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 55 eligible stays.

Infections that led to a hospital stay

6.1% this home

No different from the national rate

US median of homes 7.1% · Montana: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 32 eligible stays.

Self-care and mobility at discharge

58.1% this home

Median of homes: Montana58.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 43 residents counted.

Falls with major injury

1.7% this home

Median of homes: Montana0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 60 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Montana2.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 60 residents counted.

Medication list given at discharge

57.1% this home

Median of homes: Montana97.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 28 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LIBBY OF CASCADIA. CMS links this home to Cascadia Healthcare, a group of 47 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Cascadia Montana Operations LLCDirect ownership interestOrganization01/01/2017
Cascadia Hc Group LLCIndirect ownership interestOrganization06/05/2025
Cascadia Healthcare LLCIndirect ownership interestOrganization01/01/2017
Cascadia Holdco LLCIndirect ownership interestOrganization06/05/2025
Hammond, OwenIndirect ownership interestIndividual01/01/2017
Laforte, StephenIndirect ownership interestIndividual06/05/2025
Nelson, TimothyIndirect ownership interestIndividual06/05/2025
Libby 308 Realty, LLC5% or greater security interestOrganization06/05/2025
White Oak Healthcare Finance LLC5% or greater security interestOrganization08/11/2022
Cascadia Services LLCOperational/managerial controlOrganization01/23/2025
Hammond, OwenOperational/managerial controlIndividual01/01/2017
Laforte, StephenOperational/managerial controlIndividual06/05/2025
Nelson, TimothyOperational/managerial controlIndividual06/05/2025
Sanders, SarahOperational/managerial controlIndividual05/01/2026
Youngblood, Betty JeanOperational/managerial controlIndividual07/01/2025
Cascadia Services LLCAdp of the SNFOrganization01/23/2025
Libby 308 Realty, LLCAdp of the SNFOrganization06/05/2025
Sanders, SarahAdp of the SNFIndividual07/01/2026
Youngblood, Betty JeanAdp of the SNFIndividual07/03/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 29, 2026: "Provide safe, appropriate pain management for a resident who requires such services."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on June 29, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 29, 2026: "Provide and implement an infection prevention and control program."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 30, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.75 hours per resident per day, below the Montana average of 3.59.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Montana contacts for a concern about a nursing home

These are the official offices in Montana. NursingHomeClear cannot take or act on complaints.

Common questions

What is Libby Care Center's Medicare star rating?
CMS rates Libby Care Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Libby Care Center get at its last inspection?
5 health deficiencies at the standard inspection on June 29, 2026. The Montana average is 11.2.
Has Libby Care Center been fined?
CMS lists no fines in the last three years.
Does Libby Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Libby Care Center?
CMS lists 19 owners and managers, and links the home to Cascadia Healthcare. Legal business name: LIBBY OF CASCADIA.

Sources

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