nursing home in Libby, MT
Libby Care Center
308 E Third St, Libby, MT 59923 · (406) 293-6285
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Libby Care Center at a glance
Libby Care Center is a 101-bed for-profit nursing home in Libby, Montana (Lincoln County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Montana average of 2.9.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (June 29, 2026) found 6 health citations. The Montana average is 11.1.
It has not received a federal fine in the past three years.
Nursing staff turnover is 35.7% per year (state average 54.8%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 101
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cascadia Healthcare
- Medicare-certified since
- October 1, 1971
- Resident/family council
- Resident
- County
- Lincoln County
- CMS Certification Number
- 275040
Ratings
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.8 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.01 hrs | 4.05 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.51 hrs | 0.98 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.83 hrs | 2.57 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.75 hrs | 3.59 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 35.7% | 54.8% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 41.7% | 48.3% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 53 | 104.7 | 80.6 | Better |
Penalties
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $55,610 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 101 | 85 | 107 | |
| Average residents per day | 76 | 57 | 86 | |
| Occupancy | 75.5% | 69.3% | 80.9% |
Long-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.7% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 6.3% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 7.6% | 20.4% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.6% | 18.7% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.8% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 6.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.8% | 5.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.6% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.4% | 15.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.6% | 24.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 93.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.7% | 73.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.2% | 81.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 29, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 24, 2026 |
| June 29, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected July 24, 2026 |
| June 29, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected July 24, 2026 |
| June 29, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 24, 2026 |
| June 29, 2026 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected July 28, 2026 |
| June 29, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 6, 2026 |
| June 29, 2026 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected August 6, 2026 |
| June 29, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected August 6, 2026 |
| June 29, 2026 Standard | Honor the resident's right to choose his or her attending physician. Resident Rights Deficiencies · Tag F0555 | D Potential harm, isolated | Corrected August 6, 2026 |
| June 2, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Past Non-Compliance |
| June 30, 2025 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected August 21, 2025 |
| June 30, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected August 21, 2025 |
| June 30, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 21, 2025 |
| June 30, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected August 21, 2025 |
| June 30, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected August 21, 2025 |
| June 30, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 4, 2025 |
| June 30, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected August 4, 2025 |
| June 30, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 4, 2025 |
| June 30, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 4, 2025 |
| March 27, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected May 9, 2025 |
| March 27, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 27, 2025 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected May 9, 2025 |
| March 27, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 9, 2025 |
| August 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 11, 2024 |
| August 15, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected September 11, 2024 |
| August 15, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected September 11, 2024 |
| August 15, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 11, 2024 |
| August 15, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected September 11, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LIBBY 308 REALTY, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 06/05/2025 |
| WHITE OAK HEALTHCARE FINANCE LLC Organization | 5% or greater security interest | NOT APPLICABLE | 08/11/2022 |
| CASCADIA SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| LIBBY 308 REALTY, LLC Organization | adp of the snf | NOT APPLICABLE | 06/05/2025 |
| SANDERS, SARAH Individual | adp of the snf | NOT APPLICABLE | 07/01/2026 |
| YOUNGBLOOD, BETTY JEAN Individual | adp of the snf | NOT APPLICABLE | 07/03/2025 |
| CASCADIA MONTANA OPERATIONS LLC Organization | direct ownership interest | NOT APPLICABLE | 01/01/2017 |
| CASCADIA HC GROUP LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| CASCADIA HEALTHCARE LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2017 |
| CASCADIA HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| HAMMOND, OWEN Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2017 |
| LAFORTE, STEPHEN Individual | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| NELSON, TIMOTHY Individual | indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| CASCADIA SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/23/2025 |
| HAMMOND, OWEN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| LAFORTE, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| NELSON, TIMOTHY Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
| SANDERS, SARAH Individual | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| YOUNGBLOOD, BETTY JEAN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
Frequently asked questions
What is Libby Care Center's rating?
Libby Care Center has 5 out of 5 stars on the CMS overall star rating. The average for Montana nursing homes is 2.9 stars.
How many inspection citations did Libby Care Center receive?
Its most recent standard health inspection found 6 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.
Does Libby Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Libby Care Center?
It is for profit - limited liability company and part of Cascadia Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Libby Care Center and how do I contact it?
Libby Care Center is at 308 E Third St, Libby, MT 59923. Phone: (406) 293-6285.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.