Nursing homeActive
Libby Care Center
308 E Third St, Libby, MT 599234062936285101 certified beds · 76 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
19
● 0● 17● 2
Penalties · 3 yrs
—
none on file
Last survey
2026-06-02
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Montana DPHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-30 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-03-27 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2024-08-15 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-08-17 | Standard | 062 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Montana DPHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 275040-20260602-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-04Record 275040-20250630-F550
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-04Record 275040-20250630-F578
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-04Record 275040-20250630-F761
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-08-04Record 275040-20250630-F880
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 275040-20250327-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 275040-20250327-F689
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 275040-20250327-F740
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 275040-20250327-F755
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 275040-20240815-F655
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 275040-20240815-F684
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-15Record 275040-20230817-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-15Record 275040-20230817-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 275040-20230817-F550
F551Give the resident's representative the ability to exercise the resident's rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 275040-20230817-F551
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 275040-20230817-F623
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 275040-20230817-F658
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 275040-20230817-F660
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 275040-20230817-F881
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.51
Facility
Montana
National
Montana 0.98 · National 0.69
Total nurse hours per resident day3.01
Facility
Montana
National
Montana 4.05 · National 3.86
Weekend total nurse hours2.75
Facility
Montana
National
Montana 3.59 · National 3.42
Total nursing staff turnover36%
Facility
Montana
National
Montana 55% · National 46%
Registered nurse turnover42%
Facility
Montana
National
Montana 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Montana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.8% | 6.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.7% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.6% | 20.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.6% | 18.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.7% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.4% | 15.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Cascadia Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hammond, Owen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Laforte, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nelson, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sanders, Sarah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Youngblood, Betty Jean Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cascadia Hc Group LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Healthcare LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Montana Operations LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cascadia Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hammond, Owen Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Laforte, Stephen Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Libby 308 Realty, LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Libby 308 Realty, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nelson, Timothy Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Sanders, Sarah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| White Oak Healthcare Finance LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Youngblood, Betty Jean Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Cascadia Healthcare — 46 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Montana.
No county cost figures on file for Lincoln.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Mountain View Of Cascadia Eureka | 40.7 mi | 2025-06-05 | 080 |
| Boundary County Nursing Home Bonners Ferry | 41.2 mi | 2026-05-01 | 0160 |
| Silverton Health and Rehabilitation of Cascadia Silverton | 64.7 mi | 2026-07-10 | 0311 |
| Life Care Center of Sandpoint Sandpoint | 47.4 mi | 2025-07-25 | 0220 |
| Valley Vista Care Center of Sandpoint Sandpoint | 47.6 mi | 2025-06-27 | 0262 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |