Montana › Lincoln County › Libby
Libby Care Center
308 E Third St, Libby, MT 59923
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Libby Care Center, in Libby, Montana, is certified for 101 beds under for-profit, limited liability company ownership and belongs to the Cascadia Healthcare chain.
CMS gives it 5 of 5 stars overall, above the Montana median of 3; the health inspection rating is 4, staffing 3 and quality measures 5.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (5, 6, 8 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 18.8 per 100 beds, fewer than the state median of 40.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), below the Montana median of 3.9; nursing staff turnover is 35.7%.
Compared with county, state and nation
| Measure | This facility | Lincoln Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 19 | 27 | 28.7 |
| Citations per 100 beds | 18.8 | 26.5 | 40.0 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.0 | 3.9 | 3.9 |
| RN hours per resident day | 0.5 | 1.0 | 0.9 | 0.7 |
| Nursing staff turnover | 35.7% | 53.3% | 53.4% | 45.8% |
| Fines listed | $0 | $0 | $27,013 | — |
County and state figures are medians across facilities (2 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jun 2025, 15 Aug 2024.
Severity mix: G ×2 D ×13 E ×3 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Past Non-Compliance |
| 30 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 4 Aug 2025 |
| 30 Jun 2025 | F0578 | 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. | E | Standard survey | 4 Aug 2025 |
| 30 Jun 2025 | F0761 | 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. | E | Complaint investigation | 4 Aug 2025 |
| 30 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 4 Aug 2025 |
| 27 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 9 May 2025 |
| 27 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 9 May 2025 |
| 27 Mar 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 9 May 2025 |
| 27 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 May 2025 |
| 15 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 11 Sep 2024 |
| 15 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Sep 2024 |
| 17 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 15 Sep 2023 |
| 17 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Sep 2023 |
| 17 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Sep 2023 |
| 17 Aug 2023 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 15 Sep 2023 |
| 17 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 15 Sep 2023 |
| 17 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Sep 2023 |
| 17 Aug 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 15 Sep 2023 |
| 17 Aug 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 15 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 35.7%, RNs 41.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.6% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.8% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.6% | 19.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Libby Of Cascadia. Chain: Cascadia Healthcare (46 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascadia Montana Operations LLC | Direct ownership interest | NOT APPLICABLE | 01/01/2017 |
| Cascadia Hc Group LLC | Indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| Cascadia Healthcare LLC | Indirect ownership interest | NOT APPLICABLE | 01/01/2017 |
| Cascadia Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/05/2025 |
| Libby 308 Realty, LLC | 5% or greater security interest | NOT APPLICABLE | 06/05/2025 |
| White Oak Healthcare Finance LLC | 5% or greater security interest | NOT APPLICABLE | 08/11/2022 |
| Cascadia Services LLC | Operational/managerial control | NOT APPLICABLE | 01/23/2025 |
| Cascadia Services LLC | Adp of the snf | NOT APPLICABLE | 01/23/2025 |
| Libby 308 Realty, LLC | Adp of the snf | NOT APPLICABLE | 06/05/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lincoln County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Mountain View of Cascadia | Eureka | 49 | 5 | 4 | 3 | 13 | 26.5 | — | 5 Jun 2025 |
All 2 facilities in Lincoln County
Questions and answers
How many deficiencies has Libby Care Center been cited for?
19 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Libby Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Libby Care Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Libby Care Center?
It is part of the Cascadia Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cascadia Montana Operations LLC, Cascadia Hc Group LLC and Cascadia Healthcare LLC. Individual owners and managers are not listed on this site.
When was Libby Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jun 2026; the most recent standard health survey was 30 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.