ElderGrade
B

78/100

Above average

Libby Care Center

308 E Third St, Libby, MT 59923

CMS 5/5 stars #2 of 2 in Lincoln County (406) 293-6285
Certified beds
101
Occupancy
76%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $22,720 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.37 total nurse hours per resident per day (national median 3.77)
  • 0.51 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 36% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $22,720 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.01 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.51 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.75 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 35.70%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 18 citations

Last standard health inspection: June 30, 2025 (1 year ago).

F Jun 30, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Jun 30, 2025 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Jun 30, 2025 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Jun 30, 2025 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

E Mar 27, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0740 From a complaint

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

No actual harm, potential for more than minimal harm

D Mar 27, 2025 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CASCADIA HEALTHCARE, which operates 45 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CASCADIA MONTANA OPERATIONS LLC Organization DIRECT OWNERSHIP INTEREST
CASCADIA HC GROUP LLC Organization INDIRECT OWNERSHIP INTEREST
CASCADIA HEALTHCARE LLC Organization INDIRECT OWNERSHIP INTEREST
CASCADIA HOLDCO LLC Organization INDIRECT OWNERSHIP INTEREST
HAMMOND, OWEN Individual INDIRECT OWNERSHIP INTEREST
LAFORTE, STEPHEN Individual INDIRECT OWNERSHIP INTEREST
NELSON, TIMOTHY Individual INDIRECT OWNERSHIP INTEREST
LIBBY 308 REALTY, LLC Organization 5% OR GREATER SECURITY INTEREST
WHITE OAK HEALTHCARE FINANCE LLC Organization 5% OR GREATER SECURITY INTEREST
CASCADIA SERVICES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
GUNTHER, GLENNE Individual OPERATIONAL/MANAGERIAL CONTROL
HAMMOND, OWEN Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Libby Care Center

What is the ElderGrade for Libby Care Center? +

Libby Care Center holds an ElderGrade of B (78 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Libby Care Center? +

Residents receive an average of 3.01 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Libby Care Center been cited for harming residents? +

Yes. 2 of the 18 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Libby Care Center accept Medicaid? +

Yes, Libby Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.