Libby Care Center

308 E Third St · Libby, MT · 59923 · 4062936285

101 certified beds For profit - Limited Liability company Chain: Cascadia Healthcare

  • Inspection results have improved across recent cycles.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Total nurse staffing below 3.0 hours per resident-day

3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 78
Staffing 20% 59
Federal penalties 15% 71
Trend 10% 81
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.003.48 min · 4.1 strong
RN hours / resident-day0.520.55–0.75
Weekend hours / resident-day2.66≈ weekday level
Nursing turnover / year35%median 45%
Fines (3-yr window)1 · $22,720

Inspection citations (18 in the current record)

  • Potential for harm · D June 30, 2025

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

    Corrected August 4, 2025 · Resident Rights

  • Potential for harm · E June 30, 2025

    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.

    Corrected August 4, 2025 · Resident Rights

  • Potential for harm · E June 30, 2025 · found via 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.

    Corrected August 4, 2025 · Pharmacy Service

  • Potential for harm · F June 30, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 4, 2025 · Infection Control

  • Potential for harm · D March 27, 2025 · found via complaint

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

    Corrected May 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 27, 2025 · found via complaint

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

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · D March 27, 2025 · found via complaint

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

    Corrected May 9, 2025 · Quality of Life and Care

  • Potential for harm · D March 27, 2025 · found via complaint

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

    Corrected May 9, 2025 · Pharmacy Service

  • Potential for harm · D August 15, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected September 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 15, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 11, 2024 · Quality of Life and Care

  • Actual harm · G August 17, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 15, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G August 17, 2023 · found via complaint

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

    Corrected September 15, 2023 · Quality of Life and Care

  • Potential for harm · D August 17, 2023

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

    Corrected September 15, 2023 · Resident Rights

  • Potential for harm · D August 17, 2023

    Implement a program that monitors antibiotic use.

    Corrected September 15, 2023 · Infection Control

  • Potential for harm · D August 17, 2023 · found via complaint

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected September 15, 2023 · Resident Rights

  • Potential for harm · D August 17, 2023 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 15, 2023 · Resident Rights

  • Potential for harm · D August 17, 2023 · found via complaint

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

    Corrected September 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 17, 2023 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected September 15, 2023 · Resident Assessment and Care Planning

Federal penalties

DateTypeAmount / length
August 17, 2023Fine$22,720

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275040 · certified since October 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.