Total health inspections
4
Montana average 5.1
Last Health inspection on Jun 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Libby of Cascadia, LLC dba Libby Care Center
Nursing Home · Montana, MT
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Libby of Cascadia, LLC dba Libby Care Center
Nursing Home · Montana, MT
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Libby of Cascadia, LLC dba Libby Care Center accepts Medicare, Medicaid, and private pay.
Libby of Cascadia, LLC Dba Libby Care Center is a 101-bed skilled nursing and rehabilitation facility at 308 East Third Street, Libby, Lincoln County, Montana, offering 24-hour nursing care, rehabilitation services, respite care, and memory care. The facility does not accept Medicaid or Medicare. Its overall rating is not publicly disclosed. The administrator is BettyJean Youngblood.
The facility received a 2023 Silver Achievement in Quality award from the American Health Care Association and National Center for Assisted Living. Walk score for the location is 76.
Libby is located in Lincoln County in northwest Montana near the Idaho border. Cabinet Peaks Medical Center and Community Hospital are the primary nearby acute-care resources.
Regulatory compliance documentation is essential for informed placement decisions.
Families should contact the Montana Department of Public Health and Human Services for official inspection and licensing documentation before making placement decisions.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 27th out of 34 homes in Montana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 27th out of 34 homes in Montana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 19m per day
Rank #27 / 34Nurse hours — State benchmarkedThis home is ranked 27th out of 34 homes in Montana. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 34 Montana SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Montana avg
-15%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 31m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
76.4%
Rank #8 / 35Occupancy rate — State benchmarkedThis home is ranked 8th out of 35 homes in Montana. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 35. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
207 days
Occupancy rate
76.4%
Rank #8 / 35Occupancy rate — State benchmarkedThis home is ranked 8th out of 35 homes in Montana. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 35. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
207 days
101-bed community Rank #25 / 106Bed count — State benchmarkedThis home is ranked 25th out of 106 homes in Montana. Shows this facility's certified or reported bed count compared to other Montana SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation Rank #57 / 88Years in operation — State benchmarkedThis home is ranked 57th out of 88 homes in Montana. Shows how long this facility has been in operation compared to other Montana SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score: 76 / 100 Rank #19 / 159Walk Score — State benchmarkedThis home is ranked 19th out of 159 homes in Montana. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Montana SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Awards2023 Silver – Achievement in Quality award recipient by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL)
Facility TypeLong Term Care
StatusCurrent
IssuanceJuly 2, 2024
ExpirationJuly 1, 2027
License Number13566
Accreditations2023 Silver – Achievement in Quality award recipient by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL)
Libby of Cascadia, LLC dba Libby Care Center is administrated by Bettyjean Youngblood.
Rehabilitation Services
24-Hour Staffing
In-House Rehabilitation Gym
Individualized Attention And Care
Activities Program
Health Inspection History
Inspections
Total health citations
18
Rank #8 / 35Health citations — State benchmarkedThis home is ranked 8th out of 35 homes in Montana. Shows this facility's total health deficiency citations benchmarked to the Montana State average, with a ranking across all 35 MT SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Montana average 29.7
Citations per inspection
4.5
Rank #8 / 35Citations per inspection — State benchmarkedThis home is ranked 8th out of 35 homes in Montana. Shows average deficiency citations per CMS inspection for this facility versus the Montana mean across 35 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 18 citations resulted from standard inspections; 4 of 18 resulted from complaint investigations; and 8 of 18 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Montana averageMontana average: 0.3
Serious health citations
2
9% better than Montana averageMontana average: 2.2
Citations history (last 3 years)
Infection Control moderate citation
Jun 30, 2025
Corrected
Pharmacy moderate citation
Jun 30, 2025
Corrected
Resident Rights moderate citation
Jun 30, 2025
Corrected
Resident Rights moderate citation
Jun 30, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
83
Employees
75
Contractors
8
Staff to resident ratio
1.06:1
43% worse than Montana average
Avg staff/day
36
Average shift
8 hours
7% worse than Montana average
Total staff hours (quarter)
26,561
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2.8%
752 contractor hours this quarter
Registered Nurse: 5
Licensed Practical Nurse: 1
Physical Therapy Assistant: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 0 | 31 | 12,208 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 11 | 1 | 12 | 4,688 | 92 | 100% | 9.5 |
| Registered Nurse | 7 | 5 | 12 | 2,622 | 92 | 100% | 9.2 |
| Dental Services Staff | 4 | 0 | 4 | 1,641 | 71 | 77% | 7.8 |
| Physical Therapy Assistant | 3 | 1 | 4 | 938 | 67 | 73% | 6.2 |
| Nurse Aide in Training | 4 | 0 | 4 | 676 | 50 | 54% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 536 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 479 | 85 | 92% | 5.6 |
| Speech Language Pathologist | 3 | 0 | 3 | 474 | 70 | 76% | 6.2 |
| Qualified Social Worker | 1 | 0 | 1 | 452 | 47 | 51% | 9.6 |
| Dietitian | 1 | 0 | 1 | 425 | 57 | 62% | 7.5 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 266 | 58 | 63% | 4.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 63 | 32 | 35% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 39 | 9 | 10% | 4.3 |
31 Certified Nursing Assistant
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
12 Registered Nurse
% of Days
100%
4 Dental Services Staff
% of Days
77%
4 Physical Therapy Assistant
% of Days
73%
4 Nurse Aide in Training
% of Days
54%
2 Clinical Nurse Specialist
% of Days
68%
1 Administrator
% of Days
72%
1 Nurse Practitioner
% of Days
72%
2 Other Dietary Services Staff
% of Days
92%
3 Speech Language Pathologist
% of Days
76%
1 Qualified Social Worker
% of Days
51%
1 Dietitian
% of Days
62%
1 Therapeutic Recreation Specialist
% of Days
63%
3 Respiratory Therapy Technician
% of Days
35%
1 Occupational Therapy Assistant
% of Days
10%
Penalties and fines
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$23K Rank #15 / 35Federal fines — State benchmarkedThis home is ranked 15th out of 35 homes in Montana. Shows this facility's cumulative CMS federal fine dollars versus the Montana average among facilities with fines, and where it ranks among 35 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
74% lower than Montana averageMontana average: $87K
Number of fines
1
57% fewer fines than Montana averageMontana average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Montana averageMontana average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$23K
Montana average
$87K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 17, 2023 · $23K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 17, 2023
$23K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.4
34% better than Montana averageMontana average: 11.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
26% better than Montana averageMontana average: 21.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
10.0%
Percent of long-stay residents whose need for help with daily activities has increased
10.0%
48% better than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.8%
Percent of long-stay residents whose ability to move independently worsened
12.8%
38% better than Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
In line with Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
20% worse than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.6%
Percent of long-stay high risk residents with pressure ulcers
5.6%
11% better than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.3%
Percent of long-stay residents who lose too much weight
3.3%
46% better than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.4%
Percent of long-stay residents who have depressive symptoms
2.4%
49% better than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.3%
Percent of long-stay residents who received an antipsychotic medication
4.3%
77% better than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Montana averageMontana average: 93.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
23% better than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
13% better than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
34% better than Montana averageMontana average: 73.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
42% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78
Medicare
10
12.8% of residents
Medicaid
40
51.3% of residents
Private pay or other
28
35.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Libby of Cascadia, LLC dba Libby Care Center based on CMS SNF Cost Reports.
Occupancy Rate
76.4%
↑ 1.5pp vs 2022
Net Income
$1.2M
↑ ~$452.4K vs 2022
Total Payroll
$4.7M
↑ ~$197.0K vs 2022
Profit Margin
9.9%
↑ 0.5pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$12.6M
Profit
$1.2M
Privately-owned community
Operated by a business corporation.
Home revenue
$12.6M Rank #4 / 31Revenue — State benchmarkedThis home is ranked 4th out of 31 homes in Montana. Shows this facility's annual revenue compared to the Montana SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$1.2M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #13 / 31Payroll — State benchmarkedThis home is ranked 13th out of 31 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #13 / 31Payroll — State benchmarkedThis home is ranked 13th out of 31 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.4M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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Financial Assistance for
Nursing Home in Montana
Libby of Cascadia, LLC dba Libby Care Center is located in LIBBY, Montana.
Here are the financial assistance programs available to residents in Montana.
Compare Nursing Home around Montana
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
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| Libby of Cascadia, LLC dba Libby Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Libby | 101 | 76.4% | +24% | 3.32 | -7% | -27% | $22.7k | 18 | 4.5 | 2 | 77 | - | 76 | Cascadia Montana Operations LLC | $12.6M | $4.7M | 37.5% | 275040 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Great Falls | 189 | 44.3% | -28% | 3.79 | +13% | -16% | $208.1k | 43 | 5.4 | 6 | 141 | - | 46 | Reid Crickmore | $11.5M | $4.7M | 40.8% | 275030 | ||||
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Frequently Asked Questions about Libby of Cascadia, LLC dba Libby Care Center
Is Libby of Cascadia, LLC dba Libby Care Center in a walkable area?
Libby of Cascadia, LLC dba Libby Care Center has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the license number of Libby of Cascadia, LLC dba Libby Care Center?
According to MT state health department records, Libby of Cascadia, LLC dba Libby Care Center's license number is 13566.
When does Libby of Cascadia, LLC dba Libby Care Center's license expire?
According to MT state health department records, Libby of Cascadia, LLC dba Libby Care Center's license expires on July 1, 2027.
Who is the administrator of Libby of Cascadia, LLC dba Libby Care Center?
BettyJean Youngblood is the administrator of Libby of Cascadia, LLC dba Libby Care Center.
How many beds does Libby of Cascadia, LLC dba Libby Care Center have?
Libby of Cascadia, LLC dba Libby Care Center has 101 beds.
What is the address of Libby of Cascadia, LLC dba Libby Care Center?
Libby of Cascadia, LLC dba Libby Care Center is located at 308 East Third Street.
What is the phone number of Libby of Cascadia, LLC dba Libby Care Center?
(406) 293-6285 will put you in contact with the team at Libby of Cascadia, LLC dba Libby Care Center.
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