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Libby of Cascadia, LLC dba Libby Care Center
Nursing Home & Skilled Nursing · Libby, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Libby of Cascadia, LLC dba Libby Care Center

Nursing Home & Skilled Nursing · Libby, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
308 East Third Street, Libby, MT 59923 View map Calculator: See prices in your area
Libby of Cascadia, LLC dba Libby Care Center accepts Medicare, Medicaid, and private pay.
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Libby of Cascadia, LLC dba Libby Care Center accepts Medicare, Medicaid, and private pay.

Overview of Libby of Cascadia, LLC Dba Libby Care Center

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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.

Facility Direct Line (406) 293-6285
Facility Direct Line (406) 293-6285
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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 #28 / 38Nurse hours — State benchmarkedThis home is ranked 28th out of 38 homes in Montana. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 38 Montana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 31m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 40m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 49m per day
Weekend Total Nursing Info 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 39m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 22m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
207 days
Bed community size
101-bed community Rank #24 / 106Bed count — State benchmarkedThis home is ranked 24th out of 106 homes in Montana. Shows this facility's certified or reported bed count compared to other Montana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.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.
Years in operation
1 year in operation Rank #57 / 89Years in operation — State benchmarkedThis home is ranked 57th out of 89 homes in Montana. Shows how long this facility has been in operation compared to other Montana facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.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
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 facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.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

Occupancy

Occupancy rate
76%
Rank #9 / 39Occupancy rate — State benchmarkedThis home is ranked 9th out of 39 homes in Montana. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 39. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Montana average: 61.7%
Occupied beds
77 / 101
Average occupied beds in Montana homes 55 beds

Awards

2023 Silver – Achievement in Quality award recipient by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL)

License Details

Facility TypeLong Term Care
StatusCurrent
IssuanceJuly 2, 2024
ExpirationJuly 1, 2027
License Number13566

Ownership & Operating Entity

Libby of Cascadia, LLC dba Libby Care Center is administered by Bettyjean Youngblood.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

In-House Rehabilitation Gym
Individualized Attention And Care
Activities Program

Contact Libby of Cascadia, LLC dba Libby Care Center

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A

Last Health inspection on Jun 2025

Total health citations
18 Rank #8 / 39Health citations — State benchmarkedThis home is ranked 8th out of 39 homes in Montana. Shows this facility's total health deficiency citations benchmarked to the Montana State average, with a ranking across all 39 MT facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.5 Rank #9 / 39Citations per inspection — State benchmarkedThis home is ranked 9th out of 39 homes in Montana. Shows average deficiency citations per CMS inspection for this facility versus the Montana mean across 39 facilities with citation data. Lower is better.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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
In line with State average

State average: N/A

Serious health citations
2
In line with State average

State average: N/A

0 critical citations State average: N/A
2 serious citations State average: N/A
16 moderate citations State average: N/A
0 minor citations State average: N/A
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

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

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
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 36
Average shift 8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 26,561

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info 12 total: 7 full-time employees and 5 contractors. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 12 total: 11 full-time employees and 1 contractor. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 31 CNA Staff are full-time employees. No contractors work on this role. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info 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 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3103112,20892100%8.2
Licensed Practical Nurse111124,68892100%9.5
Registered Nurse75122,62292100%9.2
Dental Services Staff4041,6417177%7.8
Physical Therapy Assistant3149386773%6.2
Nurse Aide in Training4046765054%7.9
Clinical Nurse Specialist2025366368%8
Administrator1015286672%8
Nurse Practitioner1015286672%8
Other Dietary Services Staff2024798592%5.6
Speech Language Pathologist3034747076%6.2
Qualified Social Worker1014524751%9.6
Dietitian1014255762%7.5
Therapeutic Recreation Specialist1012665863%4.6
Respiratory Therapy Technician303633235%1.8
Occupational Therapy Assistant01139910%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%
View All Staffing Data

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 #16 / 39Federal fines — State benchmarkedThis home is ranked 16th out of 39 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 39 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
74% lower than State average

State average: $87K

Number of fines 1
57% fewer fines than State average

State average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.2

Fines amount comparison
Fines amount comparison
This facility $23K
State 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 Info 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 Info 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 State average

State average: 11.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.0
26% better than State average

State average: 21.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 10.0%
48% better than State average

State average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.8%
38% better than State average

State average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.3%
In line with State average

State average: 25.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.2%
20% worse than State average

State average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.6%
11% better than State average

State average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.3%
46% better than State average

State average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.4%
49% better than State average

State average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.3%
77% better than State average

State average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than State average

State average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
7% better than State average

State average: 93.7%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.6%
23% better than State average

State average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
13% better than State average

State average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
34% better than State average

State 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$894.7K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.0M Rank #4 / 35Revenue — State benchmarkedThis home is ranked 4th out of 35 homes in Montana. Shows this facility's annual revenue compared to the Montana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$894.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$322.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #17 / 35Payroll — State benchmarkedThis home is ranked 17th out of 35 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.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.2M 46.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #35 / 35Payroll % — State benchmarkedThis home is ranked 35th out of 35 homes in Montana. Shows payroll as a percentage of revenue versus the Montana average. Well-run Montana facilities typically land around 65–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.1M
How we calculate these figures

This home is administered by Bettyjean Youngblood.

This home is owned by Cascadia Montana Operations LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 275040

Show certification details

Who this home usually serves

TYPE OF STAY

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.

New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 4 - 5 months.

Admissions
129 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 42%
Medicaid 22%
Discharges
136 total

Coverage residents most often leave under.

Medicare 29%
Private pay 38%
Medicaid 34%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Libby's city center to Libby of Cascadia, LLC dba Libby Care Center's address, calculated via Google Maps.

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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.

What is the occupancy rate at Libby of Cascadia, LLC dba Libby Care Center?

Libby of Cascadia, LLC dba Libby Care Center's occupancy is 76%.

Does Libby of Cascadia, LLC dba Libby Care Center operate as a for-profit or non-profit?

Libby of Cascadia, LLC dba Libby Care Center is registered as a for-profit in MT.

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.

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