Libby Care Center
Strong Medicare quality ratings; families often praise upbeat and prompt physical therapy staff. Still worth an in-person visit.
based on 20 Google reviews
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What this means for your family
While the physical therapy department has received some praise, the facility has been the subject of multiple, serious reports regarding patient neglect and medical mismanagement. We strongly advise families to look elsewhere or, if considering this facility, to conduct an unannounced visit and speak directly with current residents' families about the quality of nursing care.
Google Reviews
Google Reviews
20 reviews on Google“Libby Care Center receives highly polarized feedback, with several families reporting severe neglect, medical mismanagement, and poor communication regarding patient health. While some reviewers praise the physical therapy team for being upbeat and prompt, these positive experiences are overshadowed by multiple reports of life-threatening lapses in care and unprofessional administration.”
Quality Themes
Tap a score for detailsStrengths
- Upbeat and prompt physical therapy staff
- Some staff members oriented toward quality service
Concerns
- Severe neglect and lack of basic medical care (mentioned by 4 reviewers)
- Unprofessional or dismissive administration (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 20 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I've heard wonderful things about the physical therapy team being very upbeat and prompt; could you tell me more about how they work with new residents?
- 2What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
- 3How does the administration team ensure that families are kept closely informed about any changes in a resident's health or daily care?
- 4Could you walk me through the steps the nursing staff takes when a medical emergency occurs during the night shift?
- 5What are some of the favorite daily activities or social events that help residents stay engaged with one another?
- 6What recent improvements have been made to the cleaning and housekeeping schedules to ensure the resident rooms and common areas are always pristine?
Personalized based on this facility's data
Key Review Excerpts
“Physical Therapy was my mission and that staff was upbeat, caring and prompt. Administration and nursing were slightly less than perfect with the usual routine of extremely helpful to less than agreeable.”
“this is the most filthiest place I have ever seen in my 10 years of being a Healthcare administrator. Staff has no compassion or dignity at all.”
“My sister at 34 years old was admitted here, she had previously been to 4 other facilities, and this place was by far the worst care we had seen.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
1
measures
3
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 12 complaints against Libby Care Center, triggering nearly half of the 26 deficiencies found across four surveys. The most recurring problems involve medication management, resident safety and accident prevention, and protecting residents' rights. While all violations show correction dates, the pattern of repeated family complaints about core care areas including abuse protection suggests ongoing concerns that warrant careful consideration before choosing this facility.
Jun 30, 2025Routine7
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Jun 30, 2025Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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 drugs.
Mar 27, 2025Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Aug 15, 2024Routine5
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Aug 17, 2023Routine2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Aug 17, 2023Complaint6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Federal Penalties
Fine
Aug 17, 2023
$22,720
Ownership & Operations
Who Operates This Facility
Libby Care Center
for profit
Chain Affiliation
Cascadia Healthcare
44 facilities nationwide
Chain avg rating: 3.2/5 · Rank 25 of 43
Ownership & Management
Owners
Cascadia Montana Operations LLC
Owner · Organization
Cascadia Hc Group LLC
Owner (parent company) · Organization
Cascadia Healthcare LLC
Owner (parent company) · Organization
Cascadia Holdco LLC
Owner (parent company) · Organization
Hammond, Owen
Owner (parent company)
Laforte, Stephen
Owner (parent company)
Nelson, Timothy
Owner (parent company)
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
20 reviews from families & visitors
Official Website
Visit libbyofcascadia.com
Medicare data downloads
Original nursing home datasets
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