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Libby Care Center

308 E Third St, Libby, MT 59923 · For profit - Limited Liability company · 101 certified beds · (406) 293-6285 Medicare & Medicaid certified

Call the home — (406) 293-6285 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Aug 2023Behavioral-health or dementia-care citation — no harm found (F0740)2 actual-harm citations
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (36% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Aug 2023
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
214 E 3rd St · (406) 293-9274 · Call to confirm hours
Pharmacy
1401 Minnesota Ave · (406) 293-3784 · Call to confirm hours
Grocery
Libby0.4 mi
703 West 9th, Libby, MT 59923
Park
Riverfront Park, 121 City Service Rd · Typically dawn to dusk

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.6%18.7%15.4%better
Long-stay residents who lose too much weight3.7%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.4%2.1%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%2.9%2.0%better
Long-stay residents with depressive symptoms0.8%5.6%6.5%better
Long-stay residents who were physically restrained0.0%0.6%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.7%4.4%3.3%worse
Long-stay residents whose ability to walk worsened11.8%17.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.4%15.8%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%93.6%95.3%typical
Long-stay residents with pressure ulcers4.8%6.3%4.7%typical
Long-stay residents with worsening bladder/bowel control20.6%24.1%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table7.6%20.4%17.1%better
Short-stay residents who newly got an antipsychotic medication0.8%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine98.7%73.8%79.4%better
Short-stay residents rehospitalized after admission17.0%19.2%22.6%better
Short-stay residents with an outpatient ER visit11.4%14.5%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.011.381.67better
Long-stay outpatient ER visits per 1,000 resident days1.642.161.80typical

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

43.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 61 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

43.0%U.S. median 51.5%
Got home and stayed home
8.7%U.S. median 10.7%
Went back to hospital
58.1%U.S. median 56.6%
Met the expected recovery
0.41U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 58.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 43 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF43.0%CMS range 32.1–56.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.7%CMS range 5.1–13.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge58.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge44.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge62.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge57.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.1%CMS range 2.6–11.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.201.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.51
RN hours/ resident / day
0.67
LPN hours/ resident / day
1.83
Aide hours/ resident / day
3.01
Total nurse hours/ resident / day
0.40
RN hoursweekends
35.7%
Total nursing turnover
41.7%
RN turnover

How full it usually is: this home is certified for 101 beds and averages 76.3 residents a day — about 76% occupied, or roughly 25 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.01 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.83 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.75 hrs/resident/day on weekends vs 3.12 on weekdays — 12% thinner on weekends. RN hours go from 0.55 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

4
deficiencies at the latest standard inspection (2025-06-30)
2
at the previous standard inspection (2024-08-15)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

  • Actual harm · G2023-08-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to initiate interventions to prevent physical abuse for 2 (#s 67 and 237), resulting in 1 (#67) getting a broken nose, out of 2 sampled residents; and failed to complete an assessment after the altercation, for 1 (#237) out of 2 sampled residents, as well as not letting him return to the facility after the incident. Findings include: A facility reported incident, dated 6/9/23 at 3:35 p.m., showed: Incident Description: .(Resident #67) was found in his room with a bloody nose; he does have a diagnosis of dementia but states 'He just turned around and hit me.' The 'he' he was referring to was his roommate (Resident #237) who was no longer in the room. Staff immediately went out looking for (Resident #237) to find out he signed out and went to his significant others apartment . Plans were arranged with (Resident #237's) significant other to stay with her for the weekend; medications and belongings were provided for the weekend and (NF2) agreed to keep (Resident #237) in her care for the weekend until further arrangements can be…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2023-08-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, facility licensed nursing staff failed to thoroughly assess two residents for ensuring necessary transport services were provided when residents sustained fractures and head injuries during falls, and the residents were manually pushed in their wheelchairs by a nurse or CNA, to the ER, causing increased pain and risk of further injury due to inappropriate transports, for 2 (#s 238 and 239) of 3 sampled residents; and the ER later reported #238 had fractures in her back. Findings include: During an interview on 8/16/23 at 10:09 a.m., staff member I stated, when a resident needed to be transported to the ER, We try not to call EMS if we don't have to, we wheel them down in a wheelchair if it's safe to do so. During an interview on 8/17/23 at 7:21 a.m., staff member E stated, resident #239 was wheeled in a wheelchair, by a CNA, to the ER after her fall, we weren't sure if something was broken. Staff member E stated, It would depend on the severity of the resident's injury whether EMS would be called or staff would wheel them to the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to prevent a resident elopement for 1 (#3) of 13 sampled residents. This failure resulted in resident #3 exiting the alarmed facility and walking four blocks, and facility staff returning him to the facility uninjured. The facility had corrected the deficient practice resulting in past non-compliance. Findings include:A review of a facility reported incident submitted to the State Survey Agency showed, on 1/25/26, a staff member was alerted to a door alarm that was going off at an exit door at the end of the hall on the [NAME] side of the building. There was a resident standing by the door who was wearing a Wanderguard. The staff member redirected the resident and checked outside the door and did not see any other residents outside the building. Resident #3 was noted to not be in his room. A search for resident #3 was initiated. During the search time, resident #3's family member, called the facility and reported resident #3 was at the laundry mat four blocks from the facility.During an interview on 6/2/26 at…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · F2025-06-30 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    4. During an observation and interview on 6/28/25 at 2:50 p.m., the Team 2 medication room was found to have a variety of supplies and medications stacked in the corner and on the floor of the room which was an infection control concern. Staff member C said the room was too small for the amount of medication and supplies stored in the room. Staff member C said she asked administration for shelving to be able to provide more room for medication storage, but it had not been provided, so the items remained on the floor. During an observation and interview on 6/29/25 at 9:52 a.m., the Team 1 medication room had a variety of supplies covering the countertop. A used, personal cup, was in the sink. The counter was soiled and without a cleanable surface, and an infection control concern, due to the number of items stacked on the countertop. The area behind the sink, and the interior of the sink, contained unidentifiable debris adhered to the surface(s). The medication storage refrigerator contained wine boxes and wine spilled and pooled at the bottom of the refrigerator door. The shelves…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-06-30 · tag F0578 — failed to honor advance directives / code status — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to ensure advance directives were complete and matched the current EHR code status for 3 (#s 1, 29, and 65) of 20 sampled residents. Findings include: 1. During an interview on 6/29/25 at 8:17 a.m., resident #1 stated the physicians wanted her to have a catheter and PEG tube, and she did not ever want any tubes placed for care, including catheters, feeding tubes, or a PEG tube. Review of resident #1's EHR profile reflected resident #1 was a full code, with full treatment, and no artificial nutrition by tube. Review of resident #1's POLST form, dated 9/14/22, reflected resident #1 was a full code, with limited interventions, and had a defined trial period of artificial nutrition by tube to be determined at that time. Review of a POLST, provided by the facility, dated 6/24/25, reflected the resident was a full code, with full treatment to include intubation, advanced airway interventions, mechanical ventilation, cardioversion, and no artificial nutrition by tube. This POLST was not signed by the physician. This…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-06-30 · tag F0761 — failed to label and store drugs safely — pattern
    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.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to record the temperatures for the medication storage refrigerator, in the team one medication storage room. The deficient practice increased the risk of medications being stored at incorrect temperatures, if the temperatures were not monitored by staff. Findings include: During an interview on 6/29/25 at 9:52 a.m., staff member D said refrigerator temperatures were to be monitored and recorded by staff daily, to be recorded at the beginning of each shift. Record review of a facility document, titled, Fridge Temperature Log, dated June 2025, showed temperature monitoring was recorded for the day shift 16 times over a 29-day period for the month of June 2025. No documentation was included on the form for the day or night shift freezer temperatures.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-30 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure dignity was provided during peri care for 1 (#1) of 20 sampled residents. The resident specifically stated she did not want to be exposed. Findings include: During an observation and interview on 6/29/25 at 8:17 a.m., staff member D and E completed peri care and wound care for resident #1. Resident #1's bed was against the wall under the window. The blinds to the window were not lowered or closed. Staff member E raised the bed to the height of the windowsill when preparing for the care session. Staff member E removed resident #1's brief and rolled resident #1 towards the uncovered window. Resident #1's peri area was exposed throughout the peri care and wound care sessions, and the resident was facing the resident garden area from 8:17 a.m. to 8:40 a.m Resident #1 was then rolled to her left side and wound care was completed. Resident #1's buttocks were then exposed to the window from 8:40 a.m. to 8:51 a.m., and then a brief was placed on the resident. Resident #1 stated, I don't really want to be…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-03-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to prevent the elopement of 3 (#s 4, 6, and 7) of 6 sampled residents for elopement; and failed to implement an effective elopement prevention and monitoring system for 6 (#s 4, 6, 7, 8, 9, and 10) of 6 sampled residents for elopement risk. This deficient practice increased the risk of an elopement or negative outcome for a resident who was at risk of eloping, due to the system failure. Findings include: Review of facility reported incident for elopements showed: 1. On 8/17/24, resident #6 had been out in the courtyard with another resident. The other resident went back into the building, and resident #6 was found wandering around the outside of the building, by a staff member on break. The resident had stated she got lost and did not know how to get back in the building. A wanderguard bracelet was placed for elopement risk. 2. On 1/1/25, resident #4 was found by an off-duty staff member, across town, by a local restaurant. They notified the facility, and staff picked resident #4 up and returned her to the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-27 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow admission physician orders related to TED hose/antiembolism stockings for a post op patient for 1 (#2) of 3 rehab patients sampled. Findings include: During an interview on 3/25/25 at 9:30 a.m., NF1 stated resident #2 had a left total knee surgery on 2/25/25. Resident #2 was admitted on [DATE]. NF1 stated the first night after admitted , the facility staff took resident #2's TED hose stockings off and told her it was the facility policy to prevent skin breakdown. The next morning the stockings were still observed to be off. During an interview on 3/25/25 at 3:15 p.m., staff member D stated they had removed resident #2's TED hose stockings because it was facility policy to remove them at night to prevent skin ulcers. During an interview on 3/27/25 at 11:00 a.m., staff member F stated a physician's order related to TED hose would override a facility policy. Review of resident #2's admission orders, dated 2/26/25, showed, TED Hose on at all times.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure it provided behavioral health services to meet the needs of 1 (#4) of 6 sampled residents for behaviors. Findings include: During an interview on 3/25/25 at 3:49 p.m., staff member C stated the trauma informed care assessment was completed on admission, quarterly, and with significant changes. Resident #4 had not triggered on her trauma informed care assessment on admission, which would show if interventions were necessary. Staff member C stated the facility had a contract with a telehealth psychiatrist who was available to residents if they were willing to see the psychiatrist. Staff member C stated resident #4 had a noticeable mental and physical decline in mid-December which was after the initial course of antibiotics. Resident #4 had no involved family, POA, or guardian. The resident's next of kin was a son who lived across the state. Staff member C stated the goal was to discharge resident #4 back to the treatment center she had been at. After resident #4's hospitalization, she was not capable of attending…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to have a process in place to ensure pill contents, contained in personal prescription medication bottles brought from resident homes, were verified before dispensing, for 1 (#2) of 3 rehab residents sampled. Findings include: Review of resident #2's admission orders showed he was admitted on [DATE], arriving around 4:00 p.m., for acute rehab, following a knee surgery on [DATE]. His additional diagnoses included Parkinson's. Review of resident #2's admission orders, dated [DATE], showed the following new medication orders: - Colace 100 mg twice daily, - Acetaminophen 1,000 mg three times daily, - Oxycodone 5 mg every 4 hours as needed for pain, and - Aspirin 81 mg twice daily. Below those medications were resident #2's home medications which the resident would continue taking, which were: - Carbidopa 25 mg-levodopa 100 mg three times daily, - Flomax 0.4 mg daily, - Clonazepam 2 mg at bedtime, - Meloxicam 15 mg daily, - Rivastigmine tartrate 1.5 mg twice…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-15 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to include a resident's history and risk of suicide on the baseline care plan for 1 (#76) of 2 sampled residents. Findings include: Review of resident #76's admission assessment dated [DATE], noted he was being admitted post hospitalization from an overdose. During an interview on 8/14/24 at 4:16 p.m., staff member E stated the nurses did not have any care plan or orders to monitor for suicide risk for resident #76. During an interview on 8/15/24 at 9:12 a.m., staff member C stated resident #76 had a suicide risk assessment and depression screening on admission. Staff member C said due to the assessment results, they determined suicide was not a current issue. Review of resident #76's hospice visits notes, dated on 7/18/24, showed resident #76 was noted to be a suicide risk due to his prior attempts and expressions of not wanting any contact with other humans, or not knowing why he is on earth. Review of resident #76's facility care plan, iniated on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · D2024-08-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to coordinate care and communication with hospice, for 2 (#s 65 and 76) of 2 sampled residents for hospice. Findings include: During an interview on 8/14/24 at 11:24 a.m., NF2 stated hospice had its own documentation and care plan for resident #65 and #76. NF2 stated the hospice staff did not provide the care plan or visit notes to the facility; the documentation would have to come from the main office after they finished documenting their visits. NF2 stated hospice did their own care plan meeting every other week to go over their patients, so they did not attend the facility care conference meetings. During an observation and interview on 8/14/24 at 4:12 p.m., staff member E stated different hospice nurses came different days of the week. Staff member E stated she was not sure if there was a hospice care plan or if there were any copies of hospice visits for residents #65 and #76. Staff member E stated the hospice nurses would generally check in for medication order changes as there were a lot for both resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-17 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview and record review, the facility failed to cut a resident's toe nails, per her request, on a regular basis, for 1 (#31) of 1 sampled resident. Findings include: During an interview on 8/15/23 at 10:15 a.m., NF4 stated resident #31 had very thick, and hard to cut, toenails. She stated the facility does not keep them cut, and they are always long. During an observation and interview on 8/16/23 at 2:25 p.m., resident #31's toenails appeared very long. The second toenail on both her left and right foot was approximately a ¼ of an inch long. Resident #31 stated the staff do not cut her toenails, and they were bugging her. Review of resident #31's current order dated 3/11/21 showed, LN to complete nail care on Thursdays per resident request. Every day shift every Thu for Nail Care. [sic]

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-17 · tag F0551 — isolated
    Give the resident's representative the ability to exercise the resident's rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to act to identify a legal representative for a resident deemed not medically capable of understanding his rights and signing forms, resulting in a friend making his medical decisions, for 1 (#237) of 1 sampled resident. Findings include: During an interview on 8/16/23 at 10:37 a.m., staff member A stated resident #237 was not capable of making his own medical decisions so the doctor and NF2 decided it was best if she helped him make medical decisions. Staff member A stated resident #237 never had any documentation completed to make anyone his POA, or responsible party. During an interview on 8/16/23 at 11:17 a.m., staff member B stated resident #237 was unable to make medical decisions for himself. Staff member B stated NF2 was signing the resident's documents for him and managing his healthcare. Review of physician orders, dated 6/16/22, showed, Resident is not medically capable of understanding rights and signing forms. Review of resident #237's MDS 5-day scheduled assessment, with an ARD date of 5/1/23, showed resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-17 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to notify a resident of their immediate discharge from the facility, and send a copy of the immediate discharge notice to the State Long-term Care Ombudsman; resulting in a resident not being able to return to the facility, and the resident became homeless after the discharge, for 1 (#237) out of 1 sampled resident. Findings include: A facility reported incident dated 6/9/23 at 3:35 p.m., showed: Incident Description: After the incident, .(Resident #237) who was no longer in the room. Staff immediately went out looking for (Resident #237) to find out he signed out and went to his significant others apartment . Plans were arranged with (Resident #237's) significant other to stay with her for the weekend; medications and belongings were provided for the weekend and (NF2) agreed to keep (Resident #237) in her care for the weekend until further arrangements can be made . During an interview on 8/15/23 at 11:44 a.m., NF2 stated after resident #237 was in the altercation and punched his roommate (Resident #67) he left the facility…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-17 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, facility licensed staff failed to safely and properly transfer injured residents from the floor, to their wheelchairs, after the residents fell, hit their heads, and had sustained fractures; and then, licensed or unlicensed staff manually pushed the two residents to the emergency room, which was outside of the facility, instead of using emergency transfer services which put them at risk for further injury and this caused the residents pain, for 2 (#s 238 and 239) out of 3 sampled residents. Findings include: During an interview on 8/16/23 at 11:12 a.m., staff member B stated when a resident was found on the floor, the nurse responding would be expected to assess the resident from head to toe for pain and injury. Staff member B stated a resident with a head injury would only be sent to the hospital if there was a change in neuro checks, or an open injury. If a resident needed to be evaluated at the hospital a physician order to transport would be received. If the resident was in obvious pain, or the nurse suspected a fracture it would not be…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-17 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to complete a safe discharge process that prepared a resident for discharge and effectivly transfered the resident to post-discharge care based on their goals and diagnosis for 1 (#237) out of 1 sampled resident; which resulted in the resident becoming homeless. Findings include: During an interview on 8/15/23 at 11:44 a.m., NF2 stated after resident #237 was in an altercation and punched his roommate he left the facility and came to her apartment. NF2 stated staff member J called and told her that resident #237 was not allowed to come back to the facility because he was a danger to others. NF2 stated she was unable to house resident #237 because her apartment did not allow others to stay with her, so resident #237 was sleeping in the back of her truck. She also stated she had her own disabilities as well and was unable to care for resident #237. NF2 stated it was not planned for him to come live with her, she thought he was just going to stay the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-17 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to ensure antibiotic stewardship was followed by not obtaining a culture and sensitivity on a urine sample for a suspected UTI, for 1 (#3) of 1 sampled resident. Findings include: A review of a lab report in resident #3's EMR, dated 3/30/23, showed, a urine culture that was collected on 3/28/23, listing the final results as, Mixed culture with three or more organisms indicating contamination. A review of the physician orders with a start date of 3/30/23, for resident #3, in the facility's EMR, showed, Ceftriaxone Sodium Injection Solution Reconstituted (Ceftriaxone Sodium) Inject 1 gram intramuscularly one time a day for UTI for 3 days Mix with lidocaine 1% as per instruction [sic] and ordered by NF5. A review of resident #3's progress note, dated 3/31/23, in the facility's EMR, showed, Resident with increased agitation 3/29/2023. UA resulted mixed culture with three or more organisms indicating contamination during collection. Orders for Ceftriaxone 1gm IM QD, mix with lidocaine 1%, 3/30/2023-4/2/2023 for UTI. Does not meet…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CASCADIA HEALTHCARE — 46 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 53.0+2.0 vs chain
Health inspection 4 of 52.8+1.2 vs chain
Staffing 3 of 52.7+0.3 vs chain
Quality measures 5 of 53.9+1.1 vs chain
The other 45 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Caldwell Care of CascadiaCaldwell, ID 1 of 5Cascadia of BoiseBoise, ID 1 of 5Cherry Ridge of CascadiaEmmett, ID 1 of 5Coeur d Alene Health of CascadiaCoeur d'Alene, ID 1 of 5Colfax Health and Rehabilitation of CascadiaColfax, WA 1 of 5Colville Health and Rehabilitation of CascadiaColville, WA 1 of 5Curry Village Health And Rehab Of CascadiaBrookings, OR 1 of 5Eagle Rock Health and Rehabilitation of CascadiaIdaho Falls, ID 1 of 5Mount Ascension Transitional Care Of CascadiaHelena, MT 1 of 5Orchards of Cascadia, TheNampa, ID 1 of 5Spokane Valley Health And Rehabilitation Of CascadSpokane Valley, WA 1 of 5Teton Healthcare of CascadiaIdaho Falls, ID 2 of 5Cascadia of NampaNampa, ID 2 of 5Royal Plaza Health and Rehabilitation of CascadiaLewiston, ID 2 of 5Salem Transitional CareSalem, OR 2 of 5Secora Rehabilitation Of CascadiaPortland, OR 2 of 5Snohomish Health and Rehabilitation of CascadiaSnohomish, WA 3 of 5Arbor Valley of CascadiaBoise, ID 3 of 5Brookfield Health And Rehab Of CascadiaBattle Ground, WA 3 of 5Clarkston Health And Rehab Of CascadiaClarkston, WA 3 of 5Clearwater Health & Rehabilitation of CascadiaOrofino, ID 3 of 5Highland Health And Rehabilitation Of CascadiaBellingham, WA 3 of 5Northpark Health And Rehabilitation Of CascadiaPhoenix, AZ 3 of 5Shaw Mountain of CascadiaBoise, ID 3 of 5Weiser Care of CascadiaWeiser, ID 4 of 5Canyon West of CascadiaCaldwell, ID 4 of 5Cascadia of LewistonLewiston, ID 4 of 5Cove of Cascadia, TheBellevue, ID 4 of 5Grangeville Health & Rehabilitation of CascadiaGrangeville, ID 4 of 5Lewiston Transitional Care of CascadiaLewiston, ID 4 of 5Mountain Valley of CascadiaKellogg, ID 4 of 5Paradise Creek Health and Rehab of CascadiaMoscow, ID 4 of 5Stafholt Health And Rehabilitation Of CascadiaBlaine, WA 4 of 5Wellspring Health & Rehabilitation of CascadiaNampa, ID 5 of 5Alderwood Park Health And Rehab Of CascadiaBellingham, WA 5 of 5Aspen Park of CascadiaMoscow, ID 5 of 5Bend Transitional CareBend, OR 5 of 5Boswell Transitional Care Of CascadiaSun City, AZ 5 of 5Creekside Health and Rehabilitation of CascadiaEugene, OR 5 of 5Fairlawn Health And Rehabilitation Of CascadiaGresham, OR

Showing 40 of 45; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
CASCADIA MONTANA OPERATIONS LLCOrganizationDIRECT OWNERSHIP INTERESTsince 01/01/2017
CASCADIA HC GROUP LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/05/2025
CASCADIA HEALTHCARE LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 01/01/2017
CASCADIA HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/05/2025
HAMMOND, OWENIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2017
LAFORTE, STEPHENIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/05/2025
NELSON, TIMOTHYIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 06/05/2025
LIBBY 308 REALTY, LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 06/05/2025
WHITE OAK HEALTHCARE FINANCE LLCOrganization5% OR GREATER SECURITY INTERESTsince 08/11/2022
CASCADIA SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/23/2025
SANDERS, SARAHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2026
YOUNGBLOOD, BETTY JEANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2025

CMS files one row per role, so the 19 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$9.0M
Net patient revenuemost recent cost report
+10.0%
Operating marginrevenue minus expenses
$1.2M
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 68%Medicare 8%Other / private 24%

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$286per resident / day
operating cost
$8,704per month
≈ monthly operating cost
$318per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MT

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Montana Medicaid page.

Typical monthly cost in Montana
$8,973/mo
Nursing home (semi-private)
$9,581/mo
Nursing home (private)
$6,075/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 275040. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-30, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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