Libby Care Center - Libby Nursing Home
General Information
UPDATEFederal Provider Number
275040
Provider Name
LIBBY CARE CENTER
Provider Address
308 E THIRD ST
LIBBY, MT 59923
LIBBY, MT 59923
Provider Phone Number
4062936285
Provider SSA County
260
Provider County Name
Lincoln
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIBBY HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.61513
Reported LPN Staffing Hours per Resident per Day
0.34342
Reported RN Staffing Hours per Resident per Day
0.57961
Reported Licensed Staffing Hours per Resident per Day
0.92303
Reported Total Nurse Staffing Hours per Resident per Day
3.53816
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05329
Expected CNA Staffing Hours per Resident per Day
2.33162
Expected LPN Staffing Hours per Resident per Day
0.58828
Expected RN Staffing Hours per Resident per Day
0.87889
Expected Total Nurse Staffing Hours per Resident per Day
3.79879
Adjusted CNA Staffing Hours per Resident per Day
2.75205
Adjusted LPN Staffing Hours per Resident per Day
0.48452
Adjusted RN Staffing Hours per Resident per Day
0.49276
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75434
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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