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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E3 | F9 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 29, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 29, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jun 5, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jun 5, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Jun 6, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint, Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E3 | F9 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 29, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2026 | |
| Jun 29, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2026 | |
| Jun 29, 2026 | F-0801 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
47 facilities in 5 states. CMS chain ID 118.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cascadia Hc Group LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Cascadia Healthcare LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Cascadia Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Cascadia Montana Operations LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Owen Hammond | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Stephen Laforte | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Timothy Nelson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cascadia Hc Group LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Cascadia Healthcare LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Cascadia Holdco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Cascadia Montana Operations LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Libby Care Center 308 E Third St, Libby, MT 59923 CCN 275040 | 101 | Jun 29, 2026 | 281 harm | $23k | |
| Mount Ascension Transitional Care of Cascadia 2475 Winne Ave, Helena, MT 59601 CCN 275044 | 108 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 275084 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 275084 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| F · Potential harm Widespread |
| Corrected Aug 7, 2026 |
| Jun 29, 2026 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 7, 2026 |
| Jun 29, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 7, 2026 |
| Jun 29, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 7, 2026 |
| Jun 5, 2025 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 23, 2025 |
| Jun 5, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 23, 2025 |
| Jun 5, 2025 | K-0771 | Ensure that smoke control systems are tested and documented in accordance with established engineering principles. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 30, 2025 |
| Jun 5, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2025 |
| Jun 5, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2025 |
| Jun 5, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2025 |
| Jun 5, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2025 | Complaint |
| Jun 5, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 15, 2025 | Complaint |
| Jun 5, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 15, 2025 |
| Jun 5, 2025 | F-0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jul 15, 2025 | Complaint |
| Jun 5, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 15, 2025 | Complaint |
| Jun 6, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 28, 2024 |
| Jun 6, 2024 | K-0222 | 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. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 28, 2024 |
| Jun 6, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 28, 2024 |
| Jun 6, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 28, 2024 |
| Jun 6, 2024 | F-0659 | Provide care by qualified persons according to each resident's written plan of care. Resident Assessment and Care Planning Deficiencies · Clinical care | F · Potential harm Widespread | Past non-compliance Mar 8, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.58 (case-mix index 1.17).
| not provided |
| Mar 1, 2023 |
| Owen Hammond | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Stephen Laforte | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Timothy Nelson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 5, 2025 |
| Cascadia Hc Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2025 |
| Cascadia Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Cascadia Holdco LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2025 |
| Cascadia Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Dianna Carvey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2023 |
| Dan Demmerly | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Owen Hammond | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2025 |
| Stephen Laforte | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2025 |
| Timothy Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2025 |
| Owen Hammond | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2023 |
| Stephen Laforte | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 5, 2025 |
| Timothy Nelson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 5, 2025 |
| Eureka 10 Realty, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jun 5, 2025 |
| White Oak Healthcare Finance LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 1, 2023 |
| Cascadia Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 18, 2025 |
| Eureka 10 Realty, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 2025 |
| Dianna Carvey | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 18, 2025 |
| Dan Demmerly | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 18, 2025 |
| Jul 16, 2026 |
653 harm1 open |
| $80k |