Mt. Ascension Transitional Care of Cascadia in Helena offers nursing home and skilled nursing care. Skilled nursing includes licensed nursing care on site around the clock, which may suit someone who needs ongoing clinical support or rehabilitation services.
The community has 108 beds, with 3 hours and 30 minutes of nursing time allocated to each resident per day. Medicare, Medicaid, and private pay are accepted.
Helena sits at the center of Montana’s government and economy, and Mount Ascension Transitional Care of Cascadia occupies a highly walkable stretch of that city, carrying a Walk Score of 94. Most daily errands do not require a car. The 108-bed skilled nursing and rehabilitation facility has been open about two years. Providence St. Patrick Hospital and St. Peter’s Hospital sit nearby, giving residents ready access to acute care when needed.
Two tracks run through the building: transitional care for residents working back toward independence, and long-term nursing care for those who need it indefinitely. Staffing runs around the clock, with reported nursing care averaging just over three hours per resident each day, spread across registered nurses, licensed practical nurses, and nurse aides. An on-site rehabilitation gym supports the physical and occupational therapy that short-term residents typically need after surgery, illness, or injury.
Rooms are available in private and semi-private layouts. Medicare, Medicaid, and private pay are all accepted, which opens multiple routes to covering the cost of a stay, whether brief or extended. That combination, skilled nursing paired with active rehabilitation and broad payment coverage, points to a facility built for residents moving between hospital discharge and either home or longer-term nursing care, all within a compact, walkable corner of Helena.
Located on East Broadway Street in Helena, Montana, Cooney Healthcare and Rehabilitation is a nursing home that has served the community for 5 years. The single-story facility accepts Medicare, Medicaid, and private pay, giving families several options to cover short-term rehabilitation and ongoing skilled nursing care. The 90-bed home has an occupancy rate of 81%.
Residents stay an average of 94 days, which is a combination of post-acute rehabilitation and longer-term skilled nursing care. Daily nurse staffing averages 2 hours and 24 minutes per resident. This includes 51 minutes of registered nurse care, 1 hour and 26 minutes of care from nurse aides, and 25 minutes of care provided by licensed practical or vocational nurses.
The neighborhood has a Walk Score of 37, making it somewhat walkable. Most errands require a vehicle, but a few nearby services are within walking distance. The location is best for families who drive and prefer a quieter residential area over a busier urban setting.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.
The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.
Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.
Stable operations and sound finances are leading indicators of consistent care over time.
Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.
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Assisted living in Montana is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Yes — Montana Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
This page features 3 nursing homes in Helena, MT. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Helena, MT, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
