Best Nursing Homes in Helena, MT

Why trust this guide? Our editorial team analyzed 3 nursing homes in Helena, MT using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MT
Reviewed by
Last updated
Jun 2026
We analyzed
3 homes
Avg Overall CMS Rating: 1.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Helena, MT. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Helena, MT. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 1.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Helena, MT. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5
Overview of Mt. Ascension Transitional Care of Cascadia

Mount Ascension Transitional Care of Cascadia emerges as a distinguished rehabilitation and skilled nursing care leader. Located in Helena, Montana, residents find an environment that embraces transitional and long-term care, fostering a sense of intimacy and comfort within this assisted living community. They are dedicated to enhancing each resident’s well-being and quality of life, and their mission centers on delivering personalized care. This commitment extends to patient-centered rehabilitation, supported by round-the-clock skilled nursing care.

Their dedicated excel at crafting customized treatment plans for every patient and resident, with a keen focus on individual needs and preferences. Mt. Ascension Transitional Care of Cascadia boasts private and semi-private rooms, an array of activities, and many amenities thoughtfully designed to cater to individual needs. Experience the compassionate care and tailored support that define Mount Ascension Transitional Care of Cascadia.

Contact Mt. Ascension Transitional Care of Cascadia

Overview of Cooney Healthcare and Rehabilitation

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.

Contact Cooney Healthcare and Rehabilitation

Overview of Mount Ascension Transitional Care of Cascadia

Mount Ascension Transitional Care of Cascadia is a 108-bed skilled nursing and rehabilitation facility at PO Box 3007, Helena, Lewis and Clark County, Montana, offering 24-hour skilled nursing care, rehabilitation services, memory care, private and semi-private rooms, and on-site rehabilitation gym. The facility offers transitional care and long-term care. The facility does not accept Medicaid or Medicare. Walk score for the location is 94, indicating a pedestrian-friendly urban setting where most services are accessible without a vehicle.

Helena is the capital and largest city of Montana, located in Lewis and Clark County. Providence St. Patrick Hospital and St. Peter’s Hospital are the primary nearby acute-care resources.

Families should contact the Montana Department of Public Health and Human Services for official inspection and licensing documentation before making placement decisions.

Contact Mount Ascension Transitional Care of Cascadia

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Helena, MT

What's the difference between assisted living and a nursing home in Montana?

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.

Does Montana Medicaid cover nursing home care?

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.

What is nursing home care?

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.

How many nursing homes are listed on this page?

This page features 3 nursing homes in Helena, MT. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Helena, MT?

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.

What should I look for when visiting nursing homes in Helena, MT?

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.