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Other Senior care options in Helena:

Best Nursing Homes in Helena, MT

Reviewed by Dr. Jordan Weiss
Updated Mar 2026

Sources: CMS Centers for Medicare and Medicaid Services, and Montana Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Helena, Montana.

Watch this Video to see Helena's Top-rated Senior Communities

Compare Nursing Homes around Helena (Metro Area)

The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

2 facilities compared · CMS & MT Dept. of Health data

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East Park Senior Apartments
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Helena (Capitol Hill)
90
Facility 90
MT AVG 89
Rank #19 / 38
80.5%
Facility 80.5%
MT AVG 61.7%
Rank #3 / 30
+30%
2.39
Facility 2.39
MT AVG 4.53
Rank #34 / 34
-5%-47%
$131.2k
Facility $131.2k
MT AVG $83.8k
Rank #31 / 35
70
Facility 70
MT AVG 29.7
Rank #34 / 35
7.8
Facility 7.8
MT AVG 5.7
Rank #29 / 35
10
Facility 10
MT AVG 2.6
67
37
Facility 37
MT AVG 44
Rank #25 / 38
-
$10.1M
Facility $10.1M
MT AVG $6.3M
Rank #8 / 31
$6.0M
Facility $6.0M
MT AVG $2.8M
Rank #5 / 31
59.7%
Facility 59.7%
MT AVG 45.6%
Rank #14 / 31
275080
Mt. Ascension Transitional Care of Cascadia
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Helena
108
Facility 108
MT AVG 89
Rank #10 / 38
55.6%
Facility 55.6%
MT AVG 61.7%
Rank #18 / 30
-10%
3.33
Facility 3.33
MT AVG 4.53
Rank #27 / 34
-14%-26%
$121.5k
Facility $121.5k
MT AVG $83.8k
Rank #30 / 35
51
Facility 51
MT AVG 29.7
Rank #31 / 35
5.7
Facility 5.7
MT AVG 5.7
Rank #19 / 35
6
Facility 6
MT AVG 2.6
75
30
Facility 30
MT AVG 44
Rank #28 / 38
Shane Brady
$9.3M
Facility $9.3M
MT AVG $6.3M
Rank #9 / 31
$4.7M
Facility $4.7M
MT AVG $2.8M
Rank #12 / 31
51.2%
Facility 51.2%
MT AVG 45.6%
Rank #23 / 31
275044
Overview of East Park Senior Apartments

East Park Villas, located near historic downtown Helena, MT, is a classic senior living community that provides residents with an excellent independent living experience that combines comfort with style and elegance. An apartment-style, East Park Villas offers comfortable one- and two-bedroom apartments with open floor plans, walk-in showers, and ceiling fans. Conveniently situated close to Helena Regional, City Hill Mall, and Helena Airport, this community is designed to meet the needs of senior residents, providing an inviting and supportive living environment.

East Park Senior Apartments aims to create a welcoming and caring community where seniors can truly feel at home. The dedicated community staff is committed to assisting residents in finding their ideal living space. Amenities include spacious floor plans, modern conveniences, and a location that provides easy access to local attractions and necessities.

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Housing options icon
Housing options icon

Housing Options: 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: Two-story

Transportation services icon
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Transportation Services

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Fitness and Recreation

Contact East Park Senior Apartments

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

Cooney Healthcare and Rehabilitation is a certified Medicare & Medicaid skilled nursing facility in Helena, Montana. Whether a short-term rehabilitation or a long-term care solution is required, this community is equipped to provide an exceptional experience for individuals and their loved ones.Cooney Healthcare and Rehabilitation is a premier nursing home committed to unparalleled quality and compassionate support. Their dedicated team of licensed nurses and experienced physical therapists consistently deliver top-notch care to every patient. Experience the difference at Cooney Healthcare and Rehabilitation, where expert care and a welcoming environment combine to create a place of healing and comfort for senior residents in the Helena area.

What does this home offer?

Minimum age icon
Minimum age icon

Minimum Age: 55

Building type icon
Building type icon

Building Type: Single story building

Contact Cooney Healthcare and Rehabilitation

Overview of Mount Ascension Transitional Care of Cascadia
Mount Ascension Transitional Care of Cascadia is a leading healthcare provider in rehabilitation and skilled nursing care. The facility focuses on patient-centered rehabilitation with 24-hour skilled nursing care, creating custom treatment plans for each patient. It offers transitional care and long-term care in a comfortable environment with private and semi-private rooms.

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
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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 4 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.