Best Nursing Homes in Helena, MT

Why trust this guide? Our editorial team analyzed 5 nursing homes in Helena, MT using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MT
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We analyzed These are the facilities in Helena, MT our team has analyzed — not a count of every nursing home provider in Helena, MT.
5 homes
Other senior care options in Helena:
Overview of Mt. Ascension Transitional Care of Cascadia

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.

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Overview of Mount Ascension Transitional Care of Cascadia

Mount Ascension Transitional Care of Cascadia is a nursing home and skilled nursing community in Helena, MT. Skilled nursing provides licensed nursing care around the clock, while rehabilitation supports residents recovering or rebuilding function after illness, injury, or hospitalization. The community may be a good fit for someone who needs ongoing nursing care alongside rehabilitation in the same setting.

The home has 108 beds. Private and semi-private rooms let residents live alone or share a room. An on-site rehabilitation gym provides a dedicated space for therapy without arranging transportation elsewhere, and social services help with the practical and personal needs that can arise during a stay. Mount Ascension Transitional Care of Cascadia accepts Medicare, Medicaid, and private pay, and Ellen Afflick serves as the administrator.

Contact Mount 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.

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Overview of Mount Ascension Transitional Care of Cascadia

Mount Ascension provides one of the most trusted nursing homes in Lincoln. Specializing in transitional care, the center consists of professional staff committed to providing seniors with a safe and comfortable environment. With its professional approach,  the nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional care delivered by the compassionate staff.
They provide state-of-the-art features that cater to short-term or long-term care nursing home residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with specialized programs such as therapies in a resort-like community.

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Overview of Cooney Home

Cooney Home is where residents thrive; they provide quality caregiving for skilled nursing and rehabilitation. It offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. Families can rest easy knowing their loved ones are in good hands because of the dedicated team of professionals. Cooney Home is ideal for seniors looking for a homelike setting in a nurturing environment.
The nursing home activities aim to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness. Additionally, they house state-of-the-art technologies that help recover a range of medical conditions– wound care, neurological recovery, lymphedema, and pulmonary programs; as well as physical, occupational, and speech therapy.

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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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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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Nursing Homes in Helena at a glance

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: 3.0/ 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
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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 5 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.