Cooney Healthcare and Rehabilitation
Cooney Healthcare and Rehabilitation is a nursing home and skilled nursing facility in Helena, Montana, with 90 beds. Licensed nursing care is available on site around the clock, and post acute care and rehabilitation therapies support recovery after an acute medical stay. These services make the community a good fit for someone who needs nursing support while recovering through rehabilitation.
An expansive rehabilitation gym provides a dedicated setting for therapy, while courtyards give residents outdoor areas to use. Chef prepared meals include vegetarian and gluten free options, so residents with those dietary needs have suitable choices at mealtimes. Medicare can cover short term skilled care after a hospital stay, Medicaid can help cover a longer stay when personal savings are limited, and private pay allows a family to pay directly. Christopher Cotton serves as the administrator.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Standout metric: Physical therapist is +66% above Montana average
5 of 6 metrics below Montana average
Daily care time per resident, by role
US average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
92.2% of staff hours were worked by the facility's own employees
Montana average: 89.5% · Contractors this quarter: Certified Nursing Assistant (10), Registered Nurse (7), Licensed Practical Nurse (5), Respiratory Therapy Technician (2), Physical Therapy Aide (1), Speech Language Pathologist (1), Qualified Social Worker (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Smaller home · May offer a more intimate, personalized care environment.
Based on 67.9 residents and 90 beds. Source: CMS Provider Information, average daily residents
About This Community
Cooney Healthcare and Rehabilitation is administered by Christopher Cotton.
- Vegetarian options.
- Gluten-free options.
CMS Health Inspection History
Citation severity
Latest inspection: Dec 31, 2025 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 18 of 76 citations · 10 categories in total
Citations history
Most recent firstShowing the 50 most recent of 76 citations.
Top deficiency categories
Share of 76 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
48 of 76 citations resulted from standard inspections; 23 of 76 resulted from complaint investigations; and 5 of 76 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
5 penalties in the past 3 years
Latest: Aug 6, 2025 · $14,505 civil money penalty
Penalty history · past 3 years
Fine amount comparison
Totals count every penalty on record; the history lists the past 3 years. Montana and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Montana average.
11 long-stay measures: 2 better, 8 worse, 1 near MT average
3 short-stay measures: 1 better, 2 worse
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
Preventive care
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Cooney Healthcare and Rehabilitation’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 26 Montana nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, and more than last year
−10.6% operating margin
−5.1 pts vs prior year
An operating loss in 5 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$1.1M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Montana homes
45.1% payroll share of revenue
MT average 49.9%Rank #22 / 26Payroll % of net patient revenue — State benchmarked This nursing home is ranked 22nd out of 26 nursing homes we track in Montana for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Montana average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.5M while revenue rose $0.8M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Montana homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | MT median | Compared with MT homesRank in MT | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $10.5M | +$0.8M | Trend 20162024 | MT median $8.2M | Rank in MT Rank #4 / 26Net patient revenue — State benchmarked This nursing home is ranked 4th out of 26 nursing homes we track in Montana for net patient revenue. Shows this facility's net patient revenue compared to the Montana average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 88% of homes | Above MT median Higher net patient revenue than 88% of MT homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $11.7M | +$1.4M | Trend 20162024 | MT median — | Rank in MT Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.1M | −$0.6M | Trend 20162024 | MT median — | Rank in MT Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −10.6% | −5.1 pts | Trend 20162024 | MT median — | Rank in MT Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MT median — | Rank in MT Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.1M | −$0.7M | Trend — | MT median — | Rank in MT Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Montana homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | MT median | Compared with MT homesRank in MT | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.8M | +$0.5M | Trend 20162024 | MT median $4.3M | Rank in MT Rank #8 / 26Payroll costs — State benchmarked This nursing home is ranked 8th out of 26 nursing homes we track in Montana for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Montana average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 72% of homes | Above MT median Higher payroll than 72% of MT homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 45.1% | +1.1 pts | Trend 20162024 | MT median 48.8% | Rank in MT Rank #22 / 26Payroll % of net patient revenue — State benchmarked This nursing home is ranked 22nd out of 26 nursing homes we track in Montana for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Montana average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 16% of homes | 4.8 pts under MT average The MT average is 49.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · MT benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Montana payroll average.
% of net patient revenue
Payroll share Operating margin MT payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020no report | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.8M | $4.9M | $5.5M | $6.5M | $8.0M | $8.6M | $9.8M | $10.5M | |
| Operating expenses | $5.6M | $5.7M | $6.2M | $6.2M | $7.3M | $8.5M | $10.3M | $11.7M | |
| Net patient income | −$0.8M | −$0.7M | −$0.7M | $0.3M | $0.7M | $0.1M | −$0.5M | −$1.1M | |
| Operating margin | −16.1% | −14.9% | −13.3% | 5.0% | 8.7% | 1.2% | −5.5% | −10.6% | |
| Net income | −$0.6M | −$0.6M | −$0.5M | $0.4M | $1.0M | $0.5M | −$0.4M | −$1.1M | |
| Payroll costs | $3.6M | $3.2M | $2.9M | $3.8M | $3.6M | $3.5M | $4.3M | $4.8M | |
| Payroll share of revenue | 74.7% | 65.7% | 52.7% | 58.8% | 45.1% | 40.9% | 44.0% | 45.1% | |
| Beds | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | |
| Gross revenue | $5.4M | $5.4M | $6.0M | $7.0M | $8.0M | $8.3M | $10.0M | $10.9M | |
| Salaries | $3.0M | $2.7M | $2.4M | $3.3M | $3.1M | $3.0M | $3.7M | $4.1M | |
| Wage-related costs | $0.7M | $0.6M | $0.5M | $0.6M | $0.5M | $0.5M | $0.6M | $0.7M | |
| Contract labor | — | $0.6M | $1.4M | $0.4M | $0.4M | $1.1M | $1.7M | $2.0M | |
| Other operating costs | $2.0M | $2.4M | $3.3M | $2.4M | $3.7M | $5.0M | $6.0M | $6.9M | |
| Net patient revenue per day | $404 | $239 | $265 | $292 | $357 | $368 | $369 | $413 | |
| Cost per day | $469 | $274 | $300 | $278 | $326 | $363 | $390 | $457 | |
| Average length of stay | 36.3 days | 87.7 days | 73.1 days | 65.3 days | 103.1 days | 114.0 days | 94.4 days | 101.8 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Cooney Healthcare and Rehabilitation
2.3 miles from city center
Estimated distance in miles from Helena's city center to Cooney Healthcare and Rehabilitation's address, calculated via Google Maps.
— 0.08 miles to nearest hospital (St. Peter's Health)
Calculate Travel Distance to Cooney Healthcare and Rehabilitation
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Compare Nursing Homes around Helena
Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Montana average is: 49.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mt. Ascension Transitional Care of Cascadia | NH SNF | Helena | 108
Facility
108
MT AVG
97
Rank
#11 / 37 |
67.6%
Facility
67.6%
MT AVG
71.9%
Rank
#17 / 25 | -6% | 3.42
Facility
3.42
MT AVG
4.78
Rank
#20 / 29 | +13% | -28% | $80.4k
Facility
$80.4k
MT AVG
$80.5k
Rank
#20 / 30 | 59
Facility
59
MT AVG
31.0
Rank
#25 / 30 | 5.4
Facility
5.4
MT AVG
5.7
Rank
#14 / 30 | 3 | 73 | - |
30
Facility
30
MT AVG
47
Rank
#33 / 40 | Shane Brady | $8.9MFiscal year ending 12/2024
Facility
$8.9MFiscal year ending 12/2024
MT AVG
$8.1M
Rank
#8 / 26 | $4.3MFiscal year ending 12/2024
Facility
$4.3MFiscal year ending 12/2024
MT AVG
$4.0M
Rank
#10 / 26 | 48.6%Fiscal year ending 12/2024
Facility
48.6%Fiscal year ending 12/2024
MT AVG
49.9%
Rank
#14 / 26 | 275044 | ||||
| Cooney Healthcare and Rehabilitation | NH SNF | Helena | 90
Facility
90
MT AVG
97
Rank
#19 / 37 | 75.4% | +5% | 3.00
Facility
3.00
MT AVG
4.78
Rank
#29 / 29 | -2% | -37% | $213.1k
Facility
$213.1k
MT AVG
$80.5k
Rank
#29 / 30 | 76
Facility
76
MT AVG
31.0
Rank
#30 / 30 | 7.6
Facility
7.6
MT AVG
5.7
Rank
#26 / 30 | 11 | 68 | A+ |
37
Facility
37
MT AVG
47
Rank
#30 / 40 | - | $10.5MFiscal year ending 12/2024
Facility
$10.5MFiscal year ending 12/2024
MT AVG
$8.1M
Rank
#4 / 26 | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
MT AVG
$4.0M
Rank
#8 / 26 | 45.1%Fiscal year ending 12/2024
Facility
45.1%Fiscal year ending 12/2024
MT AVG
49.9%
Rank
#22 / 26 | 275080 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MT nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Montana
Cooney Healthcare and Rehabilitation is located in Helena, Montana.
Here are the financial assistance programs available to residents in Montana.
Frequently Asked Questions about Cooney Healthcare and Rehabilitation
Is Cooney Healthcare and Rehabilitation in a walkable area?
Cooney Healthcare and Rehabilitation has a walk score of 37. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Cooney Healthcare and Rehabilitation?
According to MT state health department records, Cooney Healthcare and Rehabilitation's license number is 13592.
When does Cooney Healthcare and Rehabilitation's license expire?
According to MT state health department records, Cooney Healthcare and Rehabilitation's license expires on January 10, 2027.
What is the occupancy rate at Cooney Healthcare and Rehabilitation?
Cooney Healthcare and Rehabilitation's occupancy is 75.4%.
How long has Cooney Healthcare and Rehabilitation been in business?
Cooney Healthcare and Rehabilitation has been operating for approximately 6 years, based on available licensing and registration records.
Are pets allowed at Cooney Healthcare and Rehabilitation?
No, Cooney Healthcare and Rehabilitation has a no-pet policy.
Does Cooney Healthcare and Rehabilitation operate as a for-profit or non-profit?
Cooney Healthcare and Rehabilitation is registered as a for-profit in MT.
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