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Mount Ascension Transitional Care of Cascadia
Nursing Home & Skilled Nursing · Helena, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Logo for Mount Ascension Transitional Care of Cascadia Senior woman receiving physical therapy from doctor

Mount Ascension Transitional Care of Cascadia

Nursing Home & Skilled Nursing · Helena, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Po Box 3007, Helena, MT 84059 View map
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Mount Ascension Transitional Care of Cascadia accepts Medicare, Medicaid, and private pay.
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Mount Ascension Transitional Care of Cascadia accepts Medicare, Medicaid, and private pay.

Overview of Mount Ascension Transitional Care of Cascadia

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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.

Facility Direct Line (406) 442-1350
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 66.1% Below MT avg. ▼ 66.1% Below MT avg.MT average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 64.9% Below MT avg. ▼ 64.9% Below MT avg.MT average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 6.8% Below MT avg. ▼ 6.8% Below MT avg.MT average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 66.3% Below MT avg. ▼ 66.3% Below MT avg.MT average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Montana averages

Rank #20 / 30Nurse hours — State benchmarkedThis nursing home is ranked 20th out of 30 nursing homes we track in Montana for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 30 Montana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 20th out of 30 nursing homes we track in Montana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 30m

23% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
42m
−40% State avg: 1h 10m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
37m
Avg State avg: 36m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 12m
−28% State avg: 3h 4m per day · National avg: 2h 24m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 13m
−25% State avg: 4h 16m per day · National avg: 3h 31m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
−83% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
26m
−38% State avg: 43m per day · National avg: 29m per day

5 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 108 Rank #11 / 37Bed count — State benchmarkedThis nursing home is ranked 11th out of 37 nursing homes we track in Montana for bed count. Shows this facility's certified or reported bed count compared to other Montana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management. Rank #7 / 26Years in operation — State benchmarkedThis nursing home is ranked 7th out of 26 nursing homes we track in Montana for years in operation. Shows how long this facility has been in operation compared to other Montana facilities. Longer operating histories may benefit residents, families, and staff.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
2 years
Walk Score Info Walker's paradise. Daily errands do not require a car, with many shops and services nearby. Rank #1 / 42Walk Score — State benchmarkedThis nursing home is ranked 1st out of 42 nursing homes we track in Montana for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Montana facilities. Higher scores benefit residents, families, and staff.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
94 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
72
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
89 days

About this community

License Details

Facility TypeLong Term Care
StatusCurrent
IssuanceMarch 2, 2024
ExpirationMarch 1, 2027
License Number13593

Ownership & Operating Entity

Mount Ascension Transitional Care of Cascadia is administered by Ellen Afflick.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Transitional Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Private And Semi-Private Rooms
Fitness Center
Activities

Contact Mount Ascension Transitional Care of Cascadia

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Breakdown by payment type

Medicare

48% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

42% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$193.3K
For-profit Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.5M Rank #9 / 18Net patient revenue — State benchmarkedThis nursing home is ranked 9th out of 18 nursing homes we track in Montana. 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.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$193.3K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$141.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #10 / 18Payroll costs — State benchmarkedThis nursing home is ranked 10th out of 18 nursing homes we track in Montana. 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.
$3.4M 45.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #9 / 18Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 9th out of 18 nursing homes we track in Montana. 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.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.7M
How we calculate these figures

This home is administered by Ellen Afflick.

This home is owned by Shane Brady

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 275044

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 1 months.

Admissions
245 total

Coverage residents most often arrive under.

Medicare 48%
Private pay 42%
Medicaid 10%
Discharges
246 total

Coverage residents most often leave under.

Medicare 46%
Private pay 38%
Medicaid 15%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Mount Ascension Transitional Care of Cascadia

Address 0.0 miles from city center Info Estimated distance in miles from Helena's city center to Mount Ascension Transitional Care of Cascadia's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in Montana

Mount Ascension Transitional Care of Cascadia is located in Helena, Montana.
Here are the financial assistance programs available to residents in Montana.

Get Financial aid guidance

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled
General Montana resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MT

Rural state; limited providers in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Montana Community First Choice

MT CFC

Age 65+ or disabled
General Montana resident, Medicaid- eligible.
Income Limits ~$1,732/month individual, Medicaid threshold
Asset Limits $2,000 individual
MT

Less intensive than waiver; rural focus.

Benefits
Personal care (up to 40 hours/month) Homemaker services Respite (varies)

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled
General Montana resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits Not assessed.
MT

Covers up to $38.75/month premium; statewide via AAAs.

Benefits
Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled
General Montana resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MT

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
MT

10 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Montana resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MT

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Mount Ascension Transitional Care of Cascadia

Is Mount Ascension Transitional Care of Cascadia in a walkable area?

Mount Ascension Transitional Care of Cascadia has a walk score of 94. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

What is the license number of Mount Ascension Transitional Care of Cascadia?

According to MT state health department records, Mount Ascension Transitional Care of Cascadia's license number is 13593.

When does Mount Ascension Transitional Care of Cascadia's license expire?

According to MT state health department records, Mount Ascension Transitional Care of Cascadia's license expires on March 1, 2027.

What is the occupancy rate at Mount Ascension Transitional Care of Cascadia?

Mount Ascension Transitional Care of Cascadia's occupancy is 55.6%.

How long has Mount Ascension Transitional Care of Cascadia been in business?

Mount Ascension Transitional Care of Cascadia has been operating for approximately 2 years, based on available licensing and registration records.

Are pets allowed at Mount Ascension Transitional Care of Cascadia?

No, Mount Ascension Transitional Care of Cascadia has a no-pet policy.

Does Mount Ascension Transitional Care of Cascadia operate as a for-profit or non-profit?

Mount Ascension Transitional Care of Cascadia is registered as a for-profit in MT.

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