Mount Ascension Transitional Care of Cascadia
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.

Mount Ascension Transitional Care of Cascadia

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.
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Mount Ascension Transitional Care of Cascadia accepts Medicare, Medicaid, and private pay.

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.

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.
▼ 37.9% Below MT avg. ▼ 37.9% 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 breakdown

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 — compared to Montana state averages

Total nursing care / resident Info This home is ranked 28th out of 38 homes 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 20m per day
Rank #28 / 38Nurse hours — State benchmarkedThis home is ranked 28th out of 38 homes in Montana. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 38 Montana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Montana avg (4h 32m per day)
vs Montana avg
-26%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +16% above state avg
Staff typeHours / Day / Residentvs 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. 40m per day ▼ 27% State avg: 55m per day · National avg: 41m 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. 35m per day ▲ 16% State avg: 30m 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. 1h 51m per day ▼ 27% State avg: 2h 32m per day · National avg: 2h 20m 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. 2h 38m per day ▼ 26% State avg: 3h 33m per day · National avg: 3h 27m 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 per day ▼ 82% State avg: 4m 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. 16m per day ▼ 62% State avg: 41m per day · National avg: 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 108

This home usually has availability

Lower occupancy than the Montana average: 61.7%
Occupancy rate
55.6% Rank #20 / 39Occupancy rate — State benchmarkedThis home is ranked 20th out of 39 homes in Montana. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 39. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
89 days
Walk Score
Walk Score: 34 / 100 Rank #97 / 159Walk Score — State benchmarkedThis home is ranked 97th out of 159 homes in Montana. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Montana facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Transitional Care

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
LLC
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 LLC
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 #11 / 35Revenue — State benchmarkedThis home is ranked 11th out of 35 homes in Montana. Shows this facility's annual revenue compared to the Montana average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #14 / 35Payroll — State benchmarkedThis home is ranked 14th out of 35 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$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 #24 / 35Payroll % — State benchmarkedThis home is ranked 24th out of 35 homes in Montana. Shows payroll as a percentage of revenue versus the Montana average. Well-run Montana facilities typically land around 65–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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

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%

Financial Assistance for
Nursing Home in Montana

Mount Ascension Transitional Care of Cascadia is located in Lincoln, 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 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

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

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

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.

Are there photos of Mount Ascension Transitional Care of Cascadia?

Yes — there are 7 photos of Mount Ascension Transitional Care of Cascadia in the photo gallery on this page.

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

(406) 442-1350 will put you in contact with the team at Mount Ascension Transitional Care of Cascadia.

Is Mount Ascension Transitional Care of Cascadia Medicare or Medicaid certified?

Mount Ascension Transitional Care of Cascadia is not currently listed as a CMS-certified provider of Medicare or Medicaid.

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