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.

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

Overview of Mount Ascension Transitional Care of Cascadia

Mount Ascension Transitional Care of Cascadia in Helena, MT, delivers skilled nursing and long-term nursing home care. Licensed medical staff remain on site 24 hours a day to provide continuous clinical oversight and address resident health requirements. Rehabilitation services run alongside daily medical care to assist individuals working through physical recovery goals.

Payment options include Medicare for short-term rehabilitation, Medicaid for qualifying individuals, and direct private pay. Combining restorative therapy with round-the-clock nursing support allows the facility to serve patients recovering from acute medical events who still require hands-on clinical supervision.

Prospective representatives exploring nursing care or rehabilitation options in Helena can contact the admissions desk to inquire about admissions or schedule a site visit.

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: 3.0Click 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.
▼ 64.7% Below MT avg. ▼ 64.7% 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.
▼ 14.3% Below MT avg. ▼ 14.3% Below MT avg.MT average: 3.5Click 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.
▼ 69.2% Below MT avg. ▼ 69.2% Below MT avg.MT average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Nursing care per resident per day and state rankings: CMS Provider Information.

Total nursing care per resident / day Info This nursing home is ranked 20th out of 29 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.
↓ 28% · MT 4h 47mThis facility: 3h 25m per resident per day, 28% below the Montana average of 4h 47m (among Montana facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #20 / 29Nurse hours — State benchmarked This nursing home is ranked 20th out of 29 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 29 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.
3h 25m

6 of 6 metrics below Montana average

By The Numbers

Community insights.

Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #31 / 40Walk Score — State benchmarked This nursing home is ranked 31st out of 40 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.
34 / 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.
73

Source: CMS Provider Information, average daily residents

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.
96 days

About This Community

Therapy & Rehabilitation

3 services
Physical Therapy
Occupational Therapy
Speech Therapy

Staffing & Medical

1 service
Physician Services

Additional Services

1 service
Daily Living Assistance

Amenities & Lifestyle

Fitness Center

Room Accommodations

Room Types
Private Room Semi-Private / Shared Room

Contact Mount Ascension Transitional Care of Cascadia

Enforcement

Penalties and fines About 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

No penalties in the past 3 years

No civil money penalties or payment denials on record since Aug 2023.

Clean record
Total fines
$0 MT avg $81KMontana average: $80,691. Average among the 43 Montana facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0 MT avg 2.16Montana average: 2.16. Average among the 43 Montana facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 MT avg 0.33Montana average: 0.33. Average among the 43 Montana facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2024.

For-profit
Operated by a business corporation.
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."
$8.9MFiscal year ending 12/2024
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."
-$157.1KFiscal year ending 12/2024
For-profit Operated by a business corporation.
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."
$8.9MFiscal year ending 12/2024 Rank #8 / 26Net patient revenue — State benchmarked This nursing home is ranked 8th 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.
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."
-$157.1KFiscal year ending 12/2024
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.
$179.9KFiscal year ending 12/2024
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 / 26Payroll costs — State benchmarked This nursing home is ranked 10th 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.
$4.3MFiscal year ending 12/2024 48.6% 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 #14 / 26Payroll % of net patient revenue — State benchmarked This nursing home is ranked 14th 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.
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).
$4.8MFiscal year ending 12/2024
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).
$9.1MFiscal year ending 12/2024

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
266 admissions · FY2024 Residents admitted during the year.
Medicare 128 · 48%
Medicaid 28 · 11%
Private pay & other 110 · 41%
Shows care patterns over time; not used to rate this facility.

Mostly short-term rehab stays

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

Typical stay

Medicare 30 days Medicaid 1 year Private pay & other 2 - 3 months

Places of interest near Mount Ascension Transitional Care of Cascadia

Address 2.0 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.

Calculate Travel Distance to Mount Ascension Transitional Care of Cascadia

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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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
373-
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
1168A+
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

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 34. Car-dependent. 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 62.5%.

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.

What is the overall rating for Mount Ascension Transitional Care of Cascadia?

Mount Ascension Transitional Care of Cascadia received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

Are there photos of Mount Ascension Transitional Care of Cascadia?

Yes — there are 2 photos of Mount Ascension Transitional Care of Cascadia in the photo gallery on this page.

What levels of care does Mount Ascension Transitional Care of Cascadia provide?

Mount Ascension Transitional Care of Cascadia offers Nursing Home & Skilled Nursing.

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