1/5
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.
1/5
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 emerges as a distinguished rehabilitation and skilled nursing care leader. Located in Helena, Montana, residents find an environment that embraces transitional and long-term care, fostering a sense of intimacy and comfort within this assisted living community. They are dedicated to enhancing each resident’s well-being and quality of life, and their mission centers on delivering personalized care. This commitment extends to patient-centered rehabilitation, supported by round-the-clock skilled nursing care.
Their dedicated excel at crafting customized treatment plans for every patient and resident, with a keen focus on individual needs and preferences. Mt. Ascension Transitional Care of Cascadia boasts private and semi-private rooms, an array of activities, and many amenities thoughtfully designed to cater to individual needs. Experience the compassionate care and tailored support that define Mount Ascension Transitional Care of Cascadia.
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.
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.
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.
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.
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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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 | ▼ 28% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
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 | ▲ 15% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
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 21m per day |
|
Weekend Total Nursing
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 | ▼ 24% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
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
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 |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% more staff per resident than Montana average
0% compared with Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
27 total: 12 full-time employees and 15 contractors.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
14 total: 9 full-time employees and 5 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
85 total: 27 full-time employees and 58 contractors.
85
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,587 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 58 | 85 | 11,072 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 9 | 5 | 14 | 3,955 | 92 | 100% | 9.7 |
| Registered Nurse | 12 | 15 | 27 | 3,445 | 92 | 100% | 9.3 |
| Medication Aide/Technician | 3 | 1 | 4 | 1,509 | 73 | 79% | 10.5 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,005 | 67 | 73% | 6 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 664 | 56 | 61% | 8.1 |
| Dental Services Staff | 2 | 0 | 2 | 556 | 78 | 85% | 6.9 |
| Dietitian | 1 | 0 | 1 | 537 | 63 | 68% | 8.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 502 | 63 | 68% | 7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 464 | 61 | 66% | 7.6 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 424 | 61 | 66% | 6.9 |
| Qualified Social Worker | 1 | 0 | 1 | 95 | 31 | 34% | 3.1 |
| Nurse Aide in Training | 2 | 0 | 2 | 90 | 9 | 10% | 9.9 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 82 | 46 | 50% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 59 | 31 | 34% | 1.9 |
Includes penalties issued in 2024
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 Jan 2026)
39% higher than Montana averageMontana average: $87K
29% more fines than Montana averageMontana average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Montana averageMontana average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 21, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.4
38% worse than Montana averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.3
30% worse than Montana averageMontana average: 21.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
31.0%
60% worse than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
24.6%
18% worse than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.2%
16% worse than Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
In line with Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
6.7%
6% worse than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
1.9%
31% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
10.7%
75% worse than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
1.8%
61% better than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
19.9%
In line with Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.8%
17% worse than Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.3%
16% worse than Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
1.34
6% worse than Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.02
7% better than Montana averageMontana average: 2.17
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
52.8%
31% worse than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
19% better than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.5%
34% worse than Montana averageMontana average: 73.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.1%
9% worse than Montana averageMontana average: 19.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.6%
11% worse than Montana averageMontana average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Montana averageMontana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.8%
8% better than Montana averageMontana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.6%
In line with Montana averageMontana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
48% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
62Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Mt. Ascension Transitional Care of Cascadia from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.3 miles from city center
Estimated distance in miles from Helena's city center to Mt. Ascension Transitional Care of Cascadia's address, calculated via Google Maps.
— 0.13 miles to nearest hospital (East Entrance)
Add your location
Mt. Ascension Transitional Care of Cascadia is located in Helena, Montana.
Here are the financial assistance programs available to residents in Montana.
Mt. Ascension Transitional Care of Cascadia has a walk score of 30. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Mt. Ascension Transitional Care of Cascadia's occupancy is 55.6%.
(406) 442-1350 will put you in contact with the team at Mt. Ascension Transitional Care of Cascadia.
Yes — Mt. Ascension Transitional Care of Cascadia is a CMS-certified provider of Medicare and Medicaid.
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