Total staff
153
Employees
73
Contractors
80
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Mt. Ascension Transitional Care of Cascadia
Nursing Home & Skilled Nursing · Helena, MT
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Mt. Ascension Transitional Care of Cascadia
Nursing Home & Skilled Nursing · Helena, MT
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Mt. Ascension Transitional Care of Cascadia accepts Medicare, Medicaid, and private pay.
Overview of Mt. Ascension Transitional Care of Cascadia
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 27th out of 34 homes in Montana. 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.
This home is ranked 27th out of 34 homes in Montana. 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 #27 / 34Nurse hours — State benchmarkedThis home is ranked 27th out of 34 homes in Montana. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 34 Montana SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Montana avg
-26%
Standout metric
LPN / LVN is +43% above state avg
| 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.
| 37m per day | ▼ 34% 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.
| 43m per day | ▲ 43% 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.
| 2h 0m per day | ▼ 21% 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.
| 3h 7m per day | ▼ 11% 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 | ▼ 75% 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.
| 21m per day | ▼ 49% State avg: 41m per day · National avg: 29m per day |
Types of Care at Mt. Ascension Transitional Care of Cascadia
Skilled Nursing
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
55.6%
Rank #19 / 35Occupancy rate — State benchmarkedThis home is ranked 19th out of 35 homes in Montana. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 35. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
89 days
Occupancy rate
55.6%
Rank #19 / 35Occupancy rate — State benchmarkedThis home is ranked 19th out of 35 homes in Montana. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 35. Higher occupancy signals strong local demand and financial stability.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: 30 / 100 Rank #103 / 159Walk Score — State benchmarkedThis home is ranked 103rd out of 159 homes in Montana. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Montana SNFs. Higher scores benefit residents, families, and staff.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.
About this community
Rehabilitation Services
Food DescriptionMount Ascension Transitional Care of Cascadia offers a variety of conveniences and amenities to make the experience as comfortable as possible for residents and their families.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.47:1
33% better than Montana average
Avg staff/day
33
Average shift
8.4 hours
0% compared with Montana average
Total staff hours (quarter)
25,481
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
85
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
18%
4,587 contractor hours this quarter
Certified Nursing Assistant: 58
Registered Nurse: 15
Licensed Practical Nurse: 5
Occupational Therapy Assistant: 1
Medication Aide/Technician: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
85 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
27 Registered Nurse
% of Days
100%
4 Medication Aide/Technician
% of Days
79%
4 Physical Therapy Assistant
% of Days
73%
5 Clinical Nurse Specialist
% of Days
61%
2 Dental Services Staff
% of Days
85%
1 Dietitian
% of Days
68%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
2 Speech Language Pathologist
% of Days
68%
1 Other Dietary Services Staff
% of Days
66%
1 Therapeutic Recreation Specialist
% of Days
66%
1 Qualified Social Worker
% of Days
34%
2 Nurse Aide in Training
% of Days
10%
1 Respiratory Therapy Technician
% of Days
50%
1 Occupational Therapy Assistant
% of Days
34%
Penalties and fines
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)
Total fines amount
$122K Rank #30 / 35Federal fines — State benchmarkedThis home is ranked 30th out of 35 homes in Montana. Shows this facility's cumulative CMS federal fine dollars versus the Montana average among facilities with fines, and where it ranks among 35 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
39% higher than Montana averageMontana average: $87K
Number of fines
3
29% more fines than Montana averageMontana average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$122K
Montana average
$87K
Penalty History
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.
Civil Money Penalty
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.
Oct 16, 2024
$40K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 21, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 21, 2024
$29K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.4
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.3
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
31.0%
Percent of long-stay residents whose need for help with daily activities has increased
31.0%
60% worse than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.6%
Percent of long-stay residents whose ability to move independently worsened
24.6%
18% worse than Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.2%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
In line with Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.7%
Percent of long-stay high risk residents with pressure ulcers
6.7%
6% worse than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
31% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.7%
Percent of long-stay residents who lose too much weight
10.7%
75% worse than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.8%
Percent of long-stay residents who have depressive symptoms
1.8%
61% better than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.9%
Percent of long-stay residents who received an antipsychotic medication
19.9%
In line with Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
77.8%
17% worse than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.3%
16% worse than Montana averageMontana average: 93.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.34
Number of hospitalizations per 1,000 long-stay resident days.
1.34
6% worse than Montana averageMontana average: 1.27
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.02
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.02
7% better than Montana averageMontana average: 2.17
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
52.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
52.8%
31% worse than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
19% better than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.5%
34% worse than Montana averageMontana average: 73.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.1%
9% worse than Montana averageMontana average: 19.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.6%
11% worse than Montana averageMontana average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Montana averageMontana average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
57.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.8%
8% better than Montana averageMontana average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
50.6%
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.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
62
Medicare
18
29% of residents
Medicaid
28
45.2% of residents
Private pay or other
16
25.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
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.
Financial Trends
Historical financial and operational data for Mt. Ascension Transitional Care of Cascadia based on CMS SNF Cost Reports.
Occupancy Rate
55.6%
↑ 19.0pp vs 2022
Net Income
-$51.7K
↑ ~$624.9K vs 2022
Total Payroll
$4.7M
↑ ~$1.1M vs 2022
Profit Margin
-0.6%
↑ 13.3pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$9.3M
Operating loss
-$51.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$9.3M Rank #9 / 31Revenue — State benchmarkedThis home is ranked 9th out of 31 homes in Montana. Shows this facility's annual revenue compared to the Montana SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$51.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #12 / 31Payroll — State benchmarkedThis home is ranked 12th out of 31 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #12 / 31Payroll — State benchmarkedThis home is ranked 12th out of 31 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.3M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Mt. Ascension Transitional Care of Cascadia
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)
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Financial Assistance for
Nursing Home in Montana
Mt. Ascension Transitional Care of Cascadia is located in Helena, Montana.
Here are the financial assistance programs available to residents in Montana.
Frequently Asked Questions about Mt. Ascension Transitional Care of Cascadia
Is Mt. Ascension Transitional Care of Cascadia in a walkable area?
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.
Are there photos of Mt. Ascension Transitional Care of Cascadia?
Yes — there is 1 photo of Mt. Ascension Transitional Care of Cascadia in the photo gallery on this page.
What is the phone number of Mt. Ascension Transitional Care of Cascadia?
(406) 442-1350 will put you in contact with the team at Mt. Ascension Transitional Care of Cascadia.
Is Mt. Ascension Transitional Care of Cascadia Medicare or Medicaid certified?
Yes — Mt. Ascension Transitional Care of Cascadia is a CMS-certified provider of Medicare and Medicaid.
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