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Nursing Home in Helena

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.

Mt. Ascension Transitional Care of Cascadia

Nursing Home in Helena

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.

Mt. Ascension Transitional Care of Cascadia

2475 Winne Ave, Helena, MT 59601 View map
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.

(406) 442-1350

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.
2/5
Montana average: 2.9/5
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.
2/5
Montana average: 2.8/5
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.
2/5
Montana average: 3.2/5
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.
2/5
Montana average: 3.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 20m per day

This home provides 26% less nursing time per resident than the Montana average.

Montana average: 4h 32m 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 suggests more openings may be available.

Lower demand than the Montana average
Occupancy rate 55.6%
Residents per day (avg) 75
Occupancy rate
55.6%
Residents per day (avg)
75

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.

Might be optimal for
Short stays Recovery Medicare-covered care

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

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
$9,261,531.00
Operating loss
$-51,679.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
32.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.3M
Total costs $9.3M
Walk Score
Walk Score: 30 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Care Services

Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs

All Levels of Care

Rehabilitation
Long-Term Care

Programs & Activities

Specific Programs
Rehabilitation, Long-term Care

Dining & Nutrition

Food Description
Mount 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.

Types of Care at Mt. Ascension Transitional Care of Cascadia

Skilled Nursing
Contact Mt. Ascension Transitional Care of Cascadia

Health Inspection History

Inspections
Total health inspections 9

Montana average 5.1


Last Health inspection on Sep 2025

Total health citations 51

Montana average 29.7

Citations per inspection
5.67

Montana average 5.72


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

28 of 51 citations resulted from standard inspections; 20 of 51 resulted from complaint investigations; and 3 of 51 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
233% worse than Montana average

Montana average: 0.3


Serious Health citations More info 5
127% worse than Montana average

Montana average: 2.2

1 critical citation More info Montana average: 0.3

5 serious citations More info Montana average: 2.2

43 moderate citations More info Montana average: 26.5

2 minor citations More info Montana average: 0.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 23, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 23, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Sep 23, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Jul 30, 2025
Corrected

Compare Nursing Homes around Helena The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

2 facilities compared · CMS & MT Dept. of Health data · Updated Apr 2026

Filter by care type
Mt. Ascension Transitional Care of Cascadia
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Helena
108
55.6%
-10%
3.33
-14%
-26%
3
51
5.7
6
75
-
30
Brady, Shane
$9.1M
$3.0M
32.7%
275044
Cooney Healthcare and Rehabilitation
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Helena
90
-
-
-
-
-
-
-
-
0
0
0.0
0
-
A+
37
-
-
-
-
-

Places of interest near Mt. Ascension Transitional Care of Cascadia

Address 2.3 miles from city center — 0.13 miles to nearest hospital (East Entrance)

Address 2475 Winne Ave, Helena, MT 59601

Calculate Travel Distance to Mt. Ascension Transitional Care of Cascadia

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 174
Employees 81
Contractors 93
Staff to resident ratio 2.81:1
58% better than Montana average

Montana average ratio: 1.77:1

Avg staff/day 37
Average shift 8.2 hours
5% worse than Montana average

Montana average: 8.6 hours

Total staff hours (quarter) 27,533
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 105
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

17.3%

4,752 contractor hours this quarter

Certified Nursing Assistant: 67 Registered Nurse: 13 Licensed Practical Nurse: 10 Occupational Therapy Assistant: 2 Medication Aide/Technician: 1
Staff by category
Certified Nursing Assistant 38 67 105 12,111 91 100% 8
Licensed Practical Nurse 10 10 20 3,884 91 100% 9.2
Registered Nurse 10 13 23 3,591 91 100% 9.8
Medication Aide/Technician 4 1 5 1,903 90 99% 10.9
Physical Therapy Assistant 3 0 3 1,406 68 75% 7.5
Speech Language Pathologist 2 0 2 882 68 75% 7
Clinical Nurse Specialist 2 0 2 624 59 65% 8
Mental Health Service Worker 1 0 1 584 65 71% 9
Administrator 1 0 1 512 64 70% 8
Dietitian 1 0 1 507 58 64% 8.7
Nurse Aide in Training 2 0 2 467 45 49% 10.2
Other Dietary Services Staff 1 0 1 460 60 66% 7.7
Nurse Practitioner 2 0 2 320 40 44% 8
Respiratory Therapy Technician 1 0 1 93 51 56% 1.8
Qualified Social Worker 1 0 1 92 33 36% 2.8
Occupational Therapy Assistant 0 2 2 65 39 43% 1.6
Dental Services Staff 2 0 2 33 6 7% 5.5
105 Certified Nursing Assistant
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
23 Registered Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 99%
3 Physical Therapy Assistant
% of Days 75%
2 Speech Language Pathologist
% of Days 75%
2 Clinical Nurse Specialist
% of Days 65%
1 Mental Health Service Worker
% of Days 71%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 64%
2 Nurse Aide in Training
% of Days 49%
1 Other Dietary Services Staff
% of Days 66%
2 Nurse Practitioner
% of Days 44%
1 Respiratory Therapy Technician
% of Days 56%
1 Qualified Social Worker
% of Days 36%
2 Occupational Therapy Assistant
% of Days 43%
2 Dental Services Staff
% of Days 7%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
62 residents
Residents by payment source
Medicare
18 residents (29%)
Medicaid
28 residents (45.2%)
Private pay or other
16 residents (25.8%)
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.

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 Info 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 average

Montana average: 11.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.3
30% worse than Montana average

Montana average: 21.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 31.0%
60% worse than Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 24.6%
18% worse than Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.2%
16% worse than Montana average

Montana average: 25.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
In line with Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.7%
6% worse than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.9%
31% better than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.7%
75% worse than Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.8%
61% better than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.9%
In line with Montana average

Montana average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 77.8%
17% worse than Montana average

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 78.3%
16% worse than Montana average

Montana average: 93.7%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.8%
31% worse than Montana average

Montana average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
19% better than Montana average

Montana average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 48.5%
34% worse than Montana average

Montana average: 73.8%

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 Jan 2026)

Total fines amount $122K
39% higher than Montana average

Montana average: $87K

Number of fines 3
29% more fines than Montana average

Montana average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Montana average

Montana 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.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 16, 2024
$40K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 21, 2024
$29K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 5, 2023
$53K

Last updated: Jan 2026

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Financial Aid for Montana Seniors

Get financial aid guidance

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural state; limited providers in some areas.

Montana Community First Choice

MT CFC

Age 65+ or disabled, Montana resident, Medicaid- eligible.

~$1,732/month (individual, Medicaid threshold).

$2,000 (individual).

Less intensive than waiver; rural focus.

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.

~$2,510/month (individual), ~$3,380/month (couple).

Not assessed.

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

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled, Montana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

10 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

Age 55+, unemployed, low-income, Montana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.