Mount Ascension Transitional Care of Cascadia
2475 Winne Ave, Helena, MT 59601
Mount Ascension Transitional Care of Cascadia, a 108-bed for profit - corporation nursing facility in Helena, MT, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #55 of 59 rated homes in MT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4064421350
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #55 of 59
- In-state rank among rated MT homes
- 3.35
- Below average · nurse hrs/day · nat'l 3.86
- 50
- Inspection findings · 3 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Mount Ascension Transitional Care of Cascadia, a 108-bed for profit - corporation nursing facility in Helena, MT, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #55 of 59 rated homes in MT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #55 of 59
- In-state rank among rated MT homes
- 3.35
- Nurse hrs/resident-day · national 3.86
- 50
- Inspection findings · 3 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 61 MT nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 275044
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 108
- Residents
- 72
- In Hospital
- No
- County
- Lewis And Clark
- Last Inspection
- Feb 26, 2026
- Special Focus
- SFF Candidate
Staffing Data
How the 3.35 total nursing hours per resident-day are staffed:
- RN Hours
- 0.67 (nat'l avg: 0.69)
- LPN Hours
- 0.58
- CNA Hours
- 2.10
- Total Nursing Hours
- 3.35 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 59.1%
- RN Turnover
- 58.8%
What the CMS Record Reveals About Mount Ascension Transitional Care of Cascadia
According to CMS Nursing Home Compare, Mount Ascension Transitional Care of Cascadia ranks #55 of 59 rated nursing homes in MT on overall stars (tie-broken by health+staffing+quality, then fewer fines). Mount Ascension Transitional Care of Cascadia operates 108 certified beds in Helena, MT with approximately 72 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 1★).
The inspection file contains 50 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 3 times by CMS, for a combined $80K. Staffing is reported at 3.35 total nursing hours per resident day (national average 3.86), with RN coverage at 0.67 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Mount Ascension Transitional Care of Cascadia falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 59.1% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (50 most recent)
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 1, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: May 1, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 8, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: May 1, 2026
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: May 1, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 1, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Category: Infection Control Deficiencies
Corrected: Apr 8, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Apr 8, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category: Pharmacy Service Deficiencies
Corrected: Apr 8, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Apr 8, 2026
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 8, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 8, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 8, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 8, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 8, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 8, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: Apr 8, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 8, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Apr 8, 2026
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Apr 8, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 8, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 8, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 13, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 13, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 2, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 31, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 31, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Oct 31, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: Sep 3, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 3, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 24, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 24, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Feb 24, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Feb 24, 2025
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Feb 24, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 24, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Category: Nursing and Physician Services Deficiencies
Corrected: Feb 24, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 21, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 21, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 8, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 8, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Nov 8, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Category: Resident Rights Deficiencies
Corrected: Nov 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 8, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 19, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 19, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 19, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 5.4% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 8.8% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 87.8% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 19.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 78.3% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 27.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 73.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 48.5% | No |
Penalty History 3 penalties totaling $80K
| Date | Type | Amount |
|---|---|---|
| Feb 26, 2026 | Fine | $26K |
| Oct 16, 2024 | Fine | $26K |
| May 21, 2024 | Fine | $29K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Mount Ascension Transitional Care of Cascadia, both outside MT so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MT (108 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MT (3.50 here).
Nearby Nursing Homes in MT
60 other nursing homes are on record in MT; 6 are shown here.
Aspen Meadows Health and Rehabilitation Center
Billings, MT
Awe Kualawaache Care Center
Crow Agency, MT
Beartooth Rehabilitation and Nursing LLC
Columbus, MT
Benefis Senior Services - Eastview
Great Falls, MT
Benefis Senior Services - Grandview
Great Falls, MT
Benefis Senior Services - Westview
Great Falls, MT
Understanding Nursing Home Data
What the CMS records show for Mount Ascension Transitional Care of Cascadia
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MT registry aggregates state averages and the highest-rated homes in this cohort. View MT registry
- Peer homes near 108 beds show how CMS stars vary at a similar scale in MT. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Mount Ascension Transitional Care of Cascadia?
Where does Mount Ascension Transitional Care of Cascadia rank among nursing homes in MT?
What are the staffing levels at Mount Ascension Transitional Care of Cascadia?
How many beds does Mount Ascension Transitional Care of Cascadia have?
Does Mount Ascension Transitional Care of Cascadia have any deficiencies on record?
Has Mount Ascension Transitional Care of Cascadia received any fines or penalties?
Who owns Mount Ascension Transitional Care of Cascadia?
When was Mount Ascension Transitional Care of Cascadia last inspected?
What quality measures are tracked for Mount Ascension Transitional Care of Cascadia?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
