Mount Ascension Transitional Care of Cascadia
Medicare-certified2475 WINNE AVE, Helena, MT 59601
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Cooney Healthcare and Rehabilitation serves Helena, Montana families with comprehensive skilled nursing and rehabilitation care. Our experienced team focuses on recovery and restoring independence through personalized treatment plans and compassionate support.
Capacity
90 residents
Location
Helena, MT
Status
Listed in a public registry
2555 E BROADWAY, Helena, Montana 59601
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on September 11, 2025, state inspectors cited 29 health deficiencies (the Montana average is 11.1).
Nurses and nurse aides spend 2 hours 38 minutes with each resident a day, below the Montana average of 4 hours 3 minutes.
Medicare fined Cooney Healthcare and Rehabilitation 4 times in the last three years, $213,136 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 38 minutesBelow the Montana average |
| Registered nurse time per resident, per day | 49 minutesBelow the Montana average |
| Nursing staff who left in the past year | 78%Above the Montana average |
1 administrator has left the home in the past year.
55 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
December 31, 2025 · Complaint investigation · 2 citations
Provide care and assistance to perform activities of daily living for any resident who is unable.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
December 4, 2025 · Complaint investigation · 7 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Implement a program that monitors antibiotic use.
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.
Provide and implement an infection prevention and control program.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Ensure medication error rates are not 5 percent or greater.
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.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide routine and 24-hour emergency dental care for each resident.
Provide enough food/fluids to maintain a resident's health.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Respond appropriately to all alleged violations.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Respond appropriately to all alleged violations.
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide and implement an infection prevention and control program.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Ensure medication error rates are not 5 percent or greater.
Provide enough food/fluids to maintain a resident's health.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
4 fines totaling $213,136 and 1 Medicare payment denial in the last three years.
2555 E BROADWAYHelena, MT 59601
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State inspectors visited on September 11, 2025 and cited 29 health deficiencies, 11 of them from complaint investigations. The Montana average is 11.1.
Nurses and aides spend 2 hours 38 minutes with each resident per day, including 49 minutes from registered nurses. 78% of nursing staff left over the past year.
Yes. Medicare fined Cooney Healthcare and Rehabilitation 4 times in the last three years, totaling $213,136.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.