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Medicare-certifiedSkilled Nursing

Mount Ascension Transitional Care of Cascadia

(406) 442-1350

About Mount Ascension Transitional Care of Cascadia

Mount Ascension Transitional Care of Cascadia brings skilled nursing and rehabilitation services to Helena, Montana with a focus on helping patients regain strength and independence. Our team provides compassionate medical care and personalized therapy during critical recovery periods.

Community at a glance

Capacity

108 residents

Location

Helena, MT

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

2475 WINNE AVE, Helena, Montana 59601

(406) 442-1350

Medicare inspection record

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

  • Mount Ascension Transitional Care of Cascadia is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.

At its most recent standard inspection, on February 26, 2026, state inspectors cited 32 health deficiencies (the Montana average is 11.1).

Nurses and nurse aides spend 3 hours 21 minutes with each resident a day, below the Montana average of 4 hours 3 minutes.

Medicare fined Mount Ascension Transitional Care of Cascadia 3 times in the last three years, $80,366 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 21 minutesBelow the Montana average
Registered nurse time per resident, per day40 minutesBelow the Montana average
Nursing staff who left in the past year59%Above the Montana average

Inspections

63 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 16, 2026 · Complaint investigation · 4 citations

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintPlan to fix it accepted
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintPlan to fix it accepted
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Observe each nurse aide's job performance and give regular training.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted

March 24, 2026 · Complaint investigation · 6 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 1, 2026
  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected May 1, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected May 1, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 1, 2026
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 1, 2026
February 26, 2026 · Standard inspection · 16 citations+
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Apr 8, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Apr 8, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Apr 8, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 8, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 8, 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.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 8, 2026
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 8, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 8, 2026
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 8, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 8, 2026
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 8, 2026
January 7, 2026 · Complaint investigation · 3 citations+
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 13, 2026
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jan 2, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 13, 2026
September 23, 2025 · Complaint investigation · 3 citations+
  • 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.

    Risk of harm, no one hurt, widespread (level F)Resident RightsFrom a complaintCorrected Oct 31, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 31, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 31, 2025
July 30, 2025 · Complaint investigation · 3 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 3, 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Sep 3, 2025
January 16, 2025 · Standard inspection · 7 citations+
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Feb 24, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 24, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 24, 2025
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 24, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 24, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 24, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 24, 2025
December 17, 2024 · Complaint investigation · 3 citations+
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 21, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jan 21, 2025
October 16, 2024 · Complaint investigation · 5 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 8, 2024
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, widespread (level F)Resident RightsFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Nov 8, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 8, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 8, 2024
May 21, 2024 · Complaint investigation · 4 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jun 19, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 19, 2024
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected 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.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 19, 2024
December 21, 2023 · Standard inspection · 6 citations+
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 27, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 27, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 27, 2024
  • Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jan 27, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 2, 2024
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Minimal harm or risk, a pattern (level B)Resident RightsCorrected Jan 27, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

3 fines totaling $80,366 in the last three years.

  • February 26, 2026Fine: $25,714
  • October 16, 2024Fine: $25,740
  • May 21, 2024Fine: $28,912

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Helena East of Cascadia, LLC
Medicare-certified beds
108
Average residents per day
72
Accepts
Medicare and Medicaid
First certified
September 18, 1973
Part of a chain
Cascadia Healthcare, 47 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
275044

Location

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2475 WINNE AVEHelena, MT 59601

12 other communities within 10 miles

Senior living near Helena

Questions about Mount Ascension Transitional Care of Cascadia

How did Mount Ascension Transitional Care of Cascadia do on its last inspection?+

State inspectors visited on February 26, 2026 and cited 32 health deficiencies, 20 of them from complaint investigations. The Montana average is 11.1.

How much nursing care does each resident get at Mount Ascension Transitional Care of Cascadia?+

Nurses and aides spend 3 hours 21 minutes with each resident per day, including 40 minutes from registered nurses. 59% of nursing staff left over the past year.

Has Mount Ascension Transitional Care of Cascadia been fined by Medicare?+

Yes. Medicare fined Mount Ascension Transitional Care of Cascadia 3 times in the last three years, totaling $80,366.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in Helena Skilled Nursing in Montana Skilled Nursing guide Information last updated October 2026