Nursing HomeInspections

Mount Ascension Transitional Care of Cascadia

Nursing home in Helena, MT

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
2475 Winne Ave, Helena, MT 59601
Phone
(406) 442-1350
Listed under
For-profit
Medicare CCN
275044
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
1 of 5
Certified beds
108
Average residents per day
73
Ownership
For-profit, corporation
Legal business name
Helena East of Cascadia, LLC
Chain
Cascadia Healthcare (47 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 18, 1973
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 275044. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 26, 2026. CMS lists 63 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 8, 2023 to Jul 16, 2026): 40 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 16, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 16, 2026Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 16, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 16, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 24, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 24, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 24, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 24, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 24, 2026Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Mar 24, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Feb 26, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 26, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 63. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $80,366 in the last three years.

Feb 26, 2026Fine: $25,714
Oct 16, 2024Fine: $25,740
May 21, 2024Fine: $28,912

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.34 hours
Registered nurse (RN) time per resident per day
0.85 hours
Nurse aide time per resident per day
1.90 hours
Total nurse staffing on weekends
2.80 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
61%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Helena

Cooney Healthcare and Rehabilitation2555 E Broadway · Helena, MT 59601 · (406) 447-1651 · For-profit76 health citations in 3 inspection cycles · last standard inspection Sep 11, 2025 · $213,136 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

All 2 in Helena →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error