Helena, MT

Mount Ascension Transitional Care Of Cascadia

2-star overall rating with 2-star inspections with $54,652 in total fines with 16 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

2475 Winne Ave, Helena, MT

(406) 442-1350

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cascadia Healthcare

Operator or chain grouping

Approved since

1973-09-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

44 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.62

Registered nurse staffing · state 0.94 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.97 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.91

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.69 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.66

CMS adjusted RN staffing hours

Adjusted total hours

3.53

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,539

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.16

Composite VBP score used to determine payment impact.

Payment multiplier

1.0030

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.32

Baseline 16.34% · Performance 17.58% · Measure score 8.32 · Achievement 8.32 · Improvement 0

Healthcare-associated infections

7.15

Baseline 5.34% · Performance 5.70% · Measure score 7.15 · Achievement 7.15 · Improvement 0

Total nurse turnover

4.20

Baseline 65.79% · Performance 46.55% · Measure score 4.20 · Achievement 4.19 · Improvement 4.20

Adjusted total nurse staffing

Baseline 3.45 hours · Performance 3.12 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.8%	10.72% 1.9 pts better	No Different than the National Rate · Eligible stays 229 · Observed rate 6.11% · Lower 95% interval 6.81%
Discharge to community	50.61%	50.57% About the same	No Different than the National Rate · Eligible stays 222 · Observed rate 47.3% · Lower 95% interval 44.73%
Medicare spending per beneficiary	0.84	1.02 0.2 pts better
Drug regimen review with follow-up	95.97%	95.27% 0.7 pts better	Numerator 143 · Denominator 149
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 149
Discharge self-care score	57.8%	53.69% 4.1 pts better	Numerator 63 · Denominator 109
Discharge mobility score	44.95%	50.94% 6 pts worse	Numerator 49 · Denominator 109
Pressure ulcers or injuries, new or worsened	4.03%	2.29% 1.7 pts worse	Numerator 6 · Denominator 149 · Adjusted rate 5.32%
Healthcare-associated infections requiring hospitalization	5.7%	7.12% 1.4 pts better	No Different than the National Rate · Eligible stays 123 · Observed rate 3.25% · Lower 95% interval 3.54%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 54
Staff flu vaccination coverage	20.31%	42% 21.7 pts worse	Numerator 26 · Denominator 128
Discharge function score	60.55%	56.45% 4.1 pts better	Numerator 66 · Denominator 109
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 67 · Denominator 67
Transfer of health information to patient	90.2%	96.28% 6.1 pts worse	Numerator 46 · Denominator 51
Resident COVID-19 vaccinations up to date	60%	25.2% 34.8 pts better	Numerator 51 · Denominator 85

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.3 About the same	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.2 0.2 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	81.9%	94.4% 12.5 pts worse	93.4% 11.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 75.5% · Q2 78.8% · Q3 94.7% · Q4 78.0% · 4Q avg 81.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	78.3%	93.7% 15.4 pts worse	95.5% 17.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 78.3%
Percentage of long-stay residents experiencing one or more falls with major injury	5.0%	4.2% 0.8 pts worse	3.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.8% · Q3 3.5% · Q4 6.8% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.0%	4.7% 0.3 pts worse	11.4% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 4.3% · Q4 12.5% · 4Q avg 5.0%
Percentage of long-stay residents who lose too much weight	11.9%	5.9% 6 pts worse	5.4% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 8.7% · Q3 5.8% · Q4 8.3% · 4Q avg 11.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.0%	17.4% 0.6 pts worse	19.6% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 21.7% · Q3 17.3% · Q4 17.0% · 4Q avg 18.0%
Percentage of long-stay residents who received an antipsychotic medication	24.0%	20.6% 3.4 pts worse	16.7% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 27.3% · Q3 26.3% · Q4 24.3% · 4Q avg 24.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.4% 0.4 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	28.8%	19.7% 9.1 pts worse	16.3% 12.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.0% · 4Q avg 28.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	30.3%	19.8% 10.5 pts worse	14.9% 15.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.8% · Q2 28.6% · Q3 31.2% · Q4 24.0% · 4Q avg 30.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.9%	2.6% 0.7 pts better	1.0% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.6% · Q3 1.5% · Q4 1.3% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.3%	2.9% 0.6 pts better	1.7% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 3.5% · Q4 1.9% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.6%	25.4% 4.2 pts worse	19.8% 9.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 45.2% · Q3 19.7% · Q4 27.6% · 4Q avg 29.6%
Percentage of long-stay residents with pressure ulcers	6.5%	6.4% 0.1 pts worse	5.1% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 10.0% · Q3 3.4% · Q4 8.8% · 4Q avg 6.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	62.9%	78.7% 15.8 pts worse	81.7% 18.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 59.2% · Q3 72.5% · Q4 78.8% · 4Q avg 62.9%
Percentage of short-stay residents who had an outpatient emergency department visit	16.6%	15.0% 1.6 pts worse	12.0% 4.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 15.4% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.6% 0.1 pts worse	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 1.4% · Q4 2.5% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	48.5%	73.8% 25.3 pts worse	79.7% 31.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 48.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.1%	19.4% 1.7 pts worse	23.9% 2.8 pts better	Short Stay · 20240701-20250630 · Adjusted 21.1% · Observed 18.3% · Expected 20.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

16 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-12-21 · Fire 2023-12-21

19 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-01-05 · Fire 2023-01-05

19 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-16

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-02-21

F · Potential for more than minimal harm 2023-12-21

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2024-02-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-07

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2026-01-02

D · Potential for more than minimal harm 2026-01-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-02-13

D · Potential for more than minimal harm 2026-01-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-02-13

F · Potential for more than minimal harm 2025-09-23

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-10-31

E · Potential for more than minimal harm 2025-09-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-31

E · Potential for more than minimal harm 2025-09-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-10-31

D · Potential for more than minimal harm 2025-07-30

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-07-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-07-30

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-09-03

F · Potential for more than minimal harm 2025-01-16

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-02-24

E · Potential for more than minimal harm 2025-01-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-24

E · Potential for more than minimal harm 2025-01-16

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-02-24

E · Potential for more than minimal harm 2025-01-16

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-01-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-01-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-01-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-02-24

E · Potential for more than minimal harm 2024-12-17

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-01-21

D · Potential for more than minimal harm 2024-12-17

F808 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-01-21

D · Potential for more than minimal harm 2024-12-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-21

G · Actual harm 2024-10-16

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-10-16

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-10-16

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-10-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-10-16

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-08

G · Actual harm 2024-05-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-21

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-06-19

D · Potential for more than minimal harm 2023-12-21

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-01-27

D · Potential for more than minimal harm 2023-12-21

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-01-27

D · Potential for more than minimal harm 2023-12-21

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-02-02

D · Potential for more than minimal harm 2023-12-21

F728 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-01-27

D · Potential for more than minimal harm 2023-12-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-27

B · Minimal harm 2023-12-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-01-27

B · Minimal harm 2023-12-21

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-01-27

E · Potential for more than minimal harm 2023-11-08

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2023-12-06

D · Potential for more than minimal harm 2023-11-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-12-06

L · Immediate jeopardy 2023-01-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-02-19

H · Actual harm 2023-01-05

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-02-19

G · Actual harm 2023-01-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-02-19

G · Actual harm 2023-01-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-02-19

E · Potential for more than minimal harm 2023-01-05

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-02-19

E · Potential for more than minimal harm 2023-01-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-02-19

E · Potential for more than minimal harm 2023-01-05