Mount Ascension Transitional Care of CascadiaCMS ratings, inspections and fines
- Address
- 2475 Winne Ave, Helena, MT 59601
- CCN
- 275044
- Ownership type
- For-profit, corporation
- Certified beds
- 108
- Chain
- Cascadia Healthcare
- Residents per day
- 72
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Mount Ascension Transitional Care of Cascadia an overall rating of 1 of 5 stars. The last standard survey was on 26 Feb 2026. The latest survey cycle has 28 health citations. The median for nursing homes in Montana is 9. CMS lists 3 fines with a total of $80,366 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lewis and Clark County median | Montana median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 1 | 2.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 61 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Montana median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Feb 2026 | 28 | 9 |
| Cycle 2 | 16 Jan 2025 | 18 | 10 |
| Cycle 3 | No date | 13 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 28 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Mar 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 1 May 2026 |
| 24 Mar 2026 | F0584 | 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. | E | Complaint investigation | 1 May 2026 |
| 24 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 May 2026 |
| 24 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 May 2026 |
| 24 Mar 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 1 May 2026 |
| 24 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 8 Apr 2026 |
| 26 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 8 Apr 2026 |
| 26 Feb 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 8 Apr 2026 |
| 26 Feb 2026 | F0688 | 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. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0700 | 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. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 8 Apr 2026 |
| 26 Feb 2026 | F0761 | 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. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 8 Apr 2026 |
| 26 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0887 | 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. | D | Standard survey | 8 Apr 2026 |
| 7 Jan 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 2 Jan 2026 |
| 7 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Feb 2026 |
| 7 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Feb 2026 |
| 23 Sep 2025 | F0585 | 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. | F | Complaint investigation | 31 Oct 2025 |
| 23 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 31 Oct 2025 |
| 23 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 31 Oct 2025 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 3 Sep 2025 |
| 30 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Sep 2025 |
| 30 Jul 2025 | F0726 | 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. | D | Complaint investigation | 3 Sep 2025 |
| 16 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 Feb 2025 |
| 16 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Feb 2025 |
| 16 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 Feb 2025 |
| 16 Jan 2025 | F0727 | 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. | F | Standard survey | 24 Feb 2025 |
| 16 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Feb 2025 |
| 16 Jan 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 24 Feb 2025 |
| 16 Jan 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 24 Feb 2025 |
| 17 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 21 Jan 2025 |
| 17 Dec 2024 | F0808 | 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. | D | Complaint investigation | 21 Jan 2025 |
| 17 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Jan 2025 |
| 16 Oct 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | F | Complaint investigation | 8 Nov 2024 |
| 16 Oct 2024 | F0585 | 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. | E | Complaint investigation | 8 Nov 2024 |
| 16 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Nov 2024 |
| 16 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Nov 2024 |
| 16 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Nov 2024 |
Survey cycle 3: 13 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 19 Jun 2024 |
| 21 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 19 Jun 2024 |
| 21 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 19 Jun 2024 |
| 21 May 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 19 Jun 2024 |
| 21 Dec 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 27 Jan 2024 |
| 21 Dec 2023 | F0625 | 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. | B | Standard survey | 27 Jan 2024 |
| 21 Dec 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 27 Jan 2024 |
| 21 Dec 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 27 Jan 2024 |
| 21 Dec 2023 | F0688 | 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. | D | Standard survey | 2 Feb 2024 |
| 21 Dec 2023 | F0728 | 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. | D | Standard survey | 27 Jan 2024 |
| 21 Dec 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Jan 2024 |
| 8 Nov 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 6 Dec 2023 |
| 8 Nov 2023 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Complaint investigation | 6 Dec 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 26 Feb 2026 | Fine | $25,714 | |
| 16 Oct 2024 | Fine | $25,740 | |
| 21 May 2024 | Fine | $28,912 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Montana median | Montana average (CMS) |
|---|---|---|---|
| All nurse staff | 3.35 | 3.90 | 4.05 |
| Registered nurses (RN) | 0.67 | 0.90 | 0.98 |
| Licensed practical nurses (LPN) | 0.58 | 0.50 | |
| Nurse aides | 2.10 | 2.57 | |
| All nurse staff, weekends | 3.07 | 3.40 | 3.59 |
- Nurse staff turnover in a year
- 59.1%
- Nurse staff turnover, Montana median
- 53.4%
- RN turnover in a year
- 58.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.7% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.7% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.9% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.6% | 19.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Helena East of Cascadia, LLC
- Chain
- Cascadia Healthcare (46 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cascadia Montana Operations LLC | Direct ownership interest | 1 Mar 2021 | |
| Cascadia HC Group LLC | Indirect ownership interest | 5 Jun 2025 | |
| Cascadia Healthcare LLC | Indirect ownership interest | 1 Mar 2021 | |
| Cascadia Holdco LLC | Indirect ownership interest | 5 Jun 2025 | |
| Timberline Western Tenant, LLC | 5% or greater security interest | 5 Jun 2025 | |
| White Oak Healthcare Finance LLC | 5% or greater security interest | 11 Aug 2022 | |
| Cascadia Services LLC | Operational/managerial control | 21 Jan 2025 | |
| Cascadia Services LLC | Adp of the snf | 21 Jan 2025 | |
| Timberline Western Tenant, LLC | Adp of the snf | 5 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Lewis and Clark County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Cooney Healthcare and RehabilitationSpecial Focus candidate | Helena | 1 of 5 | 34 | $213,136 | 11 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Montana Department of Public Health and Human Services: certification complaint formThe complaint page of the State Survey Agency for Montana, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Mount Ascension Transitional Care of Cascadia (CCN 275044). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/mount-ascension-transitional-care-of-cascadia-helena-mt-275044/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Mount Ascension Transitional Care of Cascadia last inspected?
- The latest inspection with a citation in the CMS record was on 24 Mar 2026. It was a complaint investigation. It gave 6 citations. The standard survey before the last one was on 16 Jan 2025.
- Who operates Mount Ascension Transitional Care of Cascadia?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Cascadia Healthcare. The CMS ownership file names Cascadia Services LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Mount Ascension Transitional Care of Cascadia?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 1 home in Montana as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.