Mount Ascension Transitional Care of Cascadia
Nursing Home · Helena, MT
CMS certification number275044
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
2475 Winne AveHelena, MT 59601
Lewis And Clark County
- Phone
- (406) 442-1350
- ZIP code
- 59601 – all care providers
Facility details
- Certified beds
- 108
- Residents per day
- 71.5 (66% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Helena East of Cascadia, LLC
- Chain
- Cascadia Healthcare (46 facilities, avg 3.0★)
- Medicare certified since
- September 18, 1973
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.35 (state 4.05 · U.S. 3.86)
- Registered nurses (RN)
- 0.67 (state 0.98 · U.S. 0.69)
- Licensed practical nurses
- 0.58 (state 0.50 · U.S. 0.86)
- Nurse aides
- 2.10 (state 2.57 · U.S. 2.32)
- Weekend total
- 3.07 (state 3.59 · U.S. 3.42)
- Nursing staff turnover
- 59.1 (state 54.8 · U.S. 45.8)%
- RN turnover
- 58.8 (state 48.3 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- February 26, 2026
- Health deficiencies (last cycle)
- 28.0 (state 11.5 · U.S. 9.3)
- From complaints
- 16
- Citations on record (3 years)
- 59 health · 2 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-05-01 |
| 2026-03-24 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-03-24 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-03-24 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-03-24 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-03-24 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-02-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | 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. F0700 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-02-26 | 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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-08 |
| 2026-01-07 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-02 |
| 2026-01-07 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-01-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2025-09-23 | 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. F0585 · Resident Rights Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-31 |
| 2025-09-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-31 |
| 2025-09-23 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-31 |
| 2025-07-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-03 |
| 2025-07-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-03 |
| 2025-07-30 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-03 |
| 2025-01-16 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-02-24 |
| 2025-01-16 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-24 |
| 2025-01-16 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-24 |
| 2025-01-16 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-24 |
| 2025-01-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-24 |
| 2025-01-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-24 |
| 2025-01-16 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-24 |
| 2024-12-17 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-17 | 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. F0808 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-10-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-08 |
| 2024-10-16 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-11-08 |
| 2024-10-16 | 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. F0585 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-08 |
| 2024-10-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-08 |
| 2024-10-16 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-08 |
| 2024-05-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-06-19 |
| 2024-05-21 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-19 |
| 2024-05-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-19 |
| 2024-05-21 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-19 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $80,366 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-26 | Fine | $25,714 |
| 2024-10-16 | Fine | $25,740 |
| 2024-05-21 | Fine | $28,912 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Timberline Western Tenant, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| White Oak Healthcare Finance LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Brady, Shane (individual) | Administrator · NOT APPLICABLE | |
| Cascadia Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Hedum, Emily (individual) | Administrator · NOT APPLICABLE | |
| Timberline Western Tenant, LLC (organization) | Administrator · NOT APPLICABLE | |
| Cascadia Montana Operations LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Cascadia HC Group LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Cascadia Healthcare LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Cascadia Holdco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Hammond, Owen (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Laforte, Stephen (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Nelson, Timothy (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Brady, Shane (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cascadia Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Hammond, Owen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hedum, Emily (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Laforte, Stephen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nelson, Timothy (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Mount Ascension Transitional Care of Cascadia?
Mount Ascension Transitional Care of Cascadia has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Montana.
How many beds does Mount Ascension Transitional Care of Cascadia have?
It has 108 certified beds and cares for about 72 residents per day.
Has Mount Ascension Transitional Care of Cascadia been fined?
Yes. CMS lists 3 penalties totaling $80,366 in the last three years.
Who owns Mount Ascension Transitional Care of Cascadia?
It is part of Cascadia Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Mount Ascension Transitional Care of Cascadia?
(406) 442-1350. The facility is located at 2475 Winne Ave, Helena, MT 59601.
Other nursing homes in Helena
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Cooney Healthcare and Rehabilitation
Nursing Home · Helena, MT · 90 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.