Mount Ascension Transitional Care of Cascadia: Staffing, Turnover, and Inspection Record
Mount Ascension Transitional Care of Cascadia is a 108-bed for-profit nursing home in Helena, Montana, part of Cascadia Healthcare. In the CMS August 2026 release it reported 2.10 nurse aide hours per resident per day, 18% below the Montana average of 2.57, and 59.1% nursing staff turnover (Montana average 54.8%).
Mount Ascension Transitional Care of Cascadia
2475 Winne AveHelena, MT 59601
Lewis And Clark County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Mount Ascension Transitional Care of Cascadia, nurse aides logged 2.10 hours per resident per day, 18% below the Montana average. With about 72 residents a day, that works out to roughly 150 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Montana avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.10 | 2.57 | 2.32 |
| Licensed practical nurses | 0.58 | 0.50 | 0.86 |
| Registered nurses | 0.67 | 0.98 | 0.69 |
| All nursing staff | 3.35 | 4.05 | 3.86 |
| All nursing staff, weekends | 3.07 | 3.59 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
59.1% of nursing staff at Mount Ascension Transitional Care of Cascadia left over the year CMS measured, against a Montana average of 54.8% and a US average of 45.8%. Registered nurse turnover was 58.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 28 health deficiencies (Montana average 11.5). CMS lists 3 fines totaling $80,366 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 26, 2026 | Fine | $25,714 |
| Oct 16, 2024 | Fine | $25,740 |
| May 21, 2024 | Fine | $28,912 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Mount Ascension Transitional Care of Cascadia holds 1 of 5 overall; the Montana average is 2.9.
About Mount Ascension Transitional Care of Cascadia
- Ownership: For profit - Corporation
- Chain: Cascadia Healthcare, 46 homes
- Legal name: Helena East of Cascadia, LLC
- Medicare and Medicaid certified since: Sep 18, 1973
- Councils: resident council
- Area: urban
Nursing homes near Mount Ascension Transitional Care of Cascadia
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Cooney Healthcare and Rehabilitation Helena · SFF candidate · abuse citation | 0.5 | 90 | 1.50 | 2.63 | 77.6% | 1 | $213,136 |
| Elkhorn Healthcare and Rehabilitation Clancy | 8.9 | 70 | 1.81 | 2.73 | 41.3% | 2 | None |
| Ivy at Deer Lodge Deer Lodge | 36.7 | 60 | 2.25 | 3.67 | 56.8% | 1 | $103,309 |
| Copper Ridge Health and Rehabilitation Center Butte | 47.1 | 186 | 1.98 | 3.33 | 45.8% | 4 | $9,311 |
| Continental Care and Rehabilitation Butte | 47.1 | 100 | 2.63 | 4.03 | 60.2% | 3 | None |
| Crest Nursing Home Butte | 47.3 | 103 | 2.10 | 3.33 | 53.2% | 5 | None |
| Southwest Montana Veterans Home Butte | 50.4 | 60 | 2.14 | 4.34 | 53.9% | 5 | None |
| Community Nursing Home of Anaconda Anaconda | 55.2 | 62 | 3.32 | 5.25 | — | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.