Skilled nursing · Helena, MT

Mount Ascension Transitional Care Of Cascadia

2475 WINNE AVE, Helena, MT 59601

1 / 5CMS 108 bedsCapacity May 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Mount Ascension Transitional Care Of Cascadia carries a Palmelle Clarity Score of 5 out of 100, derived from federal CMS Care Compare data plus Montana state records. Health inspection rating sits at 1-star, staffing at 2-star, quality measures at 1-star. Long-stay antipsychotic prescribing is at 24.0 percent, above the 14 percent national median. Long-stay sedative prescribing is at 18.0 percent, above the 15 percent national median. RN coverage is 0.67 hours per resident per day. Nurse turnover 56 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Montana DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

Medicare/Medicaid certified

Operating in Helena.

Worth asking about

Resident weight loss

Above national median. Often signals understaffing during meals — ask about mealtime supervision and assistance.

Decline in mobility

Above national median. Ask about activity programs, physical therapy frequency, and resident engagement.

Federal CMS + Montana state data

The full inspection record.

Federal CMS ratings

Overall★★★★★1 / 5

Health inspection★★★★★1 / 5

Staffing★★★★★2 / 5

Quality measures★★★★★1 / 5

Staffing

RN hours per resident, daily

This

0.67

Nat

0.78

Total nurse hours / resident, daily

This

3.1

Nat

3.62

Annual nurse turnover

This

56%

Nat

53%

Annual RN turnover

This

57%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

24.0%

Nat

14%

Sedative / sleep med

This

18.0%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

5.0%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection current$54,652 in fines (2)

Identity & licensing

CMS ID275044

OwnershipFor profit - Corporation

ChainIndependent

Beds108

Avg residents74

Citations · last 36 months

Flagged by CMS data
Unplanned weight loss rate is 11.9% — above the national median of about 6%. In long-stay facilities this is almost always a feeding-assistance failure: residents who need help eating aren't getting it, especially at dinner when staffing thins. Worth asking how dinner-hour staffing compares to lunch.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Mobility-decline rate is 28.8% — meaning that share of long-stay residents lost ability to move between measurements (above the national median of about 17%). High decline suggests no PT/OT program or no daily walking — residents are being allowed to become bed-bound. Worth asking what the rehab and activities calendar actually looks like.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Montana DPH · Last reconciled Jun 3, 2026

Questions families ask

Common questions.

What is the CMS rating for Mount Ascension Transitional Care Of Cascadia?

Mount Ascension Transitional Care Of Cascadia has an overall CMS Care Compare rating of 1 out of 5 stars. It scores 1 of 5 on health inspection, 2 of 5 on staffing, and 1 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Mount Ascension Transitional Care Of Cascadia been cited for resident harm?

It has $54,652 in federal fines across 2 penalties on record in the last 36 months. CMS data flagged 2 concerns on the latest reconcile. The full record for Mount Ascension Transitional Care Of Cascadia appears in the record section above.

Does Mount Ascension Transitional Care Of Cascadia use antipsychotic medications?

24.0 percent of long-stay residents at Mount Ascension Transitional Care Of Cascadia are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 18.0 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Mount Ascension Transitional Care Of Cascadia's Palmelle Clarity Score?

Mount Ascension Transitional Care Of Cascadia has a Palmelle Clarity Score of 5 out of 100, putting it below the national median. The score is a composite of federal CMS and Montana state inspection data. Higher is better.

How can I tour or contact Mount Ascension Transitional Care Of Cascadia?

Mount Ascension Transitional Care Of Cascadia is located at 2475 WINNE AVE, Helena, MT 59601. Phone: (406) 442-1350. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Mount Ascension Transitional Care Of Cascadia a special focus facility?

Mount Ascension Transitional Care Of Cascadia is not on the federal Special Focus Facility list, but it does have $54,652 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Mount Ascension Transitional Care Of Cascadia's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Mount Ascension Transitional Care Of Cascadia has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Mount Ascension Transitional Care Of Cascadia compare to other Helena skilled nursing facilities?

Mount Ascension Transitional Care Of Cascadia holds a Palmelle Clarity Score of 5. Browse the full Helena directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Mount Ascension Transitional Care Of Cascadia?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Mount Ascension Transitional Care Of Cascadia and two other facilities on your shortlist.

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