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MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA
2475 WINNE AVE, HELENA, MT 59601
Decent. MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA brings 0.67 RN hours per resident daily — Palmelle trust score 5/100. There are 2 federal fine(s) on record — no date context, so worth asking about directly. Worth asking: 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. Worth asking: 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.
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COONEY HEALTHCARE AND REHABILITATION
2555 E BROADWAY, HELENA, MT 59601
Hmm. COONEY HEALTHCARE AND REHABILITATION has a critical flag: cms has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. Palmelle trust score is 0/100. To be fair: 0.84 RN hours per resident daily. Worth asking: CMS has designated this facility as a Special Focus Facility (SFF Candidate). This designation is given to nursing homes with a history of serious quality problems. Only the worst performers in the country receive this designation. Worth asking: Annual nursing staff turnover is 85%. High turnover means residents frequently interact with unfamiliar staff, which research links to lower quality of care. Industry average is around 50-60%. Worth asking: This facility's long-stay antipsychotic rate is 37% — roughly three times the national median of about 14%. CMS already excludes residents with schizophrenia, Tourette's, and Huntington's from this measure, so this reflects prescribing for residents who don't have a primary psychotic diagnosis. Worth asking on a tour: 'How does my parent get back off these meds if started?'. Worth asking: Pressure ulcer (bedsore) rate is 11.2% — well above the national median of about 7%. Pressure ulcers form when staff don't reposition residents every two hours. This is a staffing-and-attention signal as much as a clinical one. Worth asking what the repositioning schedule looks like. Worth asking: Falls with major injury rate is 5.9% — above the national median of about 3%. A spike usually means call lights aren't getting answered fast enough or the facility is short on aides during transfer-heavy hours like mealtimes. Worth asking how long the call-light response window is during evening shifts. Worth asking: Long-stay catheter rate is 4.9% — well above the national median of about 1.5%. Indwelling catheters are sometimes used as a labor-saving substitute for getting residents to the bathroom, which causes UTIs and dignity loss. Worth asking what the facility's catheter-removal protocol looks like. Worth asking: Mobility-decline rate is 30.4% — 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. Dig into the full report before visiting.
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HELENA NURSING AND REHAB CENTER LLC
2555 E BROADWAY ST, HELENA, MT 59601
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KISMET HLN, LLC
30 S RODNEY ST, HELENA, MT 59601
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SYNERTX
2475 WINNE AVE, HELENA, MT 59601
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KISMET HLN2, LLC.
2475 WINNE AVE, HELENA, MT 59601
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