Mount Ascension Transitional Care of Cascadia
2475 Winne Ave · Helena, MT · 59601 · 4064421350
108 certified beds For profit - Corporation Chain: Cascadia Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $65,300 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
$65,300 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 3 · $94,212 |
Inspection citations (59 in the current record)
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Actual harm · G March 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 24, 2026 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · E March 24, 2026 · found via complaint
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.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D March 24, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · F March 24, 2026 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 1, 2026 · Administration
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Potential for harm · E March 24, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 8, 2026 · Infection Control
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Potential for harm · D February 26, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 8, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Respond appropriately to all alleged violations.
Corrected April 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
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.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
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.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
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.
Corrected April 8, 2026 · Pharmacy Service
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Potential for harm · F February 26, 2026
Provide and implement an infection prevention and control program.
Corrected April 8, 2026 · Infection Control
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Potential for harm · F February 26, 2026
Implement a program that monitors antibiotic use.
Corrected April 8, 2026 · Infection Control
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Potential for harm · D February 26, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 8, 2026 · Infection Control
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Potential for harm · D February 26, 2026
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.
Corrected April 8, 2026 · Infection Control
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Potential for harm · D February 26, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 8, 2026 · Resident Rights
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Potential for harm · D February 26, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 8, 2026 · Pharmacy Service
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Potential for harm · F February 26, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 8, 2026 · Nutrition and Dietary
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Potential for harm · D January 7, 2026 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected January 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 7, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 7, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 13, 2026 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2026 | Fine | $39,560 |
| October 16, 2024 | Fine | $25,740 |
| May 21, 2024 | Fine | $28,912 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275044 · certified since September 18, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.