Nursing homes › Montana › Mount Ascension Transitional Care of Cascadia
2475 Winne Ave, Helena, MT 59601 · (406) 442-1350 · 108 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 59 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Cascadia Healthcare, a group operating 46 facilities in 5 states. Group record: average rating 3.0/5, 2 abuse citation icons, 5 facilities on the Special Focus list, $950,260 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.35 (Montana median: 3.87). RN hours: 0.67. Weekend total: 3.07. Nursing staff turnover: 59%.
In the downloaded CMS dataset: 59 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | 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. | F | complaint | 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. | E | complaint | corrected 2026-05-01 |
| 2026-03-24 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2026-04-08 |
| 2026-03-24 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2026-05-01 |
| 2026-03-24 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | 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. | F | complaint | corrected 2026-04-08 |
| 2026-02-26 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-04-08 |
| 2026-02-26 | Implement a program that monitors antibiotic use. | F | Health | 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. | D | Health | corrected 2026-04-08 |
| 2026-02-26 | Respond appropriately to all alleged violations. | D | Health | 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. | D | complaint | 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 | D | Health | 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. | D | Health | 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. | D | Health | corrected 2026-04-08 |
| 2026-02-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | 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. | D | Health | 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. | D | Health | 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. | D | complaint | 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. | D | Health | corrected 2026-04-08 |
| 2026-02-26 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | 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. | D | Health | corrected 2026-04-08 |
| 2026-01-07 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | corrected 2026-01-02 |
| 2026-01-07 | Respond appropriately to all alleged violations. | D | complaint | 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. | D | complaint | 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. | F | complaint | corrected 2025-10-31 |
| 2025-09-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2025-10-31 |
| 2025-09-23 | Respond appropriately to all alleged violations. | E | complaint | 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. | D | complaint | corrected 2025-09-03 |
| 2025-07-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | 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. | D | complaint | 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. | F | Health | corrected 2025-02-24 |
| 2025-01-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-02-24 |
| 2025-01-16 | Implement a program that monitors antibiotic use. | E | Health | corrected 2025-02-24 |
| 2025-01-16 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | 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. | D | complaint | corrected 2025-02-24 |
| 2025-01-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-02-24 |
| 2025-01-16 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-02-24 |
| 2024-12-17 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | 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. | D | complaint | corrected 2025-01-21 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-26 | Fine | $25,714 |
| 2024-10-16 | Fine | $25,740 |
| 2024-05-21 | Fine | $28,912 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CASCADIA MONTANA OPERATIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 03/01/2021 |
| CASCADIA HC GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA HEALTHCARE LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 03/01/2021 |
| CASCADIA HOLDCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 06/05/2025 |
| HAMMOND, OWEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 03/01/2021 |
| LAFORTE, STEPHEN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/05/2025 |
| CASCADIA SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/21/2025 |
| BRADY, SHANE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/03/2025 |
| HAMMOND, OWEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2021 |
| HEDUM, EMILY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2021 |
| LAFORTE, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
| NELSON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2025 |
How to cite this page: CareRecords, “Mount Ascension Transitional Care of Cascadia — compliance, penalty and ownership record” (CCN 275044), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/mount-ascension-transitional-care-of-cascadia-helena-mt/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 275044. Corrections: data@carerecords.org.