The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA
HELENA, MT · Medicare-certified · 108 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
1 of 5 stars overall. This facility is a Special Focus Facility candidate with 1 of 5 stars for health inspections and quality measures, recent fines of $65,300, and reported staffing of 3.35 nurse hours per resident per day versus the 4.1 federal benchmark; cited issues included accident hazards/supervision, pressure ulcer care, and quality assurance.
Facility ratings
Health inspections
Staffing
3.3461 hrs/resident/day
Quality measures
Last inspection: March 24, 2026Penalties, last 24 months: $65,300special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3461.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.58
- Nurse aides
- 2.10
- Weekend nursing
- 3.07
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 59%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
23.5%21.1%Improving
Residents with a fall causing major injury
3.5%11.3%Worsening
Residents with pressure ulcers (bedsores)
3.4%9.5%Worsening
Residents with a urinary tract infection
3.5%0%Improving
Residents who lost too much weight
5.8%7.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
31.2%23.9%Improving
Residents whose ability to walk got worse
—24.3%—
Long-stay residents on antianxiety or sleep medication
17.3%26.5%Worsening
Short-stay residents newly given an antipsychotic
1.4%3.7%Worsening
Residents with a long-term catheter
1.5%1.8%No change
Residents with new or worsening incontinence
19.7%27.5%Worsening
Residents with depressive symptoms
4.3%8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—78.3%—
Long-stay residents given the pneumonia vaccine
94.7%94.3%No change
Short-stay residents given the seasonal flu vaccine
—48.5%—
Short-stay residents given the pneumonia vaccine
72.5%66.9%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $39,560 was recorded.
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $25,740 was recorded.
- PENALTY
A federal fine of $28,912 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $94,212 in total fines.
- $39,560
Federal fine
Feb 26, 2026
- $25,740
Federal fine
Oct 16, 2024
- $28,912
Federal fine
May 21, 2024
Operator & ownership
Recent ownership change · Mar 1, 2021
Now operated by Mount Ascension Transitional Care of Cascadia, previously Big Sky Care Center.
- Ownership
- For profit - Corporation
- Chain
- Part of CASCADIA HEALTHCARE · 45 homes · 3.1 stars avg
- Occupancy
- 71.5 residents on an average day (66% of 108 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.