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
For-profitChain member
1 of 5 overall
Mount Ascension Transitional Care of Cascadia in Helena, MT has a 1-star overall rating, with 1-star health inspection and quality ratings and 2-star staffing. It reports 3.10 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $54,652 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.0984 hrs/resident/day
Quality measures
Last inspection: March 24, 2026Penalties, last 24 months: $54,652recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0984.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.58
- Nurse aides
- 1.85
- Weekend nursing
- 2.63
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.6%Worsening
Residents with a fall causing major injury
6.4%Worsening
Residents with pressure ulcers (bedsores)
7.1%Improving
Residents with a urinary tract infection
2.8%Improving
Residents who lost too much weight
5.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
26.8%Improving
Residents whose ability to walk got worse
21.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.7%Improving
Short-stay residents newly given an antipsychotic
1.8%Steady
Residents with a long-term catheter
1.5%Steady
Residents with new or worsening incontinence
31.6%Improving
Residents with depressive symptoms
6.9%Worsening
Long-stay residents given the seasonal flu vaccine
78.3%Steady
Long-stay residents given the pneumonia vaccine
84.1%Improving
Short-stay residents given the seasonal flu vaccine
48.5%Steady
Short-stay residents given the pneumonia vaccine
71.6%Improving
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 monitor antibiotic use properly. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — 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
- 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: 2 fines · $54,652 in total fines.
- $25,740
Federal fine
Oct 16, 2024
- $28,912
Federal fine
May 21, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CASCADIA HEALTHCARE · 44 homes · 3.2 stars avg
- Occupancy
- 74.5 residents on an average day (69% 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.