Mount Ascension Transitional Care Of Cascadia has received an F grade based on CMS data, with a score of 29/100 — placing it among the lowest-rated nursing facilities in Montana. Families considering this Helena facility should carefully review its inspection history and quality metrics.
With 3.34 total nurse hours per resident per day, Mount Ascension Transitional Care Of Cascadia falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 54 deficiencies at Mount Ascension Transitional Care Of Cascadia, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that each resident is free from the use of physical restraints, unless needed for medical treatment..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.34 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.62 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.72 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.99 | 2.4 | Below Average |
| Weekend Total Nursing | 2.91 | 3.8 | Below Average |
| Weekend RN Hours | 0.35 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0604 Severity DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Jan 6, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Jan 6, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 6, 2026 · Quality of Life and Care Deficiencies
- Tag 0585 Severity FHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eSep 22, 2025 · Resident Rights Deficiencies
- Tag 0609 Severity ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Sep 22, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.5% | 4.5% | Worse |
| Falls with major injury | 5.0% | 3.0% | Worse |
| On antipsychotic medication | 24.0% | 14.5% | Worse |
| Urinary tract infections | 2.3% | 2.5% | Average |
| ADL decline (daily activities) | 30.3% | 14.0% | Worse |
| Excessive weight loss | 11.9% | 7.5% | Worse |
| New/worsened incontinence | 29.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $54,652
How This Grade Was Calculated
This facility's grade of F is based on a score of 29 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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