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C
Below Standard

MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA

2475 WINNE AVE · HELENA, MT 59601

4064421350 · For profit - Limited Liability company

108 beds73.1 residents165 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA receives an overall staffing grade of C (Below Standard). With 3.3437 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.626 HPRD, below the recommended 0.75. It is 0.55 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.03% compared to weekdays. The facility relies heavily on temporary agency staff (20.93% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3437 HPRD — needs 0.14 more hours per resident per day.
⚠️RN staffing (0.626 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️20.93% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.3437hrs/resident/day▼ 0.55
CMS benchmark: 3.48
RN HPRD
0.626hrs/resident/day▼ 0.06
Recommended: 0.75
Weekend Drop-off
17.03%
3.5128 weekday → 2.9144 weekend
Agency Staff
20.93%
7.33% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.674hrs/resident/day
Direct care aides
LPN HPRD
0.7231hrs/resident/day
Licensed practical nurses
Consistency
0.4096std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lewis And Clark County Average+0.35 HPRD
2.99
03.34 HPRD
vs. Montana State Average-0.64 HPRD
3.98
03.34 HPRD
vs. National Average-0.55 HPRD
3.90
03.34 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA ★
HELENA · This facility
—
C
3.34370.626★★☆☆☆
COONEY HEALTHCARE AND REHABILITATION
HELENA
0.5 mi
D
2.64080.6734★☆☆☆☆
ELKHORN HEALTHCARE AND REHABILITATION
CLANCY
8.9 mi
D
2.7330.5194★★★★★
IVY AT DEER LODGE
DEER LODGE
36.6 mi
D
2.86730.4554★☆☆☆☆
COPPER RIDGE HEALTH AND REHABILITATION CENTER
BUTTE
46.9 mi
C
3.19160.6558★★☆☆☆
CONTINENTAL CARE AND REHABILITATION
BUTTE
47 mi
C
3.14090.6845★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
51
Total Deficiencies
$54,652
Fines Assessed
Sep 23, 2025Health
3 deficiencies cited
▼
Jul 30, 2025Health
3 deficiencies cited
▼
Jan 16, 2025Health
7 deficiencies cited
▼
Dec 17, 2024Health
3 deficiencies cited
▼
Oct 16, 2024Health
5 deficiencies cited· Includes actual harm
▼
May 21, 2024Health
4 deficiencies cited· Includes actual harm
▼
Dec 21, 2023Health
7 deficiencies cited
▼
Nov 8, 2023Health
2 deficiencies cited
▼
Jan 5, 2023Health
17 deficiencies cited· Includes actual harm
▼

Penalty History

Oct 16, 2024Fine
$25,740
May 21, 2024Fine
$28,912
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.