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Nursing homeFAID #7478

Mount Ascension Transitional Care of Cascadia

2475 WINNE AVE, HELENA, MT, 59601
(406) 442-1350
cascadiahc.com
108 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare

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Photo of MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA
Photo via Google · Sandra Firl

Public record summary

What we can show you for free.
Bed capacity
108
CMS facility ID
275044
Care type
Nursing home
County
Lewis and Clark
Facility name
Mount Ascension Transitional Care of Cascadia
Street address
2475 WINNE AVE
City / state / ZIP
Helena, MT 59601
Phone
(406) 442-1350
Website
cascadiahc.com

About this facility — Mount Ascension Transitional Care of Cascadia

Mount Ascension Transitional Care of Cascadia is a Medicare/Medicaid-certified skilled nursing facility in Helena, Montana. It is licensed for 108 beds — above the median for skilled nursing facilities in Montana (75 beds).

It is one of 16 senior care facilities in Helena and 62 skilled nursing facilities across Montana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Mount Ascension Transitional Care of Cascadia 61 times across 16 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $80,366 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Cascadia Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Brady, Shane
Operational control · Additional disclosable party — since 2025
Cascadia Hc Group Llc
Indirect owner — since 2025
Cascadia Healthcare Llc
Indirect owner — since 2021
Cascadia Holdco Llc
Indirect owner — since 2025
Cascadia Montana Operations Llc
Direct owner — since 2021
Cascadia Services Llc
Operational control · Additional disclosable party — since 2025
Hammond, Owen
Indirect owner · Operational control — since 2021
Hedum, Emily
Operational control · Additional disclosable party — since 2021
Laforte, Stephen
Indirect owner · Operational control — since 2025
Nelson, Timothy
Indirect owner · Operational control — since 2025
Timberline Western Tenant, Llc
Security-interest holder · Additional disclosable party — since 2025
White Oak Healthcare Finance Llc
Security-interest holder — since 2022

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1973-09-18
CMS overall rating
1 of 5 stars
Health deficiencies
28 at the last standard inspection
Federal fines
$80,366 total
Last standard inspection
2026-02-26
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$416 per day (≈ $12,650/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
53% Medicaid · 16% Medicare · 30% private/other
Occupancy
56% (fiscal year 2023)
Vs. state median
17% above the MT median of $355/day — full state cost breakdown

Services & coverage

Licensed beds
108
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-24Health inspectionComplaint-triggered6 citations
F-0554
D · No harm foundFrom a complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-05-01
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2026-05-01
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-05-01
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-01
F-0867
F · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2026-05-01
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-04-08
2026-02-26Health inspectionComplaint-triggered16 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-04-08
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2026-04-08
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-04-08
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-04-08
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-04-08
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-04-08
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-08
F-0688
D · No harm found
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.
Corrected 2026-04-08
F-0700
D · No harm found
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.
Corrected 2026-04-08
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-08
F-0761
D · No harm found
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.
Corrected 2026-04-08
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-08
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-08
F-0881
F · No harm found
Implement a program that monitors antibiotic use.
Corrected 2026-04-08
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-04-08
F-0887
D · No harm found
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.
Corrected 2026-04-08
11 earlier / fire-safety inspections (39 citations)
2026-01-07Health inspectionComplaint-triggered3 citations
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2026-01-02
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-02-13
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-13
2025-09-23Health inspectionComplaint-triggered3 citations
F-0585
F · No harm foundFrom a complaint
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.
Corrected 2025-10-31
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-31
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-10-31
2025-07-30Health inspectionComplaint-triggered3 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-03
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-03
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2025-09-03
2025-01-16Health inspectionComplaint-triggered7 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-24
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-24
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-24
F-0727
F · No harm found
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.
Corrected 2025-02-24
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-24
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-02-24
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-02-24
2024-12-17Health inspectionComplaint-triggered3 citations
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-21
F-0808
D · No harm foundFood safetyFrom a complaint
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.
Corrected 2025-01-21
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-21
2024-10-16Health inspectionComplaint-triggered5 citations
F-0553
F · No harm foundFrom a complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-11-08
F-0585
E · No harm foundFrom a complaint
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.
Corrected 2024-11-08
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-08
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-11-08
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-08
2024-05-21Health inspectionComplaint-triggered4 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-19
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-19
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-19
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-06-19
2023-12-21Health inspection7 citations
F-0623
B · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-01-27
F-0625
B · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-01-27
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-01-27
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-01-27
F-0688
D · No harm found
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.
Corrected 2024-02-02
F-0728
D · No harm found
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2024-01-27
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-27
2023-11-08Health inspectionComplaint-triggered2 citations
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-12-06
F-0940
E · No harm foundFrom a complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2023-12-06
2025-01-16Fire-safety inspection1 citation
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-02-21
2023-12-21Fire-safety inspection1 citation
E-0024
F · No harm found
Establish policies and procedures for volunteers.
Corrected 2024-02-05

Federal penalties

2026-02-26Fine$25,714
2024-10-16Fine$25,740
2024-05-21Fine$28,912
Total fines$80,366
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 275044.

Visitor reviews

What people say on Google.
3.812 ratings on Google
★★★★★Stephanie Parrish · 2026-01-10 · via Google

“This establishment is clean, and inviting. The updates are beautiful so glad the entrance is so opening! Thanks to the staff, Nurses, med techs , CNAs and support staff(kitchen, and housekeeping) we know what you all endure everyday and thank you for taking that leap, that not many have the courage to take. Appreciate those who take care of the ones you are unable to care for. Thank you nursing st…”

★★★★★Deb Eckert · 2025-10-27 · via Google

“The entire staff was caring and professional. The team knew well that love and laughter and respect were as important as the medical care. My mother adored the nurses and CNAs that cared for her like they were family. They made sure my mom's last few months were filled with smiles and hugs and laughter as well as professional medical and palliative care was top notch. They will forever have my adm…”

★D F · 2025-10-27 · via Google

“This place is a dump. They treat their residence like they’re just a number very unprofessional CEO they do not care about the residence. It’s all about money and for $10,000 a month they should be treated like royalty. They have dead bugs in the window seals”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 61 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered