What is Mountain View of Cascadia's Medicare star rating?

CMS rates Mountain View of Cascadia 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Mountain View of Cascadia get at its last inspection?

4 health deficiencies at the standard inspection on June 29, 2026. The Montana average is 11.2.

Has Mountain View of Cascadia been fined?

CMS lists no fines in the last three years.

Does Mountain View of Cascadia accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Mountain View of Cascadia?

CMS lists 25 owners and managers, and links the home to Cascadia Healthcare. Legal business name: EUREKA OF CASCADIA, LLC.

Mountain View of Cascadia: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on June 29, 2026, inspectors cited 4 health deficiencies (the Montana average is 11.2, the national average 9.2).

None of its 12 health citations since June 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 2.84 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.

53.3% of nursing staff left within the year CMS measured (Montana average 54.8%).

CMS links it to Cascadia Healthcare, an affiliated group of 47 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

206/24

606/25

406/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

June 29, 2026Standard inspection · 4 citations

F

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 7, 2026

Inspectors wroteBased on interview and record review, the facility failed to employ a Certified Dietary Manager or a full-time dietitian to direct the dietary department functions, and this resulted in inadequate oversight and systemic problems being identified in the facility's dietary department. This failure may affect any resident receiving services from the dietary department. Refer to F803 - Menus Meet Resident Needs, Prepared in Advance and Followed, F804 Nutritive Value and Appearance, Palatable and Preferred Temperatures, and F812 Food Procurement, Store, Prepare and Serve, Sanitary for other regulatory areas cited due to the lack of oversight and maintaining compliance.
F

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 7, 2026

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the food was consistently served at a palatable temperature and delivered within the facility's established meal service time for 8 (#s 2, 14, 15, 25, 42, 43, 55, 58) of 18 sampled residents. These deficient practices resulted in repeated resident complaints of cold food, delayed meal service, and decreased resident satisfaction with the dining experience.
F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 7, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was stored, monitored, and served under sanitary conditions; failed to monitor consistently and document refrigerator and freezer temperatures; failed to implement and maintain food holding temperature logs and ensure hot food was maintained at safe serving temperatures; and failed to maintain the kitchen in a clean and sanitary condition. These deficient practices increased the risk for foodborne illness and contamination of food for all residents served food from the facility kitchen.
E

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 7, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure menus were planned and followed as approved; and failed to obtain registered dietitian approval prior to implementing facility-wide menu substitutions, including substitutions affecting therapeutic diets and altered food textures. The deficient practice resulted in residents receiving meals that differed from the approved menu and therapeutic menu extensions without prior review to ensure nutritional equivalency, affecting all residents who were served food from the kitchen. If the failure is not corrected, it may affect all residents at the facility in some manner as related to meal services and nutrition.

June 5, 2025Standard inspection, Complaint inspection · 6 citations

F

Employ staff that are licensed, certified, or registered in accordance with state laws.

F839 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2025

Inspectors wroteBased on interview and record review, the facility failed to ensure they employed qualified and competent staff to provide social work services. This deficient practice had the potential to affect all residents in need of social services.
E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2025

Inspectors wroteBased on interview and record review, the facility failed to ensure safeguards to prevent unauthorized use of electronic signatures for residents Medicare Secondary Payer (MSP) Form for 3 (#s 9, 31, and 40) of 15 sampled residents. This deficient practice had the potential to affect all residents with the need to sign MSP forms.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2025

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a resident was served a meal when tablemate's were served, and the resident had to wait 20 minutes while the other residents at the table finished their meals, for 1 (#43); and failed to ensure catheter bags were covered with a dignity bag in public areas for 1 (#15) of 15 sampled residents.
D

Ensure that residents are fully informed and understand their health status, care and treatments.

F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2025

Inspectors wroteBased on interview and record review, the facility failed to inform and include the residents' guardian in the decision-making process for initiating physical and occupational therapy services, for 3 (#s 15, 19, and 44) of 15 sampled residents. This deficient practice caused the representative frustration and limited their ability to participate in resident care.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2025

Inspectors wroteBased on observations, interviews, and record review, the facility failed to implement care planned fall interventions contributing to falls for 2 (#s 6 and 12) of 15 sampled residents. This deficient practice increased the risk for falls.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to change oxygen tubing as ordered and keep oxygen tubing off the floor for 1 (#6) of 15 sampled residents. This deficient practice increased the risk for a respiratory infection.

June 6, 2024Standard inspection, Complaint inspection · 2 citations

F

Provide care by qualified persons according to each resident's written plan of care.

F659 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on interview and record review, the facility failed to ensure a staff member that was hired as a medication aide was certified or licensed. This deficient practice had the potential to affect all residents in the facility receiving medications, to include 1 (#2) resident.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2024

Inspectors wroteBased on interview and record review, the facility failed to provide an end date for an as needed anti-anxiety medication order, for 2 (#s 1 and 4) of 14 sampled residents.

Fire safety inspections

11 fire safety citations on file: 2 on June 29, 2026, 5 on June 5, 2025, 4 on June 6, 2024.

Every fire safety citation11 citations

D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · June 29, 2026 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · June 29, 2026 · Corrected (the home has a date of correction)
F
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

K 771 · June 5, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 5, 2025 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · June 5, 2025 · Corrected (the home has a date of correction)
E
Meet other general requirements that are deficient.

K 300 · June 5, 2025 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · June 5, 2025 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · June 6, 2024 · Corrected (the home has a date of correction)
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · June 6, 2024 · Corrected (the home has a date of correction)
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · June 6, 2024 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · June 6, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Montana	United States
All nursing staff (RN, LPN and aides)	2.84	4.05	3.86
Registered nurses	1.00	0.98	0.69
All nursing staff on weekends	2.49	3.59	3.42
Nurse aides	1.81
Licensed practical nurses	0.04
Nursing staff turnover (share who left in a year)	53.3%	54.8%	45.8%
Registered nurse turnover	33.3%	48.3%	42.9%
Administrators who left	0

CMS expects 3.19 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.99 on weekdays and 2.49 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.10 in April to June 2025 to 2.84 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	2.84	1.00	2.99	2.49	0.9%	0 of 90	47
Oct to Dec 2025	2.81	1.06	2.97	2.41	4.2%	0 of 92	45
Jul to Sep 2025	2.90	1.11	3.08	2.47	7.0%	0 of 92	45
Apr to Jun 2025	3.10	0.97	3.25	2.72	11.8%	0 of 91	47
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Montana, Jan to Mar 2026	3.91	0.89	4.10	3.46	11.6%	0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Montana

Job	Median	Middle half	Employed
Montana, all employers
CNAs (nursing assistants)	$19.67	$18.29 to $22.86	4,390
LPNs and LVNs	$29.91	$27.95 to $32.14	1,620
Registered nurses	$41.00	$38.56 to $48.46	10,950
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Montana	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	16.5	18.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	2.1	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.9	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	5.2	4.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	9.3	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.3	6.3	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	13.6	20.4	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	13.7	19.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	4.1	14.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	1.4	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	2.2	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Mountain View of Cascadia's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Montana: 7 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 24 eligible stays.

Potentially preventable readmissions

10.3% this home

No different from the national rate

US median of homes 10.7% · Montana: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 26 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Montana: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 16 eligible stays.

Self-care and mobility at discharge

65.2% this home

Median of homes: Montana58.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 23 residents counted.

Falls with major injury

0.0% this home

Median of homes: Montana0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 25 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Montana2.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 25 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Montana97.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 15 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: EUREKA OF CASCADIA, LLC. CMS links this home to Cascadia Healthcare, a group of 47 nursing homes averaging 3.1 stars overall.

Name	Role	Type	Since
Cascadia Hc Group LLC	Indirect ownership interest	Organization	06/05/2025
Cascadia Healthcare LLC	Indirect ownership interest	Organization	03/01/2023
Cascadia Holdco LLC	Indirect ownership interest	Organization	06/05/2025
Cascadia Montana Operations LLC	Indirect ownership interest	Organization	03/01/2023
Hammond, Owen	Indirect ownership interest	Individual	03/01/2023
Laforte, Stephen	Indirect ownership interest	Individual	06/05/2025
Nelson, Timothy	Indirect ownership interest	Individual	06/05/2025
Eureka 10 Realty, LLC	5% or greater security interest	Organization	06/05/2025
White Oak Healthcare Finance LLC	5% or greater security interest	Organization	03/01/2023
Hammond, Owen	Corporate officer	Individual	03/01/2023
Laforte, Stephen	Corporate officer	Individual	06/05/2025
Nelson, Timothy	Corporate officer	Individual	06/05/2025
Cascadia Hc Group LLC	Operational/managerial control	Organization	06/05/2025
Cascadia Healthcare LLC	Operational/managerial control	Organization	03/01/2023
Cascadia Holdco LLC	Operational/managerial control	Organization	06/05/2025
Cascadia Services LLC	Operational/managerial control	Organization	03/01/2023
Carvey, Dianna	Operational/managerial control	Individual	05/01/2023
Demmerly, Dan	Operational/managerial control	Individual	03/01/2023
Hammond, Owen	Operational/managerial control	Individual	06/05/2025
Laforte, Stephen	Operational/managerial control	Individual	06/05/2025
Nelson, Timothy	Operational/managerial control	Individual	06/05/2025
Cascadia Services LLC	Adp of the SNF	Organization	06/18/2025
Eureka 10 Realty, LLC	Adp of the SNF	Organization	06/05/2025
Carvey, Dianna	Adp of the SNF	Individual	06/18/2025
Demmerly, Dan	Adp of the SNF	Individual	06/18/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 29, 2026: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 5, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 5, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 5, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.49 hours per resident per day, below the Montana average of 3.59.

Montana contacts for a concern about a nursing home

These are the official offices in Montana. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Montana DPHHS, Office of Inspector General, Certification Bureau, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Montana Long-Term Care Ombudsman Program, Senior and Long Term Care Division, (800) 332-2272. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Certification Bureau Survey Results and Plans of Correction, where Montana publishes its own records on licensed homes.

Common questions

What is Mountain View of Cascadia's Medicare star rating?: CMS rates Mountain View of Cascadia 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Mountain View of Cascadia get at its last inspection?: 4 health deficiencies at the standard inspection on June 29, 2026. The Montana average is 11.2.
Has Mountain View of Cascadia been fined?: CMS lists no fines in the last three years.
Does Mountain View of Cascadia accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Mountain View of Cascadia?: CMS lists 25 owners and managers, and links the home to Cascadia Healthcare. Legal business name: EUREKA OF CASCADIA, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.