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Maybe your father has lost weight, or a bruise on his arm came with three different stories from three aides. State law expects every licensed elder care facility to keep its residents safe, and injury law gives families options when that breaks down. This website is a directory, built to steer families to independent lawyers in Helena. No one here practices law or represents families, and nothing here is legal advice.
According to CMS Care Compare data (Jul 2026), Helena has two certified nursing homes with 198 certified beds. Both carry a one-star overall rating, so the city average is 1.0 stars, against 2.86 for Montana and 2.99 nationally.
Federal inspectors recorded 135 health citations across the two buildings, and 14 were harm-level citations, meaning an inspector found actual harm to a resident, or immediate jeopardy, in the G to L band of the CMS severity grid. Both facilities paid federal fines, totaling $341,424, and the largest single fine was $101,533.
CMS lists Mount Ascension Transitional Care of Cascadia and Cooney Healthcare and Rehabilitation as candidates for its Special Focus Facility program, kept for homes with a pattern of serious inspection problems. One is owned by a for-profit corporation, the other by a for-profit limited liability company, and both belong to a chain. With two certified homes in town, a family has few local choices if a move is needed.
Physical abuse can mean a slap, a shove, being yanked out of a wheelchair, or being tied down with no doctor’s order. Sedating a resident just to keep them quiet is a restraint too.
Yelling, ridicule, threats and cutting someone off from visitors all count. Watch for a parent who goes silent around one aide.
Sexual contact without a resident’s consent, including when dementia rules consent out, is a crime. Call the police first.
Missing cash, a new name on a bank account or an unexplained charge deserve a close look. If the facility holds a personal funds trust account for your parent, ask for a written ledger.
Neglect is a failure to provide basic care: water, meals, turning in bed, supervision and medicine on time. It is the most common complaint families bring to a lawyer about a nursing home.
Keep a dated log of each visit: what you saw, who was on shift and what staff told you. Many residents cannot describe what happened, so your notes may be the clearest record of possible elder abuse that anyone has, and the first thing a lawyer asks to see.
Montana law sets out the rights of long-term care residents in Title 50, chapter 5, part 11 of the Montana Code. Section 50-5-1104 lists the rights, section 50-5-1105 requires each facility to adopt and post them, and section 50-5-1106 lets an authorized representative assert them. Federal law adds its own requirements for any home in Medicare or Medicaid.
Section 50-5-1107 does not create a private right to sue or shift attorneys’ fees. It folds these rights into the state’s licensing review under section 50-5-204. Lawyers generally bring a claim for money under ordinary negligence law, medical malpractice law or wrongful death law instead.
A general personal injury claim must generally be filed within three years under Mont. Code Ann. 27-2-204(1). The same three-year period generally governs wrongful death, extended to ten years when the death results from homicide, under 27-2-204(3).
A claim treated as malpractice follows 27-2-205. Its two-year clock generally starts at the injury or when it was discovered, or reasonably should have been, whichever is later, with a five-year outer limit from the date of injury. Tolling can apply when a defendant fails to disclose what happened. Which rule governs is a question for a lawyer. Legal deadlines do not wait.
Call 911 if anyone is in danger right now. The state offices below take reports, and the first two are based here in the capital. Feel free to contact more than one. A report does not commit your family to any legal claim.
DPHHS, Office of Inspector General, Licensure Bureau: complaints about any licensed facility in the state, (406) 439-2504, or through dphhs.mt.gov.
Long-Term Care Ombudsman: advocacy for residents, (800) 332-2272 or (406) 444-4077, regional helpline (800) 551-3191.
Adult Protective Services: for a vulnerable adult who may be harmed or exploited, 1-844-277-9300, weekdays 8am to 5pm.
Law enforcement handles assault, theft and any other criminal act.
A lawyer bringing an injury claim may seek hospital bills, future treatment costs, and pain and suffering. Montana law caps noneconomic damages in malpractice actions under Mont. Code Ann. 25-9-411: $300,000 as of March 27, 2025, then $350,000 on January 1, 2026, $400,000 in 2027, $450,000 in 2028 and $500,000 in 2029, rising 2 percent a year from 2030. Lawyers can say whether a claim falls under it.
Nobody at this site judges whether a family has a claim, and the site acts for no one. The form on this page forwards your account to an independent lawyer who takes nursing home injury claims. Whether to follow up is that lawyer’s call.
Lawyers usually start with the charts, the care plan, staffing records, inspection reports you can view on Care Compare, and the legal deadline. Gather the admission agreement, hospital discharge papers, your log, photos and billing statements first.
Many attorneys who take these matters practice personal injury law. Ask each lawyer about their experience with abuse and neglect claims, and check any law license with the State Bar of Montana. You are free to decide every step.
Deadlines and the cap are set by state law, but each city has its own inspection record and its own lawyers. For a loved one near Billings or Missoula, start with that city’s page, or browse the Montana page.
If the same worry keeps returning, use the form or phone number on this page. What you share reaches an independent lawyer serving Helena who handles injury claims, and every decision after that stays with your family. For an emergency, dial 911 before anything else.
No one can forecast an outcome, and this directory will not guess. Key records, like clinical notes, shift schedules and fall reports, stay with the facility until lawyers request them. Licensed attorneys can explain what the legal process would look like for your family.
There is no set figure, and no lawyer should quote you one before seeing the records. Damages can include hospital bills, further treatment and pain and suffering. State law caps the noneconomic part of some awards under 25-9-411, and the limit rises on a schedule in the statute. Lawyers can tell you which rules of law apply.
Tell the lawyer the whole story, including awkward parts, such as a delay in speaking up. Bring your log, photos, the admission agreement and facility letters. Attorneys can only give sound legal guidance when the facts they hear are complete.
That depends on facts only a licensed lawyer can weigh, and a directory is in no position to judge it. You can prepare: put your notes in order and keep the legal deadlines in mind. Then ask the lawyers you meet what it could cost and how long it might take.
Sometimes. A lot of elder law work is Medicaid planning, guardianship and wills, not injury claims. That help still counts when a parent needs a guardian or has to change facilities. For an injury, families usually look for elder abuse lawyers who handle injury litigation. Ask any law office which kind of legal work its attorneys take on.
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If you or a family member have been the victim of nursing home abuse, you may be eligible for financial compensation.
National Nursing Home Lawyers is a directory of independent law firms. It is not a law firm, does not provide legal services or legal advice, and does not participate in any case. Use of this site does not create an attorney-client relationship with National Nursing Home Lawyers or with any listed firm. This website is to be considered ATTORNEY ADVERTISING. Any past settlement or verdict values are no guarantee of similar future outcomes. Requests submitted through this site are shared with an independent attorney for review.