CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Montana. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Tobacco Root Mountains Care Center is a 1-star Medicare and Medicaid certified nursing home in Sheridan, Montana with 39 certified beds. It has been operating since 1996. Its overall CMS rating is 1 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate pain management for a resident who requires such services.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MADISON COUNTY FINANCE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jan 1, 1966 |
| ALLHANDS, DANIEL | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2017 |
| FORSYTHE, JAYNE | W-2 MANAGING EMPLOYEE | Individual | N/A | Feb 6, 2020 |
| HART, JAMES | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2015 |
| NYE, RONALD | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2015 |
| ONEILL, BONNIE | W-2 MANAGING EMPLOYEE | Individual | N/A | Feb 6, 2020 |
| ALLHANDS, DANIEL | CORPORATE OFFICER | Individual | N/A | Jan 1, 2017 |
| HART, JAMES | CORPORATE OFFICER | Individual | N/A | Jan 1, 2007 |
| NYE, RONALD | CORPORATE OFFICER | Individual | N/A | Jan 1, 2015 |
Compare CMS ratings and recorded fines for Tobacco Root Mountains Care Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.