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HomeMontanaTobacco Root Mountains Care Center

Tobacco Root Mountains Care Center

326 Madison St, Sheridan, MT 597494068425600WebsiteGoogle Maps
4.8on Google(22 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
1/5
Beds
39
certified
This facility has been flagged for abuse.
1 fine(s) totaling $22,205

How Tobacco Root Mountains Care Center Compares in Montana

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.

CMS overall rating
1/5
MT average
2.9/5
Below state average
Health inspection rating
2/5
MT average
2.8/5
Below state average
Staffing rating
4/5
MT average
3.6/5
Above state average
Nursing hours per resident
7.05 hrs/day
MT average
4.05 hrs/day
Above state average
RN hours per resident
1.74 hrs/day
MT average
0.98 hrs/day
Above state average
Staff turnover
72.7%
MT average
54.8%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Montana average of 2.9/5.
Its 2/5 health inspection rating is below the Montana average of 2.8/5.
Reported nursing time is 7.05 hours per resident per day, above the state average of 4.05.
Reported RN time is 1.74 hours per resident per day, above the state average of 0.98.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
1
deficiency citation
Inspected Apr 9, 2025
Most recent cycle
6
deficiency citations
Inspected May 21, 2026
The most recent cycle recorded 5 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,365/mo
Montana median
Private Room
$9,429/mo
Montana median
Madison County 65+
2,640
30.2% of county
County Population
8,742
Madison County

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.

Beds
39
Avg Residents/Day
14.9
Ownership
Government - County
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 14, 1996
Sprinklers
Yes
Council
Resident
County
Madison
Last Inspection
May 21, 2026
Deficiencies (Cycle 1)
6
Weighted Score
40.0
Infection Citations
0

Deficiency Citations (11)

F0812Potential for Harm

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

Survey: May 21, 2026Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: May 21, 2026Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Apr 9, 2025Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 10, 2024Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 10, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 10, 2024Corrected: NoCycle: 3
Total Fines
$22,205
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineApr 1, 2026
$22,205

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide4.65 hrs
National avg: 2.32 hrs
LPN0.66 hrs
National avg: 0.86 hrs
RN1.74 hrs
National avg: 0.69 hrs
Total Nursing7.05 hrs
National avg: 3.86 hrs
Weekend Total6.37 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
72.7%
RN Turnover
42.9%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - County
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
MADISON COUNTY FINANCE5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 1966
ALLHANDS, DANIELW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2017
FORSYTHE, JAYNEW-2 MANAGING EMPLOYEEIndividualN/AFeb 6, 2020
HART, JAMESW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2015
NYE, RONALDW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2015
ONEILL, BONNIEW-2 MANAGING EMPLOYEEIndividualN/AFeb 6, 2020
ALLHANDS, DANIELCORPORATE OFFICERIndividualN/AJan 1, 2017
HART, JAMESCORPORATE OFFICERIndividualN/AJan 1, 2007
NYE, RONALDCORPORATE OFFICERIndividualN/AJan 1, 2015

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Tobacco Root Mountains Care Center and nearby alternatives.

All Montana facilities
Tobacco Root Mountains Care Center
Sheridan, MTCurrent facilityAbuse flag
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: $22,205
Madison Valley Manor
Ennis, MT23.5 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Pioneer Care and Rehabilitation
Dillon, MT26.7 mi
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $140,630
Southwest Montana Veterans Home
Butte, MT37.6 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Crest Nursing Home
Butte, MT39.6 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Continental Care and Rehabilitation
Butte, MT39.8 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $59,180
Copper Ridge Health and Rehabilitation Center
Butte, MT39.8 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $9,311
FacilityDistanceCMSHealthStaffingRecorded fines
Tobacco Root Mountains Care Center
Sheridan, MT · Current facility
—1/52/54/5$22,205
Madison Valley Manor
Ennis, MT
23.5 mi5/55/55/5None recorded
Pioneer Care and Rehabilitation
Dillon, MT
26.7 mi1/51/53/5$140,630
Southwest Montana Veterans Home
Butte, MT
37.6 mi5/54/55/5None recorded
Crest Nursing Home
Butte, MT
39.6 mi5/55/53/5None recorded
Continental Care and Rehabilitation
Butte, MT
39.8 mi2/52/54/5$59,180
Copper Ridge Health and Rehabilitation Center
Butte, MT
39.8 mi4/54/53/5$9,311

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.

Frequently Asked Questions

What is the CMS rating for Tobacco Root Mountains Care Center?▾
Tobacco Root Mountains Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 1/5. This facility is rated below average.
How much does Tobacco Root Mountains Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Montana is $8,365/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). Tobacco Root Mountains Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Tobacco Root Mountains Care Center had any health inspection violations?▾
Tobacco Root Mountains Care Center had 6 deficiency citations in its most recent health inspection (May 21, 2026). The current CMS dataset records 1 fine(s) totaling $22,205.
What are the staffing levels at Tobacco Root Mountains Care Center?▾
Tobacco Root Mountains Care Center provides 7.05 total nursing staff hours per resident per day, including 1.74 RN hours, 0.66 LPN hours, and 4.65 nurse aide hours. The total staff turnover rate is 72.7%.
How many beds does Tobacco Root Mountains Care Center have?▾
Tobacco Root Mountains Care Center has 39 certified beds with an average of 14.9 residents per day, resulting in approximately 38% occupancy. The facility is Government - County owned.
Are there other nursing homes near Tobacco Root Mountains Care Center?▾
Yes. This page lists 6 nearby nursing homes in Montana. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Tobacco Root Mountains Care Center?▾
On Google Maps, Tobacco Root Mountains Care Center has a rating of 4.8 out of 5 based on 22 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.