Montana › Madison County › Sheridan
Tobacco Root Mountains Care Center
326 Madison St, Sheridan, MT 59749
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Tobacco Root Mountains Care Center is a Government, county nursing home in Sheridan, Montana, certified for 39 beds and caring for about 15 residents a day.
CMS gives it 1 of 5 stars overall, below the Montana median of 3; the health inspection rating is 2, staffing 4 and quality measures 1.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (7, 1, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 28.2 per 100 beds, fewer than the state median of 40.0.
CMS lists 2 penalties in the period covered: fines totalling $22K and 1 payment denial.
Reported nurse staffing is 7.0 hours per resident per day (1.7 RN), above the Montana median of 3.9; nursing staff turnover is 72.7%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Madison Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 14 | 27 | 28.7 |
| Citations per 100 beds | 28.2 | 43.8 | 40.0 | 26.8 |
| Total nurse hours per resident day | 7.0 | 7.0 | 3.9 | 3.9 |
| RN hours per resident day | 1.7 | 3.0 | 0.9 | 0.7 |
| Nursing staff turnover | 72.7% | 72.7% | 53.4% | 45.8% |
| Fines listed | $22,205 | $22,205 | $27,013 | — |
County and state figures are medians across facilities (2 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2026, 9 Apr 2025.
Severity mix: G ×2 D ×8 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Jun 2026 |
| 21 May 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 22 Jun 2026 |
| 1 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Apr 2026 |
| 1 Apr 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 30 Apr 2026 |
| 1 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Apr 2026 |
| 1 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Apr 2026 |
| 1 Apr 2026 | F0726 | 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. | D | Complaint investigation | 30 Apr 2026 |
| 9 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Jan 2025 |
| 10 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 May 2024 |
| 10 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 May 2024 |
| 10 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 May 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Apr 2026 | Payment denial | — | 49 days |
| 1 Apr 2026 | Fine | $22,205 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 72.7%, RNs 42.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.1% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 9.9% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 12.7% | 3.9% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.2% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.9% | 19.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: Madison County Finance.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Madison County Finance | 5% or greater direct ownership interest | 100% | 01/01/1966 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Madison County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Madison Valley Manor | Ennis | 32 | 5 | 5 | 5 | 14 | 43.8 | — | 8 May 2025 |
All 2 facilities in Madison County
Questions and answers
How many deficiencies has Tobacco Root Mountains Care Center been cited for?
11 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Tobacco Root Mountains Care Center been fined?
Yes. CMS lists fines totalling $22K in the period covered, plus 1 payment denial.
How does staffing at Tobacco Root Mountains Care Center compare?
Reported total nurse staffing is 7.0 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Tobacco Root Mountains Care Center?
Ownership type is government, county. Organisations in the CMS ownership record include Madison County Finance. Individual owners and managers are not listed on this site.
When was Tobacco Root Mountains Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 21 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.