Tobacco Root Mountains Care Center
326 Madison St, Sheridan, MT 59749
Tobacco Root Mountains Care Center, a 39-bed government - county nursing facility in Sheridan, MT, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #48 of 59 rated homes in MT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4068425600
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #48 of 59
- In-state rank among rated MT homes
- 7.05
- Well above average · nurse hrs/day · nat'l 3.86
- 11
- Inspection findings · 2 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Tobacco Root Mountains Care Center, a 39-bed government - county nursing facility in Sheridan, MT, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #48 of 59 rated homes in MT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #48 of 59
- In-state rank among rated MT homes
- 7.05
- Nurse hrs/resident-day · national 3.86
- 11
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 61 MT nursing homes split by ownership sector
This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 275147
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 39
- Residents
- 15
- In Hospital
- No
- County
- Madison
- Last Inspection
- May 21, 2026
Staffing Data
How the 7.05 total nursing hours per resident-day are staffed:
- RN Hours
- 1.74 (nat'l avg: 0.69)
- LPN Hours
- 0.66
- CNA Hours
- 4.65
- Total Nursing Hours
- 7.05 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 72.7%
- RN Turnover
- 42.9%
What the CMS Record Reveals About Tobacco Root Mountains Care Center
According to CMS Nursing Home Compare, Tobacco Root Mountains Care Center ranks #48 of 59 rated nursing homes in MT on overall stars (tie-broken by health+staffing+quality, then fewer fines). Tobacco Root Mountains Care Center operates 39 certified beds in Sheridan, MT with approximately 15 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 4★ · quality 1★).
The inspection file contains 11 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $22K against this provider. Staffing is reported at 7.05 total nursing hours per resident day (national average 3.86), with RN coverage at 1.74 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Tobacco Root Mountains Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 72.7% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (11 most recent)
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 22, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 22, 2026
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.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 30, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 30, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 30, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 30, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 22, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 28, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 16, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: May 16, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 16, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.1% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 9.9% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 12.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 14.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 7.9% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 11.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 33.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 95.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $22K
| Date | Type | Amount |
|---|---|---|
| Apr 1, 2026 | Fine | $22K |
| Apr 1, 2026 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Tobacco Root Mountains Care Center, both outside MT so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MT (39 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MT (6.74 here).
Nearby Nursing Homes in MT
60 other nursing homes are on record in MT; 6 are shown here.
Aspen Meadows Health and Rehabilitation Center
Billings, MT
Awe Kualawaache Care Center
Crow Agency, MT
Beartooth Rehabilitation and Nursing LLC
Columbus, MT
Benefis Senior Services - Eastview
Great Falls, MT
Benefis Senior Services - Grandview
Great Falls, MT
Benefis Senior Services - Westview
Great Falls, MT
Understanding Nursing Home Data
What the CMS records show for Tobacco Root Mountains Care Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MT registry aggregates state averages and the highest-rated homes in this cohort. View MT registry
- Peer homes near 39 beds show how CMS stars vary at a similar scale in MT. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Tobacco Root Mountains Care Center?
Where does Tobacco Root Mountains Care Center rank among nursing homes in MT?
What are the staffing levels at Tobacco Root Mountains Care Center?
How many beds does Tobacco Root Mountains Care Center have?
Does Tobacco Root Mountains Care Center have any deficiencies on record?
Has Tobacco Root Mountains Care Center received any fines or penalties?
Who owns Tobacco Root Mountains Care Center?
When was Tobacco Root Mountains Care Center last inspected?
What quality measures are tracked for Tobacco Root Mountains Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
