facebook tracking Tobacco Root Mountains Care Center, Sheridan MT: CMS Ratings
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Tobacco Root Mountains Care Center

All states › Montana › Sheridan › Tobacco Root Mountains Care Center

326 Madison St Sheridan, MT 59749 · Madison County

(406) 842-5600

Cited for abuse Accepts Medicare Accepts Medicaid 39 certified beds Government

CMS certification number 275147 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Tobacco Root Mountains Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Tobacco Root Mountains Care Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Montana average of 3.0. Inspectors issued 11 citations in the last three years. CMS imposed 1 penalty, including $20,100 in fines, in that time. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 7.64 hours per resident per day at Tobacco Root Mountains Care Center, above the Montana median of 3.77 (US median: 3.72). About 1.72 of those hours are from registered nurses. On weekends it falls to 6.54 hours, 14% below its all-week average. 76.2% of nursing staff left within a year (Montana median 55.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 7.64 hours
Above the Montana median of 3.77 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.72 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 6.54 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 76.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 75% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds39
Residents per day 15 About 37% of beds filled, on average
OwnershipGovernment - County
Payment acceptedMedicare and Medicaid
Certified sinceJune 1996
Legal business nameMADISON COUNTY FINANCE

Paying for care at Tobacco Root Mountains Care Center: Medicare and Medicaid

Tobacco Root Mountains Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Montana's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 21, 2026 and found 2 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 11 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 11 citations at Tobacco Root Mountains Care Center across 4 inspection dates, 6 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on April 1, 2026. The most common areas cited were freedom from abuse, neglect, and exploitation (4) and quality of life and care (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, April 1, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.

May 21, 2026 · 2 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 22, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Jun 22, 2026)

April 1, 2026 · 5 citations, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 22, 2026)

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2026)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2026)

April 9, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Jan 28, 2025)

April 10, 2024 · 3 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (May 16, 2024)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (May 16, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 16, 2024)

Questions to ask on a tour of Tobacco Root Mountains Care Center

  1. Inspectors cited the home at the actual-harm level on April 1, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 21, 2026. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 76.2% a year. How many of the staff come from agencies?
  4. The home averages about 37% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $20,100 in fines.

DateTypeAmount or length
Apr 1, 2026 Fine $20,100

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 4/5 1/5
August 2026 1/5 2/5 4/5 1/5
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Location

Hospitals near Tobacco Root Mountains Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Madison Valley Manor Ennis · 23.5 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 32 beds · Medicaid
Pioneer Care and Rehabilitation Dillon · 26.7 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 87 beds · Medicaid
Southwest Montana Veterans Home Butte · 37.6 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 60 beds · Medicaid
Crest Nursing Home Butte · 39.6 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 103 beds · Medicaid
Continental Care and Rehabilitation Butte · 39.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 100 beds · Medicaid

More nursing homes near Tobacco Root Mountains Care Center ›   All nursing homes in Sheridan ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/montana/sheridan/tobacco-root-mountains-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.