nursing home in Sheridan, MT
Tobacco Root Mountains Care Center
326 Madison St, Sheridan, MT 59749 · (406) 842-5600
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★1
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Tobacco Root Mountains Care Center at a glance
Tobacco Root Mountains Care Center is a 39-bed government nursing home in Sheridan, Montana (Madison County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Montana average of 2.9.
Residents receive about 7 hours of nursing care per day (1.7 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (May 21, 2026) found 7 health citations. The Montana average is 11.1.
Federal regulators fined it 1 time in the past three years, totaling $56,280.
Nursing staff turnover is 72.7% per year (state average 54.8%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 39
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 14, 1996
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 275147
Ratings
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 7.05 hrs | 4.05 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.74 hrs | 0.98 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 4.65 hrs | 2.57 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 6.37 hrs | 3.59 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 72.7% | 54.8% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 42.9% | 48.3% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 55 | 104.7 | 80.6 | Better |
Penalties
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $56,280 | $55,610 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 39 | 85 | 107 | |
| Average residents per day | 15 | 57 | 86 | |
| Occupancy | 38.2% | 69.3% | 80.9% |
Long-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 12.7% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.7% | 6.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.9% | 20.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 9.9% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.1% | 18.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 23.2% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 14.3% | 5.6% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 7.9% | 0.6% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.8% | 15.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 33.6% | 24.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 93.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 81.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 11 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 21, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 23, 2026 |
| May 21, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 22, 2026 |
| May 21, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 22, 2026 |
| April 1, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected April 22, 2026 |
| April 1, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected April 30, 2026 |
| April 1, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 1, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 1, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 9, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 28, 2025 |
| April 10, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected May 31, 2024 |
| April 10, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 31, 2024 |
| April 10, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 16, 2024 |
| April 10, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 16, 2024 |
| April 10, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 16, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $56,280 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 1, 2026 | Payment Denial | 49 days from May 5, 2026 |
| April 1, 2026 | Fine | $56,280 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MADISON COUNTY FINANCE Organization | 5% or greater direct ownership interest | 100% | 01/01/1966 |
| ALLHANDS, DANIEL Individual | corporate officer | NOT APPLICABLE | 01/01/2017 |
| HART, JAMES Individual | corporate officer | NOT APPLICABLE | 01/01/2007 |
| NYE, RONALD Individual | corporate officer | NOT APPLICABLE | 01/01/2015 |
| ALLHANDS, DANIEL Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2017 |
| FORSYTHE, JAYNE Individual | w-2 managing employee | NOT APPLICABLE | 02/06/2020 |
| HART, JAMES Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2015 |
| NYE, RONALD Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2015 |
| ONEILL, BONNIE Individual | w-2 managing employee | NOT APPLICABLE | 02/06/2020 |
Other nursing homes near Tobacco Root Mountains Care Center
- ★★★★★5Much above average
Pioneer Care and Rehabilitation
200 N Oregon St, Dillon, MT 59725 · 26.7 mi
For-profit · 87 beds · Part of Sweetwater Care
★★★★★2Below averageSouthwest Montana Veterans Home
65 Veterans Circle, Butte, MT 59701 · 37.6 mi
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- CMS high performer
★★★★★5Much above averageCrest Nursing Home
3131 Amherst Ave, Butte, MT 59701 · 39.6 mi
For-profit · 103 beds · Part of Real Property Health Facilities
- CMS high performer
★★★★★5Much above averageContinental Care and Rehabilitation
2400 Continental Dr, Butte, MT 59701 · 39.8 mi
For-profit · 100 beds · Part of Sweetwater Care
★★★★★3AverageCopper Ridge Health and Rehabilitation Center
3251 Nettie St, Butte, MT 59701 · 39.8 mi
For-profit · 186 beds · Part of Eduro Healthcare
★★★★★4Above average
Frequently asked questions
What is Tobacco Root Mountains Care Center's rating?
Tobacco Root Mountains Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Montana nursing homes is 2.9 stars.
How many inspection citations did Tobacco Root Mountains Care Center receive?
Its most recent standard health inspection found 7 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.
Does Tobacco Root Mountains Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Tobacco Root Mountains Care Center?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Tobacco Root Mountains Care Center and how do I contact it?
Tobacco Root Mountains Care Center is at 326 Madison St, Sheridan, MT 59749. Phone: (406) 842-5600.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.