Home › Nursing Homes by State › Montana › Sheridan › Tobacco Root Mountains Care Center

Tobacco Root Mountains Care Center

326 Madison St, Sheridan, MT 597494068425600Ownership: Government - CountyCertified beds: 39Avg. daily residents: 15County: Madison
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Tobacco Root Mountains Care Center, a Medicare & Medicaid–certified nursing home in Sheridan, Montana, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Montana average: 2.9 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★☆☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Tobacco Root Mountains Care Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 73% is well above the Montana average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $22,205 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

7.05 total nurse staff hours per resident per day
above the state average (4.05)
1.74 RN hours per resident per day
above the state average (0.98)
6.37 weekend nurse staff hours per resident per day
72.7% total nursing staff turnover
above the state average (54.8)
42.9% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 21, 2026 most recent standard health inspection
7 health deficiencies cited in the most recent inspection cycle
below the state average (11.3)
1 health deficiencies in the two prior cycles combined
$22,205 in federal fines across 1 penalty (last 3 years)
below the state average ($57,036)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

11 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
May 21, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
May 21, 20260605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D · Potential for more than minimal harm
April 1, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
April 1, 20260697Provide safe, appropriate pain management for a resident who requires such services. ComplaintG · Actual harm
April 1, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintD · Potential for more than minimal harm
April 1, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
April 1, 20260726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's… ComplaintD · Potential for more than minimal harm
April 9, 20250600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintD · Potential for more than minimal harm
April 10, 20240657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health…D · Potential for more than minimal harm
April 10, 20240755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D · Potential for more than minimal harm

Comparing Tobacco Root Mountains Care Center with others on your list?

A ClearPath report puts up to five facilities side by side on the full record — every citation explained in plain English, staffing and turnover compared, fines and flags surfaced, and the questions to ask on your tour. Ready in minutes. Nursing home reports from $47, one-time. Paid by families, never by facilities.

Compare this facility →See a free sample report first

Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.