Nursing HomeInspections

Tobacco Root Mountains Care Center

Nursing home in Sheridan, MT

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (406) 842-5600Send a messageMap ↗

Public-record details

Address
326 Madison St, Sheridan, MT 59749
Phone
(406) 842-5600
Listed under
Government-owned
Medicare CCN
275147
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
1 of 5
Certified beds
39
Average residents per day
15
Ownership
Government, county
Legal business name
Madison County Finance
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 14, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 275147. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 21, 2026. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 10, 2024 to May 21, 2026): 6 from complaint inspections, 2 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
May 21, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 21, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Apr 1, 2026Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 1, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 1, 2026Ensure 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 1, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Apr 1, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Apr 9, 2025Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 10, 2024Develop 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		D
Potential for more than minimal harm, isolated
Apr 10, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 10, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $22,205 and 1 denial of Medicare payment for new admissions in the last three years.

Apr 1, 2026Fine: $22,205
Apr 1, 2026Payment denial for 49 days from May 5, 2026

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
7.05 hours
Registered nurse (RN) time per resident per day
1.74 hours
Nurse aide time per resident per day
4.65 hours
Total nurse staffing on weekends
6.37 hours
Nursing staff turnover (yearly)
73%
RN turnover (yearly)
43%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.