Tobacco Root Mountains Care Center
326 Madison St, Sheridan, MT 59749 · (406) 842-5600
Government - County · 39 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Tobacco Root Mountains Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 2 citations (the Montana average is 11.2). It was fined 1 time in the last three years, $56,280 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 21, 2026 found 2 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 21, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 21, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 1, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 1, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 1, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.April 1, 2026 · F0697 · Level of harm: Actual harm · Residents affected: Few
- 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.April 1, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 9, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $56,280April 1, 2026
- Medicare payment denial for 49 daysStarting May 5, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Montana average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 7.05 | 4.05 | 3.86 |
| Registered nurses (RN) | 1.74 | 0.98 | 0.69 |
| Licensed practical nurses (LPN) | 0.66 | 0.50 | 0.86 |
| Nurse aides | 4.65 | 2.57 | 2.32 |
| Total nursing staff turnover | 72.7% | 54.8% | 45.8% |
About this home
| Ownership | Government - County |
| Certified beds | 39 |
| Average residents per day | 14.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Madison Valley Manor Ennis · ★★★★★ 5 out of 5 stars
- Community Nursing Home of Anaconda Anaconda · ★★★★★ 3 out of 5 stars
- Gallatin Rest Home Bozeman · ★★★★★ 2 out of 5 stars
- Crest Nursing Home Butte · ★★★★★ 5 out of 5 stars
- Southwest Montana Veterans Home Butte · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Tobacco Root Mountains Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.