Nursing Homes · Medicare certified
Tobacco Root Mountains Care Center
326 Madison St · Sheridan, MT 59749 · 39 certified beds
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About Tobacco Root Mountains Care Center
Tobacco Root Mountains Care Center is a nursing home in Sheridan, Montana. Its capacity is 39 beds, below the Montana median of 72 for nursing homes. It is run by a government body and is part of Madison County Finance. It is Medicare certified. Its public inspection record shows 21 citations, the most recent on May 21, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 7.64 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
4.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (21)
Records from March 2023 to May 2026.
May 21, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 22, 2026.
May 21, 2026
Tag F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2026.
April 1, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected April 22, 2026.
April 1, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.
April 1, 2026
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.
April 1, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.
April 1, 2026
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity G: isolated, actual harm. Corrected April 30, 2026.
April 9, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 28, 2025.
April 10, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 16, 2024.
April 10, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 16, 2024.
April 10, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 16, 2024.
March 16, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
March 16, 2023
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
March 16, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
March 16, 2023
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
March 16, 2023
Tag F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
March 16, 2023
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
March 16, 2023
Tag F0881Implement a program that monitors antibiotic use.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
March 16, 2023
Tag F0699Provide care or services that was trauma informed and/or culturally competent.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
March 16, 2023
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2023.
Penalties (3)
Total fines: $22,205
April 1, 2026 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting May 5, 2026, lasting 49 days (triggered by inspection on April 1, 2026).
April 1, 2026 · Fine
CMS recorded a civil money penalty of $22,205 against this nursing home on April 1, 2026.
April 1, 2026 · Fine
CMS recorded a civil money penalty of $20,100 against this nursing home on April 1, 2026.
Staffing
7.64 nurse hours per resident per day in Q2 2026, down from 7.79 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Government - County
- Parent company: Madison County Finance
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Montana.
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