Nursing Home
Tobacco Root Mountains Care Center
Certified beds
39
Avg. 15 residents a day
Ownership
Government
County
Medicare
Certified
Since Jun 1996
Medicaid
Certified
Since Jun 1996
CMS rating
1
Much below average
CMS star ratings
Staffing
| Role | This homeHome | Montana avgMT | U.S. avgU.S. | |
|---|---|---|---|---|
| Total nurse staffing | 7.05 | 4.05 | 3.86 | |
| Registered nurse (RN) | 1.74 | 0.98 | 0.68 | |
| Licensed practical nurse (LPN) | 0.66 | 0.50 | 0.86 | |
| Nurse aide | 4.65 | 2.57 | 2.32 | |
| Total nurse staffing, weekends | 6.37 | 3.59 | 3.42 | |
| Physical therapist | 0.02 | 0.06 | 0.07 |
This homeU.S. average
Staff turnover
| Measure | This homeHome | Montana avgMT | U.S. avgU.S. |
|---|---|---|---|
| Total nursing staff turnover | 72.7% | 54.8% | 45.8% |
| Registered nurse turnover | 42.9% | 48.3% | 42.9% |
| Administrators who left | 0 | 0.4 | 0.5 |
Staffing is reported by the facility to CMS through payroll-based journal data. Montana and U.S. averages are calculated by WeFoundCare from the same CMS file (61 Montana and 14,680 U.S. facilities).
Inspections and penalties
Most recent inspection
7health deficiencies
May 21, 2026 · 2 standard, 5 complaint
Montana average: 11.1 · U.S. average: 9.2
Montana average: 11.1 · U.S. average: 9.2
Prior inspection
1health deficiency
Apr 9, 2025 · standard and complaint surveys combined
Fines1 fine · $56,280
Payment denials1
Abuse citation flagFlagged
Special Focus FacilityNo
Care types offered
Nursing home
Skilled nursing, 39 Medicare-certified beds
Location
326 Madison St, Sheridan, MT 59749
Madison County · 0.4 mi from the center of Sheridan
Facility details
Legal business nameMadison County Finance
OwnershipCounty government
Medicare approvedJun 14, 1996
Resident and family councilResident council
Ownership change, last 12 monthsNo
Sprinklers in all required areasYes
CMS Certification Number275147
Source: CMS Care Compare, Nursing Home Provider Information, processed Sep 1, 2026.
Last updated on WeFoundCare: Oct 20, 2026.
Suggest a correctionLast updated on WeFoundCare: Oct 20, 2026.