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Tobacco Root Mountains Care Center

Nursing Home Facility

326 Madison, Sheridan, MT 59749

Nursing Home Care Senior Living
Tobacco Root Mountains Care Center

Tobacco Root Mountains Care Center is a senior care community located in Sheridan, MT. It provides nursing home care and senior living for older adults in the Sheridan area. To learn more or schedule a tour, call (406) 842-5600.

Tobacco Root Mountains Care Center is licensed for 39 beds.

Federal reporting puts occupancy at about 38% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in May 2026 and recorded 7 deficiencies.

Residents receive about 7.0 hours of nursing care per day on average, including 1.7 hours from a registered nurse. Nursing staff turnover over the past year was about 73%, which is high and can affect continuity of care.

The community is located in Madison County, MT.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 1/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 11 problems at Tobacco Root Mountains Care Center. 2 findings involved harm to a resident. 6 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $22,205. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected April 2026, after a complaint. Corrected by April 22, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide safe, appropriate pain management for a resident who requires such services.

    Inspected April 2026, after a complaint. Corrected by April 30, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected May 2026. Corrected by June 22, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected May 2026. Corrected by June 22, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected April 2026, after a complaint. Corrected by April 30, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected April 2026, after a complaint. Corrected by April 30, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    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.

    Inspected April 2026, after a complaint. Corrected by April 30, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Tobacco Root Mountains Care Center offers nursing home care and senior living.

Facility details

  • Organization type Government - County
  • Beds / units 39
  • Occupancy 38%
  • Nursing hours per resident/day 7.0
  • Annual staff turnover 73%
  • Last health inspection May 2026

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