Nursing home

Tobacco Root Mountains Care Center

326 Madison St, Sheridan, MT, 59749

Ownership type: Government - County.

CMS overall rating
CMS overall rating: 4 out of 54of 5

At a glance

CMS reports a 4-star overall rating for Tobacco Root Mountains Care Center, with 14 inspection citations on record. Federal records include $22,205 in the current dataset.
CMS overall
4
of 5
Health inspection
5
of 5
Staffing
5
of 5
Quality measures
1
of 5
Certified beds
39
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall4 of 5
Health inspection5 of 5
Staffing5 of 5
Quality measures1 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 4
15
Madison Co. avg 4Montana avg 2.95This facility
This facility: 4 of 5. Madison Co. avg: 4. Montana avg: 2.95.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

14
Citations on record
0
Higher severity (G–L)
1
From complaints
0
Infection control
Citations by inspection year
102023
32024
12025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

1 record · $22,205 total · Apr 1, 2026
  1. Apr 1, 2026$22,205

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)12.5%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)7.01%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)11.59%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Ownership

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Madison County Finance5% OR GREATER DIRECT OWNERSHIP INTEREST
Allhands, DanielW-2 MANAGING EMPLOYEE
Forsythe, JayneW-2 MANAGING EMPLOYEE
Hart, JamesW-2 MANAGING EMPLOYEE
Nye, RonaldW-2 MANAGING EMPLOYEE
Oneill, BonnieW-2 MANAGING EMPLOYEE
Allhands, DanielCORPORATE OFFICER
Hart, JamesCORPORATE OFFICER
Nye, RonaldCORPORATE OFFICER

Nearby facilities

Other CMS-certified nursing homes near Madison County.

326 Madison St, Sheridan
Madison County · MT · 59749
39 certified beds45.4532, -112.1900

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Benefis Senior Services - Eastview
CCN 275012
Great Falls, MT224Shown$137,892
Skyline Heights Nursing and Rehabilitation
CCN 275020
Billings, MT112Not shown$418,996
Valle Vista Rehabilitation and Nursing LLC
CCN 275021
Lewistown, MT543Not shown$0
St John's Lutheran Home
CCN 275024
Billings, MT435Not shown$0
Kalispell Rehabilitation and Nursing LLC
CCN 275025
Kalispell, MT113Not shown$133,898
Yellowstone River Nursing and Rehabilitation
CCN 275029
Billings, MT112Not shown$141,504

Related research

Frequently asked questions

What is Tobacco Root Mountains Care Center's CMS rating?

Tobacco Root Mountains Care Center has a 4-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 5 for health inspections, 5 for staffing, and 1 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Tobacco Root Mountains Care Center located?

Tobacco Root Mountains Care Center is located at 326 Madison St, Sheridan, MT, 59749 in Madison County, and CMS lists 39 certified beds.

Does Tobacco Root Mountains Care Center have federal penalties or payment denials on record?

The CMS data includes $22,205 in federal fine amounts and 0 payment-denial records for Tobacco Root Mountains Care Center over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Tobacco Root Mountains Care Center's rating compare to nearby facilities?

Tobacco Root Mountains Care Center's CMS overall rating is 4 of 5. For comparison, the average CMS overall rating is 4 across 2 facilities in Madison County, and 2.95 across Montana. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Tobacco Root Mountains Care Center's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Tobacco Root Mountains Care Center's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
275147
Ownership type
Government - County
Certified beds
39
Data snapshot
2026-07-17
All 14 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Apr 9, 20250600DComplaintPast Non-ComplianceJan 28, 2025
Apr 10, 20240657DStandardDeficient, Provider has date of correctionMay 16, 2024
Apr 10, 20240755DStandardDeficient, Provider has date of correctionMay 16, 2024
Apr 10, 20240880DStandardDeficient, Provider has date of correctionMay 16, 2024
Mar 16, 20230552DStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230578DStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230656DStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230690DStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230695DStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230699DStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230740DStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230745DStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230880FStandardDeficient, Provider has date of correctionApr 26, 2023
Mar 16, 20230881DStandardDeficient, Provider has date of correctionApr 26, 2023

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.