TOBACCO ROOT MOUNTAINS CARE CENTER – SHERIDAN, MT

CMS Verified | 2026-03-01

Tobacco Root Mountains Care Center

326 MADISON ST, Sheridan, MT 59749
(406) 842-5600
39 beds
All Sheridan facilities
5.0*
Overall
5.0*
Health Inspection
2.0*
Quality Care
5.0*
Staffing
78.6
Score /100
#4298
National Rank

#4298
of 14703 facilities
National
70.8% position
#13
of 61 in MT
State Rank
#1
of 2 in Madison
County Rank
#1
of 1 in Sheridan
City Rank
#1
of 1 in ZIP 59749
ZIP Rank






About Tobacco Root Mountains Care CenterTobacco Root Mountains Care Center is located at 326 Madison St, Sheridan, MT, reachable at (406) 842-5600. This Government – County facility operates 39.0 certified beds and serves an average of 16 residents per day. Medicare and Medicaid services have been provided since 1996-06-14. The facility currently holds a excellent (5-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Tobacco Root Mountains Care Center

Address

326 Madison St, Sheridan, MT 59749

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 39 Certified Beds
  • Ownership: Government – County
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Excellent (5★) overall rating
Health Inspection
✅ Excellent (5★) health inspection
Staffing
✅ Excellent (5★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 4 fine(s) over 5 years
5-Year Trend
Improving over 5 years
78.6
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#4298 of 14703 nationally – #13 of 61 in Montana

Who Is This Facility Best For?

Tobacco Root Mountains Care Center is a strong choice for families in the Sheridan, MT area seeking a well-inspected, high-quality care environment. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

5 / 5
Health Inspection

5 / 5
Staffing Rating

5 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightTobacco Root Mountains Care Center currently provides 7 hours 39 minutes of total nurse staffing per resident per day, including 1 hour 36 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. RN staffing hours have fluctuated between 78 and 96 min/day over the past five years, indicating some instability in skilled nurse coverage. Total nursing staff turnover is high at 60.9%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing7 hours 39 minutes
Nurse Aide Hours5 hours 7 minutes
Licensed Practical Nurse (LPN) Hours56 minutes
Registered Nurse (RN) Hours1 hour 36 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours6 hours 36 minutes
Weekend Registered Nurse (RN) Hours1 hour 9 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 4 fine(s) over the 5-year period, totaling $12,236. No substantiated complaints have been recorded in the available data.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 6.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#4,298
of 14,703
National
Top 29%
#13
of 61
MT State
Top 21% in MT
#1
of 2
️ Madison County
Best in county
#1
of 1
️ Sheridan
Best in city
#1
of 1
ZIP 59749
Best in ZIP

Nationally, Tobacco Root Mountains Care Center ranks 4298th out of 14,703 facilities (composite score: 78.6/100), placing it in the above average nationwide. Within MT, it ranks 13th out of 61 nursing homes. For 2026 staffing: total nurse hours rank #118 nationally and RN hours rank #459 nationally (#6 in MT).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MT State Rank Note
2022 4.54 #2,060 / 14,703 #13 / 61 Top 25%
2023 4.63 #1,801 / 14,703 #12 / 61 Top 25%
2024 4.17 #3,318 / 14,703 #18 / 61 Top 25%
2025 6.43 #258 / 14,703 #1 / 61 Top 5%
2026 7.65 #118 / 14,703 #1 / 61 Top 5%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MT State Rank Note
2022 1.29 #929 / 14,703 #6 / 61 Top 10%
2023 0.95 #2,072 / 14,703 #21 / 61 Top 25%
2024 0.75 #3,848 / 14,703 #27 / 61 Above average
2025 0.80 #3,437 / 14,703 #29 / 61 Top 25%
2026 1.61 #459 / 14,703 #6 / 61 Top 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Tobacco Root Mountains Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1996-06-14. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (406) 842-5600 or your local Medicaid office to verify current eligibility.

Tobacco Root Mountains Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (5★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 78.6/100, placing it #4298 of 14703 facilities nationally and #13 of 61 in Montana. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Tobacco Root Mountains Care Center receives a reported average of 7 hours 39 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 36 minutes; Licensed Practical Nurse (LPN) — 56 minutes; Nurse Aide — 5 hours 7 minutes. On weekends, total nurse staffing is 6 hours 36 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 60.9%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 4 fine(s) over the 5-year period, totaling $12,236. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 6.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Tobacco Root Mountains Care Center ranks 4298th out of 14,703 facilities (composite score: 78.6/100), placing it in the above average nationwide. Within MT, it ranks 13th out of 61 nursing homes. For 2026 staffing: total nurse hours rank #118 nationally and RN hours rank #459 nationally (#6 in MT). Our composite quality score of 78.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Sheridan, visit: https://nursinghomesnearme.org/montana/sheridan/

Contact and Location

ADR
Address

326 MADISON ST, Sheridan, MT 59749
Get directions on Google Maps

TEL
LLC
Legal Name

MADISON COUNTY FINANCE

MAP
Browse by Location

All Montana ·
Madison County ·
Sheridan ·
ZIP 59749

Facility Details

Number of Certified Beds 39
Average Residents / Day 16 (42% occupancy)
Ownership Type Government – County
Provider Type Medicare and Medicaid
County Madison County, MT
City Sheridan, MT
ZIP Code 59749
Approved Since June 14, 1996
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 275147
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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