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).
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 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.
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).
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/
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.