Tobacco Root Mountains Care Center
Nursing home in Sheridan, Montana, CMS certification number 275147
326 Madison St, Sheridan, MT 59749 · Madison County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 39
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 21, 2026
- Deficiencies at that inspection
- 7
- Fines in 3 years
- $20,100 (1)
Does Tobacco Root Mountains Care Center take Medicare and Medicaid?
Yes to both. Tobacco Root Mountains Care Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Tobacco Root Mountains Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 7.64
- Registered nurse hours
- 1.72
- Licensed practical nurse hours
- 0.83
- Nurse aide hours
- 5.08
- Weekend total hours
- 6.54
- Nursing staff turnover
- 76.2%
- Registered nurse turnover
- 75%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on May 21, 2026 and cited 7 deficiencies, plus 5 from complaint visits.
The visit before, on April 9, 2025, found 0.
CMS shows an abuse icon for Tobacco Root Mountains Care Center. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Tobacco Root Mountains Care Center 1 time in the past 3 years, for $20,100 in total.
Beds and residents
On an average day 14.5 residents live here, about 37% of its 39 certified beds.
- Certified beds
- 39
- Average residents per day
- 14.5
- Certified since
- June 14, 1996
- Resident or family council
- Resident
Who owns Tobacco Root Mountains Care Center
- Legal business name
- Madison County Finance
- Ownership type
- Government - County
Other nursing homes near Tobacco Root Mountains Care Center
- Madison Valley Manor211 N Main St, Ennis 59729
- Pioneer Care and Rehabilitation200 N Oregon St, Dillon 59725
- Southwest Montana Veterans Home65 Veterans Circle, Butte 59701
- Crest Nursing Home3131 Amherst Ave, Butte 59701
- Continental Care and Rehabilitation2400 Continental Dr, Butte 59701
Who inspects nursing homes in Montana
Montana's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Montana, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Tobacco Root Mountains Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Tobacco Root Mountains Care Center
What is the CMS star rating of Tobacco Root Mountains Care Center?
1 out of 5 stars overall.
Does Tobacco Root Mountains Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Tobacco Root Mountains Care Center?
7 cited at the last standard visit.
Who owns Tobacco Root Mountains Care Center?
Madison County Finance, government - county.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.
