200 W FAGIN ST, Ennis, MT 59729
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Medicare-certifiedSkilled Nursing
Tobacco Root Mountains Care Center
Sheridan, MontanaMedicare inspection record
About Tobacco Root Mountains Care Center
Tobacco Root Mountains Care Center provides skilled nursing and rehabilitation services to Sheridan, Montana residents who need comprehensive medical care and recovery support. Our team focuses on helping patients regain independence through personalized therapy and attentive nursing.
Community at a glance
Capacity
39 residents
Location
Sheridan, MT
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
326 MADISON ST, Sheridan, Montana 59749
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Tobacco Root Mountains Care Center for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on May 21, 2026, state inspectors cited 7 health deficiencies (the Montana average is 11.1).
Nurses and nurse aides spend 7 hours 3 minutes with each resident a day, above the Montana average of 4 hours 3 minutes.
Medicare fined Tobacco Root Mountains Care Center once in the last three years, $56,280 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 7 hours 3 minutesAbove the Montana average |
| Registered nurse time per resident, per day | 1 hour 44 minutesAbove the Montana average |
| Nursing staff who left in the past year | 73%Above the Montana average |
Inspections
11 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 21, 2026 · Standard inspection · 2 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jun 22, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 22, 2026
April 1, 2026 · Complaint investigation · 5 citations
Provide safe, appropriate pain management for a resident who requires such services.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 30, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 22, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 30, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Apr 30, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 30, 2026
April 9, 2025 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Jan 28, 2025
April 10, 2024 · Standard inspection · 3 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 16, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 16, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 16, 2024
Fines and payment denials
1 fine totaling $56,280 and 1 Medicare payment denial in the last three years.
- April 1, 2026Fine: $56,280
- April 1, 2026Payment denial, 49 days
About the home, per Medicare
- Ownership
- Government - County
- Legal business name
- Madison County Finance
- Medicare-certified beds
- 39
- Average residents per day
- 15
- Accepts
- Medicare and Medicaid
- First certified
- June 14, 1996
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 275147
Location
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326 MADISON STSheridan, MT 59749
Other communities in the area
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Questions about Tobacco Root Mountains Care Center
How did Tobacco Root Mountains Care Center do on its last inspection?+
State inspectors visited on May 21, 2026 and cited 7 health deficiencies, 5 of them from complaint investigations. The Montana average is 11.1.
How much nursing care does each resident get at Tobacco Root Mountains Care Center?+
Nurses and aides spend 7 hours 3 minutes with each resident per day, including 1 hour 44 minutes from registered nurses. 73% of nursing staff left over the past year.
Has Tobacco Root Mountains Care Center been fined by Medicare?+
Yes. Medicare fined Tobacco Root Mountains Care Center once in the last three years, totaling $56,280.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.