Tobacco Root Mountains Care Center
Nursing Home · Sheridan, MT
CMS certification number275147
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
326 Madison STSheridan, MT 59749
Madison County
- Phone
- (406) 842-5600
- ZIP code
- 59749 – all care providers
Facility details
- Certified beds
- 39
- Residents per day
- 14.9 (38% occupied)
- Ownership
- Government - County
- Legal name
- Madison County Finance
- Medicare certified since
- June 14, 1996
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 7.05 (state 4.05 · U.S. 3.86)
- Registered nurses (RN)
- 1.74 (state 0.98 · U.S. 0.69)
- Licensed practical nurses
- 0.66 (state 0.50 · U.S. 0.86)
- Nurse aides
- 4.65 (state 2.57 · U.S. 2.32)
- Weekend total
- 6.37 (state 3.59 · U.S. 3.42)
- Nursing staff turnover
- 72.7 (state 54.8 · U.S. 45.8)%
- RN turnover
- 42.9 (state 48.3 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 21, 2026
- Health deficiencies (last cycle)
- 7.0 (state 11.5 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 11 health · 3 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-22 |
| 2026-05-21 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-22 |
| 2026-04-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-04-22 |
| 2026-04-01 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-04-30 |
| 2026-04-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-04-01 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-04-01 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2025-04-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-28 |
| 2024-04-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-16 |
| 2024-04-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-16 |
| 2024-04-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-16 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $22,205 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-04-01 | Payment Denial | 49 days payment denial |
| 2026-04-01 | Fine | $22,205 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Madison County Finance (organization) | 5%+ Direct Ownership Interest · 100% | |
| Allhands, Daniel (individual) | Corporate Officer · NOT APPLICABLE | |
| Hart, James (individual) | Corporate Officer · NOT APPLICABLE | |
| Nye, Ronald (individual) | Corporate Officer · NOT APPLICABLE | |
| Allhands, Daniel (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Forsythe, Jayne (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Hart, James (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Nye, Ronald (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Oneill, Bonnie (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Tobacco Root Mountains Care Center?
Tobacco Root Mountains Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Montana.
How many beds does Tobacco Root Mountains Care Center have?
It has 39 certified beds and cares for about 15 residents per day.
Has Tobacco Root Mountains Care Center been fined?
Yes. CMS lists 2 penalties totaling $22,205 in the last three years.
What is the phone number of Tobacco Root Mountains Care Center?
(406) 842-5600. The facility is located at 326 Madison ST, Sheridan, MT 59749.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.