Tobacco Root Mountains Care Center: Staffing, Turnover, and Inspection Record
Tobacco Root Mountains Care Center is a 39-bed government-run nursing home in Sheridan, Montana. In the CMS August 2026 release it reported 4.65 nurse aide hours per resident per day, 81% above the Montana average of 2.57, and 72.7% nursing staff turnover (Montana average 54.8%).
Tobacco Root Mountains Care Center
326 Madison StSheridan, MT 59749
Madison County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Tobacco Root Mountains Care Center, nurse aides logged 4.65 hours per resident per day, 81% above the Montana average. With about 15 residents a day, that works out to roughly 69 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Montana avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 4.65 | 2.57 | 2.32 |
| Licensed practical nurses | 0.66 | 0.50 | 0.86 |
| Registered nurses | 1.74 | 0.98 | 0.69 |
| All nursing staff | 7.05 | 4.05 | 3.86 |
| All nursing staff, weekends | 6.37 | 3.59 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
72.7% of nursing staff at Tobacco Root Mountains Care Center left over the year CMS measured, against a Montana average of 54.8% and a US average of 45.8%. Registered nurse turnover was 42.9%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 21, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Montana average 11.5). CMS lists 1 fine totaling $22,205 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 1, 2026 | Fine | $22,205 |
| Apr 1, 2026 | Payment Denial | 49 days from May 5, 2026 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Tobacco Root Mountains Care Center holds 1 of 5 overall; the Montana average is 2.9.
About Tobacco Root Mountains Care Center
- Ownership: Government - County
- Legal name: Madison County Finance
- Medicare and Medicaid certified since: Jun 14, 1996
- Councils: resident council
- Area: rural
Nursing homes near Tobacco Root Mountains Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Madison Valley Manor Ennis | 23.5 | 32 | 3.18 | 6.58 | 61.3% | 5 | None |
| Pioneer Care and Rehabilitation Dillon | 26.7 | 87 | 2.58 | 3.69 | 85.3% | 2 | $138,054 |
| Southwest Montana Veterans Home Butte | 37.6 | 60 | 2.14 | 4.34 | 53.9% | 5 | None |
| Crest Nursing Home Butte | 39.6 | 103 | 2.10 | 3.33 | 53.2% | 5 | None |
| Continental Care and Rehabilitation Butte | 39.8 | 100 | 2.63 | 4.03 | 60.2% | 3 | None |
| Copper Ridge Health and Rehabilitation Center Butte | 39.8 | 186 | 1.98 | 3.33 | 45.8% | 4 | $9,311 |
| Gallatin Rest Home Bozeman · staffing data not validated | 57.4 | 69 | — | — | 62.7% | 2 | $55,413 |
| Community Nursing Home of Anaconda Anaconda | 59.1 | 62 | 3.32 | 5.25 | — | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.