TOBACCO ROOT MOUNTAINS CARE CENTER

326 MADISON ST, SHERIDAN, MT 59749 · CCN 275147 · 39 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality1 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-04-01 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-04-01 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe, appropriate pain management for a resident who requires such services.

Staffing, from payroll records

Nursing hours / resident / day

6.47

state median 3.36

Weekend staffing gap

−6%

fewer nursing hours on weekends · state median −8%

RN hours / resident / day

1.16

registered nurses only

Contract (agency) staff

60%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

73%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $22,205 in fines.

Date	Type	Amount
2026-04-01	Fine	$22,205

Ownership

Ownership type: Government - County.

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 9 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-05-21	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-05-21	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2026-04-01	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-04-01	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-04-01	F0689	Quality of Life and Care Deficiencies	J	not recorded
2026-04-01	F0697	Quality of Life and Care Deficiencies	G	not recorded
2026-04-01	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2025-04-09	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-04-10	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-04-10	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-04-10	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “TOBACCO ROOT MOUNTAINS CARE CENTER, SHERIDAN” at medicare.gov/care-compare.