Home›Browse›Montana›Sheridan›Tobacco Root Mountains Care Center

Nursing homeFAID #7523

Tobacco Root Mountains Care Center

326 MADISON ST, SHERIDAN, MT, 59749

(406) 842-5600

39 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

326 Madison St

Sheridan, MT 59749

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

275147

Care type

Nursing home

County

Madison

Facility name

Tobacco Root Mountains Care Center

Street address

326 MADISON ST

City / state / ZIP

Sheridan, MT 59749

Phone

(406) 842-5600

About this facility — Tobacco Root Mountains Care Center

Tobacco Root Mountains Care Center is a Medicare/Medicaid-certified skilled nursing facility in Sheridan, Montana. It is licensed for 39 beds — below the median for skilled nursing facilities in Montana (75 beds).

It is one of 2 senior care facilities in Sheridan and 62 skilled nursing facilities across Montana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Tobacco Root Mountains Care Center 14 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $22,205 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - County

Registered owners & officers

Madison County Finance

Direct owner — 100% stake — since 1966

Allhands, Daniel

Managing employee · Officer — since 2017

Forsythe, Jayne

Managing employee — since 2020

Hart, James

Managing employee · Officer — since 2007

Nye, Ronald

Managing employee · Officer — since 2015

Oneill, Bonnie

Managing employee — since 2020

Regulatory standing

Licensed / certified since

1996-06-14

CMS overall rating

1 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$22,205 total

Last standard inspection

2026-05-21

Nurse staffing

7.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$325 per day (≈ $9,880/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

65% Medicaid · 1% Medicare · 35% private/other

Occupancy

58% (fiscal year 2024)

Vs. state median

8% below the MT median of $355/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-05-21Health inspection2 citations

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-06-22

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-06-22

2026-04-01Health inspectionComplaint-triggered5 citations

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-04-30

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-04-30

F-0689

G · Actual harmFrom a complaint

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

Corrected 2026-04-22

F-0697

G · Actual harmFrom a complaint

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

Corrected 2026-04-30

F-0726

D · No harm foundFrom a complaint

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.

Corrected 2026-04-30

4 earlier / fire-safety inspections (7 citations)

2025-04-09Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-01-28

2024-04-10Health inspection3 citations

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-05-16

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-05-16

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-05-16

2026-05-21Fire-safety inspection1 citation

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-06-23

2024-04-10Fire-safety inspection2 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-31

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-05-31

Federal penalties

2026-04-01Fine$22,205

2026-04-01Medicare payment denial — 49 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 275147.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 14 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered