Tobacco Root Mountains Care Center
326 MADISON ST, Sheridan, MT 59749
Sheridan, Montana · CMS verdict
CMS rates Tobacco Root Mountains Care Center at 5 of 5 stars overall - above-average on the federal scale, and above the Montana average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Tobacco Root Mountains Care Center in Sheridan, Montana holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 76 of 100 (grade C). The 39-bed facility operates where a semi-private nursing-home room in Montana runs a median of $8,973 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 76 is built
Each segment is a dimension's weighted points toward the score, summing to 76.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Tobacco Root Mountains Care Center carries an overall CMS quality rating of 5 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (5/5), staffing (5/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Sheridan, Montana, this facility operates 39 certified beds with an average daily census of roughly 16 residents - an occupancy rate of about 41%. The facility is classified under government - county ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 41% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (14 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Tobacco Root Mountains Care Center compares to Montana
CMS five-star sub-ratings (0–5) for this facility against the Montana facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Montana state average. Higher is better on all four CMS measures.
Where Tobacco Root Mountains Care Center ranks in Montana
Among the 59 CMS-rated nursing homes in Montana, Tobacco Root Mountains Care Center’s 5-star overall rating is higher than 83% of them. The bars show how all Montana homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
10 Montana homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 39 |
| Residents | 16 |
| Ownership | Government - County |
| County | Madison |
| Penalties | 0 |
| Deficiencies | 14 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Tobacco Root Mountains Care Center? ▾
5 out of 5 stars is Tobacco Root Mountains Care Center's current CMS overall rating, built from a health inspection rating of 5/5, a staffing rating of 5/5, and a quality measures rating of 2/5.
How much does a nursing home cost per month in Montana? ▾
In Montana, a semi-private nursing home room runs a median $8,973/month ($107,675/year) per the CareScout 2025 survey; private rooms average $9,581/month.
What services does Tobacco Root Mountains Care Center offer? ▾
Tobacco Root Mountains Care Center operates as a skilled nursing facility (39 beds with approximately 16 current residents) under government - county ownership. CMS inspections have recorded 14 deficiencies and 0 penalties there.
Does Tobacco Root Mountains Care Center have any deficiencies or penalties? ▾
Tobacco Root Mountains Care Center has multiple deficiencies (14 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Montana? ▾
In Montana, alternatives include assisted living ($6,075/mo), home health aides ($7,245/mo), and adult day care ($5,783/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Montana elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 275147.
Read our methodology - how this data is sourced, computed, and verified.