Home›Montana›Madison County›TOBACCO ROOT MOUNTAINS CARE CENTER
A+
Excellent

TOBACCO ROOT MOUNTAINS CARE CENTER

326 MADISON ST · SHERIDAN, MT 59749

4068425600 · Government - County

39 beds16.2 residents69 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TOBACCO ROOT MOUNTAINS CARE CENTER receives an overall staffing grade of A+ (Excellent). With 7.6814 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 3.79 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.65% compared to weekdays. The facility has low agency staff usage (7.36% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

📊Staffing levels are highly variable day to day (consistency score: 1.3381). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
7.6814hrs/resident/day▲ 3.79
CMS benchmark: 3.48
RN HPRD
1.6181hrs/resident/day▲ 0.94
Recommended: 0.75
Weekend Drop-off
17.65%
8.0847 weekday → 6.6577 weekend
Agency Staff
7.36%
26.49% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
4.4411hrs/resident/day
Direct care aides
LPN HPRD
0.9315hrs/resident/day
Licensed practical nurses
Consistency
1.3381std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Madison County Average+1.25 HPRD
6.43
07.68 HPRD
vs. Montana State Average+3.70 HPRD
3.98
07.68 HPRD
vs. National Average+3.79 HPRD
3.90
07.68 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TOBACCO ROOT MOUNTAINS CARE CENTER ★
SHERIDAN · This facility
—
A+
7.68141.6181★★★★★
MADISON VALLEY MANOR
ENNIS
23.4 mi
A+
5.1871.3757★★★★☆
PIONEER CARE AND REHABILITATION
DILLON
26.6 mi
C
3.03180.5276★☆☆☆☆
SOUTHWEST MONTANA VETERANS HOME
BUTTE
37.6 mi
A+
5.32582.135★★★★★
CREST NURSING HOME
BUTTE
39.6 mi
C
3.36260.5504★★★★★
CONTINENTAL CARE AND REHABILITATION
BUTTE
39.8 mi
C
3.14090.6845★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
14
Total Deficiencies
$0
Fines Assessed
Apr 9, 2025Health
1 deficiency cited
▼
Apr 10, 2024Health
3 deficiencies cited
▼
Mar 16, 2023Health
10 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.