Tobacco Root Mountains Care Center
326 Madison St, Sheridan, MT, 59749
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - County
- Certified beds
- 39 · avg 13 residents/day
- Total nursing staff turnover
- 65% — higher than most Montana nursing homesMontana avg: 55.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Montana nursing homesMontana avg: 49.3% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Montana averageMontana avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $22,205 total
Medicare certification
- CMS Certification Number
- 275147
- Certified beds
- 39 beds · avg 13 residents/day
- Ownership type
- Government - County
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Madison County Finance
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (6 on record)
- Bonnie Oneill
W-2 Managing Employee · since 2020
- Jayne m Forsythe
W-2 Managing Employee · since 2020
- Daniel Allhands
Corporate Officer · 33% · since 2017
- James p Hart
W-2 Managing Employee · 33% · since 2015
- Ronald e Nye
W-2 Managing Employee · 33% · since 2015
- Madison County Finance
5% or Greater Direct Ownership Interest · 100% · since 1966
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 19)
- D0726·Apr 1, 2026Complaint
Nursing and Physician Services Deficiencies
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.
- G0697·Apr 1, 2026Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- J0689·Apr 1, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0609·Apr 1, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0600·Apr 1, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0600·Apr 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0880·Apr 10, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Apr 10, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20261 fine · $22K
Most recent events
- Apr 1, 2026Fine · $22K
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Apr 10, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Tobacco Root Mountains Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.