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Skilled nursing facility · CMS certified · CCN 275147

Tobacco Root Mountains Care Center

326 Madison St, Sheridan, MT 59749 · Madison County · one of 61 skilled nursing facilities in Montana
Its Medicare cost report, line by line ↓
39
certified beds
1 / 5
overall CMS rating
Government
ownership type
38.2%
occupancy, Oct 2026: 15 residents a day · Montana 69.3%
1.42
case mix, 1.00x the national average
7.05
nurse hours per resident day · Montana 4.05
What if · this building’s own numbers
Medicare cost report, FY2024, and the state rate file

Every slider starts where this building’s FY2024 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

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How Tobacco Root Mountains Care Center compares

Madison County has 1 other certified building, too few to compare, so this is against Montana. 61 buildings.

Better than most of Montana on 3 of 8 lines.

Occupancy, Oct 202638.2%Behind mostHigher than 2 of the 58 other buildings in Montana

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 70.0%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day7.05Better than mostHigher than all 57 other buildings in Montana

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.84. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 12 of the 58 other buildings in Montana; the other 46 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 11 of the 58 other buildings in Montana, level with 13

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating4 / 5Mid-packHigher than 23 of the 58 other buildings in Montana, level with 23

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating1 / 5Behind mostLevel with 7 of the 58 other buildings in Montana; the other 51 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.72Better than mostHigher than 55 of the 57 other buildings in Montana, level with 1

Registered nurse hours for each resident, each day. The middle of the set: 0.85. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited7Better than mostFewer than 47 of the 60 other buildings in Montana, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 12. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Montana
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Tobacco Root Mountains Care Center
Google Street View · opens in Maps
Street View
326 Madison St, Sheridan, MT
Map around Tobacco Root Mountains Care Center
Map · Madison County
Madison County, Montana
2 skilled nursing facilities; average overall rating 2.5, Montana 2.9.
See how Madison County compares ›
Cost report, against Montana
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Montana. The rank counts from the top: 1st is the highest figure among Montana's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2024 (the year ending 2024-06-30), against the middle Montana building.

Line
This building
Rank in state
Montana median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
69.2%
31
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
8.3%
43
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
63.2%
38
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$371
41
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$394
42
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$17
43
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
4.9%
41

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 2.9
Health inspection2 / 5 · state 2.8
Staffing4 / 5 · state 3.5
RN hours per resident per day1.72 · state 0.92
Overall rating, last 8 quarters
054Q3’244Q4’244Q1’254Q2’254Q3’255Q4’255Q1’262Q2’26latest
down 2 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingMontananationrecent quarters
Needed more help with daily activities30.0%worse than state18.5%13.5%too few quarters to chart
Catheter inserted and left in9.4%worse than state2.0%0.7%too few quarters to chart
Urinary tract infection1.7%better than state3.0%1.5%too few quarters to chart
Fall with major injury11.7%worse than state4.4%3.2%too few quarters to chart
Newly given an antipsychotic (short stay)too few residents to report1.2%1.5%too few quarters to chart
Ability to walk independently worsened29.8%worse than state16.1%12.7%too few quarters to chart
Pressure ulcers3.6%better than state6.2%4.5%too few quarters to chart
Given an antipsychotic23.7%worse than state20.7%15.4%too few quarters to chart

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
May 2026
last standard survey
7
deficiencies cited · Montana avg 13.1
$20,100
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Montana
state rate files
$291
median daily rate across the Montana buildings in our rate book, Jul 2026 file
Montana rates and what changed ›
Madison County
buildingbedsoverallMadison Valley Manor324 / 5Tobacco Root Mountains Care Center391 / 5
All Montana buildings in Madison County ›
Montana at a glance
61
buildings
4,997
licensed beds
69%
occupancy
57%
for-profit
Montana market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyMadison Valley ManorEnnis · 23.5 mi324 / 5under 70%Pioneer Care and RehabilitationDillon · 26.7 mi873 / 5over 85%Southwest Montana Veterans HomeButte · 37.6 mi605 / 5over 85%Crest Nursing HomeButte · 39.6 mi1035 / 5under 70%Copper Ridge Health and Rehabilitation CenterButte · 39.8 mi1864 / 5under 70%Continental Care and RehabilitationButte · 39.8 mi1003 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Tobacco Root Mountains Care Center?
Tobacco Root Mountains Care Center in Sheridan, MT carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Tobacco Root Mountains Care Center have?
Tobacco Root Mountains Care Center is certified for 39 beds in the Oct 2026 CMS file.
How full is Tobacco Root Mountains Care Center?
CMS's reported average residents put Tobacco Root Mountains Care Center's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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