01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-21 | 7 | 2026-05-21 | 1 |
| Cycle 2 | 2025-04-09 | 1 | 2025-04-09 | 0 |
| Cycle 3 | 2024-04-10 | 3 | 2024-04-10 | 2 |
CMS CCN 2751472026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Tobacco Root Mountains Care Center
326 Madison St · Sheridan, MT 59749 · Madison County
Certified beds39CMS provider file
Recent citation rows14current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
14 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-21 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-06-222026-05-21 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-222026-05-21 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-06-232026-04-01 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-04-30 · complaint2026-04-01 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-04-30 · complaint2026-04-01 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-04-22 · complaint2026-04-01 · HEALTHF0697Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-04-30 · complaint2026-04-01 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-04-30 · complaint2025-04-09 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Past Non-Compliance · 2025-01-28 · complaint2024-04-10 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-05-162024-04-10 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-05-162024-04-10 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-05-162024-04-10 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-05-312024-04-10 · FIREK0921Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2024-05-3103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-01 | Fine | $22,205 | 0 |
| 2026-04-01 | Payment Denial | $0 | 49 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MADISON COUNTY FINANCEOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/1966
- ALLHANDS, DANIELIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2017
- FORSYTHE, JAYNEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/06/2020
- HART, JAMESIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2015
- NYE, RONALDIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2015
- ONEILL, BONNIEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/06/2020
- ALLHANDS, DANIELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2017
- HART, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2007
- NYE, RONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours7.05per resident day
RN hours1.74per resident day
Weekend nurse hours6.37per resident day
Staff turnover72.7%CMS reported field
06 / LOCAL RECORDS
Open the Montana ledger →Other published facilities nearby
No second facility in the same city met the directory rule.