Nursing Home
Tobacco Root Mountains Care Center
Clinical Quality Measures
-
Long-stay residents with a urinary tract infection
0.0%
national median 0.9%
better than the national median
-
Long-stay residents experiencing falls with major injury
12.7%
national median 2.8%
worse than the national median
-
Long-stay residents whose ability to walk independently worsened
23.2%
national median 12.5%
worse than the national median
-
Long-stay residents with pressure ulcers
7.7%
national median 4.2%
worse than the national median
-
Long-stay residents who received an antipsychotic medication
18.9%
national median 13.4%
worse than the national median
Source: CMS MDS quality measures (four-quarter average).
Nurse Staffing
- Nurse staffing per resident per day
- 7.0 hours
- Registered nurse (RN) time per resident per day
- 1.7 hours
- Weekend nurse staffing per resident per day
- 6.4 hours
- Nursing staff turnover in the past year
- 72.7%
MT average: 4.0 hours · National: 3.9 hours
All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.
MT average: 1.0 hours · National: 0.7 hours
RN hours only — the most highly trained nursing staff.
MT average: 3.6 hours · National: 3.4 hours
Total nurse staffing on Saturdays and Sundays, when staffing typically dips.
MT average: 54.8% · National: 45.8%
Share of this facility’s nursing staff who stopped working there over 12 months.
Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.
Penalties & Enforcement
1 fine totaling $22,205 and 1 Medicare payment denial in the recent inspection window (most recent: April 1, 2026).
Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.
Ownership
- Ownership type
- Government - County
Who owns this facility — 9 entries in CMS's ownership records expand ↓
- Madison County Finance Organization
- Allhands, Daniel Individual
- Forsythe, Jayne Individual
- Hart, James Individual
- Nye, Ronald Individual
- Oneill, Bonnie Individual
- Allhands, Daniel Individual
- Hart, James Individual
- Nye, Ronald Individual
From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.
Inspections & Fire Safety — 7 health (MT avg 11.5) · 1 fire (MT avg 6) · ⚠ 2 serious Details
11 deficiencies cited across recent inspection cycles, including ⚠ 2 serious (actual harm or immediate jeopardy). Most recent survey: May 21, 2026.
Most recent inspection cycle: 7 health deficiencies · MT average: 11.5 · National: 9.3
3 fire-safety deficiencies cited — most often gas, vacuum, and electrical systems (2) and smoke (1).
Most recent fire-safety inspection (2026-05-21): 1 deficiency · MT average: 6 · National: 4.5
Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.
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How Tobacco Root Mountains Care Center compares nearby
Compared with the 6 other nursing homes within 50 miles — 7 facilities in all, CMS data only.
Among the 7 nursing homes within 50 miles, Tobacco Root Mountains Care Center's overall star rating is 1★; the median among the 6 peers reporting it is 4.5★.
| Measure | This facility | Nearby median |
|---|---|---|
| Overall star rating reported by 6 of 6 nearby peers | 1★ | 4.5★ |
| Health inspections reported by 6 of 6 nearby peers | 2★ | 4★ |
| Staffing reported by 6 of 6 nearby peers | 4★ | 3.5★ |
| Quality measures reported by 6 of 6 nearby peers | 1★ | 4★ |
The comparison group
- Madison Valley Manor
- Copper Ridge Health And Rehabilitation Center
- Continental Care And Rehabilitation
- Crest Nursing Home
- Southwest Montana Veterans Home
- Pioneer Care And Rehabilitation
Cohort: within 50 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work