Tobacco Root Mountains Care Center

Detailed report on the nursing home located in Sheridan, Montana (MT).

Tobacco Root Mountains Care Center is a small, government run, nursing home with 39 beds based at 326 Madison in Sheridan, MT. The facility has 33 residents indicating 85% of its beds are occupied, which is above average within this state. The provider participates in the medicare & medicaid programs and provides resident counseling services. The home is not located in a hospital or continuing care retirement community and is partially sprinklered. A total of 29 Medicare patients were given 686 days of non-swing bed care and services in 2006, and the provider was reimbursed $153,673 by Medicare.

On a state level, the number of registered nurse hours per resident per day is higher than average. Certified nursing assistant hours per resident per day is average. The number of licensed practical or vocational nurse hours per resident per day is much lower than average. Licensed staff hours per resident per day is average.

When compared to other nursing homes in the state, it is more likely for long-stay residents to be physically restrained and long-stay residents to have a urinary tract infection at Tobacco Root Mountains Care Center.

When compared to other nursing homes in the state, it is less likely for long-stay residents to have moderate to severe pain, long-stay residents to be more depressed or anxious, long-stay residents to spend most of their time in bed, and long-stay residents to lose too much weight.

Overall Rating

Not Yet Rated
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Ownership Type

Government - County

Multiple Ownership

No

Address

326 Madison
Sheridan, MT 59749

Phone Number

(406) 842-5600

Geographic Coordinates

45.453181, -112.191684
* The accuracy of these coordinates is at a address level.

Programs Accepted

Medicare & Medicaid

Counseling Available

Resident

Sprinkler System

The amount of the facility that is sprinklered. All fire code regulations at different locations must be met.

Partially Sprinklered
No different than National Rate No different than National Rate No different than National Rate No different than National Rate No different than National Rate No different than National Rate No different than National Rate No different than National Rate No different than National Rate No different than National Rate

Beds

The total number of beds the facility operates. Each resident is assigned to a single bed.

This Provider This Provider
39
Madison County Average
40
Montana Average
78
United States Average
106

Beds Occupied

The percentage of total beds that are occupied by residents.

This Provider This Provider
85.00%
Madison County
81.50%
Montana
74.13%
United States
84.18%

Residents

The total number of residents residing at the facility.

This Provider This Provider
33
Madison County Average
32
Montana Average
57
United States Average
90

Located in a Hospital

Status

Indicates whether the facility is located within a hospital.

This Provider This Provider
No
Madison County
0 (0.00%)
Montana
32 (34.78%)
United States
1,271 (8.03%)

Located in a CCRC

Status

Indicates whether the facility is located within a continuing care retirement community.

This Provider This Provider
No
Madison County
0 (0.00%)
Montana
2 (2.17%)
United States
1,255 (7.93%)

Recent Surveys

  • 09/26/2006 - Health Survey
  • 09/26/2006 - Fire Safety Survey
  • 07/12/2005 - Fire Safety Survey
  • 06/08/2005 - Health Survey
  • 04/15/2004 - Fire Safety Survey
  • 04/12/2004 - Health Survey

Staff

Charts

RN Hours Per Resident

The average number of registered nurse hours per resident per day.

This Provider
1.08
Madison County Average
1.03
Montana Average
0.90
United States Average
0.64

CNA Hours Per Resident

The average number of certified nursing assistant hours per resident per day.

This Provider This Provider
2.78
Madison County Average
2.87
Montana Average
2.51
United States Average
2.34

LPNLVN Hours Per Resident

The average number of licensed practical or vocational nurse hours per resident per day.

This Provider This Provider
0.23
Madison County Average
0.22
Montana Average
0.56
United States Average
0.79

Licensed Staff Hours Per Resident

The average number of licensed staff hours per resident per day.

This Provider This Provider
1.31
Madison County Average
1.26
Montana Average
1.46
United States Average
1.43

Quality Measures

Charts

Long-Stay Residents Given Influenza Vaccination

The percentage of long-stay residents given influenza vaccination during the flu season.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Whose Need for Help With Daily Activities Has Increased

The percentage of long-stay residents whose need for help with daily activities has increased.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

High-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of high-risk long-stay residents who have pressure sores.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who Were Physically Restrained

The percentage of long-stay residents who were physically restrained.

This Provider This Provider
3.00%
Madison County
3.00%
Montana
1.95%
United States
5.63%

Low-Risk Long-Stay Residents Who Lose Control of Their Bowels

The percentage of low-risk long-stay residents who lose control of their bowels or bladder.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who Spend Most of Their Time in Bed

The percentage of long-stay residents who spend most of their time in bed or in a chair.

This Provider This Provider
0.00%
Madison County
0.00%
Montana
2.66%
United States
4.39%

Long-Stay Residents With a Urinary Tract Infection

The percentage of long-stay residents with a urinary tract infection.

This Provider This Provider
16.00%
Madison County
16.00%
Montana
7.21%
United States
8.83%

Short-Stay Residents Given Influenza Vaccination

The percentage of short-stay residents given influenza vaccination during the flu season.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Short-Stay Residents With Delirium

The percentage of short-stay residents with delirium.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Short-Stay Residents With Pressure Sores

The percentage of short-stay residents with pressure sores.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Given Pneumococcal Vaccination

The percentage of long-stay residents who were assessed and given pneumococcal vaccination.

This Provider This Provider
95.00%
Madison County
95.00%
Montana
86.08%
United States
79.81%

Long-Stay Residents Who Have Moderate to Severe Pain

The percentage of long-stay residents who have moderate to severe pain.

This Provider This Provider
4.00%
Madison County
4.00%
Montana
5.62%
United States
4.53%

Low-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of low-risk long-stay residents who have pressure sores.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who are More Depressed or Anxious

The percentage of long-stay residents who are more depressed or anxious.

This Provider This Provider
10.00%
Madison County
10.00%
Montana
16.26%
United States
14.45%

Long-Stay Residents Who Have Catheter Inserted and Left

The percentage of long-stay residents who have/had a catheter inserted and left in their bladder.

This Provider This Provider
8.00%
Madison County
8.00%
Montana
7.33%
United States
5.89%

Long-Stay Residents Whose Ability to Move Around Their Room Got Worse

The percentage of long-stay residents whose ability to move about in and around their room got worse.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Long-Stay Residents Who Lose Too Much Weight

The percentage of long-stay residents who lose too much weight.

This Provider This Provider
3.00%
Madison County
3.00%
Montana
8.28%
United States
9.09%

Short-Stay Residents Given Pneumococcal Vaccination

The percentage of short-stay residents who were assessed and given pneumococcal vaccination.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Short-Stay Residents Who Had Moderate to Severe Pain

The percentage of short-stay residents who had moderate to severe pain.

Note:

Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.

Treatment Figures

Charts

Non-Swing Bed Patients

The number of non-swing bed patients treated by this provider that were covered by Medicare Part A in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
29
Madison County Average
25
Montana Average
84
United States Average
133

Non-Swing Bed Patient Discharges

The number of non-swing bed patient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
37
Madison County Average
29
Montana Average
85
United States Average
124

Non-Swing Bed Utilization Days

The number of days of non-swing bed care that are chargeable to Medicare Part A facility utilization by this provider in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
686
Madison County Average
621
Montana Average
2,316
United States Average
4,470

Financials

Charts

Medicare Non-Swing Bed Payments

The total non-swing bed associated Medicare Part A payments made to this provider in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$153,673
Madison County Average
$128,377
Montana Average
$571,863
United States Average
$1,318,701

Medicare Payments Per Non-Swing Bed Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$224
Madison County Average
$207
Montana Average
$247
United States Average
$295

Medicare Payments Per Non-Swing Bed Patient

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$5,299
Madison County Average
$5,240
Montana Average
$6,846
United States Average
$9,943

Medicare Payments Per Non-Swing Bed Patient Discharge

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$4,153
Madison County Average
$4,427
Montana Average
$6,733
United States Average
$10,652

Deficiencies

06/08/2005 - Resident Assessment

06/08/2005 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
06/08/2005
Date Fixed:
07/22/2005

06/08/2005 - Administration

06/08/2005 - Administration
Type:
Health
Category:
Administration
Issue:
Have a detailed, written plan for disasters and emergencies.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
06/08/2005
Date Fixed:
07/22/2005

06/08/2005 - Administration

06/08/2005 - Administration
Type:
Health
Category:
Administration
Issue:
Keep accurate and appropriate medical records.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Potential for minimal harm
Date Found:
06/08/2005
Date Fixed:
07/22/2005

06/08/2005 - Administration

06/08/2005 - Administration
Type:
Health
Category:
Administration
Issue:
Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
06/08/2005
Date Fixed:
07/22/2005

06/08/2005 - Administration

06/08/2005 - Administration
Type:
Health
Category:
Administration
Issue:
Hire nurse aides who have completed required training and shown that they are skilled.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Potential for minimal harm
Date Found:
06/08/2005
Date Fixed:
07/22/2005

06/08/2005 - Environmental

06/08/2005 - Environmental
Type:
Health
Category:
Environmental
Issue:
Make sure that the nursing home area is safe, easy to use, clean and comfortable.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
06/08/2005
Date Fixed:
07/27/2005

06/08/2005 - Nutrition and Dietary

06/08/2005 - Nutrition and Dietary
Type:
Health
Category:
Nutrition and Dietary
Issue:
Store, cook, and give out food in a safe and clean way.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
06/08/2005
Date Fixed:
07/22/2005

06/08/2005 - Environmental

06/08/2005 - Environmental
Type:
Health
Category:
Environmental
Issue:
Make sure that the nursing home area is free of dangers that cause accidents.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
06/08/2005
Date Fixed:
07/22/2005

06/08/2005 - Quality Care

06/08/2005 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give professional services that meet a professional standard of quality.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
06/08/2005
Date Fixed:
07/22/2005

09/09/2004 - Resident Rights

09/09/2004 - Resident Rights
Type:
Health
Category:
Resident Rights
Issue:
Let the resident or the resident's representative look at all records.
Found Via:
Complaint
Scope:
Pattern
Level of Harm:
Potential for minimal harm
Date Found:
09/09/2004

04/12/2004 - Administration

04/12/2004 - Administration
Type:
Health
Category:
Administration
Issue:
Be administered in a way that leads to the highest possible level of well being for each resident.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Administration

04/12/2004 - Administration
Type:
Health
Category:
Administration
Issue:
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Administration

04/12/2004 - Administration
Type:
Health
Category:
Administration
Issue:
Keep accurate and appropriate medical records.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Nutrition and Dietary

04/12/2004 - Nutrition and Dietary
Type:
Health
Category:
Nutrition and Dietary
Issue:
Store, cook, and give out food in a safe and clean way.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Quality Care

04/12/2004 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give each resident a special diet to help when there is a nutritional problem.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Environmental

04/12/2004 - Environmental
Type:
Health
Category:
Environmental
Issue:
Make sure that the nursing home area is free of dangers that cause accidents.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Immediate jeopardy to resident health or safety
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Resident Assessment

04/12/2004 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Resident Assessment

04/12/2004 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Resident Assessment

04/12/2004 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Make a complete assessment that covers all questions for areas that are listed in official regulations.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Resident Rights

04/12/2004 - Resident Rights
Type:
Health
Category:
Resident Rights
Issue:
Provide care in a way that keeps or builds each resident's dignity and self respect.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Mistreatment

04/12/2004 - Mistreatment
Type:
Health
Category:
Mistreatment
Issue:
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

04/12/2004 - Mistreatment

04/12/2004 - Mistreatment
Type:
Health
Category:
Mistreatment
Issue:
Keep each resident free from physical restraints, unless needed for medical treatment.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
04/12/2004
Date Fixed:
06/10/2004

Reviews and Ratings

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Discussions

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Supplemental

Last Modified

Monday, July 21, 2008 2:46 PM MST

Indicates the latest change to the core data for this provider. It does not reflect changes from user input, such as reviews and discussions.

Disclosure

CiteHealth is not associated with Tobacco Root Mountains Care Center. We do not endorse, sponsor, or take financial incentives from this provider.

Updates & Additional Information

We appreciate any verifiable updates or additional information you may have on this provider.

Newest Reviews

Sheridan at a Glance

Sheridan has a total population of 659, of which 135 are children under the age of 18 and 190 are seniors 65 and older. The median age is 48.3.

Total Population:
659
Median Age:
48.3
Males:
304 (46.1%)
Female:
355 (53.9%)
Children (0-17):
135 (20.5%)
Adults (18-64):
334 (50.7%)
Seniors (65+):
190 (28.8%)
Age Breakdown:
Breakdown of age groups in Sheridan
Married:
358 (54.3%)
Divorced:
58 (8.8%)
Marriage Breakdown:
Breakdown of marriage in Sheridan
Hispanic Ethnicity:
11 (1.67%)
White:
627 (95.14%)
African American:
1 (0.15%)
Asian:
0 (0.00%)
Pacific Islander:
0 (0.00%)
Indian:
7 (1.06%)
Other:
11 (1.67%)
Two or More:
13 (1.97%)
Racial Breakdown:
Breakdown of race in Sheridan

Health

The average number of disabilities per resident is 0.22, which does not include institutionalized individuals.

Disabilities:
0.22 (Per Capita)
Dialysis Centers:
0
Doctors:
9
Home Agencies:
0
Hospitals:
0
Nursing Homes:
1
Medical Suppliers:
1
Rehab Centers:
0

Wealth

The median family income is $26,563 while the median household income is $21,118. Roughly 24.13% of the population live in poverty.

Family Income:
$26,563
Household Income:
$21,118
In Poverty:
24.13%

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