Tobacco Root Mountains Care Center - Sheridan Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
275147
Provider Name
TOBACCO ROOT MOUNTAINS CARE CENTER
Provider Address
326 MADISON ST
SHERIDAN, MT 59749
SHERIDAN, MT 59749
Provider Phone Number
(406) 842-5600
Provider SSA County
280
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
39
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF MADISON BOOKKEEPING DEPARTMENT
Date First Approved to Provide Medicare and Medicaid services
1996-06-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31379
Reported LPN Staffing Hours per Resident per Day
0.17931
Reported RN Staffing Hours per Resident per Day
1.08103
Reported Licensed Staffing Hours per Resident per Day
1.26034
Reported Total Nurse Staffing Hours per Resident per Day
3.57413
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.53704
Expected LPN Staffing Hours per Resident per Day
0.69017
Expected RN Staffing Hours per Resident per Day
0.95588
Expected Total Nurse Staffing Hours per Resident per Day
4.18309
Adjusted CNA Staffing Hours per Resident per Day
2.23778
Adjusted LPN Staffing Hours per Resident per Day
0.21564
Adjusted RN Staffing Hours per Resident per Day
0.84503
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44409
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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