Sheridan · 59749
Tobacco Root Mountains Care Center
326 Madison St
Sheridan, MT 59749
Madison Valley Manor
⌖ Ennis, MT · Madison County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds32
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Madison Valley Manor
Madison Valley Manor is a 32-bed government-run nursing home in Ennis, MT. Medicare rates it 5 out of 5 stars overall (much above average); the average in Montana is 2.9. At its last full inspection (May 2026), inspectors found 0 problems, fewer than the Montana average of 11.2. Nurses and aides spend about 6 hr 35 min a day with each resident, more than the Montana average of 4 hr 03 min. About 61% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameMadison Valley Manor
LocationMadison County, Montana
Phone(406) 682-7271
Address211 N Main St, Ennis, MT 59729 · Madison County
CMS provider number275136
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 1, 1991 (35 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and nothing that stands out as a concern in Medicare's inspection, fine and staffing records for this home.
Strengths
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection0 (May 2026)Montana average: 11.2. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident6 hr 35 min a dayMontana average: 4 hr 03 minStrength
- Registered nurse time per resident3 hr 02 min a dayMontana average: 59 minStrength
About average
- Nursing staff turnover61% a yearMontana average: 55%About average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Montana average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.6%State average: 4.4%Better than average
- Pressure sores (bedsores)1.5%State average: 6.3%Better than average
- Given antipsychotic drugs4.8%State average: 20.4%Better than average
Source: Medicare (CMS) quality measures, compared with the Montana average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Montana, Medicaid pays for 56% of resident days at a typical home.
- 52% Medicaid
- 1% Medicare
- 46% Private pay, insurance and other
Beds in use, on average64%Montana typical: 71%
Cost of care per resident day$605Montana typical: $374
Shares of resident days, from the home’s Medicare cost report for the year ending June 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 17 times.
Overall rating5★
Health inspections5★
Staffing5★
Quality of care4★
Nurse hours per resident per day6.6
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 5 | 5 | 5 | 5.0 |
| Jan 2020 | 5 | 5 | 4 | 4 | 4.6 |
| Jan 2021 | 5 | 5 | 5 | 5 | 4.8 |
| Jan 2022 | 1 | 2 | 1 | 3 | – |
| Jan 2023 | 1 | 2 | 1 | 4 | 3.2 |
| Jan 2024 | 4 | 5 | 5 | 1 | 4.7 |
| Feb 2025 | 4 | 4 | 4 | 2 | 4.4 |
| Feb 2026 | 4 | 4 | 4 | 2 | 5.2 |
| Sep 2026 | 5 | 5 | 5 | 4 | 6.6 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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