nursing home in Mitchell, SD
Firesteel Healthcare Center
1120 East 7th Avenue, Mitchell, SD 57301 · (605) 996-6526
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Firesteel Healthcare Center at a glance
Firesteel Healthcare Center is a 125-bed for-profit nursing home in Mitchell, South Dakota (Davison County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (July 30, 2026) found 16 health citations. The South Dakota average is 6.7.
Federal regulators fined it 6 times in the past three years, totaling $153,308.
Nursing staff turnover is 55% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 125
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Evergreen Healthcare Group
- Medicare-certified since
- November 1, 1997
- Resident/family council
- Resident
- County
- Davison County
- CMS Certification Number
- 435109
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.47 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.51 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.40 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.94 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 55% | 48.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 46.2% | 34.7% | 42.9% | Worse |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 158.8 | 72.2 | 80.6 | Worse |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 6 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $153,308 | $40,815 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 6 | 2 | 1 | Worse |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 125 | 61 | 107 | |
| Average residents per day | 107 | 52 | 86 | |
| Occupancy | 85.7% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.3% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 24.2% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.3% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 22.6% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.8% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.2% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.5% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.2% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.1% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 82.1% | 94.9% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.5% | 2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 75.3% | 78.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 38.6% | 83.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 39 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 9 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 30, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 20, 2026 |
| July 30, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 20, 2026 |
| July 30, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 20, 2026 |
| July 30, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected August 20, 2026 |
| July 30, 2026 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected August 20, 2026 |
| July 30, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected August 20, 2026 |
| July 30, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected August 20, 2026 |
| July 30, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected August 20, 2026 |
| May 28, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected June 1, 2026 |
| May 28, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected May 28, 2026 |
| May 28, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 28, 2026 |
| December 18, 2025 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | G Actual harm, isolated | Corrected December 22, 2025 |
| December 18, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected January 9, 2026 |
| December 18, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 22, 2025 |
| April 25, 2025 Fire safety | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Tag K0226 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 25, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 25, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected May 20, 2025 |
| April 25, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | H Actual harm, pattern | Corrected May 20, 2025 |
| April 25, 2025 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | G Actual harm, isolated | Corrected May 20, 2025 |
| April 25, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 20, 2025 |
| April 25, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 25, 2025 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 25, 2025 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 25, 2025 Complaint | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 25, 2025 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 20, 2025 |
| April 25, 2025 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected May 20, 2025 |
| January 22, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 21, 2025 |
| January 22, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 14, 2025 |
| January 2, 2025 Complaint | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected January 30, 2025 |
| January 2, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 30, 2025 |
| January 2, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 30, 2025 |
| January 2, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected December 18, 2024 |
| November 26, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected December 27, 2024 |
| October 17, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 4, 2024 |
| September 17, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | G Actual harm, isolated | Corrected October 12, 2024 |
| May 30, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected January 25, 2024 |
| April 23, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 30, 2024 |
| January 4, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected February 10, 2024 |
| January 4, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected February 10, 2024 |
| January 4, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 10, 2024 |
| January 4, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected February 10, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 6 federal penalties in the past three years, including $153,308 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 18, 2025 | Fine | $42,510 |
| April 25, 2025 | Fine | $46,137 |
| November 26, 2024 | Fine | $34,320 |
| October 17, 2024 | Fine | $6,788 |
| September 17, 2024 | Fine | $15,041 |
| May 30, 2024 | Fine | $8,512 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC Organization | 5% or greater direct ownership interest | 100% | 08/31/2023 |
| BOSSMAN, ANN Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 03/07/2025 |
| COUVE HEALTHCARE CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 03/12/2025 |
| FIRESTEEL SNF OPERATIONS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/31/2025 |
| FIRESTEEL SNF REALTY LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| HERZKA, YISROEL Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| LOWE, LEONOR Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| MIRKOVIC, PETAR Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 03/07/2025 |
| PETERSON, SCOTT Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 03/12/2025 |
| SPIELMAN, SHIMON Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| WITZCORP GLOBAL LLC Organization | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| SPIELMAN, SHIMON Individual | corporate officer | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | corporate officer | NOT APPLICABLE | 08/31/2023 |
| LOWE, LEONOR Individual | managing control - governing body | NOT APPLICABLE | 08/31/2023 |
| BOSSMAN, ANN Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| FIRESTEEL SNF OPERATIONS, LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| LOWE, LEONOR Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| MIRKOVIC, PETAR Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PETERSON, SCOTT Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| SPIELMAN, SHIMON Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
Other nursing homes near Firesteel Healthcare Center
Avera Brady Health and Rehab
500 S Ohlman, Mitchell, SD 57301 · 2 mi
Non-profit · 84 beds · Part of Avera Health
- CMS high performer
★★★★★5Much above average- ★★★★★3Average
Prairie View Healthcare Center
401 South First Avenue, Woonsocket, SD 57385 · 26.8 mi
For-profit · 42 beds · Part of Evergreen Healthcare Group
★★★★★3AverageDiamond Care Center
901 N Main Ave, Bridgewater, SD 57319 · 27.6 mi
For-profit · 36 beds · Part of Lifespark
★★★★★1Much below averageGood Samaritan Society Howard
300 West Hazel Avenue, Howard, SD 57349 · 31.6 mi
Non-profit · 45 beds · Part of Good Samaritan Society
- CMS high performer
★★★★★5Much above averageAurora Brule Nursing Home INC
408 South Johnston Street, White Lake, SD 57383 · 35.1 mi
For-profit · 44 beds
★★★★★3Average
Frequently asked questions
What is Firesteel Healthcare Center's rating?
Firesteel Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Firesteel Healthcare Center receive?
Its most recent standard health inspection found 16 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Firesteel Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Firesteel Healthcare Center?
It is for profit - limited liability company and part of Evergreen Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Firesteel Healthcare Center and how do I contact it?
Firesteel Healthcare Center is at 1120 East 7th Avenue, Mitchell, SD 57301. Phone: (605) 996-6526.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.