Nursing HomeInspections

Firesteel Healthcare Center

Nursing home in Mitchell, SD

Medicare & Medicaid certified1★ overall (CMS)

Call (605) 996-6526Send a messageMap ↗

Public-record details

Address
1120 East 7th Avenue, Mitchell, SD 57301
Phone
(605) 996-6526
Listed under
For-profit
Medicare CCN
435109
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
125
Average residents per day
107
Ownership
For-profit, limited Liability company
Legal business name
Firesteel SNF Operations, LLC
Chain
Evergreen Healthcare Group (44 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435109. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 25, 2025. CMS lists 33 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 31, 2023 to May 28, 2026): 21 from complaint inspections, 8 at the “actual harm” level or higher.

InspectionCitationSeverity
May 28, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
May 28, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
May 28, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 18, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Dec 18, 2025Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Apr 25, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 25, 2025Honor 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 · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 25, 2025Notify 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 · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 25, 2025Develop 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		E
Potential for more than minimal harm, pattern
Apr 25, 2025Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration		E
Potential for more than minimal harm, pattern
Apr 25, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 33. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 6 fines totalling $153,308 in the last three years.

Dec 18, 2025Fine: $42,510
Apr 25, 2025Fine: $46,137
Nov 26, 2024Fine: $34,320
Oct 17, 2024Fine: $6,788
Sep 17, 2024Fine: $15,041
May 30, 2024Fine: $8,512

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.47 hours
Registered nurse (RN) time per resident per day
0.51 hours
Nurse aide time per resident per day
2.40 hours
Total nurse staffing on weekends
2.94 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
46%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Mitchell

Avera Brady Health and Rehab500 S Ohlman · Mitchell, SD 57301 · (605) 996-7701 · Nonprofit8 health citations in 3 inspection cycles · last standard inspection Apr 27, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Mitchell →