facebook tracking Firesteel Healthcare Center, Mitchell SD: CMS Ratings
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Firesteel Healthcare Center

All states › South Dakota › Mitchell › Firesteel Healthcare Center

1120 East 7th Avenue Mitchell, SD 57301 · Davison County

(605) 996-6526

All 2 nursing homes in Mitchell, SD (2 take Medicaid)

SFF candidate Accepts Medicare Accepts Medicaid 125 certified beds For profit

CMS certification number 435109 · See this home on Medicare Care Compare

Special Focus Facility candidate CMS lists this nursing home as a candidate for its Special Focus Facility program, which means it qualifies to be selected for the program based on its inspection record. Shown as of October 2026. About the program (CMS).

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Firesteel Healthcare Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Firesteel Healthcare Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the South Dakota average of 3.0. Inspectors issued 39 citations in the last three years. CMS imposed 6 penalties, including $153,308 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 2 out of 5. CMS lists it as a Special Focus Facility candidate.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.54 hours per resident per day at Firesteel Healthcare Center, below the South Dakota median of 3.69 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 3.00 hours, 15% below its all-week average. Ask how weekends are staffed. 63.3% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.54 hours
Below the South Dakota median of 3.69 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.58 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.00 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 63.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds125
Residents per day 104 About 83% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1997
Part of a chainEvergreen Healthcare Group
Legal business nameFIRESTEEL SNF OPERATIONS, LLC

Paying for care at Firesteel Healthcare Center: Medicare and Medicaid

Firesteel Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 30, 2026 and found 9 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 39 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 39 citations at Firesteel Healthcare Center across 12 inspection dates, 22 of them from complaint investigations. 9 were at the actual-harm level (G–I), most recently on July 30, 2026. The most common areas cited were quality of life and care (12) and resident rights (7). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level H, April 25, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

July 30, 2026 · 10 citations · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Aug 20, 2026)

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Aug 20, 2026)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Aug 20, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 20, 2026)

EDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Aug 20, 2026)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Aug 20, 2026)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Aug 20, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Aug 20, 2026)

DPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Aug 20, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 20, 2026)

May 28, 2026 · 3 citations · includes complaint inspection

ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (May 28, 2026)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 1, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (May 28, 2026)

December 18, 2025 · 3 citations, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 9, 2026)

GEnsure each resident must receive and the facility must provide necessary behavioral health care and services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0740 · Complaint inspection · Deficient, Provider has date of correction (Dec 22, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Dec 22, 2025)

April 25, 2025 · 9 citations, includes actual harm · includes complaint inspection

HProvide and implement an infection prevention and control program.

Actual harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (May 20, 2025)

GMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Actual harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (May 20, 2025)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 20, 2025)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (May 20, 2025)

ENotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Complaint inspection · Deficient, Provider has date of correction (May 20, 2025)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 20, 2025)

EInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Potential for more than minimal harm · Administration Deficiencies · Tag F0847 · Deficient, Provider has date of correction (May 20, 2025)

ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (May 20, 2025)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (May 20, 2025)

January 22, 2025 · 2 citations · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Past Non-Compliance (Jan 21, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Feb 14, 2025)

January 2, 2025 · 4 citations · includes complaint inspection

EEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Complaint inspection · Deficient, Provider has date of correction (Jan 30, 2025)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Complaint inspection · Past Non-Compliance (Dec 18, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Jan 30, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 30, 2025)

November 26, 2024 · 1 citation, includes actual harm · includes complaint inspection

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Dec 27, 2024)

October 17, 2024 · 1 citation, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Oct 4, 2024)

September 17, 2024 · 1 citation, includes actual harm · includes complaint inspection

GProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Actual harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Oct 12, 2024)

May 30, 2024 · 1 citation, includes actual harm · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Past Non-Compliance (Jan 25, 2024)

April 23, 2024 · 1 citation · includes complaint inspection

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 30, 2024)

January 4, 2024 · 3 citations

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 10, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 10, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Feb 10, 2024)

Questions to ask on a tour of Firesteel Healthcare Center

  1. Inspectors cited the home at the actual-harm level on April 25, 2025 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 28, 2026. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  4. Nursing staff turnover was 63.3% a year. How many of the staff come from agencies?
  5. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

6 penalties in the last three years, including $153,308 in fines.

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

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 3/5 1/5
August 2026 1/5 1/5 2/5 2/5
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Location

Hospitals near Firesteel Healthcare Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.1 mi
    Avera Queen of Peace Mitchell
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 1h 44m for patients treated and sent home
  • 21.8 mi
    Avera St Benedict Health Center - CAH Parkston
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 1h 49m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Avera Brady Health and Rehab Mitchell · 2.0 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 84 beds · Medicaid
Avera Bormann Manor Parkston · 21.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 5/5 50 beds · Medicaid
Prairie View Healthcare Center Woonsocket · 26.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 42 beds · Medicaid
Diamond Care Center Bridgewater · 27.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 36 beds · Medicaid
Good Samaritan Society Howard Howard · 31.6 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 45 beds · Medicaid

More nursing homes near Firesteel Healthcare Center ›   All nursing homes in Mitchell ›

Compare Firesteel Healthcare Center with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Evergreen Healthcare Group nursing homes in South Dakota

Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Evergreen Healthcare Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/south-dakota/mitchell/firesteel-healthcare-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.