All states › South Dakota › Mitchell › Firesteel Healthcare Center
1120 East 7th Avenue Mitchell, SD 57301 · Davison County
All 2 nursing homes in Mitchell, SD (2 take Medicaid)
CMS certification number 435109 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide safe and appropriate respiratory care for a resident when needed.
DPost nurse staffing information every day.
DProvide and implement an infection prevention and control program.
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.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
GEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure services provided by the nursing facility meet professional standards of quality.
April 25, 2025 · 9 citations, includes actual harm · includes complaint inspection
HProvide and implement an infection prevention and control program.
GMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DAllow residents to self-administer drugs if determined clinically appropriate.
January 22, 2025 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
DKeep residents' personal and medical records private and confidential.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 26, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
May 30, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
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.
January 4, 2024 · 3 citations
FProvide and implement an infection prevention and control program.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Questions to ask on a tour of Firesteel Healthcare Center
- 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?
- CMS cited the home under its abuse and neglect rules on May 28, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 63.3% a year. How many of the staff come from agencies?
- 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?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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.
| Date | Type | Amount 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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0.1 mi
Avera Queen of Peace MitchellEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 44m for patients treated and sent home
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21.8 mi
Avera St Benedict Health Center - CAH ParkstonEmergency room ★★★★★ Medicare overall 5 of 5Median 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
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
- Avera Brady Health and Rehab · Mitchell · 5 stars · 2.0 mi
Other Evergreen Healthcare Group nursing homes in South Dakota
- Fountain Springs Healthcare · Rapid City · 3 stars
- Wheatcrest Hills Healthcare Center · Britton · 3 stars
- Prairie View Healthcare Center · Woonsocket · 2 stars
- Palisade Healthcare Center · Garretson · 1 stars
- Riverview Healthcare Center · Flandreau · 1 stars
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.