South Dakota › Davison County › Mitchell
Firesteel Healthcare Center
1120 East 7th Avenue, Mitchell, SD 57301
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Firesteel Healthcare Center, in Mitchell, South Dakota, is certified for 125 beds under for-profit, limited liability company ownership and belongs to the Evergreen Healthcare Group chain.
CMS gives it 1 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (15, 12, 6 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 26.4 per 100 beds, about the same as the state median of 23.9.
CMS lists 6 penalties in the period covered: fines totalling $153K.
Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the South Dakota median of 3.6; nursing staff turnover is 55.0%.
Compared with county, state and nation
| Measure | This facility | Davison Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 33 | 33 | 16 | 28.7 |
| Citations per 100 beds | 26.4 | 26.4 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 1.4 | 0.8 | 0.7 |
| Nursing staff turnover | 55.0% | 55.0% | 46.6% | 45.8% |
| Fines listed | $153,308 | $153,308 | $20,183 | — |
County and state figures are medians across facilities (2 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Apr 2025, 4 Jan 2024.
Severity mix: G ×7 H ×1 D ×14 E ×9 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 28 May 2026 |
| 28 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 1 Jun 2026 |
| 28 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 28 May 2026 |
| 18 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 9 Jan 2026 |
| 18 Dec 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint investigation | 22 Dec 2025 |
| 18 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Dec 2025 |
| 25 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | H | Complaint investigation | 20 May 2025 |
| 25 Apr 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G | Standard survey | 20 May 2025 |
| 25 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 May 2025 |
| 25 Apr 2025 | F0584 | 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. | E | Complaint investigation | 20 May 2025 |
| 25 Apr 2025 | F0625 | 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. | E | Complaint investigation | 20 May 2025 |
| 25 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 20 May 2025 |
| 25 Apr 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 20 May 2025 |
| 25 Apr 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 20 May 2025 |
| 25 Apr 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 May 2025 |
| 22 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Jan 2025 |
| 22 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Feb 2025 |
| 2 Jan 2025 | F0803 | 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. | E | Complaint investigation | 30 Jan 2025 |
| 2 Jan 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 18 Dec 2024 |
| 2 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Jan 2025 |
| 2 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Jan 2025 |
| 26 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 27 Dec 2024 |
| 17 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 4 Oct 2024 |
| 17 Sep 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | Complaint investigation | 12 Oct 2024 |
| 30 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 25 Jan 2024 |
| 23 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 May 2024 |
| 4 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 10 Feb 2024 |
| 4 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Feb 2024 |
| 4 Jan 2024 | F0584 | 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. | D | Standard survey | 10 Feb 2024 |
| 31 Jan 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Mar 2023 |
| 31 Jan 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 9 Mar 2023 |
| 31 Jan 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 9 Mar 2023 |
| 31 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Dec 2025 | Fine | $42,510 | |
| 25 Apr 2025 | Fine | $46,137 | |
| 26 Nov 2024 | Fine | $34,320 | |
| 17 Oct 2024 | Fine | $6,788 | |
| 17 Sep 2024 | Fine | $15,041 | |
| 30 May 2024 | Fine | $8,512 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 55.0%, RNs 46.2%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.6% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.8% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.2% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Firesteel Snf Operations, Llc. Chain: Evergreen Healthcare Group (44 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLC | 5% or greater direct ownership interest | 100% | 08/31/2023 |
| Couve Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Couve Healthcare Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Firesteel SNF Operations, LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest Opco Management LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| South Dakota SNF Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Ch Pacific Northwest Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Adp of the snf | NOT APPLICABLE | 03/07/2025 |
| Couve Healthcare Consulting LLC | Adp of the snf | NOT APPLICABLE | 03/12/2025 |
| Firesteel SNF Operations, LLC | Adp of the snf | NOT APPLICABLE | 07/31/2025 |
| Firesteel SNF Realty LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Pacific Northwest Opco Management LLC | Adp of the snf | NOT APPLICABLE | 03/07/2025 |
| South Dakota SNF Consulting LLC | Adp of the snf | NOT APPLICABLE | 03/12/2025 |
| Witzcorp Global LLC | Adp of the snf | NOT APPLICABLE | 08/31/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Davison County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avera Brady Health and Rehab | Mitchell | 84 | 5 | 5 | 5 | 8 | 9.5 | — | 27 Apr 2026 |
All 2 facilities in Davison County
Questions and answers
How many deficiencies has Firesteel Healthcare Center been cited for?
33 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Firesteel Healthcare Center been fined?
Yes. CMS lists fines totalling $153K in the period covered.
How does staffing at Firesteel Healthcare Center compare?
Reported total nurse staffing is 3.5 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Firesteel Healthcare Center?
It is part of the Evergreen Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pacific Northwest SNF Operations Holdings (Sd) LLC, Couve Financial Services LLC and Couve Healthcare Consulting LLC. Individual owners and managers are not listed on this site.
When was Firesteel Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 25 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.