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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeSouth DakotaFiresteel Healthcare Center

Firesteel Healthcare Center

1120 East 7th Avenue, Mitchell, SD 573016059966526
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
150
certified
5 fine(s) totaling $135,641

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 150 certified beds with an average of 113.4 residents per day (76% occupancy)

• Last health inspection found 12 deficiencies (inspected Apr 25, 2025)

• Has been fined a total of $135,641 across 5 fine(s)

• Total nursing staff: 3.45 hours per resident per day

• Staff turnover rate: 50.0%

• Part of the Empres Operated by Evergreen chain (42 facilities)

Firesteel Healthcare Center is a 1-star Medicare and Medicaid certified nursing home in Mitchell, South Dakota with 150 certified beds. It has been operating since 1997. The facility scored below average compared to South Dakota facilities.

Beds
150
Avg Residents/Day
113.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 1, 1997
Sprinklers
Yes
Council
Resident
County
Davison
Last Inspection
Apr 25, 2025
Deficiencies (Cycle 1)
12
Weighted Score
154.3
Infection Citations
0

Deficiency Citations (30)

F0658Potential for Harm

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

Survey: Dec 18, 2025Corrected: NoCycle: 1
F0689Actual Harm

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

Survey: Dec 18, 2025Corrected: NoCycle: 1
F0740Actual Harm

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

Survey: Dec 18, 2025Corrected: NoCycle: 1
F0554Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0847Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0925Actual Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0867Potential for Harm

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

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0880Actual Harm

Provide and implement an infection prevention and control program.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Jan 22, 2025Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Jan 22, 2025Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jan 2, 2025Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Jan 2, 2025Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Jan 2, 2025Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: Jan 2, 2025Corrected: NoCycle: 2
F0684Actual Harm

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

Survey: Nov 26, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0725Actual Harm

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

Survey: Sep 17, 2024Corrected: NoCycle: 2
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: May 30, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jan 4, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jan 4, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 4, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Jan 31, 2023Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Jan 31, 2023Corrected: NoCycle: 3
F0801Potential for Harm

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.

Survey: Jan 31, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 31, 2023Corrected: NoCycle: 3
Total Fines
$135,641
Number of Fines
5
Payment Denials
0
Total Penalties
5

Penalty History

FineOct 17, 2024
$6,788
FineMay 30, 2024
$8,512
FineSep 17, 2024
$15,041
FineNov 26, 2024
$34,320
FineApr 25, 2025
$70,980

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.49 hrs
National avg: 2.35 hrs
LPN0.57 hrs
National avg: 0.86 hrs
RN0.40 hrs
National avg: 0.68 hrs
Total Nursing3.45 hrs
National avg: 3.89 hrs
Weekend Total2.96 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
50.0%
RN Turnover
46.2%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (20)

NameRoleTypeOwnership %Since
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 31, 2023
CH PACIFIC NORTHWEST HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AAug 31, 2023
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AAug 31, 2023
WITZCORP GLOBAL LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AAug 31, 2023
HERZKA, YISROEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AAug 31, 2023
YENOWITZ, YITZCHOK5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AAug 31, 2023
COUVE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
FIRESTEEL SNF OPERATIONS, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
SOUTH DAKOTA SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
BOSSMAN, ANNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
LOWE, LEONOROPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
MIRKOVIC, PETAROPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
PERLMAN, HAROLDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
PETERSON, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
SPIELMAN, SHIMONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
YENOWITZ, YITZCHOKOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
SPIELMAN, SHIMONCORPORATE OFFICERIndividualN/AAug 31, 2023
YENOWITZ, YITZCHOKCORPORATE OFFICERIndividualN/AAug 31, 2023

Nearby Nursing Homes

All South Dakota facilities

Avera Brady Health and Rehab

Mitchell, SD · 84 beds

Non profit
Health
Staffing
Quality
2.0 mi

Frequently Asked Questions

What is the CMS rating for Firesteel Healthcare Center?▾
Firesteel Healthcare Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Firesteel Healthcare Center had any health inspection violations?▾
Firesteel Healthcare Center had 12 deficiency citations in its most recent health inspection (Apr 25, 2025). The facility has been fined a total of $135,641 across 5 fine(s).
What are the staffing levels at Firesteel Healthcare Center?▾
Firesteel Healthcare Center provides 3.45 total nursing staff hours per resident per day, including 0.40 RN hours, 0.57 LPN hours, and 2.49 nurse aide hours. The total staff turnover rate is 50.0%.
How many beds does Firesteel Healthcare Center have?▾
Firesteel Healthcare Center has 150 certified beds with an average of 113.4 residents per day, resulting in approximately 76% occupancy. The facility is For profit - Limited Liability company owned and is part of the Empres Operated by Evergreen chain.
Are there other nursing homes near Firesteel Healthcare Center?▾
Yes, there are 1 other nursing home in Mitchell, South Dakota with an average rating of 3/5. You can compare all facilities on the Mitchell nursing homes page.

Part of Empres Operated by Evergreen

This chain operates 42 facilities. View all →