Firesteel Healthcare Center
Nursing Home · Mitchell, SD
CMS certification number435109
Contact & location
1120 East 7TH AvenueMitchell, SD 57301
Davison County
- Phone
- (605) 996-6526
- ZIP code
- 57301 – all care providers
Facility details
- Certified beds
- 125
- Residents per day
- 107.1 (86% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Firesteel SNF Operations, LLC
- Chain
- Evergreen Healthcare Group (44 facilities, avg 2.5★)
- Medicare certified since
- November 1, 1997
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.47 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.51 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.56 (state 0.47 · U.S. 0.86)
- Nurse aides
- 2.40 (state 2.52 · U.S. 2.32)
- Weekend total
- 2.94 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 55.0 (state 48.2 · U.S. 45.8)%
- RN turnover
- 46.2 (state 34.7 · U.S. 42.9)%
Inspections
- Last standard inspection
- April 25, 2025
- Health deficiencies (last cycle)
- 15.0 (state 6.9 · U.S. 9.3)
- From complaints
- 10
- Citations on record (3 years)
- 33 health · 5 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-28 |
| 2026-05-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-01 |
| 2026-05-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-28 |
| 2025-12-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-01-09 |
| 2025-12-18 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-12-22 |
| 2025-12-18 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-22 |
| 2025-04-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
H Actual harm |
Corrected 2025-05-20 |
| 2025-04-25 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
G Actual harm |
Corrected 2025-05-20 |
| 2025-04-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-20 |
| 2025-04-25 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-20 |
| 2025-04-25 | 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. F0625 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-20 |
| 2025-04-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-20 |
| 2025-04-25 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-20 |
| 2025-04-25 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-20 |
| 2025-04-25 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-20 |
| 2025-01-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2025-01-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-14 |
| 2025-01-02 | 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. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-30 |
| 2025-01-02 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2025-01-02 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-30 |
| 2025-01-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-30 |
| 2024-11-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-12-27 |
| 2024-10-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-10-04 |
| 2024-09-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-10-12 |
| 2024-05-30 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-01-25 |
| 2024-04-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-30 |
| 2024-01-04 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-10 |
| 2024-01-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-10 |
| 2024-01-04 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-10 |
| 2023-01-31 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-09 |
| 2023-01-31 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-09 |
| 2023-01-31 | 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. F0801 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-09 |
| 2023-01-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-09 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
6 penalties in the last three years, including $153,308 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-18 | Fine | $42,510 |
| 2025-04-25 | Fine | $46,137 |
| 2024-11-26 | Fine | $34,320 |
| 2024-10-17 | Fine | $6,788 |
| 2024-09-17 | Fine | $15,041 |
| 2024-05-30 | Fine | $8,512 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Pacific Northwest SNF Operations Holdings (SD) LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Bossman, Ann (individual) | Administrator · NOT APPLICABLE | |
| CH Pacific Northwest Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Couve Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Couve Healthcare Consulting LLC (organization) | Administrator · NOT APPLICABLE | |
| Firesteel SNF Operations, LLC (organization) | Administrator · NOT APPLICABLE | |
| Firesteel SNF Realty LLC (organization) | Administrator · NOT APPLICABLE | |
| Herzka, Yisroel (individual) | Administrator · NOT APPLICABLE | |
| Lowe, Leonor (individual) | Administrator · NOT APPLICABLE | |
| Mirkovic, Petar (individual) | Administrator · NOT APPLICABLE | |
| Pacific Northwest Opco Management LLC (organization) | Administrator · NOT APPLICABLE | |
| Peterson, Scott (individual) | Administrator · NOT APPLICABLE | |
| South Dakota SNF Consulting LLC (organization) | Administrator · NOT APPLICABLE | |
| Spielman, Shimon (individual) | Administrator · NOT APPLICABLE | |
| Witzcorp Global LLC (organization) | Administrator · NOT APPLICABLE | |
| Yenowitz, Yitzchok (individual) | Administrator · NOT APPLICABLE | |
| Spielman, Shimon (individual) | Corporate Officer · NOT APPLICABLE | |
| Yenowitz, Yitzchok (individual) | Corporate Officer · NOT APPLICABLE | |
| Lowe, Leonor (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Bossman, Ann (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Couve Financial Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Couve Healthcare Consulting LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Firesteel SNF Operations, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Lowe, Leonor (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Mirkovic, Petar (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Pacific Northwest Opco Management LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Peterson, Scott (individual) | Operational/managerial Control · NOT APPLICABLE | |
| South Dakota SNF Consulting LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Spielman, Shimon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Yenowitz, Yitzchok (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Firesteel Healthcare Center?
Firesteel Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.
How many beds does Firesteel Healthcare Center have?
It has 125 certified beds and cares for about 107 residents per day.
Has Firesteel Healthcare Center been fined?
Yes. CMS lists 6 penalties totaling $153,308 in the last three years.
Who owns Firesteel Healthcare Center?
It is part of Evergreen Healthcare Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Firesteel Healthcare Center?
(605) 996-6526. The facility is located at 1120 East 7TH Avenue, Mitchell, SD 57301.
Other nursing homes in Mitchell
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Avera Brady Health and Rehab
Nursing Home · Mitchell, SD · 84 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.