FIRESTEEL HEALTHCARE CENTER
FIRESTEEL HEALTHCARE CENTER is a 125-bed nursing home in MITCHELL, South Dakota. CMS has certified it for Medicare and Medicaid since 1997-11-01. It averages 107.1 residents a day.
What harm was found in the violations cited at FIRESTEEL HEALTHCARE CENTER?
CMS lists 33 health-inspection deficiencies for FIRESTEEL HEALTHCARE CENTER since 2023-01-31, 29 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-05-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-28 | F0609, F0684 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2026-05-28 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-12-18 | F0689, F0740 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G |
| 2025-12-18 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-04-25 | F0880 | Provide and implement an infection prevention and control program. | H |
| 2025-04-25 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G |
| 2025-04-25 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-04-25 | F0584, F0625, F0656, F0847, F0867 | 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. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2025-04-25 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D |
| 2025-01-22 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-01-02 | 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 |
| 2025-01-02 | F0583, F0658, F0689 | Keep residents' personal and medical records private and confidential. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-11-26 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-10-17 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-09-17 | 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 |
| 2024-05-30 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2024-04-23 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-01-04 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-01-04 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-01-04 | 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 |
| 2023-01-31 | F0658, F0758, F0801, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / 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. / 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. / Provide and implement an infection prevention and control program. | D |
Why was FIRESTEEL HEALTHCARE CENTER fined 6 times?
| 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 |
How is FIRESTEEL HEALTHCARE CENTER staffed relative to the SD average?
| Measure | This facility | SD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.47260 | 3.78948 |
| Total nursing staff turnover (%) | 55.0 | 48.2 |
| Average number of residents per day | 107.1 | 52.1 |
Who owns FIRESTEEL HEALTHCARE CENTER, and what chain is it in?
FIRESTEEL HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name FIRESTEEL SNF OPERATIONS, LLC and belongs to the EVERGREEN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | since 08/31/2023 |
| MANAGING CONTROL - GOVERNING BODY | LOWE, LEONOR | since 08/31/2023 |
| CORPORATE OFFICER | SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 08/31/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, FIRESTEEL SNF OPERATIONS, LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, SOUTH DAKOTA SNF CONSULTING LLC, BOSSMAN, ANN, LOWE, LEONOR, MIRKOVIC, PETAR, PETERSON, SCOTT, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 08/31/2023 |
| ADP OF THE SNF | CH PACIFIC NORTHWEST HOLDINGS LLC, COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, FIRESTEEL SNF OPERATIONS, LLC, FIRESTEEL SNF REALTY LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, SOUTH DAKOTA SNF CONSULTING LLC, WITZCORP GLOBAL LLC, BOSSMAN, ANN, HERZKA, YISROEL, LOWE, LEONOR, MIRKOVIC, PETAR, PETERSON, SCOTT, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 03/07/2025 |
Were you or a family member harmed at FIRESTEEL HEALTHCARE CENTER?